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[Modern aspects in management of psychotic children (author's transl)]
Insights
Hope is crucial for managing psychotic children. A psychoanalytical approach in day hospitals improved outcomes for one-third to one-half of children treated.
Area of Science:
- Child and Adolescent Psychiatry
- Psychoanalytical Theory
- Psychotic Disorders in Children
Context:
- Management of psychotic children requires hope and effective therapeutic strategies.
- Modern psychoanalytical theory informs treatment alternatives.
- Day hospitals offer a structured environment for intensive therapy.
Purpose:
- To explore psychoanalytical treatment alternatives for psychotic children.
- To evaluate the effectiveness of day hospital management.
- To highlight the importance of hope in pediatric psychosis treatment.
Summary:
- Treatment involves individual psychoanalysis, day-long "life groups," consistent psychoanalytically-based institutional policies, family support, and minimal chemotherapy.
- Day hospitals, serving specific districts, facilitate optimal active therapy.
- This integrated approach aims to improve the condition of children with psychosis.
Impact:
- Significant improvement or recovery observed in 33% to 50% of treated children.
- Demonstrates the potential of psychoanalytical day hospital models for pediatric psychosis.
- Highlights the positive impact of a supportive family and institutional environment.
Abstract:
The idea of hope is paramount in the management of psychotic children. The different alternatives were developed with reference to the modern conceptions of the psychoanalytical theory. Day hospitals, each of which admits children from a given district, seem to allow optimal active therapy. Management includes: individual psychoanalysis for the child; life groups to which the child belongs during the day; a consistent institutional policy based on psychoanalytical theories; leaving the child with it's own or an auxiliary family and supporting this family; minimal chemotherapy. The authors report major improvement or recovery in one-third to one-half of the children.