子供に自分の丸の女性化を理解する手助けをする
1Paediatric Department, North Staffordshire Hospital Centre, Stoke-on-Trent, UK.
Lancet (London, England)
|January 5, 1991
まとめ
子供は,成熟するにつれて,徐々に深刻な診断を理解することができます. この段階的なアプローチは,脆弱なティーンエイジング期間中に困難な情報で彼らを圧倒することを避け,テストキュラーフェミニゼーションのケースを例に挙げます.
科学分野:
- 小児心理学の心理学について
- 発達心理学の心理学について
- 医療コミュニケーションについて
背景:
- 子供の認知発達は,大人と大きく異なります.
- 重大な医学的情報を子供に知らせるのを遅らせることは,青春期に苦痛をもたらす可能性があります.
- 現在の慣行では,子どもたちが"十分に年を取っている"と認識されるまで,情報を隠していることが多い.
研究 の 目的:
- 重篤な医療診断を子供に開示するための発達的アプローチを提案し,説明する.
- 子どもの認知的,感情的成長に合わせた段階的な開示方法を提唱する.
- このアプローチで管理された丸フェミニゼーションのケーススタディを紹介します.
主な方法:
- 子どもの発達段階に合わせた段階的なコミュニケーション戦略を記述する.
- 情報の複雑さを子どもの概念的理解に合わせる.
- 情報の開示のプロセスを,子どもの成長過程に組み込むこと.
- このアプローチを,丸の女性化と診断された子供の臨床例で説明します.
主要な成果:
- 段階的な開示によって,子どもたちは複雑な医療情報を段階的に処理することができます.
- この方法は,不安を軽減し,遅段階の暴露と比較して対処メカニズムを改善することができます.
- 精巣の女性化を持つ子供は,自分の個人的な発展の一部として,徐々に自分の診断を理解しました.
結論:
- 医学的情報の開示は,発達的,段階的であり,子供にとってより敏感で効果的なアプローチです.
- この方法は,子供の認知能力と感情的準備を尊重します.
- コミュニケーションを発達段階に合わせることで,深刻な診断に対するよりよい長期的な適応が可能になります.
キーワード:
プロフェッショナル 患者との関係 患者との関係
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