帮助孩子了解自己的丸女性化
1Paediatric Department, North Staffordshire Hospital Centre, Stoke-on-Trent, UK.
Lancet (London, England)
|January 5, 1991
概括
孩子们可以逐渐理解严重的诊断,随着他们的成熟. 这种分阶段的方法可以避免在脆弱的青少年时期给他们带来难以理解的信息,以丸女性化为例.
科学领域:
- 儿科心理学 儿科心理学
- 发展心理学 发展心理学
- 医学沟通 医学沟通
背景情况:
- 儿童的认知发展与成年人有很大不同.
- 延迟向儿童披露严重的医疗信息可能会导致青春期的痛苦.
- 当前的做法往往隐信息,直到孩子被认为"足够大".
研究的目的:
- 提出和说明一个发展性的方法,向儿童披露严重的医疗诊断.
- 倡导与儿童的认知和情感成长保持一致的分阶段披露方法.
- 介绍一个以这种方法管理的丸女性化的案例研究.
主要方法:
- 描述适合儿童发育阶段的分阶段沟通策略.
- 将信息的复杂性与孩子的概念理解相匹配.
- 将披露过程纳入孩子随着时间的推移成熟的过程.
- 用诊断为丸女性化的儿童的临床例子来说明这种方法.
主要成果:
- 阶段性披露允许儿童逐步处理复杂的医疗信息.
- 这种方法可以减少焦虑和改善应对机制与晚期启示相比.
- 患有丸女性化的孩子逐渐理解他们的诊断是他们个人发展的一部分.
结论:
- 对儿童来说,逐步披露医疗信息是一个更敏感,更有效的方法.
- 这种方法尊重孩子的认知能力和情绪准备.
- 根据发育阶段调整沟通,有助于更好地长期适应严重诊断.
关键词:
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