RESUMO
A 46-year-old man with laryngeal carcinoma was admitted to the medical service for lethargy. The medical team requested a psychiatric consultation to assist with the patient's depression, substance abuse, and noncompliance. The case is presented and discussed with reference to the issues of depression, disfigurement, dysfunction, and substance abuse in the patient with head and neck cancer.
Assuntos
Alcoolismo/psicologia , Imagem Corporal , Carcinoma de Células Escamosas/psicologia , Transtorno Depressivo/psicologia , Neoplasias Laríngeas/psicologia , Equipe de Assistência ao Paciente , Papel do Doente , Alcoolismo/reabilitação , Carcinoma de Células Escamosas/reabilitação , Terapia Combinada , Comorbidade , Transtorno Depressivo/reabilitação , Humanos , Neoplasias Laríngeas/reabilitação , Laringectomia/psicologia , Laringectomia/reabilitação , Masculino , Pessoa de Meia-Idade , Esvaziamento Cervical/psicologia , Esvaziamento Cervical/reabilitação , Cooperação do Paciente/psicologia , Complicações Pós-Operatórias/psicologia , Complicações Pós-Operatórias/reabilitação , Traqueostomia/psicologia , Traqueostomia/reabilitaçãoAssuntos
Psiquiatria Infantil , Psiquiatria Comunitária , Pediatria , Psiquiatria Preventiva , Estresse Psicológico , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Relações Pais-FilhoAssuntos
Maus-Tratos Infantis , Delitos Sexuais , Adolescente , Adulto , Ansiedade de Separação/etiologia , Criança , Pré-Escolar , Emoções , Feminino , Humanos , Incesto , Masculino , Gravidez , Transtornos Psicofisiológicos/etiologia , EstuproRESUMO
Although there has been increasing awareness of the psychologic effects of illness and hospitalization in children and early adolescents, those who have sustained spinal cord injury (SCI) have received scant notice in the literature. A developmental approach in work with hospitalized children having SCI has been found helpful in trying to meet the psychologic needs of these children, and in guiding staff to better understand their behavior and to implement care more appropriately. In this approach to children and early adolescents with SCI, developmental status is evaluated and each child's response to SCI in relation to the prominent issues of developmental stage is assessed. A productive byproduct of this approach is that family dynamics become more obvious and both patient and family behavior are better understood by those providing medical care.
Assuntos
Desenvolvimento Infantil , Psicologia do Adolescente , Traumatismos da Medula Espinal/psicologia , Adolescente , Comportamento do Adolescente , Comportamento Infantil , Pré-Escolar , Família , Feminino , Humanos , MasculinoRESUMO
Parents are shocked by the unexpected appearance and growth of hemangiomas, the most common benign tumors of childhood, yet parents' psychosocial needs are largely ignored. A psychoeducational/self-help pilot group for parents is described in this article. The Mental Health Inventory and a 44-item questionnaire were used to gather pertinent biopsychosocial data. Parents were more distressed and had less of a sense of well-being than the general population. Medical complications were significantly associated with the couple's distress (P < 0.05). Parental perception of hemangiomal surface area or site was not correlated with parental distress. Therapists clinically assessed parental distress, presented coping strategies for parents and families, and discussed medical information about hemangiomas and normal childhood development.