THE SPECIFIC NATURE OF PSYCHOLOGICAL REHABILITATION FOR CHILDREN AFTER SEVERE TRAUMATIC BRAIN INJURY AT THE EARLY STAGES OF RECOVERING CONSCIOUSNESS
Journal Title: Acta Neuropsychologica - Year 2013, Vol 11, Issue 3
Abstract
Psychological support for children with TBI and their families plays a very significant role in early neurorehabilitation. The aim of our study was to investigate some particularities of psychological support for children afflicted by severe traumatic brain injury. 30 children aged 11-16 with severe traumatic brain injury (GCS≤8) participated in the study. A case study technique was employed. The parents’ involvement in the rehabilitation process was studied, using clinical interviews and observations. Two complementary directions were identified as regards children’s psychological rehabilitation after severe TBI: the psychological support offered by the parents and psychological work with children who are in states of consciousness that have been profoundly altered. In children the interaction with parents becomes important, because trauma causes dysfunction in the family. Analyses of clinical cases using case histories where one can find information about signals coming from children in such states of consciousness during psychological contact have revealed common patterns in the dynamics of recuperation. As tje energetic and functional possibilities of patients improve during their vegetative state, a number of physical manifestations start to appear. Afterwards, mimetic and emotional reactions emerge, and consequently the amount of body “gesturing” increases. Thus psychological help for children with altered states of consciousness is an important procedure in early neurorehabilitation, insofar as their contact and interaction with the outer world is concerned.
Authors and Affiliations
Valentina Bykova, Ekaterina Fufaeva
Keywords
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