| Autor: |
Poltorak DY; Section of Behavioral Medicine, Children's Hospital, Cleveland Clinic, 9500 Euclid Avenue A120, Cleveland, OH 44195, USA. yaldood@ccf.org, Glazer JP |
| Jazyk: |
angličtina |
| Zdroj: |
Child and adolescent psychiatric clinics of North America [Child Adolesc Psychiatr Clin N Am] 2006 Jul; Vol. 15 (3), pp. 567-73. |
| DOI: |
10.1016/j.chc.2006.03.003 |
| Abstrakt: |
The cognitive and emotional development of children and adolescents follows a biologically driven, environmentally mediated, and predictable but not entirely invariate sequence. Piagetian, psychoanalytic, and other schools of thought inform an understanding of child development; some of the theories are empirically validated, some not. This framework enables clinicians and parents to approach their children, ill or well, from a developmentally informed perspective. At the same time, as Spinetta's [17] case-controlled study of 6 to 10-year-old children hospitalized either with cancer or non-life limiting illness demonstrated, serious illness itself accelerates cognitive development in often unpredicted ways: "To equate awareness of death with the ability to conceptualize it and express the concept in an adult man-ner denies the possibility of an awareness of death at a less cognitive level. If it is true that the perception of death can be engraved at some level that precedes a child's ability to talk about it, then a child might well understand that he is going to die long before he can say so." In the following articles,the editors invite a critical reading of the empiric and descriptive literature of pediatric palliative medicine that allows an informed and individualized approach to these extraordinary children and their families. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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