Recovery of consciousness through the prism of psychology: psychological work with children after severe brain injury

1082

Abstract

The paper discusses psychological work with children after severe brain injury. We present the method of clinical anthropocentrism which lets the rehabilitation team sample the patient’s capabilities and determine his/her areas of proximal development at each stage of recovery, and also find the nearest and set out long-term tasks of psychological rehabilitation. We present the results of the comparative analysis of the recovery of two children in the state of reduced consciousness who were rehabilitated with the use of different methods: clinical anthropocentrism and standard complex approach (psychological support of the family, therapeutic physical training, massage, physiotherapy, pharmacotherapy, etc.). Conclusions: the method of clinical anthropocentrism used in work with children after severe brain injury raises the quality and intensity of his/her communication signals and expands the potential for movement and behavior.

General Information

Keywords: children, depression of consciousness, profound altered states of consciousness, clinical anthropocentrism

Journal rubric: Workshop and Methods

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2018260207

For citation: Bykova V.I., Harkovskiy A.N., Fufaeva E.V., Lukyanov V.I., Sidneva Y.G. Recovery of consciousness through the prism of psychology: psychological work with children after severe brain injury. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2018. Vol. 26, no. 2, pp. 104–124. DOI: 10.17759/cpp.2018260207. (In Russ., аbstr. in Engl.)

References

  1. Bratus’ B.S. Anomalii lichnosti [Anomalies of personality]. Moscow: Mysl’, 1988, 88 p.
  2. Buber M. Problema cheloveka [The problem of man]. In Dva obraza very [Two types of faith]. Мoscow: Respublika, 1995, pp. 157—231. (In Russ.).
  3. Bykova V.I., Luk’yanov V.I., Fufaeva E.V. Dialog s patsientom pri ugnetenii soznaniya posle glubokikh povrezhdenii golovnogo mozga [Dialogue with the patient in the suppression of consciousness after deep brain damage]. Konsul’tativnaya psikhologiya i psikhoterapiya [Counseling Psychology and Psychotherapy], 2015. Vol. 23 (3), pp. 9—31 doi:10.17759/cpp.2015230302. (In Russ., abstr. in Engl.)
  4. Bykova V.I., Fufaeva E.V., L’vova E.A., Valiullina S.A. Osobennosti rannei psikhologicheskoi reabilitatsii pri narushenii soznaniya u detei posle TChMT [Features of early psychological rehabilitation in case of impaired consciousness in children after SCI]. Vestnik nevrologii, psikhiatrii i neirokhirurgii [ Bulletin of Neurology, Psychiatry and Neurosurgery], 2013, no. 5, pp. 104—110.
  5. Vygotsky L.S. Sobranie sochinenii: V 6 t. T. 3. Problemy razvitiya psikhiki [Collected Works: in 6 vol. Vol. 3. Problems of development of the mind]. Moscow: Pedagogika, 1983, 368 p.
  6. Goldberg E. Paradoks mudrosti. Nauchnoe oproverzhenie “starcheskogo slaboumiya” [The paradox of wisdom: How your mind can grow stronger as your brain grows older]. Moscow: Pokolenie, 2007. 384 p. (In Russ.).
  7. Gordeeva O.V. Izmenennye sostoyaniya soznaniya i kul’tura. Khrestomatiya [Altered states of consciousness and culture. Handbook]. Saint Petersburg: Kogito- Tsetr, 2012. 430 p.
  8. Goryanina V.A. Psikhologiya obshcheniya [Psychology of communication]. Мoscow: Akademiya, 2002. 416 p.
  9. Janet P. Psikhologicheskaya evolyutsiya lichnosti [Psychological evolution of personality]. Мoscow: Akademicheskii proekt, 2010. 398 p. (In Russ.).
  10. Zaitsev O.S. Psikhopatologiya tyazheloi cherepno-mozgovoi travmy [Psychopathology of severe craniocerebral trauma]. Мoscow: MEDpress-inform, 2011. 336 p.
  11. Zakrepina A.V. Pedagogicheskie tekhnologii v kompleksnoi reabilitatsii detei s tyazheloi cherepno-mozgovoi travmoi [Pedagogical technologies in complex rehabilitation of children with severe craniocerebral trauma]. Мoscow: PARADIGMA, 2012. 302 p.
  12. Zinchenko V.P. (ed.). Kak postroit’ svoe “ya” [How to build your Self]. Moscow: Pedagogika, 1991. 136 p.
  13. Leont’ev A.N. Deyatel’nost’. Soznaniye. Lichnost’ [Activity. Consciousness. Personality]. Мoscow: Politizdat, 1975. 304 p.
  14. Maksakova O.A. Reabilitatsionnaya komanda — put’ k integratsii [Rehabilitation team as the path to integration] // In Pankova D.D. (ed.) Osnovy chastnoi meditsinskoi reabilitologii i vosstanovitel’noi nevrologii [Fundamentals of private medical rehabilitation and restorative neurology]. Мoscow: Kolos, 1997, pp. 107—115.
  15. Maksakova O.A. Komandnaya rabota kak put’ k vozvrashcheniyu soznaniya [Teamwork as a way to regain consciousness] // Voprosy neirokhirurgii [Neurosurgery issues], 2014, no. 1, pp. 57—68.
  16. Maslow A. Motivatsiya i lichnost’ [Motivation and Personality]. Saint Petersburg.: Evraziya, 1999. 479 p. (In Russ.)
  17. Metzinger T. Nauka o mozge i mif o svoem Ya. Tonnel’ ego [The Ego Tunnel: The Science of the Mind and the Myth of the Self]. Мoscow: AST Publ., 2017. 413 p. (In Russ.).
  18. Mindell A. Koma: klyuch k probuzhdeniyu. Samostoyatel’naya rabota nad soboi: Vnutrennyaya rabota so snovidyashchim telom [Coma: the key to awakening. Working on yourself alone: Inner Dreambody Work]. Мoscow: AST Publ., 2005. 284 p. (In Russ.).
  19. Kulikov L.V. (ed.). Psihologiya soznaniya [Psychology of consciousness]. Saint Petersburg: Piter, 2001. 480 p.
  20. Semenova Zh.B. Etapy okazaniya pomoshchi detyam s cherepno-mozgovoi travmoi. Zadachi neirokhirurga [Stages of rendering assistance to children with craniocerebral trauma. Neurosurgeon’s tasks]. Nevrologiya i neirokhirurgiya detskogo vozrasta [Neurology and Neurosurgery of Childhood], 2012, no. 2—3, pp. 105—112.
  21. Sistemnyi podkhod v rannei reabilitatsii detei s tyazheloi cherepno-mozgovoi travmoi. Chast’ 1. (metodicheskie rekomendatsii no. 48) [A systematic approach in the early rehabilitation of children with severe craniocerebral trauma. Part 1. (methodical recommendations no. 48)]. Мoscow: Pravitel’stvo Moskvy Departament zdravookhraneniya goroda Moskvy [Moscow City Government Department of Health of Moscow], 2014.
  22. Tart C. Izmenennye sostoyaniya soznaniya [Altered states of consciousness]. Мoscow: Eksmo, 2003. 285 p. (In Russ.).
  23. Fufaeva E.V., Luk’yanov V.I., Bykova V.I., Semenova Zh.B., Valiullina S.A. Rannee neiropsikhologicheskoe soprovozhdenie detei s tyazheloi cherepno-mozgovoi travmoi [Early neuropsychological support for children with severe craniocerebral trauma]. Neirokhirurgiya i nevrologiya detskogo vozrasta [Neurology and Neurosurgery of Childhood]. Saint Petersburg: 2012, no. 4 (34), pp. 61—75.
  24. Jung K.G. Ocherki po psikhologii bessoznatel’nogo [Essays on the psychology of the unconscious]. Мoscow: Kogito-Tsentr, 2010. 352 p. (In Russ.).
  25. Bykova V.I., Lukianov V.I., Fufaeva E.V. Communicative activity of children in the state of suppressed consciousness after severe traumatic brain injury. Аcta neuropsychological, 2014. Vol. 12 (4), pp. 417—431.
  26. Laureys S., Tononi G. The Neurology of Consciousness: Cognitive Neuroscience and Neuropathology. Amsterdam; London: Academic Press, 2009. 423 p.

Information About the Authors

Valentina I. Bykova, PhD in Psychology, clinical psychologist, Clinical and Research Institute of Emergency Pediatric Surgery and Trauma (CRIEPST), Moscow, Russia, ORCID: https://orcid.org/0000-0003-4473-499X, e-mail: valentina.bykova.vb@yandex.ru

Arkadii N. Harkovskiy, Clinical Psychologist of The Highest Category of the Psycho-Pedagogical Assistance Department of Rehabilitation, Clinical and Research Institute of Urgent Pediatric Surgery and Trauma (CRIEPST), Moscow, Russia, e-mail: ark-har@mail.ru

Ekaterina V. Fufaeva, neuropsychologist, medical psychologist of the highest category, researcher, head of the department of psychological and pedagogical assistance, Clinical and Research Institute of Urgent Pediatric Surgery and Trauma (CRIEPST), Moscow, Russia, ORCID: https://orcid.org/0000-0002-7556-0745, e-mail: k.fufaeva@gmail.com

Valerii I. Lukyanov, Senior Researcher of the Laboratory of New Medical Technologies, Clinical and Research Institute of Urgent Pediatric Surgery and Trauma (CRIEPST), Moscow, Russia, e-mail: lukianovvaleriy@gmail.com

Yuliya G. Sidneva, PhD in Medicine, Doctor, Neuropsychiatrist, Head of Department of Psycho-Pedagogical Assistance, Department of Rehabilitation, Clinical and Research Institute of Urgent Pediatric Surgery and Trauma (CRIEPST), Moscow, Russia, e-mail: ygsidneva@gmail.com

Metrics

Views

Total: 2493
Previous month: 21
Current month: 3

Downloads

Total: 1082
Previous month: 4
Current month: 0