The Subjectivity of Consciousness as a Possible Theoretical Justification for Psychological Formative Context (FcDоC) in Children with Lowered Level of Consciousness

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Abstract

Relevance. Currently, the issue of restoring consciousness after severe brain injury is a very acute one. Purpose. To present a new practical psychological technique, based on modern theoretical concepts of consciousness — Formative context in disorders of consciousness (FcDоC), which allows to dynamically change and form mental processes in decreased consciousness in children after severe brain injury. Material and methods. 4 children (aged 5-10 y.o.) with decreased level of consciousness after severe traumatic brain injury were enrolled in the pilot study at early stages of rehabilitation. Each child was shown a video about him/her which was shot a few days earlier. The film was accompanied by psychological comments, and child's reactions were simultaneously video recorded. Results were assessed with quantitative (SCAB) and qualitative techniques (visual observation, video recording). Results. All children demonstrated an emotional response after watching the film; there were marked positive changes in their psychic activity (less latent response time, better emotional and motor reactions). Conclusion. A new technique of psychological work with children in lowered level of consciousness after brain injury, which allows to form and restore child's mental capabilities, has been called «Formative context in disorders of consciousness (FcDоC)». The present study combines theoretical prerequisites of new knowledge on human consciousness formation with true practical experience.

General Information

Keywords: consciousness, decreased consciousness, self-consciousness, children, severe traumatic brain injury, a method of restoring consciousness, formative context, Formative context in disorders of сonsciousness (FcDоC)

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2024320309

Received: 11.03.2024

Accepted:

For citation: Bykova V.I., Vasilieva I.D., Lvova E.A., Fufaeva E.V., Valiullina S.A. The Subjectivity of Consciousness as a Possible Theoretical Justification for Psychological Formative Context (FcDоC) in Children with Lowered Level of Consciousness. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2024. Vol. 32, no. 3, pp. 162–184. DOI: 10.17759/cpp.2024320309. (In Russ., аbstr. in Engl.)

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Information About the Authors

Valentina I. Bykova, PhD in Psychology, Clinical Psychologist of the Highest Category, Senior Scientist of Psycho-pedagogical Assistance Unit at the Rehabilitation Department, 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

Irina D. Vasilieva, Student (Clinical Psychology), Dubna State University, Dubna, Russia, ORCID: https://orcid.org/0009-0001-2762-3334, e-mail: psy@irivasi.ru

Ekaterina A. Lvova, clinical psychologist, Clinical and Research Institute of Emergency Pediatric Surgery and Trauma (CRIEPST), Moscow, Russia, ORCID: https://orcid.org/0000-0002-6551-7305, e-mail: lvova.katerina@gmail.com

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

Svetlana A. Valiullina, Doctor of Medicine, Professor, Chief Freelance Children’s Rehabilitation Therapist of Moscow, Head of the Department of Rehabilitation, Clinical and Research Institute of Emergency Pediatric Surgery and Trauma (CRIEPST), Moscow, Russia, ORCID: https://orcid.org/0000-0002-1622-0169, e-mail: VSA64@mail.ru

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