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

12

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.)

References

  1. Behterev V.M. Mozg i ego dejatel'nost' [The Brain and Its Activity]. In Gervera A.V. (ed.). Leningrad: Gosizdat, 1928. 327 p.
  2. Belkin A.A., Aleksandrova E.V., Ahutina T.V., Belkin V.A., Berdnikovich E.S., Bykova V.I., Varako N.A., Voznjuk I.A., Gnedovskaja E.V., Grigor'eva V.N., Zajcev O.S., Zinchenko Ju.P., Ivanova G.E., Ivanova N.E., Kovjazina M.S., Kondrat'ev A.N., Kondrat'eva E.A., Kondrat'ev S.A., Krylov V.V., Latyshev Ja.A. i dr. Hronicheskie narushenija soznanija: Klinicheskie rekomendacii obshherossijskoj obshhestvennoj organizacii "Federacija anesteziologov i reanimatologov" [Chronic disorders of consciousness: Clinical recommendations of the All-Russian public organization "Federation of Anesthesiologists and Intensive Care Specialists"]. Vestnik intensivnoj terapii imeni A.I. Saltanova = Bulletin of intensive care named after A.I. Saltanov. 2023. № 3. рр. 7—42.
  3. Bykova V.I. Psihologicheskie osobennosti obshhenija u detej v sostojanii snizhennogo soznanija posle tjazhelyh povrezhdenij golovnogo mozga (rannij jetap vosstanovlenija): Avtoref. diss. kand. psikhol. nauk. [Psychological features of communication in children in a state of reduced consciousness after severe brain damage (early stage of recovery). Ph. D. (Psychology) Thesis] Moscow, 2020. 28 p.
  4. 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.)
  5. Vundt V. Vvedenie v psihologiju [Introduction to Psychology]. Moscow: Publ. KomKniga, 2007. 168 p. (In Russ.).
  6. Vygotskij L.S. Voprosy detskoj psihologii [Questions of child psychology]. St. Petersburg: Sojuz, 1997. 224 p.
  7. Vygotskii L.S. Psikhologiya razvitiya cheloveka [Psychology of human development]. Moscow: Publ. Smysl; Eksmo, 2005, 1136 р.
  8. Gal'perin P.Ja., Kabyl'nickaja S.L. Jeksperimental'noe formirovanie vnimanija [Experimental formation of attention]. Moscow: Publ. Mosk. un-ta, 1974. 102 p.
  9. Gusserl' E. Izbrannye raboty [Selected works]. In Kurennoi V.A. (ed.). Moscow: Izdatel’skii dom «Territoriya budushchego», 2005, 464 p. (In Russ.).
  10. Damasio A.Ja. Mozg i vozniknovenie soznanija [Self Comes to Mind. Constructing the conscious brain]: In Jushhenko I. (ed). Moscow: Kar'era Press, 2018. 384 p. (In Russ.).
  11. Dekart R. Sochinenija v dvuh tomah. T. 1. [Works in 2 volumes. Vol. 1]. Moscow: Mysl', 1989. 654 p. (In Russ.).
  12. Dennet D., Hofshtadter D. Glaz Razuma [The eye of the mind]. Samara: Bahrah-M, 2003. 432 p. (In Russ.).
  13. Dzheims U. Psikhologiya [Psychology]. Moscow: Pedagogika, 1991. 368 p. (In Russ.)
  14. Dobrohotova T.A. Nejropsihiatrija [Neuropsychiatry]. Moscow: BINOM, 2006. 304 p.
  15. Zaitsev O.S. Psikhopatologiya tyazheloi cherepno-mozgovoi travmy [Psychopathology of severe craniocerebral trauma]. Мoscow: MEDpress-inform, 2011. 336 p.
  16. Kondrat’eva E.A. Vegetativnoe sostoyanie (Etiologiya, patogenez, diagnostika i lechenie): monografiya [Vegetative state (etiology, pathogenesis, diagnosis and treatment): monograph]. St. Petersburg: FKBU «RNHI im. prof. A.L. Polenova» MZ RF, 2014. 361 p.
  17. Luria A.R. Vysshie korkovye funktsii cheloveka i ikh narusheniya pri lokal'nykh porazheniyakh mozga [Higher cortical functions in man and their disturbances in patients with local brain injury]. Moscow: Lomonosov Moscow State University, 1962. 433 p.
  18.  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. (In Russ.)
  19. Obuhova L.F. Osnovy obshhej (geneticheskoj) psihologii. Teorija P.Ja. Gal'perina i formirujushhij jeksperiment: monografija [Fundamentals of general (genetic) psychology. Theory P. Galperin and the formative experiment: monograph]. In Burmenskaja G.V. (eds.). Moscow: Moscow State University of Psychology and Education, 2022. 292 p.
  20. Pinker S. Substancija myshlenija: jazyk kak okno v chelovecheskuju prirodu: per. s angl. [The stuff of thought: language as a window into human nature]. Murat V.P. (eds.). Moscow: URSS: LIBROKOM, 2016. 557 p. (In Russ.).
  21. Priest S. Teorii soznanija [Theories of consciousness]. Moscow: IdeaPress, 2000. 287 p. (In Russ.).
  22. Serl Dzh. Mozg, soznanie i programmy [Minds, Brains, and Programs]. In Grjaznov A.F. (ed.). Analiticheskaja filosofija: stanovlenie i razvitie (antologija) [Analytical Philosophy: Formation and Development. Anthology]. Moscow: Dom intellektual'noj knigi, Progress-Tradicija, 1998. pp. 376-400. (In Russ.).
  23. Hamfri N. Soznanie. Pyl'ca dushi [Soul Dust: The Magic of Consciousness]. Moscow: Kar'era Press, 2014. 304 p. (In Russ.).
  24. Hronicheskie narushenija soznanija. Klinicheskie rekomendacii. Vozrastnaja gruppa: vzroslye [Chronic disorders of consciousness. Clinical recommendations. Age group: adults]. Moscow: 2023. 125 p.
  25. Chalmers D. Soznayushchij um: V poiskah fundamental’noj teorii [The conscious mind: In search of a fundamental theory]. Moscow: URSS; Knizhnyj dom «LIBROKOM», 2013. 509 p. (In Russ.).
  26. EHbbingauz G. Ocherk psikhologii [An essay on psychology]. Saint-Petersburg: Izdatel’stvo O. BOGDАNOVOJ, 1911. 242 p. (In Russ.).
  27. Nagel T. What is it like to be a bat?. The Philosophical Review, 1974, Vol. 83 (4), pp. 435—450 DOI 10.2307/2183914
  28. Nagel T. Mind and Cosmos: Why the Materialist Neo-Darwinian Conception of Nature Is Almost Certainly False. Faith and Philosophy, 2014, Vol. 31 (2), pp. 236—240 DOI:10.5840/faithphil20143128

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

Metrics

Views

Total: 75
Previous month: 0
Current month: 75

Downloads

Total: 12
Previous month: 0
Current month: 12