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

Bykova V.I.
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: v_i_bykova@mail.ru

Harkovskiy A.N.
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

Fufaeva E.V.
Senior Researcher of the Laboratory of New Medical Technologies, Clinical and Research Institute of Urgent Pediatric Surgery and Trauma (CRIEPST), Moscow, Russia
e-mail: k.fufaeva@gmail.com

Lukyanov V.I.
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

Sidneva Y.G.
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

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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.

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

Column: Workshop and Methods

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

For Reference

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.)

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