Psychological Examination for Children's "Embarrassing Pain" : Drawing Expression Using the Human Form(Workshop/How to Deal with "Unmanageable Pain" in Clinical Practice - Knowledge of Intractable Pain for Clinical Psychologist)

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  • 小児の"困った痛み"の心理学的検討 : 人型を用いた痛みの描画表現(ワークショップ:日常診療における"困った痛み"をどう考える?-心理士のための難治性疼痛の理解-,2013年,第54回日本心身医学会総会ならびに学術講演会(横浜))
  • 小児の"困った痛み"の心理学的検討 : 人型を用いた痛みの描画表現
  • ショウニ ノ"コマッタ イタミ"ノ シンリガクテキ ケントウ : ジンガタ オ モチイタ イタミ ノ ビョウガ ヒョウゲン

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Abstract

Adults usually perceive pain to be physical ! however children do not differentiate between heart pain and body pain. Children's pains imply not only sharp physical pain, but various pains such as mental pain or "anxious feelings" of strain from the environment. To evaluate such pains objectively and to understand them correctly, the consideration on their developmental ages is inadequate. Furthermore, if the child produces physical jitters from a sense of fear at medical examination, parents and doctors often will not acknowledge that pain because it is not a "sharp" physical pain caused by a particular functional disease or injury. The child's response to such a lack of empathy might cause a psychological condition of "self-doubt" and "self-inadequacy". Then the child might say "I should not say that I have such a pain" even when the pain does exist and consequently he loses "positive self-image and self-confidence". The situation of such an "embarrassing pain" leaves behind a problem of parent-child relationship at home as well as a difficulty in giving precise treatment. In understanding children's "embarrassing pain", the existing scale is useful, but we utilize the drawing using the human form at our Hospital and Clinics. In this paper, the author presents actual cases of this method with some comments on children's "embarrassing pain".

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