Email this article Psyсhologiсal defense mechanisms of children with cerebral palsy in the context of mothers attitude to a child’s disease
- Authors: Pyatakova G.V.1, Mamajchuk I.I.2, Umnov V.V.1
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Affiliations:
- The Turner Scientific Research Institute for Children’s Orthopedics
- Saint Petersburg State University
- Issue: Vol 5, No 3 (2017)
- Pages: 58-65
- Section: Articles
- URL: https://journals.rcsi.science/turner/article/view/7070
- DOI: https://doi.org/10.17816/PTORS5358-67
- ID: 7070
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Abstract
Introduction. Cerebral palsy (CP) has a significant prevalence in industrialized countries and is characterized by a high level of disability. Children and adolescents with CP face challenging situations. Physical defects repeatedly manifest in the daily life of a child in the form of other extraordinary events such as hospitalization, surgery, prolonged immobilization, and separation from family. Such events can be accompanied by feelings of fear, anxiety, helplessness, and pronounced symptoms of maladjustment. Under these conditions, certain biological and social compensatory manifestations help to identify such complicated conditions and restore the normal functioning of the body. Compensatory manifestations are a type of compensatory defense mechanisms. The major role in establishing a system of protection is played by the relationship between a child and his or her parents. Defense mechanisms can be formed during the process of assimilation of protective parental behavior, or because of the inappropriate attitude of mothers to the child’s illness. The purpose of the research was to study the defense mechanisms in children with CP in the context of mothers’ relationship to her child’s illness.
Materials and methods. The research involved 120 people. The experimental group included 30 children with CP aged 5 to 11 years and their mothers. The control group consisted of relatively healthy children (30) and their mothers. The following was used to achieve the goal: the elements of clinical and biographical method, projective technique, the technique of diagnostics of attitude to the child’s illness.
Results and discussion. The repertoire of psychological defense mechanisms in children with CP is limited in comparison with those in healthy children. Children with CP are dominated by the defense mechanism of “denial” that can play a negative role in the process of adaptation of these children in a situation involving complex treatments. The mothers of children with CP share an emotionally intense relationship with their child’s disease. Excessively disturbing attitudes of the mother to the disease of her child can contribute to the formation of negative psychological defense mechanisms of negation type in the child, which reduces the child’s psychological compensatory capacity and capability of adaptation in conditions of complex treatment.
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##article.viewOnOriginalSite##About the authors
Galina V. Pyatakova
The Turner Scientific Research Institute for Children’s Orthopedics
Author for correspondence.
Email: pyatakova@yandex.ru
MD, PhD, associate Professor, senior researcher of the Department of cerebral palsy of The Turner Scientific Research Institute for Children’s Orthopedics, associate Professor of psychology and extreme crisis situations of the faculty of psychology of St Petersburg State University.
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Irina I. Mamajchuk
Saint Petersburg State University
Email: mauki@mail.ru
MD, PhD, Professor, Professor of clinical psychology and psychophysiology of the faculty of psychology
Russian Federation, 7/9, Universitetskaya nab., St.Petersburg, 199034Valery V. Umnov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: umnovvv@gmail.com
MD, PhD, professor, scientific head of Department of cerebral palsy
Russian Federation, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603References
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