TEACHING BY TAPE *1, *2A Method of Undergraduate Instruction in Child Psychiatry

Pinkerton, Philip

doi:10.1016/s0140-6736(61)90595-5

Cited by 2 publications

(4 citation statements)

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“…There is a need to repeat our advice and our findings again and again to parents too distraught to absorb and understand what is being said to them on the first occasion (Pinkerton 1969). 'On the first interview at which the news of the defect is broken, little of what is said is remembered but the telling makes a deep impression' (Smithells 1969).…”

Section: Techniques Of Insight Promotionmentioning

confidence: 97%

“…Yet, in practice, because of our difficulty in sharing the subjective experiences of those closest to the child, it is not always easy to recognise the various defences which militate against realistic acceptance. To this end, a study of appropriate case abstracts recorded on tape during counselling consultations may help to foster our empathetic understanding (Pinkerton 1961) and so make it easier to identify, and subsequently correct, such mechanisms of non-acceptance.…”

Section: Introductionmentioning

confidence: 99%

“…To combat this phenomenon, we must ensure, so far as possible, that one doctor in the team assumes the role of counsellor in any particular case and sees the parents through to the ultimate stage of realistic acceptance (Pinkerton 1969). This principle of continuity is especially important within the multi-disciplinary Assessment Centre where the diluting effect of different doctors provides ample scope for frequent misconstruction.…”

Section: Introductionmentioning

confidence: 99%

“…A further obstacle, potentially more misleading, is intellectual insight, because here the parent seems to appreciate the implications intellectually but in fact fails to accept the situation emotionally (Pinkerton 1965(Pinkerton , 1967 Alternatively, the diagnosis of significant handicap may leave the parent with a sense of impotence, especially if prospects for rehabilitative treatment are unfavourable. This affective state, in turn, may breed a secondary set of pathological reactions.…”

Section: Introductionmentioning

confidence: 99%

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Parental Acceptance of the Handicapped Child: (Illustrated with Recorded Case Extracts)

Pinkerton

1970

Develop Med Child Neuro

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SUMMARY Realistic acceptance of handicap by parents of disabled children constitutes an integral part of the comprehensive management of their disability. Procedures for promoting this attitude will, therefore, repay close study. In the practice of counselling parents, various deviant attitudes are encountered which generate resistance to, and militate against, such acceptance. The psychological mechanisms underlying this pathology of outlook range from overt denial of the handicap, through parental impotence in face of it, intellectualised insight glossing it over, a sense of stigma driving it underground, or parental over‐protection compensating for it, to angry ambivalence or guilt‐ridden self‐blame, all of which equally prejudice the prospect for acceptance. Therapeutic reorientation depends for its success on the physician's capacity to listen with empathy as well as sympathy. Thereby, he can uncover and try to set right the many misconceptions and false fears harboured by parents. Ventilation of such secretly nursed anxieties sets the stage for subsequent explanation and interpretation of the problem with authority, but equally with humanity and patient understanding, because deviant attitudes in their various forms take time to resolve, even with expert counselling. Therefore, we must allow these parents adequate time to reorientate, so that ultimately they achieve the realistic acceptance which is our aim. RÉSUMÉ Acceptation parentale du handicap de Venfant Une acceptation réaliste par les parents du handicap d'enfant atteint constitue une partie essentielle de la prise en charge des difficultés de l'enfant. Une étude soigneuse des moyens à utiliset pour obtenir cette attitude réaliste est de ce fait sürement payante. Dans la pratique du conseil aux parents, on rencontre des attitudes variées qui entrainent une résistance et vont à l'encontre de cette acceptation. L'attitude psychologique supportant cette pathologie de l'état d'esprit parental va du refus du handicap à travers l'impossibilité parentale de le voir en face, une réinterprétation intellectualisée, un sens de l'infamie la refoulant ou une surprotection compensatrice jusqu'á une ambivalence agressive ou un sentiment d'auto‐culpabilité, toute attitude qui altére egalement l'acceptation. Une correction thérapeutique dépend de l'aptitude du médecin d'écouter en s'identifiant aussi bien qu'en témoignant sa sympathie. II peut de ce fait découvrir et essayer de redresser les erreurs de conception et les fausses craintes manifest ées par les parents. La mise à jour de telles anxiétés conserveées secrétement constitue le point de départ à une explication ultérieure et une interprétation du probléme faite avec autorité mais aussi avec humanité et compréhension car la correction des attitudes erronées demande beaucoup de temps même avec des conseillers experts. II faut done accorder du temps aux parents pour qu'ils se réorientet et qu'ils construisent cette acceptation réaliste qui est le but final. ZUSAMMENFASSUNG Die Aufnahme des beschränkten Kindes du...

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Section: Techniques Of Insight Promotionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations