The Burned Child: A Neglected Area of Psychiatry

Seligman, Roslyn; MacMillan, Bruce G.; Carroll, Shirley

doi:10.1176/ajp.128.1.52

Cited by 18 publications

(6 citation statements)

References 16 publications

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“…Burn survivors frequently experience feelings of guilt for surviving, whereas loved ones did not, or view the burn as punishment for bad behavior. 25,36,37 Burn care teams must reassure the patient that these feelings are inaccurate and that they are not to be blamed. Emotional responses involving anxiety, depression, aggression, and regression have broad presentations that may range from hostility, screaming, and enuresis to food refusal.…”

Section: Burn Care Teammentioning

confidence: 99%

Psychological Rehabilitation of Pediatric Burn Patients

Nguyen

Thaller²

2008

Journal of Craniofacial Surgery

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Pediatric burns are devastating injuries, physically and emotionally; however, with progressive medical treatment even with the most severe burns, more burn patients are surviving. This leads to the introduction of a new area of medicine including the psychologic rehabilitation requiring the attention of reconstructive surgeons. Successful psychologic rehabilitation depends on a coordinated interdisciplinary burn care team, family, and the school environment, as well as the child.

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Section: Burn Care Teammentioning

confidence: 99%

Psychological Rehabilitation of Pediatric Burn Patients

Nguyen

Thaller²

2008

Journal of Craniofacial Surgery

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“…For example, children's crying and thrashing intermittently may result in escape from or delay in the treatment procedure or in increased reinforcing attention from adults (Varni et al, 1980 In spite of the problems associated with the treatment of severely burned children, few researchers have attempted to reduce the aversive consequences the child may suffer during treatment. Studies conducted have usually been descriptive accounts of supportive therapy for burn victims and the families (Seligman, MacMillan, & Carroll, 1971). Only one clinical case report (Weinstein, 1976) Varni et al (1980) provided one of few experimental demonstrations that burned children's overt pain behavior can be affected by manipulating environmental events.…”

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confidence: 99%

“…In spite of the problems associated with the treatment of severely burned children, few researchers have attempted to reduce the aversive consequences the child may suffer during treatment. Studies conducted have usually been descriptive accounts of supportive therapy for burn victims and the families (Seligman, MacMillan, & Carroll, 1971). Only one clinical case report (Weinstein, 1976) described the application of procedures for reducing children's pain during the open treatment regimen.…”

mentioning

confidence: 99%

Decreasing Burned Children's Pain Behavior: Impacting the Trauma of Hydrotherapy

Kelley

Jarvie

Middlebrook

et al. 1984

J of App Behav Analysis

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We evaluated the effects of cartoon viewing with the use of a star feedback chart on two burned children's pain behavior during their physical therapy sessions. In addition, the degree to which the observational data corresponded with physical therapists' and mothers' ratings of the children's pain, fear, and cooperativeness was examined. Using a reversal single-subject design, the results showed that the children's pain behavior substantially decreased during experimental treatment sessions compared to their baseline levels. The rating scale data indicated that the physical therapist's and mother's rating of pain, anxiety, and cooperativeness were all correlated significantly with the observational data (P < .05). The contributions of respondent and operant conditioning to the occurrence and treatment of pain behavior in burned children are discussed.

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“…A decade ago Seligman, MacMillan, and Carroll (1971) noted the dearth of psychiatric and psychological literature on the burned child. Since then, there have been several clinical reviews delineating the psychological and social needs of this patient population.…”

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confidence: 99%

“…PREINJURY PHASE: PREDISPOSING FACTORS It has been speculated for two decades that certain preexisting psychological and social factors predispose children to becoming burned. Interest in this hypothesis seems to have been stimulated and maintained by the informal but consistent observation of burn treatment staffs that the majority of burn children are, more often than not, emotionally disturbed (Bowden & Feller, 1973;Seligman et al, 1971;Woodward, 1959). These observations inevitably led to the questions, "Do emotionally disturbed children tend to get burned, or do severe burns tend to produce disturbed children?"…”

mentioning

confidence: 99%