“…Patients have limited control over painful medical procedures and in response may demonstrate an increase in behavioral disturbances (Tarnowski and Brown 2003). Research has shown significant rates of post burn injury psychological distress in younger aged burned patients (Stoddard, Norman, and Murphy, 1989; Stoddard, et al, 1989) including high rates of ASD (Stoddard, et al 2006), PTSD, (Saxe, et al 2001; Liber, et al 2006), anxiety (Van Loey &Von Son, 2003), and depression (Byrne, et al 1986; Blakeney, et al, 1998; Van Loey &Von Son, 2003). Conversely, outcomes research has found that the majority of burn survivors are well adjusted (Tarnowski and Rasnake, et al, 1991; Tarnowski and Rasnake, 1994; Tarnowski and Brown, 2003).…”