Use of Fantasy for Conflict Resolution in the Pediatric Hemodialysis Patient

  • Tom F. Sampson

Abstract

Assessment of the emotional status and characteristics of children is frought with considerable difficulty primarily because of the fact that we have only limited access to their private worlds. This seems certainly to be the case with children in end-stage renal disease. Our major avenue for assessing such psychological material is through verbal interchange, as we would have with adults. Level of cognitive development in children often times all but precludes obtaining such information through verbal interview. Additionally, research data1 indicates fear, a condition frequently noted in children on hemodialysis, generates massive inhibition which attenuates the experience of fear and may obliterate it. As a result, often times information regarding the psychological status of children is obtained from those close to them, i.e., parents, teachers, etc., as well as observation of the children’s behavior. Even these methods, however, do not allow us access to the private world of the child which would provide a more direct knowledge of their perception and relation with the world.

Keywords

Overt Behavior Engaging Child Dependency Theme Private World Private Thought 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Epstein, S. Toward a unified theory of anxiety. In B. A. Maher (Ed.), Progress in experimental personality research, Vol. 4. New York: Academic, 1967, pp. 1–39.Google Scholar
  2. 2.
    Sampson, T. F. The child in renal failure; emotional impact of treatment on the child and his family. Journal of Child Psychiatry, 1975, 14, 462–476.CrossRefGoogle Scholar
  3. 3.
    Guilford, J. P. The Nature of Human Intelligence. New York: McGraw-Hill, 1967.Google Scholar
  4. 4.
    Singer, J. L., and Antrobus, J. S. A factor-analytic study of day dreaming and conceptually related cognitive and personality variables. Perceptual and Motor Skills, 1963, 17, 187–209.PubMedCrossRefGoogle Scholar
  5. 5.
    Rosenzweig, S., and Bray, D. Sibling death in the awareness of schizophrenic patients. Archives of Neurology and Psychiatry, 1943, 49, 71–92.CrossRefGoogle Scholar
  6. 6.
    Anthony, S. The child’s discovery of death. London: Kegan Paul, 1940.Google Scholar
  7. 7.
    Ames, L. B., Metraux, R. W., and Walker, R. N. Adolescent Rorschach responses. New York: Basic Books, 1969.Google Scholar
  8. 8.
    Bowlby, J. Attachment and loss. Attachment. Vol. 1. London, Hogarth; New York: Basic Books, 1969.Google Scholar
  9. 9.
    Ainsworth, M. D. S. Infancy in Uganda; infant care and the growth attachment. Baltimore, Maryland: The Johns Hopkins Press, 1967.Google Scholar

Copyright information

© Springer Science+Business Media New York 1981

Authors and Affiliations

  • Tom F. Sampson
    • 1
  1. 1.Southwestern Dialysis CenterDallasUSA

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