Abstract
When the pediatrician in a hospital intensive care unit (ICU) predicts to parents that a poor outcome is likely, he may sometimes encounter disbelief and even animosity. “We’ve told the parents their child’s chances for a healthy recovery are extremely poor, but they don’t appear to understand—they seem to be totally unrealistic” was a comment not infrequently made by pediatric medical staff and nursing staff in our pediatric intensive care unit. The physician may compare his plight to that of Cassandra—the mythical Greek prophetess of doom, who was cursed to see into the future and not be believed. The purpose of this report is to describe the Cassandra prophecy phenomenon and to present our hypotheses about its meaning and how it might be dealt with effectively.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Richmond, J. B., & Waisman, H. A. Psychologic aspects of management of children with malignant diseases. American Journal of Diseases of Children, 1955, 89, 42–47.
Weisman, A. D., & Hackett, T. P. Predilection to death: Death and dying as a psychiatric problem. Psychosomatic Medicine, 1961, 23, 232—256.
Friedman, S. B., Chodoff, P., Mason, J. W., & Hamburg, D. A. Behavioral observations on parents anticipating the death of a child. Pediatrics, 1963, 32, 610–625.
Oken, D. The doctor’s job: An update. Psychosomatic Medicine, 1978, 40, 449—461.
Siegler, M. Pascal’s wager and the hanging of crepe. New England Journal of Medicine, 1975, 295, 853–857.
Solnit, A. J., & Stark, M. H. Mourning and the birth of a defective child. Psychoanalytic Study of the Child, 1961, 16, 523–537.
Weisman, A. D., & Hackett, T. P. Denial as a social act. In S. Levin & R. Kahana (Eds.), Geriatric psychiatry: Creativity, reminiscing and dying.New York: International University Press, 1966.
Superintendent of Belchertown State School vs. Saikewicz,—M:BS—, 370 NE 2d 417, 1977.
Caplan, G. Practical steps for the family physician in the prevention of emotional disorder. JAMA, 1959, 170, 1497–1506.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1984 Plenum Publishing Corporation
About this chapter
Cite this chapter
Waller, D.A., Todres, I.D., Cassem, N.H., Anderten, A. (1984). Coping with Poor Prognosis in the Pediatric Intensive Care Unit. In: Moos, R.H. (eds) Coping with Physical Illness. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4772-9_16
Download citation
DOI: https://doi.org/10.1007/978-1-4684-4772-9_16
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-4774-3
Online ISBN: 978-1-4684-4772-9
eBook Packages: Springer Book Archive