18. Psychological Intervention with the Dying Child

  1. Shulamith Kreitler1,2,3,
  2. Myriam Weyl Ben-Arush4,5 and
  3. Andrés Martin6,7
  1. Shulamith Kreitler1,2,3 and
  2. Elena Krivoy4,5

Published Online: 1 JUL 2012

DOI: 10.1002/9781119941033.ch18

Pediatric Psycho-Oncology: Psychosocial Aspects and Clinical Interventions, Second Edition

Pediatric Psycho-Oncology: Psychosocial Aspects and Clinical Interventions, Second Edition

How to Cite

Kreitler, S. and Krivoy, E. (2012) Psychological Intervention with the Dying Child, in Pediatric Psycho-Oncology: Psychosocial Aspects and Clinical Interventions, Second Edition (eds S. Kreitler, M. W. Ben-Arush and A. Martin), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781119941033.ch18

Editor Information

  1. 1

    School of Psychological Sciences, Tel-Aviv University, Israel

  2. 2

    Psychooncology Research Center, Sheba Medical Center, Tel Hashomer, Israel

  3. 3

    Faculty of Social Welfare and Health Sciences, University of Haifa, Israel

  4. 4

    Department of Pediatric Hematology Oncology, Meyer Children's Hospital, Israel

  5. 5

    Meyer Children's Hospital, Rambam Health Care Campus, Technion Israel-Institute of Technology, the Bruce Rappaport Faculty of Medicine, Haifa, Israel

  6. 6

    Child Study Center, Yale University School of Medicine, USA

  7. 7

    Smilow Cancer Hospital at Yale-New Haven, New Haven, CT, USA

Author Information

  1. 1

    School of Psychological Sciences, Tel-Aviv University, Israel

  2. 2

    Psychooncology Research Center, Sheba Medical Center, Tel Hashomer, Israel

  3. 3

    Faculty of Social Welfare and Health Sciences, University of Haifa, Israel

  4. 4

    Department of Pediatric Hematology Oncology, Meyer Children's Hospital, Israel

  5. 5

    Meyer Children's Hospital, Rambam Health Care Campus, Technion Israel-Institute of Technology, the Bruce Rappaport Faculty of Medicine, Haifa, Israel

Publication History

  1. Published Online: 1 JUL 2012
  2. Published Print: 27 JUL 2012

ISBN Information

Print ISBN: 9781119998839

Online ISBN: 9781119941033

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Keywords:

  • awareness of death;
  • death conceptions;
  • dying child;
  • family;
  • fears;
  • palliative care;
  • pediatric psychological palliative care;
  • team treatment

Summary

The chapter deals with psychological palliative care to pediatric patients at the end-of-life. Description of the development of children's conceptions of death and awareness of impending death is followed by the presentation of the Pediatric Psychological Palliative Care (PPPC) model, which is an approach designed to help children or adolescents and their families confronting death. The principles and implementation of PPPC are described in regard to issues such as fears of abandonment and separation, leaving the familiar and confronting the unfamiliar, punishment, pain and suffering, and death; being told the truth; protecting one's parents; guilt in regard to one's parents; loss of respect for authorities; loss of control; sadness and sorrow; anger; wish-fulfillment; hope and self-comforting; search for meaning. The last part focuses on relations with the family and the treatment team, including communication, and decision-making in regard to palliative sedation and home or hospital as place of spending the last period of life.