PSPP Philadelphia Society for Psychoanalytic Psychology

A Local Chapter of Division 39 (Psychoanalysis) of the American Psychological Association

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Jan 19, 2003: Brunch: Emotional Challenges of Inflammatory Bowel Disease...

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Emotional Challenges of Inflammatory Bowel Disease: Therapeutic Intervention for Children and Families Living with Chronic Illness

Presenter: Frances G. Martin, Ph.D., Clinical psychologist and psychoanalyst in private practice.

Objectives: To familiarize participants with physical manifestations of inflammatory bowel disease (IBD), through descriptions and distinctions between Crohn's Disease and Ulcerative Colitis. .To identify specific emotional challenges faced by children and families coping with these illnesses. .To discuss phases of adjustment to IBD, and extrapolate to other chronic illnesses. .To explore effective therapeutic interventions - both what is available as well as what is needed; to differentiate psychological risks from emotional opportunities.

Diagnosis of a chronic illness can be considered a crisis for families, warranting thoughtful and directed attention. Specific challenges must be faced, and adjustments made. Medical interventions, medications with potential benefits as well as side effects, changes in lifestyle, and expectations for self and others, are among the numerous critical issues that must be identified and ultimately managed. A chronic illness such as IBD impacts not only the patient, but also parents and siblings. The needs of each of these groups must be understood and addressed.

Adjustment often requires experiencing phases similar to those resulting from the loss of a loved one. Understanding what has been lost is an essential element of adjustment; effective adjustment leads to successful adaptation. Phases and their manifestations will be presented and discussed, with particular attention directed toward the unique requirements of living with a chronic illness. Certain amounts of anger, sadness, frustration are to be expected, but clinically must be distinguished from maladaptive response patterns.

Therapeutic intervention, under these circumstances, pro-vides unique challenges as well as opportunities to apply clinical skills in more traditional and familiar ways. In con-trast to our many therapeutic efforts toward addressing conflicts that linger from our pasts, or have become areas of fixation within the unconscious, chronic illness presents a physical and ongoing challenge - often with no clear end in sight. Thus, specific areas must be addressed including: the nature and parameters of physical manifestations of the dis-ease, pain management, psycho-social growth and development, medical procedures, side effects of treatments, secondary gain, as well as numerous losses, both real and imagined. While a chronic illness destroys fantasies of a perfectly healthy life, effective coping with the subsequent emotional challenges can enable both child and family to lead satisfying and productive lives.

Complete PSPP 2003 Brunch Series Brochure with Registration Form (pdf file)

 
Date; January 19, 2003
Time: NOTE Change in time: 10:00 a.m. to 12:00 p.m. - Presentation and case material 12:00 p.m. to 12:30 p.m.-Discussion
Location: Courtesy of Beverly Cutler, Ph.D., 512 Hamilton Road Merion, PA (610) 664-0403
Cost: Free for members of PSPP. Nonmembers may attend the brunches for free, but must pay $25 if they wish to receive CEU credits. 
CE Credits: Each brunch is approved for 2.0 CEU credits by the American Psychological Association. Division 39 of the American Psychological Association (APA) is approved to offer continuing education for psychologists. Division 39 maintains responsibility for the program. CEU credits have been applied for for licensed social workers. Please call prior to each brunch to confirm that the program has been approved.
Contact: Pamela Miller Lunardi, Psy.D. at (610) 853-5654

 

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