小兒精神科病室의 環境療法 : the milieu therapy = The Milieu Therapy on a Child Psychiatry In-patient Unit

다국어 초록 (Multilingual Abstract)

The purpose of this paper is to describe an approach of a short term child psychiatry unit.
The paper gives a brief literature riview of milieu therapy, therapeutic community, and children's psychiatric hospitals. Secondly a historical review of the philosophy and structure of the Child Psychiatry Unit at the Mount Sinai Medical Center, New York City, and thirdly, a description of some of the principles which form the basis for the practices on this ward.
In conclusion, the author stressed the difference between the milieu therapy of the Child Psychiatry Unit of the Mount sinal Medical Center and that modelled along a developmental/educational paradigm. The therapeutic techniques of the ward varies including ego supportive and ego interpretive methods. The therapeutic activities program of the ward provides for each child to develop his cognitive and social skills. The nursing staff supports the child, helps his social skills and provides for new models of identification.
In addition, the method of ego interpretation is a valuable tool that even in a short term treatment provides for ego development and progression by enabling the child to gain some insight and control over some of his instinctual urges.