The practical aspects of setting up and operating a psychological service in pediatric oncology/hematology

This paper describes the development experience of the psychological service in severe pediatric somatic medicine in Russia. Basic goals, targets and principles of the clinical psychologists' work in pediatric oncology/hematology field, including both clinical and organizational aspects, are presented. The variety of difficulties, as well as their potential reasons and solutions, that a psychologist (as a part of the multidisciplinary team) may face rendering the assistance to patients, their family members or medical stuff are discussed. Authors describe the specific character of the setting during the in-patient treatment, and raise the question about appropriate methods of work and their modification, connected both with special aspects of existing goals and the treatment processes organization.

1. Budinajte G.L. Klassicheskaja sistemnaja semejnaja terapija i postklassicheskie napravlenija: svoboda vybora. Moskovskij psihoterapevticheskij zhurnal. 2001. № 3. Pp. 79–90.
2. Vygotskij L.S. «Psihologija razvitija rebenka» / Moscow: Izd-vo Smysl; Jeksmo, 2005. 1136 p.
3. Goldsmit G. Terapevticheskij setting v psihoanalize i psihoterpii. Zhurnal prakticheskoj psihologii i psihoanaliza. 2009. № 2. Available at: http://psyjournal.ru/psyjournal/articles/detail.php?ID=2998
4. Maslou A., Mjej R., Olport G., Rodzhers K. Jekzistencial'naja psihologija / Moscow. Lvov: izd-vo «Iniciativa», 2005.
5. Nikolaeva V.V. Hronicheski bol'noj rebenok v sem'e. Osobennosti lichnosti pri pogranichnyh rasstrojstvah i somaticheskih zabolevanijah / E.T. Sokolova, V.V. Nikolaeva. Moscow: SvR-Argus, 1995. 352 p.
6. Vinnikott D.V. Sem'ja i razvitie lichnosti. Mat' i ditja / Ekaterinburg: Izd-vo «LITUR», 2004. 400 p.
7. Vinnikott D.V. Malen'kie deti i ih materi / Moscow: Klass, 2007.
8. Varga A.Ja. Osnovnye napravlenija sovremennoj psihoterapii / Moscow: «Kogito-centr», 2000.  379 p.
9. Dol'to F. Na storone rebenka / Ekaterinburg: U-Faktorija, 2003. 670 p.
10. Kernberg O. Agressija pri rasstrojstvah lichnosti i perversijah / Perevod s anglijskogo i nauchnaja redakcija A.F. Uskova. Moscow: Klass, 2001.
11. Mjenhen A. O tehnike detskogo analiza primenitel'no k raznym stadijam razvitija. Zhurnal prakticheskoj psihologii i psihoanaliza. 2002. № 4.
12. Orel V.E. Fenomen «vygoranija» v zarubezhnoj psihologii: jempiricheskie issledovanija i perspektivy. Psihologicheskij zhurnal. 2001. T. 22. № 1.
13. Nemirovskij K. Vinnikot i Kohut. Novye perspektivy v psihoanalize, psihoterapii i psihiatrii / M.: «Kogito-Centr», 2010.
14. Jalom I. Mamochka i smysl zhizni. Psihoterapevticheskie istorii / Moscow: Jeksmo-Press, 2002. 288 p.
15. Kudrjavickij A.R., Hain A.E., Klipinina N.V. Obosnovanie kompleksnogo podhoda v rabote psihologicheskoj sluzhby, soprovozhdajushhej lechebnyj process v detskoj onkologii/gematologii. Voprosy gematologii/onkologii i immunopatologii v pediatrii. 2006. T. 5.  № 3.
16. Klipinina N.V., Hain A.E., Nikol'skaja N.S., Evdokimova M.A., Stefanenko E.A., Kudrjavickiĭ A.R. Psihologicheskie principy organizacii «pomogajushhego prostranstva» v detskih lechebnyh uchrezhdenijah / M.: Fond «Podari zhizn'», 2013. 44 p.
17. Bion U. Notes on memory and desire // The Psychoanalytic Forum. Los-Angelos. California. 1967. № 2 (3).
18. Kazak А.Е., Barakat L.P., Meeske K., Christakis D., Meadows A. T., Casey R., Penati B., Stuber M.L. Posttraumatic Stress, Family Functioning, and Social Support in Survivors of Childhood Leukemia and Their Mothers and Fathers // Journal of Consulting and Clinical Psychology. 1997. Vol. 65. No. 1. Рp. 120–129.
19. Kaslow, Nadine J. The efficacy of a pilot family psychoeducational intervention for pediatric sickle cell disease. Families, Systems & Health // The Journal of Collaborative Family HealthCare. 2000. Vol. 18,  № 4.
20. Holland J.C., Lewis S. The Human Side of Cancer: Living With Hope, Coping with Uncertainty / New York: HarperCollins, New York. 2001. 344 p.
21. Oeffinger K.C., Hudson M.M. Long-term Complications Following Childhood and Adolescent Cancer: Foundations for Providing Risk-based Health Care for Survivors // A Cancer Journal for Clinicians. 2004.  № 54. Рp. 208–236.
22. Patenaude A.F., Kupst M.J. Psychosocial Functioning in Pediatric Cancer // Journal of Pediatric Psychology. 2005. № 30 (1). Рp. 9–27.
23. Watson M., Kissane D. Handbook of psychotherapy in cancer care / UK: Wiley-Blackwell, 2011.