Soothing your child's pain: from teething and tummy aches to acute illnesses and injuries--how to understand the causes and ease the hurt PDF
Preview Soothing your child's pain: from teething and tummy aches to acute illnesses and injuries--how to understand the causes and ease the hurt
Soothing Your Child's Pain : From Teething and Tummy Aches to Acute Illnesses and title: Injuries--how to Understand the Causes and Ease the Hurt author: Gorfinkle, Kenneth. publisher: NTC Contemporary isbn10 | asin: 0809232553 print isbn13: 9780809232550 ebook isbn13: 9780071397926 language: English subject Pain in children--Popular works. publication date: 1998 lcc: RJ365.G67 1998eb ddc: 618.92 subject: Pain in children--Popular works. Page I Soothing Your Child's Pain From Teething and Tummy Aches to Acute Illnesses and Injuries How to Understand the Causes and Ease the Hurt Kenneth Gorfinkle, Ph.D. CONTEMPORARY BOOKS Page II Library of Congress Cataloging-in-Publication Data Gorfinkle, Kenneth. Soothing your child's pain: from teething and tummy aches to acute illnesses and injurieshow to understand the causes and ease the hurt / Kenneth Gorfinkle. p. cm. ISBN 0-8442-3255-3 1. Pain in childrenPopular works. I. Title. RJ365.G67 1997 618.92dc21 97-27955 CIP Interior design by Amy Yu Published by Contemporary Books An imprint of NTC/Contemporary Publishing Company 4255 West Touhy Avenue, Lincolnwood (Chicago), Illinois 60646- 1975 U.S.A. Copyright © 1998 by Kenneth Gorfinkle, Ph.D. All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of NTC/Contemporary Publishing Company. Printed in the United States of America International Standard Book Number: 0-8092-3255-3 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 Page III This book is dedicated to the hundreds of children who have allowed me to help them heal their pain. Page V CONTENTS Acknowledgments VII Introduction IX How to Use This Book XIII Section I: Background Information 1 1. Questions Often Asked About Pain in Children 3 2. Centuries of Neglect/Recent Developments 11 Section II: What Is Pain? 21 3. A Working Definition of Pain 23 4. Why We Need Pain 31 5. Phenomenology of Pain: What Your Child Feels 45 Section III: Painful Events in a Child's Life 63 6. Birth 65 7. Early Feeding, Hunger Pangs, and Colic 69 8. A Tale of Two Circumcisions 77 9. Teething Pain 83 Page VI 10. Immunizations and Other Painful Procedures 89 11. Headaches 103 12. Abdominal Pain 107 13. Dental Care 119 Section IV: How to Alleviate Your Child's Pain 135 14. Assessing Your Child's Pain: In Context 137 15. How to Make Your Child Feel Better 163 Empathy and Comforting 164 Magic and Ritual in Everyday Healing 175 Taking Care of Yourself 180 Distraction 188 Relaxation 197 Using Imagination and Fantasy 204 Hypnotic Suggestion 211 Preparing for Painful Procedures 214 Setting Limits During Invasive Procedures: Imposing 222 Just Enough Authority 16. Using Medications 229 17. Alternative and Complementary Approaches to Pain 237 Concluding Remarks 247 Suggested Readings 249 Index 251 Page VII ACKNOWLEDGMENTS A number of people guided my professional career toward caring for the medically ill and people suffering from pain. Without their encouragement over the past several years, this book could not have been written. At the Veterans Hospital in Manhattan in 1983, David Ruhland introduced me to the field of behavioral medicine and taught me basic skills in caring for U.S. veterans with chronic pain syndrome. At Memorial Sloan-Keetering Cancer Center in New York, Bill Redd, Paul Jacobsen, and Sharon Manne opened my eyes to the necessity of alleviating pain and suffering in children with cancer. Thank you to Dee Jones, Tom Moulton, Lenny Wechsler, Kara Kelly, and Michael Wiener of the Department of Pediatric Oncology at Babies and Children's Hospital and especially to Penny Buschman Gemma, Jim Garvin, and Ria Hawks for their strong advocacy for the care of children's pain. Thanks to Boris Rubenstein and Jonathan Slater for bringing me aboard the Child Consultation/Liaison Psychiatry Service, where I am confronted with and challenged by some of the most unusual and difficult pain problems afflicting children. Page VIII Much of my work at Babies and Children's Hospital and Columbia- Presbyterian was made possible by the generous support of the Nathaniel Wharton Fund, the Henry van Ameringen Foundation, and the Art Works Project. I wish to acknowledge the ongoing support of the Behavioral Medicine Program at Columbia University, specifically Ethan Gorenstein, Richard Sloan, Kenneth Frank, Kenneth Greenspan, Dan Seidman, and Don Kornfeld. They allowed me to carve out the necessary time to get this book to print. They have been my strongest cheering section. Thank you very much to Kara Leverte, my editor at Contemporary Books. Her suggestions and ideas came from her heart and from her life experience mothering her own little ones. Her intuition about what the book needed to aid mothers and fathers everywhere was tremendously helpful. Many thanks to Ron Taffel, Michael Levi, and Carole Wolfe Korngold and K. T. Korngold for reading and making thoughtful comments on the emerging manuscript. A special thanks to Loretta Barrett, my literary agent, who "discovered" me while I was giving a lecture on pediatric pain. It was Loretta's vision, her personal investment in carrying the idea to fruition, and her ongoing coaching of this neophyte writer that kept me inspired to write and write. Finally, I thank Doris Ullendorff, my wife, mother of our children, and a great kisser of boo-boos for her ideas, anecdotes, thoughtful criticism, and her love. She keeps me going even when times get tough.
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