Субъективность сознания как возможное теоретическое обоснование психологического формирующего контекста у детей в сниженном сознании (Formative context in disorders of сonsciousness, FcDоC)

Abstract

<p><strong>Relevance. </strong>Currently, the issue of restoring consciousness after severe brain injury is a very acute one.<strong> Purpose. </strong>To present a new practical psychological technique, based on modern theoretical concepts of consciousness — Formative context in disorders of consciousness (FcDоC), which allows to dynamically change and form mental processes in decreased consciousness in children after severe brain injury.<strong> Material and methods</strong>. 4 children (aged 5-10 y.o.) with decreased level of consciousness after severe traumatic brain injury were enrolled in the pilot study at early stages of rehabilitation. Each child was shown a video about him/her which was shot a few days earlier. The film was accompanied by psychological comments, and child's reactions were simultaneously video recorded. Results were assessed with quantitative (SCAB) and qualitative techniques (visual observation, video recording).<strong> Results. </strong>All children demonstrated an emotional response after watching the film; there were marked positive changes in their psychic activity (less latent response time, better emotional and motor reactions).<strong> Conclusion. </strong>A new technique of psychological work with children in lowered level of consciousness after brain injury, which allows to form and restore child's mental capabilities, has been called «Formative context in disorders of consciousness (FcDоC)». The present study combines theoretical prerequisites of new knowledge on human consciousness formation with true practical experience.</p>