Abstract

Being badly burnt can represent a tremendous psychological and physical ordeal for a patient because of the combination of the traumatic experience of the causative assault, the profound deterioration of his or her bodily shell, and the intensive medical care which is necessary. The case study of a young patient hospitalized at the burns unit illustrates the particularities in undertaking treatment of patients with severe burns. It entails physical care and reeducation, but also coming to terms with his or her new appearance to him/herself as well as to others. Over and above the common characteristics of the liaison activities, the psychological care of burns patients demands a particular approach in order to protect them from the assaults of the outside world. This in turn elicits a reclusive mode of behaviour. These specific considerations call for the use of different techniques of psychotherapy, and for careful observation of the counter-transference process.

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