Abstract
About half of the patients who undergo an amputation later require some form of psychological help. Patient needs vary with age, and they can be considered in 3 groups; children, adults and the aged. Children are profoundly influenced by parental reactions. Adult adjustment is more satisfactory when their personal devaluation is seen as a lost asset rather than if seen in comparative terms, while the elderly are dependent on the continuing support of their families. Patients derive a great deal of support from other patients in group situations. This Is of value before and immediately after surgery, In situations requiring the fitting of a limb, and through group discussions. Also, there is often a significant interaction between patients and those concerned with their management.
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