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Psychological aspects of hemiplegia
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Introduction |
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Do paediatricians think of childhood hemiplegia simply as a
mild physical disability? Rightly or wrongly, parents often get that
impression. This is unfortunate as children and families are easier to
help when they know that their difficulties are not being
underestimated. The disability does not seem mild to hemiplegic
children who are always last on sports day, or self conscious about
their body, or unable to carry out all manner of mundane two handed
activities. Furthermore, hemiplegia is often more than a physical
problem, being accompanied by a variety of `invisible' psychological
disabilities. Particularly in the school years, many parents and
children are more concerned about the educational, behavioural,
emotional, and social accompaniments of hemiplegia than about the
physical disability itself. Some of these psychological accompaniments
are understandable responses to disability; others are direct
consequences of the brain damage itself; and many reflect the complex
interplay of these reactive and
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