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Perhaps it helps the practitioners, but I wonder
if it really helps the kids? I'm going into pediatrics, so I don't have
the psychology training that many of you do, but it seems to me that a Level
system promotes behavioral modification, but does not really address the kids'
problems. A child can very easily figure out that the way to get out of
the hospital is to say and do the right thing...but this does not help them deal
with their symptoms - it just makes them more manageable to maintain in an
inpatient setting. I worry that if we make behavioral modification the
goal, many of these patients are going to direct their symptoms further
inwards. It just seems that instead of allying ourselves with the kids, we
are setting up all sorts of rules and regulations. Sure, they need a
structured environment, but are we sending the message that we only care about
their outward behaviors and not what is really bothering them? When I've
rotated through psych wards, I have often thought that maybe we are doing these
kids an injustice...maybe we are encouraging them to go into hiding? I've
known patients who, after being dropped a level for telling a staff member about
self injury, etc., have said that they won't tell anyone again. This is
what concerns me. I have no knowledge of research on the issue, but I'd be
interested in others' thoughts....
Hannah Galvin, HMS-III
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Hannah K. Galvin Vanderbilt Hall Box #330 107 Avenue Louis Pasteur Boston, MA 02115-5750 (617) 780-5797 hannah_galvin@xxxxxxxxxxxxxxxxxxxxxxx
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