Consultation for Disordered Puberty: What Do Adolescent Medicine Patients Teach Us?

Détails

ID Serval
serval:BIB_EB58A4FE8B85
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Consultation for Disordered Puberty: What Do Adolescent Medicine Patients Teach Us?
Périodique
Endocrine Development
Auteur(s)
Michaud P.A., Ambresin A.E.
ISSN
1662-2979 (Electronic)
ISSN-L
1421-7082
Statut éditorial
Publié
Date de publication
2016
Volume
29
Pages
240-255
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The period of adolescence is not only marked by important growth and pubertal events, but is also characterized by important psychosocial changes driven by a search for autonomy and the construction of one's identity. It can thus be easily understood that puberty disorders interfere heavily with these process, requiring from the endocrinologist not only medical knowledge, but also a great deal of emotional and psychological skills. They must progressively move from an educational approach that heavily involves the parents to one of shared information and decision making that places the young patient at the center of the therapeutic process. This can be achieved in several ways: respecting the affective and cognitive development of the adolescent; securing his privacy and (if requested by him) confidentiality; exploring his self-image and self-esteem and adapting the therapeutic process to the patient's expectations; reviewing the teenager's lifestyle, including the issue of sexuality and sexual behavior, and involving him in any therapeutic choice that has to be made, even if it does not match with the parents' expectations. The skills required for this respectful and holistic follow-up often exceed the abilities of any physician; it is thus suggested that a team approach involving a clinical nurse and/or a psychologist and/or social worker(s) be set up whenever possible.
Pubmed
Création de la notice
20/01/2016 12:26
Dernière modification de la notice
20/08/2019 17:13
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