Folie 1

1
COSIP Counselling Concept

• Parents
• Clarification of
• familial coping ressources
• communication about disease within the adult
  system
• parental information policy

• Child
• Clarification of
• cognitive understanding of disease
• fears, concerns and stressors
• individual coping ressources

• Family
• fostering open communication about disease
• child-appropriate translation of parental
  coping style

3-8 sessions in 3-6 months
2

Burdening for Children

• diffuse imaginations and fantasies of the
  illness
• conspiracy of silence in the family
• adults never show feelings of grief and fear
• illness dominates the whole family life
• increased feeling of responsibility

3

Helpful for Children

• Understanding of symptoms
• open communication within the family
• stress-free areas of child- and youth-adjusted
  life
• precisely defined responsibilities
• mental preparation for ongoing process

4
Frequent concerns of ill parents

• How can I recognize if my child needs help?
• when other children do not come to visit any
  more
• when my child doesnt come to me with his
  problems
• How to deal with unposed questions?

5
Reasons of parents not to talk openly with their
children abou their disease

• wish to protect their childrén from a sad truth
• children are too young.
• own strain and exhaustion from their illness
• fear of getting too upset with own emotions

6
Frequent concerns of children

• to keep away own fears and sorrows from their
  parents
• consoling the ill parent
• fear of losing the ill parent
• powerlessness (cant do anything)