ABSTRACT Severe and sudden injury to the skin during childhood may damage both the child’s outer appearance and mental state. Such a trauma can provoke a complete and utter breakdown of the core-self and regression to an ‘unintegrated’ state. We present the case of 11-year-old Michael, who played with matches, set a fire and sustained severe burn trauma. Michael was treated in our rehabilitation ward over several months and received skin treatment, physical therapy and psychotherapy. Paediatric burn injury is not only a physical struggle but is often accompanied by intense emotional distress of the child and his family. In describing Michael’s therapeutic process, we show how the restoration of the core-self, alongside the healing of the outer skin, provoke issues concerning early infantile skin formation, normative age-related conflicts and vulnerabilities specific to the child. By integrating psychoanalytic thinking into the clinical work of skin rehabilitation, following burn injury, we demonstrate how the significant relationship between the skin and the self manifest in different practice.

中文翻译：

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像凤凰一样：小儿皮肤烧伤后核心自我恢复之旅：精神分析视角

摘要 童年时期严重和突然的皮肤损伤可能会损害儿童的外貌和精神状态。这种创伤会引发核心自我的彻底崩溃和回归到“未整合”的状态。我们介绍了 11 岁的迈克尔的案例，他参加比赛、放火并遭受严重烧伤。迈克尔在我们的康复病房接受了几个月的治疗，并接受了皮肤治疗、物理治疗和心理治疗。小儿烧伤不仅是身体上的挣扎，而且往往伴随着孩子及其家人的强烈情绪困扰。在描述迈克尔的治疗过程时，我们展示了核心自我的恢复以及外层皮肤的愈合如何引发有关早期婴儿皮肤形成的问题，儿童特有的与年龄相关的规范冲突和脆弱性。通过将精神分析思维融入烧伤后皮肤康复的临床工作中，我们展示了皮肤与自我之间的重要关系如何在不同的实践中表现出来。