نبذة مختصرة : Although there is a growing body of literature about the medical problems which arise in a pediatric intensive care unit (PICU), rather little has been written about psychiatric issues characteristic of the critical care setting for children. This article will describe the PICU as a community made up of several sub-groups, the various psychosocial stresses, the reactions to stresses, and the interventions appropriate for the PICU and each of its sub-groups. Although there is a burgeoning literature about the medical problems which arise in a pediatric intensive care unit (PICU), rather little has been written about psychiatric issues characteristic of the critical care setting for children. May [1] wrote one of the first and only comprehensive articles about the psychiatric issues in the PICU. He described many of the problems which individuals, both staff and patients, face in this setting. Subsequent to that article, there have been a number of papers with much narrower foci which deal with such specific issues as staff attitudes [2], stress on nurses, physicians ' reactions to training [3], group meetings [4], and the use of therapeutic play [5]. From a rather different perspective, Koumans [6] emphasized the importance of
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