Psychological Aspects of Women's Health Care, Second Edition
The Interface Between Psychiatry and Obstetrics and Gynecology
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Description
In the decade since the first edition of this work was published, an incredible array of reproductive technologies and associated issues has emerged. Obstetricians and gynecologists are hard-pressed to deal with the startling breadth and depth of these issues, which require mastery over a daunting combination of ever-increasing scientific knowledge, technical skills, long hours, legal liability, and exposure to clinical situations of overwhelming emotional intensity.
Psychiatrists have a vital role to play in helping obstetricians and gynecologists cope with a host of problems whose resolutions require not just technical skill, but also knowledge of biology, psychology, sociology, anthropology, ethics, and law. For example, to design and implement strategies to reduce the transmission of HIV, psychiatrists could work with public health workers to incorporate the psychology, sociology, and anthropology of female reproductive behavior. Psychiatrists could likewise improve the diagnosis and treatment of breast and pelvic malignancies by elucidating the factors that deter women from self-examination and regular medical screening and enhance treatment compliance.
Divided into three sections, this clinical and theoretical sourcebook addresses every major area of contemporary concern.
- Pregnancy covers topics from the psychology of normal gestation to physical and psychiatric complications during and after pregnancy, including new prenatal diagnostic techniques and the dynamic issues that emerge when abnormalities are detected, and the use of psychotropic drugs and electroconvulsive therapy in pregnant and lactating patients.
- Gynecology discusses not only common gynecologic problems but also more controversial issues such as induced abortion and the new reproductive technologies, including the role of the menstrual cycle in exacerbating and precipitating psychologic symptoms, the psychiatric aspects of menopause, the assessment and management of chronic pelvic pain, the psychosocial concomitants of gynecologic malignancies and the emotional demands on the oncology team, and the special implications of HIV/AIDS.
- General Issues offers a broad, balanced view of topics rarely found in the literature, such as men's reactions to women's reproductive events, substance abuse and eating disorders, sexual and physical abuse (often part of the histories of patients with personality disorders and posttraumatic stress disorders), ethical and legal issues, and health care for lesbian patients. Of special significance is Dr. Stotland's chapter on how consultation-liaison services are provided to obstetrics and gynecology services.
This practical and scholarly volume is exceptionally useful as a teaching reference for medical and other health care students and residents in psychiatry and obstetrics and gynecology. It also provides a valuable resource for the clinician working to improve the psychological well-being of women patients.
Contents
- Foreword
- Chapter 1. The Interface Between Psychiatry and Obstetrics and Gynecology: An Introduction
- Part I: Pregnancy
- Chapter 2. Normal and Medically Complicated Pregnancies
- Chapter 3. Fetal Anomaly
- Chapter 4. Psychiatric Disorders During Pregnancy
- Chapter 5. Psychotropic Drugs and Electroconvulsive Therapy During Pregnancy and Lactation
- Chapter 6. Adolescent Pregnancy
- Chapter 7. Postpartum Disorders
- Chapter 8. Perinatal Loss
- Part II: Gynecology
- Chapter 9. Psychological Aspects of the Menstrual Cycle
- Chapter 10. Infertility and the New Reproductive Technologies
- Chapter 11. Induced Abortion in the United States
- Chapter 12. Menopause: Myths and Realities
- Chapter 13. Chronic Gynecologic Pain
- Chapter 14. Gynecologic Disorders and Surgery
- Chapter 15. Gynecologic Oncology
- Chapter 16. Women and HIV Infection
- Part III: General Issues
- Chapter 17. Reproductive Choices and Development:
- Psychodynamic and Psychoanalytic Perspective
- Chapter 18. Female Sexual Disorders
- Chapter 19. Psychopharmacology in Women
- Chapter 20. Alcohol and Substance Abuse in Obstetrics and Gynecology Practice
- Chapter 21. Eating Disorders and Reproduction
- Chapter 22. Breast Disorders and Breast Cancer
- Chapter 23. Women and Violence
- Chapter 24. Psychological Aspects of Lesbian Health Care
- Chapter 25. Ethics and Women's Health
- Chapter 26. The Male Perspective
- Chapter 27. Collaborations Between Psychiatry andObstetrics and Gynecology
- Chapter 28. What Is a Minority? Issues in Setting and Dialogue
- Index
About the Authors
Nada L. Stotland, M.D., M.P.H., is Professor in the Departments of Psychiatry and Obstetrics and Gynecolog at Rush Medical College; and Chair of the Department of Psychiatry at Illinois Masonic Medical Center in Chicago, Illinois.
Donna E. Stewart, M.D., D.Psych., F.R.C.P.C., is University Professor in the Departments of Psychiatry, Obstetrics and Gynecology, Anethesia, Surgery, Medicine, and Family and Community Medicine at the University of Toronto; and Lillian Love Chair in Women's Health of the University Health Network in Toronto, Ontario, Canada.
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