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.
General
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