Contemporary Topics in Women's Mental Health: Global perspectives in a changing society / Edition 1

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This book takes a distinctive global and multicultural approach to women's mental health. It summarizes recent advances in the neurobiology of psychiatric disorders, reproductive health and psychopharmacology. It demonstrates that women's mental health and psychiatric disorders cannot be divorced from social, cultural and political realities. The book recognises the impact on women of rapid social change and stresses such as migration, war and violence, especially on women caring for children and families. Specific sections address reproductive health, the impact of changes and life challenges, service delivery and ethics, and social policies that affect women's mental health. There are important chapters exploring pregnancy and the postpartum period, the consequences of female genital mutilation, and migration and mental health. There is also a chapter capturing experiential stories of women with mental illness from different countries and contexts. Each section is introduced by a commentary from the Editors highlighting key issues. This is an invaluable resource for all those interested in women's mental health.

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Editorial Reviews

From the Publisher
"The book does a service in pointing out its importance as a major issue in women's mental health ... There is much more here than mental and reproduction health." (World Federation for Mental Health, 1 August 2011)

"Given the vital importance of social factors to the development of mental disorders in the women of the world and mainstream psychiatry’s predominant focus on the biological, this book’s devotion to highlighting the impact of how cultural, political and economic conditions affect women’s mental health is noteworthy and a major strength. The book also delivers on its promise to examine this area from a global perspective, and the reader is richer for it. Each inhabited continent is represented in the book’s list of contributors, and this ensures that relevant social factors are not overlooked. Not surprisingly, the product of this international focus is a book that is unparalleled in terms of the breadth of the social factors that are examined for their relevance to women’s mental health." (Archives of Womens Mental Health, 2011)

"The really interesting feature of the book is its emphasis on the role of cultural and social circumstances on the presentation, perceptions and treatment of mental health in women. The chapters on somatization and the impact of culture on women's mental health are essential reading for all health practitioners who have women among their patients." (Occupational Medicine, December 2010)

"This book is a goldmine of information on the challenges for gender-focused research and clinical treatment of mental health problems. The editors have done a remarkable job of identifying and summarizing the available literature on women's mental health... It would be a valuable asset for academic psychiatrists and psychologists teaching courses or researching women's mental health issues, as well as psychotherapists." (Indian Journal of Psychiatry, October 2010)

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Product Details

  • ISBN-13: 9780470754115
  • Publisher: Wiley
  • Publication date: 1/19/2010
  • Series: World Psychiatric Association Series
  • Edition number: 1
  • Pages: 593
  • Product dimensions: 6.70 (w) x 9.90 (h) x 1.50 (d)

Meet the Author

Prabha S. Chandra is a Professor of Psychiatry at theDepartment of Psychiatry at the National Institute of Mental Healthand Neurosciences, Bangalore, India. She has served as a member ofthe WPA section on women’s mental health and is the firstperson from a developing country to be elected to the executive ofthe Marce International Perinatal Psychiatry Society.  She has also been a convener and chairperson of the Task force onwomen’s mental health of the Indian Psychiatric Society.

Her main research contributions in the areas of women’smental health have been in perinatal psychiatry, psychosomaticobsetrics and gynecology and the role of violence in women withmental illness. Prof. Chandra has received several national awardsfor research in womens mental health.  She has been a memberof the Advisory group on HIV Behavioral Research of the IndianCouncil of Medical Research and has also served as a TemporaryAdvisor to the WHO and UNAIDS.  She has about 90 publicationsin the above areas of research and has edited several books andtraining manuals.

Helen Herrman is Professor of Psychiatry at the OrygenYouth Health Research Centre, Department of Psychiatry, TheUniversity of Melbourne. She is also Director, WHOCollaborating Centre in Mental Health, Melbourne; Secretary forPublications, World Psychiatric Association; and RegionalVice-President Oceania, World Federation for Mental Health.

Her interests include mental health promotion, the assessment ofoutcomes and quality of life for people with mental illnesses, thelink between mental health and HIV infection, and the delivery ofmental health services.

Jane Fisher

Deputy Director and Coordinator of International Programs,University of Melbourne, Australia. 

Marianne Kastrup was Medical Director of theRehabilitation and Research Centre for Torture Victims, Copenhagen(1997-2001) and is now Head of the Centre Transcultural Psychiatry,Psychiatric. Dept. Rigshospitalet, Copenhagen, Denmark.  Sheis the Zonal Representative for the WPA and has served on variouscommittees for both the WPA and the European Association ofPsychiatry.

Unaiza Niaz is a Consultant Psychiatrist andPsychotherapist who is the Director of The Psychiatric Clinic &Stress Research Center, Karachi.  She is the President &Founder Member of the Pakistan Society of Traumatic Stress Studies,a Life Member of  The Pakistan Psychiatric Society, and waspreviously Vice President and Secretary General. She is a lifemember of the World Federation of Mental Health, AmericanPsychiatric Association and a Fellow of the Royal College ofPsychiatrists, London.  She trained at The Royal FreeHospital, the Tavistock Clinic, Hampstead, London and The JohnsHopkins University, USA. Her research interests are Stressmanagement, Women’s Issues, Medical Health Policy and Post-Graduate Education.  She has numerous scientific publicationsin international journals and has authored several books:Emerging Images of Pakistani Women, Stress Managementand The Psychosocial Profile of Pakistani Women, publishedby Karachi University, and a landmark Monograph on Womens MentalHealth In Pakistan.  She has also edited Medical Ethicsin Contemporary Era and Pakistan Earthquake—InternationalPerspectives on Handling Psycho-Trauma. Presently, she is Co-Chairof the WPA Section on Women’s Mental Health and an Advisor tothe National Commission on the Status of Women—Pakistan.

Marta Rondón, assistant professor at CayetanoHeredia University, is a Founder of the Peruvian Association forWomen's Mental Health and was Chair of the Section of Women'sMental Health of the World Psychiatric Association.  She wasthe first woman to be President of the Peruvian PsychiatricAssociation and is a recipient of the Medal of Honor of thePeruvian College of Physicians..  Formerly Director General ofthe Office for Older People, Ministry of Women and SocialDevelopment in Peru, she currently sits on the NationalCommittee on Mental Health and the High Level Commission on Sexualand Reproductive Health in the Peruvian College of Physicians. Marta works at the Edgardo Rebagliati Martins Hopsital,where she supervises services for chronic psychiatric patientsand sits on the hospital's committee against gender basedviolence.

Ahmed Okasha is Professor and Director of the WHOCollaborating Center for Training and Research in Mental Health,Institute of Psychiatry – Ain Shams University, Cairo. He isPresident of the Egyptian Psychiatric Association and of theEgyptian Society of Biological Psychiatry, as well as a PastPresident of the World Psychiatric Association. Professor Okasha ison the Editorial Advisory Board of 20 International ScientificJournals, an Honorary Fellow of The American College ofPsychiatrists (2002) and a Fellow of the Royal College ofPhysicians (Edinburgh, 1973) and of the Royal College ofPsychiatrists (London, 1973).

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Table of Contents

1 Psychotic disorders and bipolar affective disorder BPAD

R. Thara and R. Padmavati

1.1 Psychotic disorders in women

1.2 Schizophrenia

1.3 Bipolar disorder

1.4 Other psychoses

1.5 Special issues in women with severe mental illness

2 Depression and anxiety among women

Nadia Kadri and Khadiza Mchichi Alami

2.1 Introduction

2.2 Epidemiology

2.3 Transcultural aspect of affective disturbances inSub-Saharan Africa

2.4 Treatment effects

2.5 Sexual differences in depression and anxiety disorders:biological determinants

2.6 Sexual differences in depression and anxiety disorders:social factors

2.7 Mood and anxiety disorders across lifespan in women

2.8 Pregnancy

2.9 Motherhood

2.10 Conclusion

3 Somatisation and dissociation

Santosh K. Chaturvedi and Ravi Philip

3.1 Introduction

3.2 Somatisation – definitions and concept

3.3 Dissociation – definitions and concept

3.4 The diagnosis and classification of somatoform anddissociative disorders

3.5 The neurobiology of somatisation and dissociation

3.6 Psychological factors

3.7 Conversion disorder

3.8 Hypochondriasis

3.9 Dissociative disorders

3.10 Conclusions

4 Eating disorders

Robert L. Palmer and Dr Sarvath Abbas

4.1 Introduction

4.2 Risk factors and pathogenesis

4.3 Distribution

4.4 Presentation, assessment, diagnosis and engagement

4.5 Treatment and management

4.6 Conclusion

5 Suicidality in women

Gergö Hadlaczky and Dannuta Wasserman

5.1 Definitions

5.2 Epidemiology

5.3 Suicidality and mental disorders and risk

5.4 Suicide prevention

6 Alcohol and substance abuse

Florence Baingana

6.1 Introduction

6.2 Genetics of alcohol and drug abuse

6.3 Burden of the problem and patterns of drinking

6.4 Alcohol and drug abuse, risky sexual behaviour and HIVvulnerability

6.5 Stigma, women and alcohol and drug abuse

6.6 Health consequences

6.7 Social and economic consequences

6.8 Interventions

6.9 Challenges

6.10 Research

6.11 Recommendations

6.12 Conclusions

7 Psychiatric consequences of trauma in women

Elie G. Karam, Mariana M. Salamoun and SalimEl-Sabbagh

7.1 Introduction

7.2 What types of traumata are more common among women?

7.3 How do women respond to trauma?

7.4 What are the trauma related risk factors?

7.5 Which mental disorders are related to trauma?

7.6 Future directions

8 Voices of consumers - women with mental illness share theirexperiences

Shoba Raja

8.1 'Ni Tagibebu' - I will change my lifestyle

8.2 Determined to go against the odds

8.3 Brilliant madness - a narrative by a young woman from Indiawho is recovering from mental illness

8.4 From illness to purpose and recovery

8.5 Conclusions

9 Mental aspects of pregnancy, childbirth and the postpartumperiod

Jane Fisher, Meena Cabral de Mello and Takashi Izutsu

9.1 Mental health and maternal mortality

9.2 Mental health and antenatal morbidity

9.3 Depression in pregnancy

9.4 Anxiety in pregnancy

9.5 Cultural preferences and mental health in pregnancy

9.6 Inflicted violence and mental health in pregnancy

9.7 Mental health and postpartum morbidity

9.8 Postpartum blues or mild transient mood disturbance

9.9 Postpartum psychotic illness

9.10 Postpartum depression

9.11 Psychosocial risk factors for postpartum depression

9.12 Infant factors and maternal mental health

9.13 Cultural specificity of postpartum mood disturbance

9.14 Maternal mental health, infant development and themother-infant relationship

9.15 Prevention and treatment of maternal mental healthproblems

9.16 Summary

10 Psychological issues and reproductive health conditions: aninterface

Veena A. Satyanarayana, Geetha Desai and Prabha S.Chandra

10.1 Introduction

10.2 Infertility: a psychosocial appraisal

10.3 The psychological implications of hysterectomy

10.4 Gynaecological infections

10.5 Conclusions

11 Menopause and women's mental health: the need for amultidimensional approach

Jill Astbury

11.1 Introduction

11.2 Social, cultural and contextual factors

11.3 Variations in symptoms and symptom patterns

11.4 The research evidence

11.5 Is menopause a time of increased risk for women's mentalhealth?

11.6 The relationship between menopause and depression inmidlife

11.7 The need for a life course perspective

11.8 Methodological difficulties

11.9 Therapeutic approaches in mid life

11.10 Conclusion

12 Ethics in psychiatric research among women

Laura Roberts and Kristen Prentice

12.1 The scientific imperative to include women in psychiatricresearch

12.2 The ethical challenges of psychiatric research

12.3 Unique challenges of psychiatric research in women

12.4 Summary

13 Integrating mental health into women's health and primaryhealthcare: the case of Chile

Graciela Rojas and Enrique Jadresic

13.1 Introduction

13.2 Integrating mental health into primary healthcare

13.3 Integrating mental health into women's health

14 Service settings for gender sensitive psychiatric care:children and adolescents

Corina Benjet

15 Gender sensitive care for adult women

Marta B. Rondon

15.1 Gender sensitive and informed mental healthcare: basicstrategies

15.2 Principles of gender sensitive care

15.3 Characteristics of gender sensitive services

16 Psychopharmacology

Silvana Sarabia

16.1 History of psychopharmocology

16.2 Ethics

16.3 Sources and interpretation of data

16.4 Women in clinical trials

16.5 Pharmacodynamics and pharmacokinetics in women

16.6 Psychotropic treatments in women

16.7 Treatment of postpartum disorders

17 Women and disasters

Unaiza Niaz

17.1 Wars and women's mental health

17.2 Natural disasters and women

17.3 Conclusion

18 Intimate partner violence interventions

Krishna Vaddiparti and Deepthi S. Varma

18.1 Mental health consequences of intimate partner violence onwomen

18.2 Victim focused interventions

18.3 Interventions with batterers of violence

18.4 Other intervention approaches

18.5 Conclusion

19 Migration and mental health in women: mental health actionplan as a tool to increase communication between clinicians andpolicy makers

Solvig Ekblad

19.1 Definitions: mental health and health

19.2 Introduction

19.3 Risk factors

19.4 Resilience and coping

19.5 The impact of domestic violence on immigrant women's mentalhealth

19.6 Access to mental healthcare services

19.7 The ADAPT model (adaptation and development afterpersecution and trauma)

19.8 The case of Mrs Aba, her family and the community

19.9 Theory of change logic: mental health action planning

20 Work and women's mental health

Saida Douki

20.1 Introduction: A late but growing awareness

20.2 The job burnout

20.3 A higher risk for burnout

20.4 Work and women's mental health issues

20.5 Management issues

20.6 Conclusion

21 Globalisation and women's mental health: cutting edgeinformation

Unaiza Niaz

21.1 Concept and process of globalisation

21.2 Gendered effects of globalisation

21.3 The impact of globalisation and liberalisation on women'shealth

21.4 Education and empowerment in women

21.5 United Nation and World Banks approach to women'seducation

21.6 The global and local intersection of feminisation in Muslimsocieties

21.7 Other impacts of globalisation

21.8 Internet addiction

21.9 Mental health issues related to the use of Internet andmobile phones in the developing countries

21.10 Recommendations to counteract negative effects ofglobalisation

22 The impact of culture on women's mental health

Marianne Kastrup and Unaiza Niaz

22.1 Introduction

22.2 Definitions

22.3 Epidemiological perspectives

22.4 Cultural aspects of stress

22.5 Diagnostic considerations

22.6 Cultural and social practices and their impact on mentalhealth

22.7 Therapeutic issues

22.8 Perspectives

23 Female mutilation

Almira Seif Eldin

23.1 Definition

23.2 Introduction

23.3 Historical background

23.4 Classification

23.5 Epidemiology of FGM

23.6 Physical complication of FGM

23.7 Psychological complication

23.8 Posttraumatic stress disorder and memory problems afterFGM

23.9 Obstacles facing changing harmful social convention: femalegenital mutilation/cutting

23.10 The basic concept for FGM elimination: (The mental map forFGM)

23.11 Recommendations in countries where FGM is commonlypracticed

24 Women's mental health in the concept of broad globalpolicies

Takashi Izutsu

24.1 Definitions of health and the right to health made by theUnited Nations

24.2 The Fourth World Conference on Women Platform for Action(1995)

24.3 Conventions

24.4 Other international tools

24.5 New aid environment: sector wide approaches and the povertyreduction strategy paper

24.6 Conclusion

25 Families of origin as agents determining women's mentalhealth

Wenhong Cheng

25.1 The impact of the family of origins perspectives aboutfemales on the growth of women

25.2 Impact of parenthood on women's mental health

25.3 Families, social change and women's mental health

26 The unpaid workload: gender discrimination inconceptualization and its impact on women's mental health

Jane Fisher

26.1 Maternal desire

26.2 Disenfranchised grief and motherhood

26.3 Fantasies of motherhood

26.4 Fantasies about the workload

26.5 Workload of motherhood

26.6 Occupational fatigue as a determinant of maternal mood?

26.7 Recognition and valuing of work and occupationalsatisfaction

26.8 Training and education for mothering

26.9 Presumptions about the contributions of others to theworkload

26.10 Collegial relationships

26.11 Honouring the work of mothers in practice and policy

27 Foundations of human development: maternal care in the earlyyears

Linda M. Richter and Tamsen Rochat

27.1 Child development and human culture

27.2 Interactions and relationships

27.3 Maternal mental health and children's development

27.4 Maternal care

27.5 Implications for mental healthcare

27.6 Increased choices for women

28 The adverse impact of psychological aggression, coercion andviolence in the intimate partner relationship on women's mentalhealth

Toshiko Kamo

28.1 Prevalence and nature of intimate partner violence

28.2 Impact of intimate partner violence on general health

28.3 Mental health problems among women affected by intimatepartner violence

28.4 Intimate partner violence, children and intergenerationalpatterns of abuse

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