Psychological Aspects of Women's Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology

Psychological Aspects of Women's Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology

by Nada L. Stotland

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Overview

Psychological Aspects of Women's Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology by Nada L. Stotland

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.

Product Details

ISBN-13: 9780880484213
Publisher: American Psychiatric Publishing, Incorporated
Publication date: 06/01/1993
Edition description: New Edition
Pages: 570

About the Author

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.

Table of Contents

Forewordxvii
1The Interface Between Psychiatry and Obstetrics and Gynecology: An Introduction1
IPregnancy
2Normal and Medically Complicated Pregnancies13
3Fetal Anomaly33
4Psychiatric Disorders During Pregnancy51
5Psychotropic Drugs and Electroconvulsive Therapy During Pregnancy and Lactation67
6Adolescent Pregnancy95
7Postpartum Disorders117
8Perinatal Loss141
IIGynecology
9Psychological Aspects of the Menstrual Cycle177
10Infertility and the New Reproductive Technologies205
11Induced Abortion in the United States219
12Menopause: Myths and Realities241
13Chronic Gynecologic Pain261
14Gynecologic Disorders and Surgery277
15Gynecologic Oncology307
16Women and HIV Infection331
IIIGeneral Issues
17Reproductive Choices and Development: Psychodynamic and Psychoanalytic Perspective365
18Female Sexual Disorders379
19Psychopharmacology in Women401
20Alcohol and Substance Abuse in Obstetrics and Gynecology Practice421
21Eating Disorders and Reproduction441
22Breast Disorders and Breast Cancer457
23Women and Violence477
24Psychological Aspects of Lesbian Health Care549
25Ethics and Women's Health571
26The Male Perspective585
27Collaborations Between Psychiatry and Obstetrics and Gynecology597
28What Is a Minority? Issues in Setting and Dialogue611
Index629

What People are Saying About This

Linda S. Austin

Thanks to science, we can now decode the secrets of the human genome, allow infertile women to become mothers, and preserve the lives of our most fragile infants. Yet each advance brings new challenges to the emotional health of our patients and the clinical decision-making of those who care for them. This eagerly-awaited second edition of Psychological Aspects of Women's Health Care addresses these new issues while deepening our knowledge of more familiar concerns. The same sound scholarship and comprehensive understanding that defined the first edition are evident in this exciting and ambitious volume.

Susan Abbey

Congratulations to Stotland and Stewart and their chapter authors for a magnificent second edition of their classic, Psychological Aspects of Women's Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology! This book is unique in providing clearly written, contemporary, well-reference, user-friendly and richly academically informed information in 28 high quality chapters. The new edition will be enthusiastically welcomed because of its wisdom, breadth and depth by the wide audience of professionals caring for women.

Catherine M. Piontek

This second edition of the already classic Psychological Aspects of Women's Health Care, is a timely and welcome addition to the growing literature on women's mental health and its integral connection with the physical and emotional cycles of a woman's reproductive life. The editors have assembled a remarkable array of expert contributors, some of whom have revised chapters from the earlier edition and others who are new voices. Despite the variety of perspectives included, the volume as a whole has a lucid and unified style rarely encountered in a multi-authored text.... Whether used as an introductory text for students and residents or a ready reference for experienced clinicians, this volume will serve as a catalyst for improving the quality of care for women, and for that the editors and their contributors deserve our sincerest appreciation. (Psychosomatics)

Vera Lantos

I particularly appreciated information concerning sex differences in pharmacokinetics. It is educational to read a discussion of related processes offered from different perspectives... As we learn more about sex differences in metabolism, neurohormonal regulation, and brain wiring, a book that offers a responsible, readable, and up-to-date review of the issues at the interface of obstetrics and gynecology and mental health is a welcome reference. (F.R.C.P.C., Canadian Journal of Psychiatry)

Vivien K. Burt

This book is a 'must' for every clinician in medicine, psychiatry, obstetrics and gynecology who wishes to enhance the care of women patients with the latest scientific data on gender-specific aspects of psychiatry and reproductive physiology. The science and art of women's reproductive mental health care from puberty to post-menopause are deftly combined in this well written and timely text. This is an ambitious text that really makes a difference -- applying the information contained in its chapters will have a positive impact on women's health care!

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