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Premenstrual Dysphorias

Myths and Realities

Edited by Judith H. Gold, M.D., F.R.C.P.C., and Sally K. Severino, M.D.

  • ISBN 978-0-88048-666-8
  • Item #8666

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This is the first book to examine the specific myths, controversies, and research findings in the area of late luteal phase dysphoric disorder (LLPDD; now called premenstrual dysphoric disorder[PMDD]). Written by members of the LLPDD Work Group for DSM-IV, Premenstrual Dysphorias: Myths and Realities presents the latest issues surrounding the concept of premenstrual dysphoria. It includes a thorough description of empirical issues related to the recent literature on LLPDD, examines the methodological problems of LLPDD research, and covers sociocultural issues, including early medical approaches to menstruation and myths about menstruation.

Premenstrual Dysphorias: Myths and Realities is designed to promote a better understanding of menstruation and the myths related to the menstrual cycle. It also covers the specific diagnosis and treatment of disorders that affect women and recommendations for future research.


  • Empirical Issues.

    Differential diagnoses and comorbidity. Consequences of methodological decisions in the diagnosis of LLPDD. Biological correlates of premenstrual complaints. A focus on 5-hydroxythyptamine (serotonin) and psychopathology. Treatment efficacy. Commentary on the literature review.

    Sociocultural Issues.

    Historical perspective of premenstrual syndrome. Social, political, and legal considerations. Sociocultural influences on women's experiences of perimenstrual symptoms. Commentary: Late Luteal Phase Dysphoric Disorder—disease or dis-ease? Summation. Appendix. Terminology in DSM-IV.

About the Authors

Judith H. Gold, M.D., F.R.C.P.C., is Chairperson of the DSM-IV LLPDD Work Group and a member of the DSM-IV Task Force of the American Psychiatric Association. She is also Past President, American College of Psychiatrists.

Sally K. Severino, M.D., is Associate Professor of Clinical Psychiatry at the New York Hospital–Cornell Medical Center, Westchester Division, in White Plains, New York.

The book is recommended for clinicians who wish to learn more about PMDD, and gain a unique perspective on the issues surrounding the creation of a psychiatric diagnosis.—General Hospital Psychiatry

[This book] represents one of the most comprehensive attempts to review the current state of knowledge in the field, and it does so very effectively. It can certainly be expected to become one of the foremost guides to current thinking on premenstrual disorders and is well worth the interest of readers both familiar and unfamiliar with the topic.—American Journal of Psychotherapy

This book is particularly appropriate for gynecologists, primary care physicians who see many women with premenstrual problems, and psychiatrists. It is an excellent resource full of carefully documented and current studies. With its balanced presentation of controversies, this book goes far to combat the stigma that has been associated with premenstrual syndrome.—The New England Journal of Medicine

This book provides the most complete and up-to-date review of this information that is currently available. It should be of interest to psychiatrists and others working with those with premenstrual complaints. It is also worthwhile reading for those concerned with women's issues and the struggle to find a balance between science and politics.—Gail Robinson, M.D., Department of Psychiatry, The Toronto Hospital, Toronto, Ontario

It is distressing to realize what one does not know, but reassuring to learn how much progress has been made in delineating the etiology, diagnosis, and treatment of a gender-specific disease in the years between DSM-III-R and DSM-IV. As the political controversy has diminished, the scientific knowledge has increased.—Elissa Benedek, M.D., Center for Forensic Psychiatry, Ann Arbor, Michigan

The editors and other chapter contributors are among the leading researchers in the field, lending credibility to the material. . . this book provides the most up-to-date in formation on premenstrual dysphoria that is currently available.—Journal of Clinical Psychiatry

This is a useful book in an area that is confusing and in flux. It represents the view from the MDs and PhDs chosen by the APA to be in this work group, but they present a wide range of perspectives.—Doody's Journal

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