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Psychological Aspects of Women's Health Care, Second Edition

The Interface Between Psychiatry and Obstetrics and Gynecology

Edited by Nada L. Stotland, M.D., M.P.H., and Donna E. Stewart, M.D., F.R.C.P.C.

  • ISBN 978-1-58562-806-3
  • Item #62806


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.


    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

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.

Psychological Aspects of Women's Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology, Second Edition should hold a prominent place on the bookshelf of every provider of health care to women. Whether used as an introductory text for students and residents or a ready reference for experiences 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.—Catherine M. Piontek, M.D., Psychosomatics, 8/1/2003

[T]he book is amazingly readable considering the amount of information. It is written from the perspective of a practitioner, reviewing the literature in a clinical context and giving balanced treatment to controversial issues. Particularly outstanding are the chapters on violence, substance abuse, minorities, psychiatric disorders during pregnancy, gynecologic surgery, and the relationship between psychiatry and obstetrics-gynecology.—JAMA, 8/1/2003

This is a second edition of an outstanding book edited by Dr. Nada Stotland and Dr. Donna Stewart who both are nationally and internationally recognized for their expertise in women’s healthcare. The book is an outstanding one with chapters devoted to the broad range of topics where psychiatry and obstetrics and gynecology interface. The authors are well versed in their subjects.This is a book that all psychiatrists should own. Physicians in other specialties should also possess this book as its information is indeed important to the majority of patients whom they see. (Women certainly seek medical care far more commonly than men). It is thus a privilege to so strongly recommend this book.—Thomas N. Wise, M.D.

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