Clinical Psychosomatic Obstetrics and Gynaecology

A Patient-centred Biopsychosocial Practice
 
 
Oxford University Press
  • 1. Auflage
  • |
  • erschienen am 9. Juni 2017
  • |
  • 352 Seiten
 
E-Book | PDF mit Adobe-DRM | Systemvoraussetzungen
978-0-19-106643-6 (ISBN)
 
The interplay between mind and body is a rapidly developing area of Obstetrics and Gynaecology, growing in prominence as many areas of medicine recognise the importance of understanding the physical, mental, and social aspects of complex conditions. Clinical Psychosomatic Obstetrics and Gynaecology: A Patient-Centred Biopsychosocial Approach is the fundamental work facilitating the management of women's disease conditions resulting from psychosomatic or mind-body interactions routinely encountered by clinicians. Authored by a world-renowned group of contributors who have led a transformative approach to the way services to women are approached, Clinical Psychosomatic Obstetrics and Gynaecology comprehensively addresses the biological, psychological, social and cultural factors leading to disease manifestations. Including methods for prevention, detection and treatment, the text is supported by thirty case studies taken from real-life situations to support learning and guide clinical practice. Detailed chapters expound the scientific basis of the clinical psychosomatic concept, prevention of morbidity and mortality from cancer or obesity, pregnancy and childbirth, maternal dysphoria and child neurodevelopment, pain perception, infertility, premenstrual disorders, psycho-oncology, malignancy and sexual health, illnesses in migrants and refugees, alongside, pertinent cultural issues. This title is a highly topical and much needed guide to addressing clinical conditions that compromise women's health, including that of teenagers, as well as their mental and social well-being.
  • Englisch
  • Oxford
  • |
  • Großbritannien
  • 11,03 MB
978-0-19-106643-6 (9780191066436)
weitere Ausgaben werden ermittelt
Dr. Mira Lal is an Obstetrician & Gynaecologist specialising in the physical, mental, and social facets of women's disease and well-being. She undertook clinical research to understand mind-body (psychosomatic) interactions in disease, and was conferred a post-MRCOG doctorate encompassing Obstetrics & Gynaecology along with Neuroscience, Psychiatry; Social Pathology; Social & Public welfare; Psychology; Public aspects of Medicine; Family, Marriage & Woman and Statistics. She was made an Expert Columnist for the Sociedad Iberoamericana de Información Científica and was awarded a prize for presenting at the EBCOG Congress in 2014. In recognition of her attainments, besides invited publications/reviewing, she was granted Fellowship of of the Royal College of Obstetricians & Gynaecologists for "advancing the Art & Science of Obstetrics and Gynaecology".
  • Cover
  • Clinical Psychosomatic Obstetrics and Gynaecology
  • Copyright
  • Dedication
  • Contents
  • Preface
  • Forewords
  • Contributors
  • Glossary
  • Abbreviations
  • Introduction
  • 1. Clinically significant mind-?body interactions: evolutionary history of the scientific basis
  • Introduction
  • Ancient medical practices in Egypt, Mesopotamia, India, and China
  • Ancient Greco-?Roman and European medical practice
  • Soranus: an ancient Greek authority on women's health
  • The rationale behind developing psychosomatic awareness in healthcare
  • Structural and functional basis of psychosomatic health/?illness
  • Embryological/?neuroendocrinological correlates of psychosomatic pathophysiology
  • Emotions and behaviour
  • Pain: physical and behavioural aspects
  • Trends in psychosomatic thinking generated from the seventeenth century onwards
  • Promoting the psychosomatic approach in futuristic clinical practice
  • Conclusions
  • 2. Teaching psychosomatic obstetrics and gynaecology
  • Theoretical background
  • The biomedical model
  • Limits of the biomedical model
  • The psychosomatic or biopsychosocial model
  • Psychosomatic teaching in obstetrics and gynaecology
  • Communication skills
  • Professional listening: patient-?centred communication
  • Response to emotions
  • Professional information giving: information exchange
  • Communication and counselling in special clinical situations
  • Clinical application of the psychosomatic or biopsychosocial model
  • The application of the biopsychosocial model: therapeutic process
  • Catharsis
  • Clarifying of conflicts and conflict resolution
  • Cognitive reframing
  • Insight and understanding
  • Stress reduction techniques
  • Helping in behavioural change
  • Psychosomatic education and training
  • 3. Maternal mood in pregnancy: fetal origins of child neurodevelopment
  • Introduction
  • Prenatal stress: animal studies
  • Prenatal stress: human studies
  • Types of stress
  • Underlying mechanisms
  • Conclusions
  • 4. Preconceptual to postpartum mental health: mental illness and psychosomatic disease
  • Introduction
  • Normal physical and emotional changes of childbearing and mental illness
  • Impact of childbearing on social health in relation to mental illness
  • Epidemiology and risk of childbearing-?related mental illness
  • Anxiety and mood disorders
  • Schizophrenia spectrum disorders
  • Substance misuse and psychosomatic maternal/?infant effects
  • Personality disorders and conversion disorder
  • Eating disorders
  • Hyperemesis gravidarum
  • Epileptic seizures and non-?epileptic attack disorders
  • Further discussions on psychotropic medication and pregnancy
  • Antidepressants and anxiolytics
  • Antipsychotics
  • Mood stabilisers and antiepileptics
  • Opioid substitutes
  • Antiemetics
  • Planning biopsychosocial risk-?reduction to improve pregnancy outcomes
  • Prepregnancy planning and early health education
  • Early pregnancy planning
  • Good communication and providing patient-?centred care
  • Five clinical vignettes with learning points illustrating pertinent topics after page
  • Conclusions
  • 5. Migraine and pregnancy-?related hypertension
  • Introduction
  • Impact of migraine on health and social life
  • Migraine in women
  • Migraine in pregnancy
  • Common pathogenetic aspects of migraine and pre-?eclampsia
  • Migraine and pregnancy-?related hypertension
  • Two clinical vignettes with learning points illustrating pertinent topics after page
  • Conclusions
  • 6. Disease severity, pain, and patient perception: themes in clinical practice and research
  • Introduction
  • Gynaecological comorbidity requiring a psychosomatic approach
  • Postpartum pelvic floor/?perineal dysfunction and disease severity
  • Emotional pain: infertility and pregnancy loss
  • Miscarriage
  • Stillbirth and intrauterine fetal death
  • Painful conditions related to pelvic organs
  • Depression and chronic pain
  • Chronic pelvic pain: a psychosomatic manifestation of varied pathogenesis
  • The therapeutic approach to managing chronic pelvic pain
  • Endometriosis: variegated psychosomatic symptoms from a similar pathogenesis
  • Managing endometriosis: increasing understanding of the psychosomatic approach
  • Developing a psychosomatic care pathway
  • Implementing age-?related psychosomatic management of endometriosis
  • Six clinical vignettes with learning points illustrating pertinent topics after page
  • Conclusions
  • 7. Premenstrual disorders: luteal phase recurrent enigmatic conditions
  • Introduction
  • Historical correlates
  • Diagnosis
  • Differential diagnosis
  • Diagnostic instruments
  • Epidemiology
  • Presentation as biopsychosocial symptoms
  • Health-?related quality-?of-?life and burden of illness
  • Personality and experience of traumatic events
  • Aetiopathogenesis
  • Ovarian hormone fluctuation
  • An interaction between sex steroids and central neurotransmitters
  • Autonomic nervous system activity
  • Other physiological differences
  • Treatment strategies
  • Non-?pharmacological treatment options
  • Psychological interventions
  • Other complementary therapies
  • Pharmacological treatment options
  • One clinical vignette with learning points illustrating the pertinent topic after page
  • Conclusions
  • 8. Women's psychosomatic health promotion and the biopsychosociocultural nexus
  • Introduction
  • The global disease burden of cancer
  • Cervical intraepithelial neoplasia: terminologies/?definitions and the aetiopathology
  • Detection of CIN using cervical cytology and colposcopy
  • The psychosociocultural aspects of receiving a diagnosis of CIN and its treatment
  • Prophylaxis of CIN
  • The disease burden of obesity in gynaecology and obstetrics
  • Obesity and endometrial cancer
  • The aetiopathogenesis of endometrial cancer
  • Clinicopathological correlates of endometrial cancer and obesity
  • Preventing/?treating obesity to prevent endometrial cancer
  • Lifestyle alterations to prevent obesity
  • Bariatric surgery to reduce the impact of obesity
  • The impact of obesity on childbearing
  • Impact during pregnancy on the adolescent/?child
  • Impact on ovulation and fecundity
  • Impact on subcutaneous fat thickness and obstetric outcomes
  • Impact on maternal and perinatal outcomes
  • Four clinical vignettes with learning points illustrating pertinent topics after page
  • Conclusions
  • 9. Vulval pain
  • Introduction
  • Prevalence
  • Clinical findings
  • Biopsy findings
  • Other findings
  • The causes of vulvodynia
  • Infection
  • Diet and oxalate levels
  • Inflammation
  • Hormonal contraception
  • Neurogenic mechanisms
  • Psychological, psychosomatic, and other factors
  • Management
  • Three clinical vignettes with learning points illustrating pertinent topics after page
  • Conclusions
  • 10. Psycho-?oncology and psychosocial aspects of gynaecological cancer
  • Introduction
  • Biopsychosocial problems with gynaecological cancer
  • Outline of normal psychological responses and psychiatric diseases in cancer patients
  • General reactions to receiving a diagnosis of cancer
  • Reported psychiatric disorders in sufferers of cancer
  • Psychiatric problems specific to gynaecological cancer
  • Social problems
  • Why is mental healthcare necessary during cancer therapy?
  • Distress of mental disorders
  • Reduction in quality-?of-?life
  • Impaired decision-?making
  • Suicide
  • Measures to treat the psychosocial problems of cancer patients
  • Psycho-?oncological treatment of cancer patients
  • Mental disorders frequently noted in cancer patients
  • Adjustment disorder
  • Depression
  • Delirium
  • Extending psycho-?oncological care to families of cancer patients
  • Burden on families
  • Psychiatric intervention for families
  • Implications for bereaved families
  • Burden of bereaved families
  • Impact of bereavement
  • Psychiatric intervention for bereaved families
  • Three clinical vignettes with learning points illustrating pertinent topics after page
  • Conclusions
  • 11. Psycho-?oncology: the sexuality of women and cancer
  • Introduction
  • Sexual dysfunction in cancer patients
  • Timeline of cancer treatment and sexuality
  • Gynaecological cancer: surgical treatment and radiotherapy
  • Bladder and colorectal cancer: surgical treatment and radiotherapy
  • Breast cancer: surgical and hormonal treatment, and radio/?chemotherapy
  • Leukaemias and lymphomas: radio/?chemotherapy and surgical treatment
  • Hormonal deficiency
  • Medication and sexual dysfunction
  • Fertility preservation
  • Educating healthcare providers
  • One clinical vignette with learning points illustrating pertinent topics after page
  • Conclusions
  • 12. Migration, gender, and cultural issues in healthcare: psychosomatic implications
  • Introduction
  • Global aspects of gender-?related health issues
  • Gender-?related health issues in psychosomatic obstetrics and gynaecology
  • The aetiology of clinical presentations of gender-?related health issues
  • Scoping clinical implications of gender-?based violence
  • Disclosure and the obstetric/?gynaecological impact of gender-?based violence
  • Gender-?related issues in generating psychosomatic disease with healthcare needs
  • Termination of pregnancy and sociocultural factors
  • Termination of pregnancy and emergency contraception
  • Ethical issues
  • Relevant issues in abortion, contraception, and family spacing
  • Training
  • Management and support pathways for managing gender-?based violence
  • Prevention of gender-?based violence
  • Role of the partner
  • Role of the community
  • Role of the obstetrician/?gynaecologist
  • Seven clinical vignettes with learning points illustrating pertinent topics after page
  • Conclusions
  • Appendix
  • Postface: gender-?related social constructs and fertility
  • Index

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