Clinical Psychosomatic Obstetrics and Gynaecology A Patient centred Biopsychosocial Practice 1st Edition by Mira Lal ISBN 0198749546 9780198749547

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ISBN 10:       0198749546
ISBN 13: 978-0198749547
Author:       Mira Lal  

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 numerous health conditions. Clinical Psychosomatic Obstetrics and Gynaecology: A Patient-Centred Biopsychosocial Practice is a fundamental work that enhances the understanding of the management of womenâs disease conditions resulting from psychosomatic or mind-body interactions that are routinely encountered by clinicians.
Authored by a world-renowned group of contributors who have led a transformativeapproach to the way health services for 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 clinical vignettes 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.

Clinical Psychosomatic Obstetrics and Gynaecology A Patient-centred Biopsychosocial Practice 1st Table of contents:

1. Clinically Significant Mind–Body Interactions: Evolutionary History of the Scientific Basis

• Introduction
• Ancient Medical Practices: Egypt, Mesopotamia, India, and China
• Ancient Greco-Roman and European Medical Practice
• Soranus: An ancient Greek authority on women’s health
• Psychosomatic Awareness in Healthcare: Rationale for development
• Structural and Functional Basis of Psychosomatic Health/Illness
• Embryological/Neuroendocrinological Correlates of Psychosomatic Pathophysiology
• Emotions and Behaviour
• Pain: Physical and behavioural aspects
• Psychosomatic Thinking: Trends from the seventeenth century onwards
• Promoting Psychosomatic Approaches in Future Clinical Practice
• Conclusions

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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 Model
  • Therapeutic Process
  • Catharsis
  • Clarifying Conflicts and Conflict Resolution
  • Cognitive Reframing
  • Insight and Understanding
  • Stress Reduction Techniques
  • Behavioural Change Assistance
• Psychosomatic Education and Training

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3. Maternal Mood in Pregnancy: Fetal Origins of Child Neurodevelopment

• Introduction
• Prenatal Stress
  • Animal Studies
  • Human Studies
  • Types of Stress
  • Underlying Mechanisms
• Conclusions

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4. Preconceptual to Postpartum Mental Health: Mental Illness and Psychosomatic Disease

• Introduction
  • Normal Physical and Emotional Changes in Childbearing
  • Mental Illness Impact on Childbearing and Social Health
• Epidemiology and Risks
  • 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
• Psychotropic Medications and Pregnancy
  • Antidepressants and Anxiolytics
  • Antipsychotics
  • Mood Stabilizers and Antiepileptics
  • Opioid Substitutes
  • Antiemetics
• Planning Biopsychosocial Risk-Reduction to Improve Pregnancy Outcomes
  • Prepregnancy Planning and Early Health Education
  • Good Communication and Patient-Centered Care
• Conclusions

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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
• Conclusions

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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
  • Therapeutic Approach to Managing Chronic Pelvic Pain
  • Endometriosis: Variegated Psychosomatic Symptoms
  • Managing Endometriosis with a Psychosomatic Approach
• Developing a Psychosomatic Care Pathway
  • Age-related Psychosomatic Management of Endometriosis
• Conclusions

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7. Premenstrual Disorders: Luteal Phase Recurrent Enigmatic Conditions

• Introduction
  • Historical Correlates
  • Diagnosis and 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
  • Interaction Between Sex Steroids and Central Neurotransmitters
  • Autonomic Nervous System Activity
  • Other Physiological Differences
• Treatment Strategies
  • Non-Pharmacological Treatments
  • Psychological Interventions
  • Complementary Therapies
  • Pharmacological Treatments
• Conclusions

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8. Women’s Psychosomatic Health Promotion and the Biopsychosociocultural Nexus

• Introduction
  • Global Disease Burden of Cancer
  • Cervical Intraepithelial Neoplasia (CIN): Terminologies and Aetiopathology
  • Detection of CIN Using Cervical Cytology and Colposcopy
  • Psychosociocultural Aspects of CIN Diagnosis and Treatment
  • Prophylaxis of CIN
• Obesity in Gynaecology and Obstetrics
  • Obesity and Endometrial Cancer: Aetiopathogenesis, Clinicopathological Correlates, and Prevention
  • Lifestyle Alterations and Bariatric Surgery
  • Impact of Obesity on Childbearing and Pregnancy
• Conclusions

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9. Vulval Pain

• Introduction
  • Prevalence and Clinical Findings
  • Causes of Vulvodynia
    • Infection, Diet, Inflammation, Hormonal Contraception
    • Neurogenic Mechanisms
    • Psychological and Psychosomatic Factors
• Management
• Conclusions

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10. Psycho-Oncology and Psychosocial Aspects of Gynaecological Cancer

• Introduction
  • Biopsychosocial Problems in Gynaecological Cancer
  • Psychological Responses and Psychiatric Diseases in Cancer Patients
  • General Reactions to Cancer Diagnosis
  • Psychiatric Problems Specific to Gynaecological Cancer
  • Social Problems and Distress of Mental Disorders
  • Impact on Decision-Making and Suicide Risk
• Psychosocial Measures for Cancer Patients
  • Mental Disorders: Adjustment Disorder, Depression, Delirium
  • Psycho-Oncological Treatment for Families
  • Impact of Bereavement on Families
• Conclusions

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11. Psycho-Oncology: The Sexuality of Women and Cancer

• Introduction
  • Sexual Dysfunction in Cancer Patients
  • Cancer Treatment and its Impact on Sexuality
  • Fertility Preservation and Sexuality Education for Healthcare Providers
• Conclusions

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12. Migration, Gender, and Cultural Issues in Healthcare: Psychosomatic Implications

• Introduction
  • Global Gender-Related Health Issues
  • Clinical Implications of Gender-Based Violence in Obstetrics and Gynaecology
  • Aetiology of Gender-Related Health Issues and Psychosomatic Disease
  • Ethical and Sociocultural Considerations in Termination of Pregnancy and Family Spacing
  • Gender-Based Violence: Management and Support Pathways
  • The Role of Partners, Communities, and Healthcare Providers
• Conclusions

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