Clinical psychosomatic obstetrics and gynaecology A Patient centred Biopsychosocial Practice 1st Edition by Mira Lal 0198749546 9780198749547

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Product details:

ISBN 10: 0198749546

ISBN 13: 9780198749547

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 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.

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 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

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

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

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

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

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

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

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

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

Conclusions

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