By Johannes Bitzer (auth.), Jayne Cockburn, Michael E. Pawson (eds.)
The self-discipline of obstetrics and gynecology is altering quickly. it's altering in recognize of technological know-how and expertise (IVF, minimally invasive surgical procedure) and of ethics (termination, genetics, and reproductive technology). the learning for the younger expert adapts to those adjustments. unfortunately, despite the fact that, the old school department of brain from physique maintains. phrases like "holistic" and "psychosomatic" are pushed aside, and people chargeable for education within the united kingdom persist in refusing to house mental modules within the education approach. This booklet makes an attempt to deal with and redress this imbalance. Failure to appreciate the mental elements of a sufferers presentation depart the health care professional feeling weak and insufficient, trying to find the best factor to claim, warding off that sufferer in destiny with next negative care.
This publication, by means of offering the history wisdom, empowers the obstetrician/gynecologist to be within the key coordinating position, and to speak successfully with all events and different medical experts who may have to be eager about mental care. This ebook meets the desires of medical professionals that aren't lined via their education (e.g. a bankruptcy on "Communication talents. What you are able to do in 15 minutes", bankruptcy on "Coping and Adjustment in Pregnancy": Giving infants a greater commence, and bankruptcy on "Communicating with melanoma Patients")
Chapters are written by means of specialists in largely differing components, and convey tips on how to use the session to greatest gain for the sufferer and health practitioner. Easy-to-read with stand-alone chapters, this booklet covers key points of obstetrics and gynecology, and addresses parts that aren't coated in different texts. The e-book is suitable to all phases of obstetric and gynecological perform - from trainees to specialists (and a few lay interest).
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Additional info for Psychological Challenges in Obstetrics and Gynecology: The Clinical Management
When we are anxious, we have difficulty in listening, hearing, and remembering; so expect to have the conversation again. It is useful to consider what sort of social support systems the patient has, both physical and psychological. Who, if anyone, is with the patient? Who can they talk to tonight as your information “sinks in”? Do they need help, support, or advice in telling their family? Do they need to telephone someone straight away? How are they going to get home? Even asking these questions allows the patient to begin to think about what support is available.
Their consultations are further hampered by the need for chaperons (note: RCOG guidelines advise chaperons for all physicians, not just men), which inevitably changes the doctor–patient relationship. Just because you are 43 44 Kevan R. Wylie a woman does not make you an expert either! Moreover, many female doctors feel undertrained and inadequate in this area as well. All doctors practicing in the O&G field should have enough knowledge and confidence to start to help with sexual problems, as sexuality is inevitably bound up in this specialty.
Klein M. The origins of transference. Int J Psychoanal. 1952;33:433–438. 2. Balint M. The Doctor, His Patient and the Illness. New York, NY: International Universities Press; 1957. 3. Heimann P. On counter-transference. Int J Psychoanal. 1950;31:81–84. 4. Ferenczi S. In: Dupont J, ed. The Clinical Diary. London: Harvard University Press; 1988. 5. Hinshelwood R. A Dictionary of Kleinian Thought. London: Free Association Books; 1989. 6. Bion W. A theory of thinking. Int J Psychoanal. 1962;43:306–310.
Psychological Challenges in Obstetrics and Gynecology: The Clinical Management by Johannes Bitzer (auth.), Jayne Cockburn, Michael E. Pawson (eds.)