Advances in Psychosomatic Obstetrics and Gynecology : Proceedings. Sixth International Congress of Psychosomatic Obstetrics and Gynecology, Berlin, Reichstag, September 2 - 6, 1980

The Sixth International Congress of Psychosomatic Obstetrics and Gynecology, which took place from 2 to 6 September 1980 in the congressional chambers of the former Reichstag building in Berlin, had as its theme "Women in a Changing Society." Partic­ ular emphasis was placed on the fact that in illness, as well as in good health, women must be considered in a comprehensive psychosocial context. Observations from medi­ cal, psychological, sociological, and anthropological perspectives on the healthy and sick woman through the various stages of her life presented a wide spectrum of scien­ tific research. Sessions covering such fundamental topics as the problems of the young mother, women in the postgenerative phase, and the early mother-child relationship were enriched by many recent scientific contributions. Further subjects, ranging from the dialogue in the gynecologist's consulting room through the emotional situation of the gynecologist, body language in female sexuality, and sexual disorders experienced by gynecological patients to psychosomatics and cancer, were pursued in small workshops. Of particular psychoendocrinological interest were the contributions on obesity and the premenstrual syndrome. The results of this workshop and another on unwanted pregnancy have ap­ peared recently in separate monographs. Front Matter....Pages I-XXXIV The Woman: An Anthropological View....Pages 1-5 Changing Female Identity: A Historical and Critical Review of Psychoanalytic Aspects of Femininity....Pages 5-11 Social-Psychological Factors in Women’s Changing Self-Concepts....Pages 11-16 The Woman in Different Phases of Life....Pages 17-18 Women in Switzerland....Pages 18-19 The Future of Motherhood....Pages 20-21 The Influences of Modernization and Democratization on Japanese Women....Pages 21-21 Women in a Changing Society....Pages 21-25 New Changes of Sociocultural Factors Which Have an Impact on Women’s Behaviour, Childbearing and Fertility....Pages 25-27 Women and Sex Education in Peru....Pages 27-29 Women’s Complaints in the Society of Today....Pages 29-29 The Changing Situation of Women During the Past 10 Years and Its Consequences for Gynecology....Pages 30-33 Women in a Changing Society: Australia....Pages 34-36 Psychological Implications in Different Periods of Life....Pages 37-39 A Medical Perspective of Women Aged 35–45....Pages 40-56 The Return of Mature Women to the World of Work....Pages 57-62 Cross-Cultural Perspectives of Women in the Postgenerative Phase....Pages 62-63 Androgyny: A Model for Improving Gynecologist — Women Interactions....Pages 63-64 The Influence of Traditional Sex-Role Patterns on the Interpretation of Psychosomatic Complaints....Pages 64-67 Psychosomatics in the Gynecological Hospital....Pages 68-74 The Frequency of Psychosomatic Disorders in a Gynecological University Clinic....Pages 75-76 Emotional Evaluation of the Doctor-Patient Relationship in Gynecology....Pages 76-77 Teaching Psychosomatic Gynecology to Medical Students....Pages 77-80 Clinical Psychology in Obstetrics and Gynecology....Pages 81-83 Changing an Obstetric Hospital by Using Psychosomatic Ideas....Pages 84-85 Interaction Processes During the Gynecological Round....Pages 85-90 Is Psychosomatic Obstetrics Possible Without Reflecting One’s Own Professional Picture and Ego?....Pages 91-95 The Effects of Gynecological Disorders on a Partnership....Pages 95-97 The Psychosomatic Approach in Gynecology and Obstetrics....Pages 98-106 Some Psychiatric Aspects of Obesity....Pages 106-114 Obesity in Gynecology and Obstetrics: Psychological Aspects....Pages 114-123 Nutritional Changes During the Menstrual Cycle S. F. Abraham....Pages 123-124 Uncommon Eating/Weight Disorders Related to Amenorrhea, Infertility and Problematic Pregnancy....Pages 124-128 Psychosomatic Symptomatology in Mature Women in Correlation with Menstrual Cycles....Pages 128-130 Headache and Menstruation....Pages 131-131 Endorphins as Neuroregulators of Reproduction....Pages 131-135 Psychosomatic Problems in the Psychoendocrinology of Hyperprolactinemia....Pages 135-136 Psychosomatic Conflicts and Gonadotropin Secretion: Diagnosis and Therapy of the Secondary Amenorrhea Syndrome....Pages 136-136 Psychological Counceling in Secondary Amenorrhea....Pages 137-140 Psychoneuroendocrine Aspects in Psycho- and Somatic Environmental Factors....Pages 140-140 Function and “Usefulness” of Hormone Disturbances in the Biography of Gynecological Patients....Pages 141-142 The Effect of Corticosterone, Cortisone, Desoxycortisone and Hydrocortisone on Rat Uterine Contractility at Oestrus....Pages 142-144 Psychological Problems in the Treatment of Idiopathic Hirsutism with the Antiandrogen Cyproterone Acetate....Pages 144-145 Femininity in Anorexia Nervosa....Pages 146-151 Correlation Between Minnesota Multiphasic Personality Inventory and Hormonal Data in 14 Cases of Female Anorexia Nervosa at the Time of Maximum Emaciation....Pages 151-156 The Anorectic Patient: Her Feelings and Conflicts as an Individual and as a Member of a Family....Pages 157-158 The Premenstrual Syndrome....Pages 159-168 The Premenstrual Syndrome: A Workshop Report....Pages 169-170 Premenstrual Syndrome and Personality Traits: A Study on 110 Pregnant Patients....Pages 170-174 Premenstrual Tension as a Stress Condition....Pages 174-178 Treatment of the Premenstrual Syndrome: A Double-Blind Placebo-Controlled Study on the Efficacy of Dydrogesterone....Pages 178-179 Chronic Pelvic Pain Without Obvious Pathology in Women....Pages 180-182 Psychological Aspects of Gynecological Pain Experience....Pages 183-184 Diagnosis and Treatment of Chronic Pelvic Pain in Female Patients by Multidisciplinary Approach....Pages 184-187 Body Language in Female Sexuality....Pages 188-195 The Costly Lack of Timely Education in Human Sexuality for the Adolescent....Pages 196-196 Cases of Sexual Disorder Experienced by Gynecological Patients....Pages 196-205 Psychosocial Factors in Cases of Female Sexual Disorders....Pages 205-206 On Indications and Suitability of the Treatment of Sexual Dysfunctions Through Focussing Description....Pages 207-207 Psychodynamic Aspects of Female Sexual Disorders....Pages 207-209 Psychoendocrine Response to Sexual Arousal in Human Females....Pages 209-209 Psychological Aspects of Legal Induced Abortion....Pages 209-213 Teaching Human Sexuality in Childbirth Classes....Pages 214-215 The Use of Biofeedback in the Diagnosing, Monitoring and Treatment of Anxiety in Patients with Sexual Dysfunction....Pages 215-218 Sexuality in the Husband During His Wife’s Pregnancy....Pages 218-219 Lubrication Deficiens, a Psychosomatic Symptom: Etiology and Treatment....Pages 219-221 Sexual Crisis, Sexual Skills and Enrichment....Pages 221-221 Psychosomatic Aspects in Pregnancy and Delivery of Former Sterility Patients....Pages 222-223 Psychological Reactions of Ethnic Couples to Infertility....Pages 224-224 A Diagnostic Instrument to Evaluate the Psychosomatic Background of Gyneco-Endocrinological Disturbances and Functional Sterility....Pages 224-226 The Realization of the Desire for a Child: The Point of View of Women at the End of Their Fertile Period....Pages 227-228 Psychological Counceling with Couples Requesting AID....Pages 228-231 Heterologous Insemination and Its Medical and Psychological Indications....Pages 231-233 The Big Secret: Male Infertility....Pages 234-236 Psychoanalytical Interpretation and Social Reality: Illustrated by the Practice of Giving Indications for Abortion....Pages 237-239 Abortion from the Viewpoint of Unresolved Separation Conflicts: A Psychoanalytical Study....Pages 240-241 The Self-Concept of Women After Induced Abortion....Pages 241-242 Pregnancy Conflict and Induced Abortion in Families of Alien Employees....Pages 243-244 Risk Factors Amongst Hysterectomy Patients....Pages 245-247 Clinical and Psychodynamic Considerations on Sexual Behaviour in a Group of Women Subject to Hysterectomy....Pages 248-248 Self-perception of Femininity and Depression in Posthysterectomy Women....Pages 248-250 The Situation of Contraception in Families of Alien Employees: With Special Consideration of Sterilization....Pages 251-253 Psychological Adjustment to Laparoscopy for Sterilization and Infertility Investigation: The Need for Preparation....Pages 253-257 Patterns of Reproduction and Family Planning in Two Urban Neighborhoods in Jaffa....Pages 258-260 On Psychology of Sterilization in Family Planning....Pages 260-262 Report on Experience and Data Evaluation of 274 Sterilization Consultations at the Women’s Hospital of the Free University of Berlin....Pages 262-263 On Psychology and Psychodynamics of Refertilization....Pages 264-264 Why 70 Women “Regret” Their Sterilization....Pages 264-265 Psychosomatic Aspects of Contraception....Pages 265-265 Psychosocial Aspects of Fertility and Sterility....Pages 266-268 Summary of the Session “Contraception”....Pages 268-268 Psychic Changes with Hormonal Contraception by Women....Pages 269-269 Psychology of the Subconscious and Tube Sterilization for Contraceptive Purposes....Pages 269-270 Contraceptive Behaviour: Observations with 222 Female Students....Pages 270-271 Contraception as Social Action: A Criticism of the Concept of the Unconscious Wish for a Child....Pages 272-274 The Psychosomatic Approach to Gynecologic Cancers....Pages 275-285 Cancer as a Psychosomatic Disease in Man....Pages 285-287 The Reaction of the Cancer Patient to the Diagnosis....Pages 288-289 Psychosomatics of Women with Tumors of the Genital Organs....Pages 289-290 Psychometric Investigation of Breast Cancer Patients in Comparison with Those with Benign Breast Diseases....Pages 290-291 Hospitalization from the Point of View of the Carcinoma Patient....Pages 292-293 The Psychological and Sexual Situation of Women Following a Mastectomy: First Results....Pages 294-297 Psychosomatic Aspects of Subcutaneous Mastectomy....Pages 297-299 Psycho-Social Care After Cancer of the Breast....Pages 299-300 Psychological Study with Carcinoma In Situ of the Cervix Uteri....Pages 300-302 The Effect of Gynecological Cancer and Its Treatment on the Sex Life of Women....Pages 303-303 Psychological and Psychosomatic Aspects in the Sexual Life of Women Following Radical Hysterectomy for Carcinoma of the Cervix....Pages 303-312 Psychosomatic Aspects of Fatal Cancers in Women: A Study from General Practice....Pages 312-316 Establishment of a Self-Experience Group After Radical Surgery of Cervical Carcinoma....Pages 317-318 Group Therapy in Patients with Gynecologic Cancer....Pages 319-320 The Bremen Model for Cancer Aftercare....Pages 320-321 Socio-Medical Interrelations in Climacterium....Pages 322-322 The Menopause: The Confidence Trick of the Century....Pages 322-323 The Effect of the Mother-Child Relationship on Geriatrics....Pages 323-326 The Effects of Estrogen Therapy on the Sex Life of Postmenopausal Women....Pages 326-329 Developmental Aspects of Expectant and New Parenthood....Pages 330-344 Healthy Pregnancy....Pages 345-347 Psychophysical Well-Being Throughout Pregnancy and the Child’s Development....Pages 347-347 Idealized Motherhood and the Later Reality....Pages 348-353 Self-Evaluation and Attitudes of Pregnant Women....Pages 353-356 Fear of Childbirth in Pregnant Women....Pages 356-360 The Influence of Psycho-Social Factors on the Course of Delivery and Its Subjective Experience: An Empirical Study....Pages 360-362 Emotions During Pregnancy and the Relationship of the Age of the Fetus to the Subjective Ratings by Pregnant Women....Pages 362-365 The First Pregnancy: Emotions and Fantasies....Pages 365-370 The Psychological Effects of Ultrasound Scanning in Pregnancy....Pages 371-373 Prenatal Preparation of the Child for Survival After Birth....Pages 373-373 Toward a Theory of Intrauterine Bonding....Pages 373-374 Psychosomatic Aspects of Toxaemia of Pregnanc....Pages 374-378 Some Psychological Characteristics of the Personality of Women with High-Risk Pregnancies....Pages 378-380 Psychological Experience of Pregnancy and Delivery in a Group of 93 Married Women....Pages 380-381 Psychoprophylactic Pregnancy. Self-Experience Groups: A Total Concept in Prenatal Care....Pages 382-382 Personality Traits and Attitudes Towards Pregnancy in Couples Seeking Amniocentesis Because of High Risk for Chromosomal Aberration....Pages 382-383 A Prospective Study of Psychological and Social Factors in Pregnancy Related to Preterm and Low-Birthweight Deliveries....Pages 384-385 Childbirth Education for High-Risk Mothers....Pages 385-388 Psychosomatic Aspects of Premature Labor....Pages 388-390 Personality and Psychodynamics in Tokolysis Patients....Pages 390-390 Premature Labor and Hypnosis....Pages 391-394 Respiratory Biofeedback (Leuner) in the Treatment of Premature Labor....Pages 394-395 Effect of Yogic Asanas in Obstetrics and Gynecology....Pages 396-402 Transcendental Meditation for Obstetric Psycho-Prophylaxis....Pages 402-404 Respiratory Biofeedback (Leuner) in Psychological Birth Preparation....Pages 404-405 Application of Different Methods of Relaxation in Pregnancy, Labor and Puerperium....Pages 405-407 Childbirth: Confidence or Chaos?....Pages 408-409 A Behavioral Treatment of Childbirth Anxieties and Preparation for Childbirth....Pages 409-409 Risk Modulation in Holistic Pregnancy Care....Pages 410-412 Obstetric Psychoprophylaxis Has now Come into Its Own....Pages 412-417 On the Effects of Psychoprophylaxis on Perinatal Mortality, Morbidity, Frequency of Malformation and Premature Births....Pages 417-420 Humanized, Joyous Hospital Birth....Pages 420-422 Implications of Information and Information Processing by the Recipient in Preparation for Childbirth....Pages 422-423 Characterology in Obstetric Psychoprophylaxis....Pages 424-426 Our Experiences in Psychoprophylaxis....Pages 426-427 Psychosomatic Aspects of Maternal Education and Delivery....Pages 427-428 Application of Behaviour Therapy in Psychoprophylaxis Given to a Group of Women in Caracas....Pages 428-428 Participation of the Pediatrician in Childbirth Preparation: A Concept and First Experiences....Pages 429-429 Preparation for Parenthood: The Role of the Health Visitor....Pages 429-431 Self-Concept and Role of Those Who Prepare Mothers for Birth....Pages 431-432 Presumption of an Obstetrical Psycho-Prophylaxis Involving the Partner in the Pregnancy and Delivery....Pages 433-433 Importance of the Sense of Pathology in Pregnancy and Delivery in View of a Realistic Curative and Preventive Attitude in Perinatalogy....Pages 433-435 Lamaze in America: 20 Years Later....Pages 435-436 Having a Baby After 30, a Social Phenomenon in the United States of America....Pages 436-437 Psychosomatic Disturbances in the Course of Labor....Pages 438-447 Psychosomatic Studies During Labor (I): Emphasis on Electrophysiological Studies During Dilatation....Pages 447-451 Psychosomatic Studies During Labor (II): Emphasis on Transactional Analysis....Pages 452-454 Interactions in the Delivery Room....Pages 454-455 Immunizing Against Helplessness in Labor and Parturition: An Experimental Study....Pages 456-457 How Do Psychosomatic Aspects Agree with Modern Obstetrics?....Pages 457-458 Some Psychological Aspects of Epidural Analgesia....Pages 458-461 Alternative Obstetrics: Background and Practice of a Model of Natural Childbirth....Pages 461-461 Korea: A Traditional Obstetric System in Confrontation with Modern Obstetrics....Pages 462-462 The Cultural Desexing of Childbirth: Birth as a Clinical Crisis....Pages 462-463 Changing the Psychosocial Structure of an Obstetric Hospital According to the Wishes of the Patients: An Investigation of 565 Women in Childbed....Pages 464-465 Consultation for Pregnant Women Who Want a Home of Ambulatory Birth....Pages 465-467 Experiences with Outpatient Deliveries in the Doctor’s Office....Pages 467-467 Psychosomatic Prenatal Care and Child Development: The Pediatrician’s Role....Pages 468-468 Birth of Siblings: Children’s Perceptions and Interpretations....Pages 468-469 The Human Newborn and His Mother: Two Mutually Regulating Organisms as One System....Pages 470-472 Neonatal Capacity for Early Interaction and Its Long-Term Consequences....Pages 472-479 Pregnancy as Latent Decision-Making Process: A Study of the Psychological and Social Determinants in Decision-Making....Pages 480-481 Psychological and Personality Related Aspects in the Acceptance of the the Rooming-in System....Pages 481-482 The Importance of Attitudes During Pregnancy and Early Mother-Child Contact for Breastfeeding Behavior: An Empirical Study....Pages 482-484 Rooming-in and Breastfeeding....Pages 484-486 A Prospective Study of Breastfeeding Post Partum....Pages 486-487 Successes and Limits of Intensive Psychosomatic Perinatal Care Under the Special View of Long-Term Breastfeeding....Pages 487-488 Frequency and Duration of Breastfeeding in Relation to Psychosocial Factors....Pages 489-489 Help for the Breastfeeding Mother: The Situation in Germany....Pages 489-491 The Effect of the Mother’s Personality Upon the Early Mother-Child Relationship....Pages 491-493 The Development of the Parent-Infant Relationship....Pages 494-496 Modifications in Obstetric Management: The Effect in Postpartum Maternal-Infant Adjustment....Pages 497-498 The Prognosis of Poor Mental Health Post Partum: A Study of the Long-Term Consequences for the Family....Pages 498-502 Tenderness Towards the Newborn After Early Post Partum Contact....Pages 502-503 Aspects of Post Partum Depression: A Study with the Beck Inventory....Pages 503-506 Catamnestic Explorations of Post Partum Women with Rooming-in Children Compared to Women with Children in Nursing Rooms....Pages 507-508 The Responsibility of the Gynecologist for a Successful Mother-Child Relationship....Pages 508-508 Psychosomatic Disorders Following Pregnancy Among Women Having a Neurotic Relationship with the Child....Pages 509-509 The Effect of Drug Addiction on Pregnancy, Labor, the Newborn Infant, and the Early Mother-Child Relationship....Pages 509-515 Suicide in Pregnancy....Pages 516-518 Back Matter....Pages 519-525