Madness and Loss of Motherhood

Madness and Loss of Motherhood : Sexuality, Reproduction, and Long-Term Mental Illness

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Description

The need for intimacy is present in everyone, perhaps even more so among persons with long-term mental illness. For some of these persons, parenting a child provides an instant identity, a valued status. From helping an individual make decisions about his or her sexuality to stabilizing a woman with long-term mental illness throughout a difficult pregnancy, the clinician is faced with many challenges. In this volume a multitude of issues are examined surrounding sexuality and reproduction among persons with long-term mental illness. The authors present data on the incidence of sexual activity, study staff reactions to pregnancy on an inpatient unit, and propose methods for inpatient management of sexually active persons with long-term mental illness. Specific chapters present clinical information on medication use during pregnancy, and on prenatal and postpartum care, with special emphasis on the problems encountered when working with this special population.show more

Product details

  • Paperback | 240 pages
  • 151.89 x 229.11 x 12.95mm | 326.58g
  • American Psychiatric Association Publishing
  • American Psychiatric Publishing
  • VA, United States
  • English
  • 1585624454
  • 9781585624454

About Roberta J. Apfel

Roberta J. Apfel, M.D., M.P.H., is Associate Professor of Clinical Psychiatry at Harvard Medical School, The Cambridge Hospital, and the former Metropolitan State Hospital in Waltham, MA. She is on the faculty of the Boston Psychoanalytic Institute and in private practice in Newton, MA. Maryellen H. Handel, Ph.D., is Director of Psychiatric Ambulatory Services, Newton-Wellesley Hospital, Newton, MA, and Clinical Assistant Professor of Psychiatry at Tufts University School of Medicine. She is in private practice in Newton, MA.show more

Flap copy

The need for intimacy is present in everyone, perhaps even more so among persons with long-term mental illness. For some of these persons, parenting a child provides an instant identity, a valued status. From helping an individual make decisions about his or her sexuality to stabilizing a woman with long-term mental illness throughout a difficult pregnancy, the clinician is faced with many challenges. In this volume a multitude of issues are examined surrounding sexuality and reproduction among persons with long-term mental illness.The authors present data on the incidence of sexual activity, study staff reactions to pregnancy on an inpatient unit, and propose methods for inpatient management of sexually active persons with long-term mental illness. Specific chapters present clinical information on medication use during pregnancy, and on prenatal and postpartum care, with special emphasis on the problems encountered when working with this special population.show more

Table of contents

About the authors. Introduction to the clinical practice series. Foreword. Acknowledgments. Introduction. Sex and reproduction: ways of being normal for patients with long-term mental illness. Sex and reproduction in the care of patients with long-term mental illness. Talking with patients about sexuality. The female reproductive cycle and long-term mental illness. Gynecological care, birth control, and safe sex. Early pregnancy: diagnosis and decisions. High-risk pregnancy: management, labor, and delivery. Pregnancy and medications. Postpartum management of the mother with long-term mental illness: defining postpartum psychosis. Infanticide: a fantasy more than a fact for parents with long-term mental illness. Fathers with major mental illness: an ignored population. Long-term treatments for mother with long-term mental illness. Conclusions and recommendations. References. Index of case examples. Index.show more