14th International Conference of
Psychosomatic Obstetrics and Gynaecology

 16 - 19 MAY 2004,  Edinburgh, Scotland






The British Society of Psychosomatic Obstetrics, Gynaecology and Andrology (BSPOGA) is honoured to be hosting the XIV International Congress of the International Society of Psychosomatic Obstetrics and Gynaecology (ISPOG). We have a long association with ISPOG through Professor Norman Morris, who became the first President of ISPOG when it was established in 1972, after the Congress held in London in 1971.
This is the first Congress to be held in Europe since Basel in 1995. The Proceedings of that Congress were also published by Monduzzi Editore and we are pleased to renew that association with this publication.
The theme of the Congress is “Women’s Health: Psyche and Soma” and draws together many aspects of the link between the psyche and physical conditions in many areas of reproductive and gynaecological health in 42 symposia, 3 workshops, 17 Free Communication sessions and poster presentations. There are presentations from 32 countries and delegates are attending from over 43 countries.
The term psychosomatic has a number of meanings and we include holistic care and integration of physical and mental health. We cross the boundaries between psychology, psychiatry and sociology with obstetrics, gynaecology, andrology, nursing, midwifery and other related fields. The Congress provides a multi-disciplinary forum for communication between health professionals, researchers and clinicians to share experiences, good practice and the findings from the latest research in the field. We think that it is timely to break down the barriers between the psyche and soma and to appreciate their interdependence.
The Congress is based on the objectives of the International Society of Psychosomatic Obstetrics and Gynaecology (ISPOG) which are:
1. to promote the study of psychobiological and psychosocial, ethical and cross-cultural problems in the fields of obstetrics and gynaecology, women’s health and reproductive health.
2. to promote education and training in the management of the problems mentioned under the previous paragraph.
3. to encourage the creation of national societies of psychosomatic obstetrics and gynaecology which will promote research, education and training on a national level.
4. to promote and facilitate the dissemination of new information in the fields mentioned before by organizing international congresses and through the official ISPOG publication, the Journal of psychosomatic Obstetrics and Gynaecology.
Finally the editors wish to express their thanks to:
• All the authors who have submitted abstracts
• The members of the Scientific Committee of the XIV Congress
• The staff at Medimond - Monduzzi Editore Proceedings Division for their assistance in the publication of these Proceedings.

The Editors
Dr Ian C Allen
Professor Beth Alder
Dr Michael Pawson






Plenary Speakers

Is Fear of Childbirth Justified?
P.J. Steer



Symposium Speakers

Managing Perinatal Depression – A Health Visiting Perspective
C. Adams

Sexual Dysfunctions in Women with Chronic Pelvic Pain – A Modified Sex-therapeutic Model
P. Nijs 13

The Complexities of Women’s Sexual Arousal and Subtypes of Arousal Disorder
R. Basson

Domestic Violence: The Health-carer’s Perspective
A. Osbourne

Evaluation of a Postnatal Listening Service for Pakistani, Bangladeshi and Chinese Women in the North of England
J.M. Green, J. Hirst, K. Ashrafi and M. Khan

Abortion – A Hidden Source of Stress in Health Care Personnel
S. Forbes

Normal Birth: A Catalyst for Maternal and Societal Well-being
S. Downe

Fear of Childbirth During Pregnancy A Study of more than 8,000 Pregnant Women
V. Geissbuehler and J. Eberhard

Women with HIV Infection: How to Manage the Psychological Consequences
N. Smith

Activity and Participation – Overcoming Sexual Difficulties Associated with Physical Disability
B. Chandler

Maternity Needs of Disabled Women
J. Rotheram

Female Psychosomatic Medicine and Buddhism
T. Ushiroyama

Treatments for Menopausal Symptoms in Breast Cancer Patients
M.S. Hunter

Navigating the Menopausal Experience: A Model of Climacteric Sensitivity
J.M. Perz

Reconceptualising Reproductive Disorders: The Development of a Material-Discursive-Intrapsychic Approach
J.M. Ussher

Psychosomatic Liabilities of Contraceptive Technologies
P. Khan

Psychogenic Infertility – Nothing But a Myth?
T. Wischmann

Knowledge and Attitudes Towards Controversial Medical and Ethical Issues in Reproductive Medicine and Preimplantation Genetic Diagnosis (PGD)
Y. Stöbel-Richter, A. Borkenhagen, C. Finck, H. Kentenich and E. Brähler

Attitudes, Knowledge and Expectations of Infertile Couples Towards PGD and Embryoselection
A. Borkenhagen, C. Finck, Y. Stöbel-Richter, E. Brähler and H. Kentenich

A Study About Premenstrual Syndrome, PMS, as Part of the Southampton Women’s Survey, SWS
C. Sadler, H. Inskip, H. Smith and N. Panay

Managing Infertility in Patients with HIV
C. Gilling-Smith

Women’s Outlook on Men’s Sexual Disorder
I. Borten-Krivine

Coping Sexually with the Diagnosis of Cancer
J. Bennett and Y. Hydes

PTSD Related to Childbirth: Problems and Prevalence
S. Ayers

Perinatal Dissociation as a Predictor of Childbirth-related Posttraumatic Stress Symptoms
E. Olde, O. van der Hart and R.J. Kleber

How To Deal with Informational Lacks of Migrants in the Hospital
T. Borde, M. David and H. Kentenich

Migrants Presenting to Emergency Departments – Patients Needs and Medical Treatment
T. Braun, T. Borde and M. David

Migration and Mental Health Care
S. Priebe, T. Berhe, V. Iannibelli and D. Claassen

Turkish-Dutch Women’s Views on Childbirth. A Question of Medicalization or Empowerment?
L. Çinibulak and A. Richters

Doctor Patient Communication – A Four Cusp Approach To Cancer Care
J.R. Smith, K. Sieunarine, M. Bower and C. Gillespie



Free Communications

Illness Representations, Coping and Psychological Morbidity in Infertility
S. Lord and N. Robertson

Biopsychosocial Predictors of Attendance for Cervical Screening
J.C. Walsh

Sexual Behaviour in Pregnancy. Preliminary Communication
R. Escudero, J. Florido, M. Cruz, A. Consuegra, A. Caño, P. Carretero and L. Banqueri

Surviving Twins at Perinatal Death – A Retrospective Study
D.D. Wretmark

Psychiatric Distress and Use of Health Services Among Women Attending Gynecology Clinics in Beirut, Lebanon
M. Chaaya

Psychological and Sexual Findings in Women with Chronic Pelvic Pain
R. Pérez- Lucas, J. Florido and L. Navarrete

Integrative Psycho-Somatic Approach to the Genesis and Therapy of Juvenile Uterine Bleeding
E. Gayvoronskaya

Autonomic Function in the Late Luteal Phase of Eumenorrheic Young Women with Mild Physical and Emotional Discomfort
T. Matsumoto, N. Tatsumi, Y. Hayashida, T. Suzuki, T. Moritani, T. Hayashi and Y. Yanagimoto

Vitex Agnus Castus and Premenstrual Syndrome
G. Regnani, A. Gasparetto and F. Facchinetti

Severe Psychological and Social Consequences of Post-caesarean Pelvic Floor Dysfunction in Primiparae
M. Lal, H. Pattison, T. Allan, R. Callender,
S. Radley and C. Mann

Clinical and Demographic Characteristics of Women that Developed Maternity Blues During the First Three Days of Puerpartum F. Gonidakis, A. Rabavilas, G. Christodoulou
and G. Kreatsas




Enabling Informed Patient Choice in Sterilisation at Caesarean Section
U. Krishnamoorthy, M.S. Zakalama
and S. Gurram

Postpartum Dyspareunia Reflects Sexual Malfunction, Pelvic Floor and Perineal Dysfunction: Caesarean vs Vaginal
M. Lal, H. Pattison, T. Allan, R. Callender, S. Radley and C. Mann

Very Early Detection of Postnatal Depression by the Edinburgh Scale
J. Florido, L. Navarrete, M.C. Chicharro, C. Chung, R. Ros and F. García-Ros

The Ongoing Silencing of Women in Families: An Analysis and Rethinking of Premenstrual Syndrome and Therapy
J.M. Ussher

Psychosomatic Change after Midnight Shift in Hospital-Working Nurses
C. Miyagi, C. Maeshiro, K. Sugimoto and S. Kono

The Sleep-Wake Behavior in Climacteric Women
K. Sugimoto, C. Maeshiro, C. Miyagi, Y. Sunagawa and S. Kono

Immunotherapy Regulates Immune Activity in Women with the History of Recurrent Spontaneous Abortion
M. Jerzak, M. Kniotek, A. Górski and W. Baranowski


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