A Woman Who Suffers Always and Forever: Management of Chronic Pelvic Pain
Pain complaint Intensity of pain at this moment on a scale of 10 (0 = no pain, 10 = excruciating pain) Location of pain, with radiation Description of pain, kind…
Leader: A Proof of Leadership, Dealing with and Learning from Work-Related Psychotrauma
Fig. 29.1 The characteristic oscillating and decreasing pattern of psychological coping, with alternating reliving (intrusion) and repression (denial) of the event in time The problems—and PTSD—are often recognized only after…
Communicator: The Gynecologist Who Could Not Convince His Patients
Fig. 26.1 The CELI model (Used with permission of Elsevier from Wouda et al. [2]) Being attentive and receptive Comprehend and store the information (cognitive level) Evaluate and digest (emotional…
A Woman with Changing Vulvar Anatomy: Sexuality in Women with Lichen Sclerosus
Fig. 19.1 The vulva with longer existing lichen sclerosus. The labia minora have almost completely disappeared. Hyperkeratotic area of the clitoris. Narrowing of the introitus. Excoriations on the vulva and…
A Woman with Inexplicable Mood Swings: Patient Management of Premenstrual Syndrome
PMD category Symptom characteristics Core PMD Occur in ovulatory cycles Type not specified—may be somatic and/or psychological Number not specified Absent after menstruation and before ovulation Recur in the luteal…
Medical Expert: The Resident Who Passed the Ultimate Test—The Integration of Roles During the Gynecological Examination
Fig. 30.1 Complex adaptive systems (Used with permission from Hakimi A. The new world of emergent architecture and complex adaptive systems. http://blogs.msdn.com/b/zen/archive/2010/08/10/the-new-world-of-emergent-architecture-and-complex-adaptive-systems.aspx) A well-known example of negative and even dangerous…
Professional: A Sexologist Who Overstepped the Mark—How to Handle the Therapeutic Relationship in Psychosocial Care
Fig. 28.1 The involvement spiral (based on data in References [20, 21]) The boxed part of Fig. 28.1 is the part that is relevant when it comes to professional counseling….
A Pregnant Woman Who Could Not Stop Drinking: Management of Alcohol Abuse in Pregnancy
Pregnant Pregnant Nonpregnant Nonpregnant Characteristic Any use % Binge drinking % Any use % Binge drinking % Total 11.2 1.8 54.6 12.6 Age group in years 18–24 8.6…
Collaborator: A Midwife Who Had a Conflict with an Obstetrician—How to Transform “Contact Tics” into “Co Tactics”
Fig. 27.1 The Leary circle (Adapted with permission of Wipf and Stock Publishers (www.wipfandstock.com) from Leary T. Interpersonal Diagnosis of Personality. New York: Ronald Press; 1957; republished 2004 by Wipf…
Health Advocate: An Obstetrician in Doubt—Coping with Ethical Dilemmas and Moral Decisions
Pros on Cesarean section Cons on Cesarean section Level 1: Values by law Freedom of autonomous choice for women who want to opt for elective Cesarean section (CS). Right…
