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The introduction to this book intends to give an outline of the subject area of Clinical Psychosomatic Obstetrics and Gynaecology, which incorporates the generation of diseases due to mind–body (psychosomatic) interaction. The contributions to this book from different regions of the world, affirm the need to practise such a subspecialty worldwide, while the extensive bibliography in the book chapters confirms its wide scope. Nevertheless, as mentioned in the preface, awareness is limited, despite a need for practising the psychosomatic approach that advocates simultaneous evaluation of the body as well as the mind, to implement effective patient care. The scarcity of a suitable textbook to serve as a basic book or for reference purposes to provide guidance for the clinical care of such patients, motivated me to consider producing such a book to further medical education.
Accordingly, this book aims to foster a deeper understanding of diseases that fall within the sphere of Clinical Psychosomatic Obstetrics and Gynaecology. It is a discipline that embraces the study of physical, mental and social factors in promoting women’s reproductive health or generating disease. Advances in science and technology have helped unravel numerous conundrums, yet the aetiopathology of most psychosomatic symptoms/signs is ill-understood. Emerging new diseases reflect infective, inflammatory, malignant, and genetic aetiologies; they can interact with the constantly changing psychological, and social milieu to generate symptoms of psychosomatic women’s diseases. These disease conditions continue to be misunderstood by some health professionals, and thus their clinical significance is underestimated. Non-recognition or summary dismissal of psychosomatic health conditions has led to inadequate management, consumer dissatisfaction, and consequent overuse of health facilities. Moreover, they may span the gamut of disciplines, which are associated with female health or disease. In addition to obstetrics and gynaecology, these specialisms include psychiatry, neurology, public health, psychology, sociology, and paediatrics. To facilitate comprehensive learning through a single textbook, such knowledge has been assimilated in this volume for practitioners of Clinical Psychosomatic Obstetrics and Gynaecology.
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