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Clinically significant mind–body interactions: evolutionary history of the scientific basis 

Clinically significant mind–body interactions: evolutionary history of the scientific basis
Chapter:
Clinically significant mind–body interactions: evolutionary history of the scientific basis
Author(s):

Mira Lal

DOI:
10.1093/med/9780198749547.003.0001
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date: 21 April 2021

Mind-body interactions enshrined in the psychosomatic approach, encompass the psyche (mind) and the soma (body). They can result in obstetric and gynaecological disease conditions with clinically significant morbidity. Relevant psychosomatic understanding facilitates appropriate management. Chapter 1 discusses the anatomical, physiological, and pathological basis of clinical psychosomatic obstetrics and gynaecology, explores ancient medical practices throughout Asia and Europe, the change in approaches since the seventeenth century, and the future of psychosomatic medicine. Tracing medical history from ancient times shows the importance of time-tested methods of physical and mental assessments of patients by using good clinical observation, and appropriate knowledge for treating illnesses. Records of the clinical practices of Hippocrates, Soranus, and William Osler retell the medical philosophy, and ethics behind promoting healing of the body that could also involve restoring a healthy mind. By analysing the historical context of psychosomatic medicine, Chapter 1 brings into focus the rationale behind developing psychosomatic awareness in healthcare, and the fundamentals and basis of related healthcare. It introduces key aspects of psychosomatic medicine that feature in current practice, such as understanding the neuroendrocrinological milieu, which regulates the physiological changes from puberty to the menopause, and generates emotions, behaviour patterns or pain either generalised or specific, as when in labour. Psychosomatic issues will challenge futuristic clinicians' managing women's diseases.

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