Preethi, M V (2006) A Study of Psychiatric Morbidity in Post Hysterectomy Patients. Masters thesis, Madurai Medical College, Madurai.
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Abstract
Introduction: The Importance of psychological factors, especially the bodily manifestations Of emotional changes play a perceptible part in illness over the whole field of Medicine since antiquity. Hippocrates, the father of western medicine coined the term Hysteria and was keenly aware of the interaction of the mind and body. Benjamine Rush, the father of American Psychiatry emphasised the need to conceptualise the Patient’s soul and body as integrated. The current century following the predecessor’s concept developed Consultation - Liaison psychiatry (Zbigniew Lipowski) (CTP-VIII) as a subspeciality To Psychiatry. The early phase of such development focused on the consultation, the Development of continuing the relationships with staff, teaching and the theoretical Aspects of the Mind – Body interaction. The organisation phase (1935-60) was marked by development, consolidation And evaluation of consultation - liaison services. Only during conceptual phase, Consultation liaison psychiatry advanced in intensive care units, burn and Dialysis Services, Gynaecology and Obstetrics among others. Ever since ancient times relationship between uterus and psychological factors Have been emphasised. This is evidenced by the term ‘Hysteria’ which denotes an Array of psychiatric syndromes which were conceptualised to be due to disturbances Of uterus. Though with scientific advances in basic sciences like Anatomy, Physiology and with advent of biological psychiatry we deemphasize the role of Uterus as conceptualised by our predecessors, its importance is still stressed in some Other way. Uterus has a special symbolic meaning for women so that its loss leads to a Feeling of reduced feminity which inturn leads to psychiatric disorders (Krafft – Ebing- 1890). So the relationship between uterus and psychiatry is there to stay. Freud regarded the uterus as a significant symbol of feminity. Surgical Operations on the uterus are productive of an ‘insult’ to the emotional ‘equilibrium’ The patient passes through series of emotional experiences resulting in a crisis (Raphael, 1972). She has to contend with the unavoidable truth – the absence of the Uterus which, she believes, gives her the grace, sexuality and feminity which is Exclusively hers (IJP 1982 p.75). Drellich and Bieber (1958) describes six important functions for uterus (1) a Child bearing organ (2) an excretory organ (3) regulator and controller of body Processes (4) a sexual organ (5) a reservoir of strength and vitality, (6) a maintainer Of youth and attractiveness. Hence forth removal of the uterus may be regarded as Equivalent to castration. From the above views, it can be easily understood that removal of the uterus May be associated with a lot of functional symptoms leading on to calling for a Psychiatrist in consultation - liaison work. So to serve effectively in such a Consultation - liaison work, it is essential that a proper study of psychiatric reactions In hysterectomy is essential for psychiatrist. Both international and Indian psychiatric Scene has seen a lot of literature regarding psychiatric aspects of hysterectomy. However contribution from this part of the country is minimal.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Psychiatric Morbidity ; Post Hysterectomy Patients. |
| Subjects: | MEDICAL > Psychiatry |
| Depositing User: | Subramani R |
| Date Deposited: | 19 Aug 2017 02:54 |
| Last Modified: | 19 Aug 2017 02:54 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/1932 |
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