Archive for April 7th, 2009
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SEMINAR TRAINING FOR CONTRACEPTIVE CARE – THE PHYSICAL EXAMINATION (CONCLUSION)
In the seminar doctors learn how important it is to identify and pay tribute to the specific body fantasy. One young woman, unable to make love since the birth of her last baby three years before, had already had two reconstructive operations to her perineum. She described her sense that each time she was stitched [...]
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ANALYSIS OF THE FAMILY PLANNING CONSULTATION – THE TIME FACTOR
Many doctors fear that adopting the counselling mode will encourage patients to waffle on indefinitely and they will never get home. This fear appears to be misplaced. Considering the importance of ascertaining the reason for the consultation, it is vital to give the patient a fair hearing. Wilkinson (1989) found that three-quarters of general practice [...]
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PSYCHOSEXUAL PROBLEMS IN THE CONTRACEPTIVE CONSULTATION – OVERT SEXUAL COMPLAINTS (INSTANCE)
Sometimes patients can make what seems to be an overt complaint but need assistance in order to make the problem clear, not only to the doctor, but also to themselves. Despite her 20 years, Miss A. looked like a schoolgirl with her white ankle socks and Alice-banded hair. She sat nervously on the edge of [...]
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DISABILITY AND STERILIZATION – INTRODUCTION
Women with serious physical disability often experience problems with reversible contraception, but are frequently reluctant to agree to sterilization. They see this operation as yet another damage to their bodies, and their loss of fertility as another constriction on their activities. A woman was brought to a contraceptive clinic from a longstay hospital. She was [...]
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CULTURAL PERCEPTIONS AND MISCONCEPTIONS – THE PRACTITIONER’S ATTITUDE (CASE)
Jusnara Khatun registered with a new GP when she was rehoused; she was a Bengali woman 38 weeks’ pregnant with her third chid. She came to the surgery with her children, but no accompanying adult, and when the doctor enquired about her husband, she said that she was divorced. The doctor was solicitous for her [...]