Family Planning and the Scope of the “Reproductive Psychiatry” Curriculum

Coverdale, John; Balon, Richard; Beresin, Eugene V.; Brenner, Adam M.; Guerrero, Anthony P. S.; Louie, Alan K.; Roberts, Laura Weiss

doi:10.1007/s40596-018-0884-8

Cited by 6 publications

(3 citation statements)

References 56 publications

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“…Taking a thorough sexual and reproductive history is therefore a key first step in identifying those at risk of unwanted pregnancies [16,17]. Women's contraceptive practices should be understood in relation to their desire to get pregnant and to their risk for sexually transmitted infections.…”

Section: Preventing Unwanted Pregnanciesmentioning

confidence: 99%

Access to Abortion After Dobbs v. Jackson Women’s Health Organization: Advocacy and a Call to Action for the Profession of Psychiatry

et al. 2022

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On June 24, 2022, the US Supreme Court released a decision in Dobbs v. Jackson Women's Health Organization that the Constitution of the United States does not "prohibit the citizens of each State from regulating or prohibiting abortion" ([1], page 79]. "We now …. turn that authority to the people and their elected representatives" ([1], page 79]). Thus, decades of legal precedent on abortion law were overturned. This decision allows individual states to determine access to abortion services. As of August 25, 2022, nine states have banned abortion, four states have banned abortion at 6 weeks after the last menstrual period, and one state has banned abortion at 20 weeks after the last menstrual period [2]. According to the Guttmacher Institute, it is estimated that 58% of women in the USA of reproductive age live in a state "hostile to abortion rights" [3]. When states prohibit abortion, women's decision-making as to whether to continue their pregnancy to viability and term is negated.Numerous medical organizations have denounced the Court's decision. The American Medical Association, in an alliance with the American College of Obstetrics and Gynecologists and more than 75 health care organizations, opposed all legislative interference in the patient-clinician relationship [4]. The alliance stated that patients needed to be able to access-and * John Coverdale

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Section: Preventing Unwanted Pregnanciesmentioning

confidence: 99%

Access to Abortion After Dobbs v. Jackson Women’s Health Organization: Advocacy and a Call to Action for the Profession of Psychiatry

et al. 2022

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“…Women with intellectual disabilities (ID) are often not told about choices, side-effects or health implications, as the dominant discourse is around their unsuitability to become mothers (Wiseman & Ferrie, 2020). A woman's impaired decision-making should not justify coercion or manipulation in relation to contraception by clinicians caring for her (Coverdale et al, 2018). Yet, this is often the case for those with ID.…”

Section: Embodied Unfitnessmentioning

confidence: 99%

Long-acting reversible contraception: Targeting those judged to be unfit for parenthood in the United States and the United Kingdom

Lowe

Rowlands

2022

Global Public Health

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There is a long history of regarding marginalised groups as unfit to parent and of eugenic policies targeting those with 'undesirable' bodily conditions or behaviours. This is part of a broader pattern of stratified reproductionstructural conditions that enable or discourage certain groups from reproducingthat often brings about and exacerbates injustices. This paper critically assesses the US and UK social and medical literature on applying pressure to marginalised groups, or those who have behaved 'irresponsibly', to use long-acting reversible contraception (LARC). Targeting young people for LARC fails to recognise that social inequality is the context for teenage pregnancy, not the result of it. Provider pressure on women of colour to use LARC is linked to institutional racism, whilst policy for those with physical and intellectual disabilities is shaped by disability discrimination. Other groups to be targeted include so-called 'welfare mothers', substance users, those who have had children put into care and offenders. Particularly controversial are cases in which LARC has been ordered by courts. LARC policy incorporating these kind of discriminatory practices needs to stop; future policy should focus on person-centred care that bolsters reproductive justice.

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“…This is a significant cause of pregnancy-related deaths in women. [ 4 ] Further, they experience sexual exploitation and violence. [ 5 ] Sexual health has been linked to psychotropic medication (antipsychotics and antidepressants), which will likely add further complexity, resulting in sexual dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Sexual and reproductive health (SRH) of women with mental illness (WMI) - An integrative mixed-method study

Vijayalakshmi,

Rajagopal,

Govindan

et al. 2024

Indian Journal of Psychiatry

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Background: Women with mental illness (WMI) are more likely to experience unreported sexual and reproductive health (SRH) problems. Mixed-method research studies with the strengths of quantitative and qualitative approaches provide deeper insight into SRH issues of WMI. Methods: A sequential explanatory mixed-method design was used to understand better the SRH problems of WMI attending tertiary care psychiatry hospital. In phase 1, a survey was conducted to identify if they have SRH problems. Women who were identified to have SRH problems were part of Phase II. In this phase, in-depth interview was conducted to explore their lived-in experiences. Integration at the method level was adopted by connection through sampling. Using a narrative approach, integration was accomplished at the level of interpretation and reporting. Results: Among the users, 261 (64.6%) female sterilization, 244 (93%) was the most common, and the other methods like coitus interruptus, male condoms, and intrauterine devices were reported less. Of the non-users, 137 (33.9%) WMI 100 (73%) were unaware of the best family planning approach. Most of them, 377 (93.3%), were ignorant about sexually transmitted infection (STI) symptoms. WMI reported 62 (15.3%) unusual foul-smelling vaginal discharge and 58 (14.4%) genital ulcers, with poor treatment-seeking behavior. Sexual dysfunction in desire, arousal, lubrication, orgasm, satisfaction, and pain were also reported. The findings were described in a single report based on the quantitative data followed by themes obtained from qualitative interviews using weaving techniques under the headings of contraceptive use and its awareness, prevalence of STI symptoms and its treatment, and sexual health experiences. Conclusion: Data integration demonstrated that one-fourth of WMI had inadequate awareness of contraceptive use, were ignorant of STI symptoms, and experienced sexual dysfunction.

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Family Planning and the Scope of the “Reproductive Psychiatry” Curriculum

Cited by 6 publications

References 56 publications

Access to Abortion After Dobbs v. Jackson Women’s Health Organization: Advocacy and a Call to Action for the Profession of Psychiatry

Access to Abortion After Dobbs v. Jackson Women’s Health Organization: Advocacy and a Call to Action for the Profession of Psychiatry

Long-acting reversible contraception: Targeting those judged to be unfit for parenthood in the United States and the United Kingdom

Sexual and reproductive health (SRH) of women with mental illness (WMI) - An integrative mixed-method study

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