Sexual Adjustment After Hysterectomy

Williamson, Marvel L.

doi:10.1111/j.1552-6909.1992.tb01720.x

Cited by 12 publications

(7 citation statements)

References 13 publications

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“…Given the types of cancer surgery included in the present study -mastectomy, colostomy, and hysterectomy -the lack of attention given in the initial consultation to the effects of surgery on sexual functioning is cause for concern. The impact of these operations on sexual functioning is now well documented (Schain, 1988;Gloeckner, 1983;Williamson, 1992). Auchincloss (1989) has usefully reviewed the psychosexual problems of cancer patients and the need for sexual issues to be more openly addressed by health care staff at every stage of treatment.…”

Section: Discussion With Dying Patients About Theirmentioning

confidence: 99%

Psychological Aspects of Cancer Surgery: Surgeons' Attitudes and Opinions

Burton

Parker²

1997

Psycho-Oncology

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Fifty‐one surgical consultants, registrars and senior registrars in NHS hospitals in the West Midlands (UK) were interviewed about psychological aspects of cancer surgery: information given to patients, the bad news interview, psychological risk factors in surgery, psychiatric morbidity, difficult patients, and care of the dying. Information that tended to be provided infrequently included the cause of the disease, the effects of surgery on sexual functioning, and psychological side‐effects of the surgery. Surgeons most often answered incompletely patients' questions about prognosis, effects of surgery on sexual functioning, the presence of malignancy, and probable length of life. Concerning the disclosure of malignancy, 37% said they always tell the patient; 8% tell virtually all patients; 49% tell the patient depending on the patient's and relatives' wishes; and 6% tell the relatives and possibly the patient. A common strategy among 49% is to use the word ‘growth’ and wait for the patient to ask further. Few surgeons took even the briefest psychiatric history, and only the most severe post‐operative psychological complications were referred to psychiatrists. The most difficult patients for surgeons to manage were emotionally labile, angry, demanding, controlling, refusing treatment, or predicting failure. The surgeons in this sample clearly struggled with their role as giver of bad news and with the consequent emotional reactions of the patient. © 1997 John Wiley & Sons, Ltd.

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Section: Discussion With Dying Patients About Theirmentioning

confidence: 99%

Psychological Aspects of Cancer Surgery: Surgeons' Attitudes and Opinions

Burton

Parker²

1997

Psycho-Oncology

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“…Psychosocial approaches have contributed information about social and psychologic aspects of the perimenopause but do not incorporate physiologic components. Feminist scholars, who hold one of the psychoso-cia1 perspectives, criticize biomedical models for promoting perimenopause as a pathologic state (Dickson, 1990;Williamson, 1992). Qualitative research meth-ods that listen to women's own voices (Wolf, 1996) have led to the feminist view of perimenopause as a normal developmental stage.…”

Section: Psychosocial View Of Perimenopausementioning

confidence: 99%

“…Conversely, women who obtain relief from pain, abnormal bleeding, or cramping may experience improved sexual functioning after hysterectomy (Kaiser, 1996). There is debate about the effect of hysterectomy on sexual response, with some reference to loss of sexual response (Williamson, 1992) opposed by reports of no direct effect on sexual function (Meston, 1997). Some women report a decline in orgasmic pleasure due to the absence of uterine contractions (Meston, 1997).…”

Section: Biologic Dimensionmentioning

confidence: 99%

Dimensions of Sexuality in the Perimenopausal Transition: A Model for Practice

Berg

2001

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…Feminists have criticized physicians' attitudes for their disregard of the importance of the uterus to a woman's feeling of completeness, as well as for excessive medicalization (Chang et al 1997. Studies have shown that women equate the loss of their uterus with the loss of womanhood, and that this has a tremendous impact on their physical and mental health (Grubb 1976, Finck 1979, Rubin 1984, Williamson 1992. Furthermore, scholars have pointed out that medical professionals easily influence women, who have little autonomy in Taiwan; therefore, women's decisions are not freely taken and they accept medical treatment passively (Chang 1998, Liu 1998, Hwang 2000.…”

Section: Introductionmentioning

confidence: 99%