Virilizing influences, sexual behavior, and IQ.
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Biomedical subjects
Publications and source records attributed to V Abernethy.
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The author examines sex role stereotypes in the United States and their impact on the self-concept of women. She suggests that the fact that women's roles are changing may have a positive impact on general mental health because both men and women will profit from increased flexibility ingender role specifications. She emphasizes the fact that therapists as well as their patients have been socialized into accepting the values and assumptions of our society; there is thus a high probability that not only the presenting complaints but also the treatment goals for women in therapy are culturally determined.
A psychosocial constellation that appears to predispose many teenage girls to risk unwanted pregnancy includes hostility in the parents' marriage, alienation from the mother, and a seductive father-daughter relationship. The dynamics which lead into sexual acting out include attempts to (1) compensate for low self-esteem by seeking male approval and (2) reduce anxiety over sexual fantasies or behavior with the father by counterphobic coital contacts with other men. Provision of a contraceptive method alone is sometimes insufficient to protect a woman with these dynamics from unwanted pregnancy because her conflicts over dependency needs and sexuality may interfere with taking responsibility for reliable use of contraceptives. Supplementary intervention, either by the primary care physician, a psychiatrist, or other mental health professional, is recommended where the high risk family history is evident.
Concern about increasing rates of unwanted pregnancy, particularly among adolescents, has led to consideration of steps necessary to develop effective intervention programs. In order to reach a young woman for counseling and contraceptive assistance before she places herself at risk for unintended pregnancy, it seems necessary to develop the capability for identifying high-risk individuals without reference to sexual history. The authors describe a preliminary attempt to predict contraceptively unprotected coitus from responses to projective test stimuli, noting that the problem is so urgent that even early and necessarily incomplete work in this area may have merit in stimulating further research in identification of women at risk for unwanted pregnancy.
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The authors present guidelines based on their experience with a family planning program for patients in mental hospitals. They believe that informed consent for these patients should include an adequate knowledge base, the patients' competence to make decisions, and the absence of coercion. Among safeguards are the reversibility of contraceptive procedures, the separation of the family planning counselor from the treatment staff to avoid possible covert coercion, and careful choice of the stage of hospitalization at which counseling occurs. The authors examine the implications of a patient's refusal to use contraception, noting the impossibility of involuntary contraception and the ethical and legal problems regarding sterilization procedures.
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