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PubMed1989

[Nerve-sparing, feminizing genital reconstruction to correct genital virilism: Experience of 25 children with adrenogenital syndrome].

The reconstruction of the virilized genitalia in females with adrenogenital syndrome (AGS) is carried out sparing the dorsal neurovascular bundle either through clitoral recession or reduction with simultaneous vaginoplasty and clitoroplasty. Within seven years, 25 girls aged 6 months to 16 years (mean 2 1/2 years) with AGS had a nerve-sparing genital reconstruction with resection of the clitoral shaft in one session as described by Praetorius. 23 children had a C21-defect and 1 a C11 beta-hydroxylase defect; one child had an external virilisation. All children were followed over an average period of 50 months: 21 had a good cosmetic result, the glans had a normal blood supply and was sensitive to a prick test; in 2 girls nerve integrity was demonstrated by somato-sensory evoked potentials. 2 children had small disturbing skin folds of the newly created labia and 2 girls had a somewhat scrotal appearance of the labia. The introitus caliber measured 14 F in girls operated before 6 years of age; however, a 14- and 16-year-old required intermittent bougienage.

Adolescent↗
PubMed1992

Feminism and group psychotherapy: an ethical responsibility.

In response to Martin Lakin's (1991) IJGP article, "Some Ethical Issues in Feminist-Oriented Therapy Groups for Women," this article examines recent developments in feminist theory and proposes that a feminist perspective is both ethical and can make significant contributions to the practice of group psychotherapy. The overview of feminist theory focuses on (1) the importance of the social context, (2) contributions and challenges to psychoanalytic and developmental theory, (3) attention to power relations, (4) the connection between the personal and political, and (5) recognition and integration of diversity and difference. Clinical examples illustrate ways in which male and female group therapists can take a feminist perspective and become "ethical advocates."

Ethics↗
PubMedDate not supplied

Walking the line between feminism and infertility: implications for nursing, medicine, and patient care.

Traditionally infertility has been viewed as a medical condition and has been managed within the medical model of diagnosis, treatment, and cure. The prevalence of infertility has been medically explained by women's sexual promiscuity, pursuit of professional career advancement, and psychological immaturity. Although authors have recently recognized an equitable proportion of infertility problems attributable to male factors, the vast majority of infertility testing and treatment procedures remain directed toward women. Reproductive technologies and their potential for perpetual treatment create a scenario of vulnerability for the infertile woman, which demands the attention of care providers who advocate feminist values of health. In this article, we present a historical overview of infertility and offer a feminist perspective for providing physical and emotional health care to infertile women. Strategies for integrating feminist perspectives of health into infertility programs are discussed.

Attitude to Health↗
PubMedDate not supplied

Long-term users of psychotropic drugs: embodying masculinized stress and feminized nerves.

This article examines long-term users of psychotropic drugs (43 men and 57 women) and their views on women's and men's reasons for using these drugs. The data came from written statements (N= 56) given on open-ended questions from a survey of users and from taped interviews with 10 respondents. Men's accounts expressed a notion of men as experiencing external pressures which created "masculinized stress." On the one hand, this stress could be handled with alcohol, while, on the other hand, the use of psychotropic drugs indicated a loss of men's assumed self-regulatory power and autonomy. Women related the reasons for their psychotropic drug use to their experience of emotional labor. Nevertheless, they did not tend to identify the psychological consequences of their experience as related to work. Rather, they labelled these as health consequences--women being more "emotional" than men and suffering from "nerves." These lay accounts reflect the representations of gender-specific psychological distinctions and the effort to construct gender-specific etiologies.

Anti-Anxiety Agents↗