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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This essay on the effects of modern effective contraception on psychological and sexual behavior concentrates on the characteristis of French society. Contraception is obviously a weapon against multiple illegal abortons, and a means for professional, social and sexual liberation of women. For physicians it provides a medium of interacting for the first time with the sexual life of patients, sometimes resulting in spectacular cures of psychosomatic disorders such as pelvic pain, menometrorrhagia, depression and anxiety. The opportunity for more frequent sexual relations, free of fear of pregnancy, may permit the release of orgasm and an experience of new sensation, authenticity and confidence for the woman. But contraception may also reveal or aggravate sexual dysfunction and participate in the deterioration of sexual adjustment. The physician must be aware of patients' prior psychosexual situation in order not to make contraception a scapegoat for so-called pill or IUD side effects. This requires sound medical training and a good doctor-patient relationship. For many young women maternity is the sign of womanhood, and for mature women and their partners, fertility is the essence of feminine attraction. This unconscious belief is often the basis for forgetting pills, frigidity, impotence and masochistic pregnancy. Children are unconsciously the bridge toward immortality.
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PMID:[Influence of contraception on psychology and sexual life]. 1230 76

A standardized test was developed to evaluate posture, movement, gait, sitting posture, and respiration of patients with psychosomatic disorders, based on the Mensendieck principles of observation and analysis of motor function. To validate the test and to make a comprehensive body examination of a defined group of patients, it was applied in a study of women with chronic pelvic pain (CPP, ICD10 F45.4). Fifteen women with CPP and 15 matched, healthy controls were examined. Test subjects were video recorded and scored by three experienced Mensendieck physical therapists, blinded with respect to the selection of subjects. Scores from 0 (for least functional movement) to 7 (optimal function) were assigned to each test person according to a test manual. High intraclass correlations (ICC1.1 [corrected] ranging from 0.82 to 0.97) were found among the testers. The standardized Mensendieck test (SMT) discriminated well between women with CPP and the controls (sensitivity 0.9, specificity 0.7, mean values). The CPP patients scored significantly lower than the controls in all subtests (p < 0.01). The largest difference in scores were found for gait (patients 2.70 +/- 0.11, vs. control, 5.60 +/- 0.09) and respiration (patients 2.88 +/- 0.14, vs. control, 5.63 +/- 0.10). The results indicate that, in the hands of experienced Mensendieck therapists, the SMT is a reliable tool, demonstrating a good discriminative validity. Furthermore, it may turn out to be a useful instrument in the evaluation of patients with somatoform disorders. It may also point toward a possible therapeutic treatment approach to patients with CPP.
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PMID:Reliability and validity of a standardized Mensendieck physiotherapy test (SMT). 1692 Jun 78

Psychosomatic disorders represent a therapeutic conundrum. Despite compelling evidence to suggest the integrity of mind and body, humans are famously prone to experiencing them as separate. This paper explores the scientific challenges posed by psychosomatic disorders and how changing cultural notions contribute to their perplexing presentations. Excerpts of cases from patients with chronic pelvic pain, chronic fatigue, and a factitious disorder are presented as examples of the challenges that these patients pose in analysis. An explanatory model of mind/body interaction based on early maternal-infant interactions and the placebo response complex is proposed as the basis for how psychosomatic pathologies may develop. Finally, therapeutic approaches to the psychological treatment of patients with psychosomatic issues are considered.
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PMID:Psychosomatic disorders: the canalization of mind into matter. 2124 Dec 93