Contents	6
	Contributors	9
	Preface	12
	Acknowledgment	15
	The body in question	16
	Part I The body at risk	18
	Chapter 1 At risk by reason of gender	20
	INTRODUCTION	20
	MENTAL HEALTH AND GENDER DIFFERENCES:	21
	FACT, ARTEFACT, INTERPRETATION AND	21
	EXPERIENCE	21
	HISTORICISING `` EMBODIMENT'' AND THE	23
	CULTURAL PRODUCTION OF DISTRESS	23
	EMBODIED EXPERIENCE: INTERFACING BODIES	26
	AND LIVES	26
	CONCLUSIONS	29
	REFERENCES	29
	Chapter 2 (Re)figuring identities: My body is what I am	34
	EMBODIMENT	34
	OPEN TO DEFINITION: THE BODY AS SELF	35
	THE REMIT OF RE- FIGURING AND THE RULES OF	36
	ENACTMENT	36
	THE PLASTICITY OF THE BODY BETWEEN THE	40
	ADAPTIVE AND THE PATHOLOGICAL	40
	CONCLUSION	42
	REFERENCES	43
	Part II The hurting body	46
	Chapter 3 Deliberate self harm	48
	INTRODUCTION	48
	WHAT IS SELF HARM?	49
	WHY DO PEOPLE HARM THEMSELVES?	51
	HOW TO HELP THEM?	52
	CONCLUSION	55
	REFERENCES	56
	Chapter 4 Psychological trauma and post-traumatic stress disorder	58
	INTRODUCTION	58
	THE SPECTRUM OF POST- TRAUMATIC STRESS	59
	DISORDERS	59
	SPECIFIC KINDS OF TRAUMA: CHILDHOOD SEXUAL	62
	ABUSE AND SEXUAL ASSAULT	62
	MODELS FOR UNDERSTANDING TRAUMA	63
	REACTIONS	63
	TRAUMA REACTIONS: ASSESSMENT AND	65
	INTERVENTION	65
	CONCLUSIONS	67
	REFERENCES	67
	Chapter 5 The trauma of self starvation: Eating disorders and body image	74
	INTRODUCTION	74
	EATING DISORDER CLASSIFICATION	75
	ANOREXIA NERVOSA: RISK FACTORS AND	75
	CLINICAL CONCEPTUALISATIONS	75
	ANOREXIA NERVOSA: ASSESSMENT AND	79
	MANAGEMENT	79
	BULIMIA NERVOSA: RISK FACTORS AND CLINICAL	82
	CONCEPTUALISATIONS	82
	BULIMIA NERVOSA: ASSESSMENT AND	83
	MANAGEMENT	83
	CONCLUSION	84
	REFERENCES	84
	Chapter 6 Breast cancer and body image	89
	INTRODUCTION	89
	THE CONCEPT OF BODY IMAGE	90
	CANCER AND BODY IMAGE: A COGNITIVE	91
	BEHAVIOURAL MODEL OF ADJUSTMENT	91
	BREAST CANCER, SURGICAL INTERVENTION AND	94
	BODY IMAGE	94
	RECONSTRUCTIVE SURGERY	96
	IMPACT OF BREAST CANCER AND THERAPEUTIC	98
	INTERVENTIONS ON SOCIAL, MARITAL AND	98
	SEXUAL ADJUSTMENT	98
	BREAST CANCER, BODY IMAGE DISTURBANCE AND	100
	COGNITIVE BEHAVIOURAL THERAPY	100
	CONCLUSIONS	102
	REFERENCES	102
	Part III The reproductive body	108
	Chapter 7 Women's bodies: Natural history and biological programming	110
	INTRODUCTION	110
	PRENATAL STRESS AND FOETAL PROGRAMMING	110
	PRENATAL PROGRAMMING, GENDER DIFFERENCES	111
	AND ENERGY HOMEOSTASIS	111
	PRENATAL PROGRAMMING, GENDER DIFFERENCES	112
	AND HORMONAL HOMEOSTASIS	112
	THE IMPACT OF BIOLOGICAL PROGRAMMING ON	115
	MOOD AND STRESS	115
	PREMENSTRUAL SYNDROME	116
	CONCLUSION	117
	REFERENCES	118
	Chapter 8 "On being a mother": Motherhood and mental health	121
	INTRODUCTION	121
	THE SCALE AND NATURE OF THE PROBLEM	122
	MEANINGS OF MOTHERHOOD	124
	MOTHERHOOD AND MENTAL ILL HEALTH	127
	BEING A MENTALLY ILL MOTHER	129
	THWARTED MOTHERHOOD	130
	CONCLUSIONS	132
	REFERENCES	132
	Chapter 9 Sad motherhood: An overview of perinatal affective disorders	136
	INTRODUCTION	136
	PREGNANCY AND STRESS	137
	PREGNANCY AND HORMONES	137
	PERINATAL DEPRESSION	139
	MANAGEMENT OF PERINATAL DEPRESSION	142
	THE MANAGEMENT OF MODERATE TO SEVERE	143
	DEPRESSION IN PREGNANCY	143
	MOTHER AND BABY UNITS	144
	CONCLUSION	145
	REFERENCES	145
	Chapter 10 Women who kill their babies	149
	INTRODUCTION	149
	RELEVANT DEFINITIONS	149
	AN OVERVIEW OF EARLIER LITERATURE ON	151
	INFANTICIDE	151
	EXPLANATORY MODELS OF INFANTICIDE	152
	FICTIONAL CASE STUDIES BASED ON THE FIVEYEAR	154
	COHORT STUDY OF INFANTICIDE 1996 ± 2001	154
	ISSUES RELATED TO THE ASSESSMENT AND	159
	MANAGEMENT OF INFANTICIDE	159
	CONCLUSION	161
	REFERENCES	162
	Part IV The interactive body	164
	Chapter 11 Society and women's distress	166
	INTRODUCTION	166
	LEVELS OF OPERATION OF SOCIAL PROCESSES	167
	SOCIAL PATHWAYS, THEIR INTERACTIONS	170
	AND DISTRESS	170
	SOCIETY ± GENDER ROLES AND DISTRESS	172
	GENDER AND DISTRESS OTHER THAN DEPRESSION	174
	SOCIETY AND THE SELF: MIND AND BODY	175
	CONCLUSION	175
	REFERENCES	176
	Chapter 12 When the personal gets in the way of the (inter)personal	179
	INTRODUCTION	179
	PSYCHODYNAMIC VIEWS OF PERSONALITY	180
	COGNITIVE VIEWS OF PERSONALITY	181
	PSYCHOSOCIAL VIEWS OF PERSONALITY	181
	PERSONALITY AND NEUROSCIENCE	182
	PERSONALITY DISORDER: ISSUES IN	183
	CLASSIFICATION	183
	PSYCHODYNAMIC, PSYCHOSOCIAL AND COGNITIVE	186
	VIEWS OF BORDERLINE PERSONALITY DISORDER	186
	CASE VIGNETTE: THE CASE OF URSULA	187
	CONCLUSION	190
	REFERENCES	190
	Chapter 13 Care and blame: The dialectic of caring	195
	INTRODUCTION	195
	THE IMPACT OF CAREGIVING	195
	CARING FOR SOMEONE WITH A MENTAL	196
	HEALTH PROBLEM	196
	FAMILY RELATIONSHIPS, TRANSITIONS	197
	AND CAREGIVING	197
	CARER BURDEN, DISTRESS AND GENDER	202
	CARER SATISFACTION, REWARDS AND	204
	RECIPROCITY	204
	CONCLUSION	205
	REFERENCES	205
	Chapter 14 Concepts of body and self in minority groups	209
	INTRODUCTION	209
	THE SELF IN SOCIAL CONTEXT	211
	THE SELF, BODY AND GENDER IN CULTURAL	212
	CONTEXT	212
	THE EXPRESSION OF DISTRESS IN MINORITY	213
	GROUPS	213
	IMPLICATIONS FOR SERVICE DELIVERY AND	215
	CONCLUSIONS	215
	REFERENCES	216
	Part V Body-sensitive therapies	220
	Chapter 15 Feminist therapies	222
	INTRODUCTION	222
	FEMINIST THERAPY AS EMPOWERMENT	223
	FEMINIST THERAPY AS A TOOL FOR	225
	SOCIAL/ EMOTIONAL CONNECTION	225
	FEMINIST THERAPY AS COGNITIVE	226
	RECONSTRUCTION OF THE BODY	226
	FEMINIST THERAPY AS BODY- ORIENTATED	227
	THERAPY	227
	FEMINIST THERAPY: CRITIQUE AND CONCLUSION	228
	REFERENCES	229
	Chapter 16 Self-help and healing narratives	231
	INTRODUCTION	231
	WHAT IS SELF- HELP?	231
	WHY USE SELF- HELP?	232
	WHAT KINDS OF SELF- HELP?	233
	SELF- HELP FOR DEPRESSION AND ANXIETY	234
	SELF- HELP FOR EATING DISORDERS	236
	SELF- HELP AND PATIENT SELECTION FACTORS	238
	SELF- HELP DELIVERY	239
	SUMMARY AND CONCLUSION	240
	REFERENCES	241
	Chapter 17 Dialectical behaviour therapy: A treatment for borderline personality disorder	245
	INTRODUCTION	245
	DBT: CONCEPTUAL FRAMEWORK	246
	DBT: COMPONENTS OF THE THERAPY	248
	DBT: STAGES OF THE THERAPY	250
	COMMENTS AND CONCLUSIONS	252
	REFERENCES	253
	Chapter 18 Gender and psychopharmacology	255
	INTRODUCTION	255
	GENDER AND PHARMACOKINETIC DIFFERENCES	256
	GENDER, PHARMACOTHERAPY AND	259
	SCHIZOPHRENIA	259
	GENDER, PSYCHOPHARMACOLOGY AND	260
	AFFECTIVE DISORDER	260
	GENDER, PSYCHOPHARMACOLOGY AND	262
	ANXIETY STATES	262
	PSYCHOPHARMACOLOGY IN PREGNANCY AND	263
	THE POST- PARTUM PERIOD	263
	CONCLUSION	265
	REFERENCES	265
	Part VI The body on my mind	270
	Chapter 19 Do women need specific services?	272
	INTRODUCTION	272
	WHY SPECIALIST AND SINGLE- SEX SERVICES?	273
	WHAT FORM SHOULD THESE SERVICES TAKE?	276
	DEVELOPING SPECIFIC SERVICES FOR WOMEN	278
	CONCLUSION	280
	REFERENCES	281
	Chapter 20 Gender-sensitive education and gender competence training: The perspective of the Royal College of Psychiatrists and beyond	283
	WOMEN'S MENTAL HEALTH NEEDS	283
	WOMEN'S SOCIAL CONTEXT	284
	SERVICES FOR WOMEN PATIENTS	285
	WOMEN IN PSYCHIATRY SPECIAL INTEREST GROUP	285
	GENDER EQUALITY STATEMENT OF INTENT	286
	TRAINING IN DIVERSITY ISSUES	287
	HOW WE VIEW PATIENTS	289
	SERVICE MODELS	290
	TRAINING IN GENDER ISSUES: SEPARATELY OR AS	292
	PART OF A BROADER CONTEXT?	292
	POLICIES REGARDING TRAINING IN CULTURAL	293
	DIVERSITY	293
	WHAT SHOULD WE TEACH IF WE OFFER GENDER	294
	TRAINING?	294
	ACKNOWLEDGEMENTS	294
	REFERENCES	294
	Index	297