Psychosomatic problems of the relationship between obstetrician-gynecologist and patient in modern conditions
DOI:
https://doi.org/10.18370/2309-4117.2019.48.64-66Keywords:
psychosomatic problems, reproductive health disorders, women of fertile age, cognitive distortionsAbstract
Modern socio-economic and political conditions in our country greatly affect the psycho-emotional state of fertile aged women and their partners. Unfortunately, the concept of psychological security is not widespread in Ukraine today. The radical approaches to the formation of public opinions and approaches by opinion leaders, which are covered in the media and social networks, unfortunately, reduce the credibility of the doctor as a person who fulfills state guarantees of quality free medical care. Such features of changing attitudes towards doctors greatly affect the efficiency of the doctor’s contact with the patient, which affects the effectiveness of treatment. In women of reproductive age with impaired reproductive health the strength of stressors that induce reproductive health disorders decreases in time to a certain level and goes into prolonged distress. Functioning of the central nervous system supports the formation of a negative internal dialogue in the patient because of interneuron interaction and passage of brain impulses by the shortest route and through areas of high vascularization.
The article describes the main types of cognitive distortions that can interfere with the effective dialogue between doctor and patient. Cognitive distortions can be viewed as changes in the psycho-emotional state of women and as a result of the psycho-emotional pathology development, which is need parallel therapy or correction of the psycho-emotional state of such women addition to the treatment of reproductive disorders. The most common of cognitive distortions are mental filtering, positive deviations, maximization, minimization, dichotomous thinking, over-generalization, personalization, accusations, a sense of one’s own self-righteousness, emotional thinking. Timely detection of cognitive impairment in patients with reproductive health disorders allows establishing a trusting relationship between doctor and woman, increasing the effectiveness of treatment and reducing the time of conversation with patient.
References
- Dobson K.S. “Self-perceptions and cognitive therapy.” American Psychological Association. Session 4 of 5. Washington, D.C.: American Psychological Association (2014).
- Del Pozo, Harbeck, Zahn, Kliem, Kröger. “Cognitive distortions in anorexia nervosa and borderline personality disorder.” Psychiatry Research 260 (2018): 164–72.
- Szumski, Bartels, Beech, Fisher. “Distorted cognition related to male sexual offending: The multi-mechanism theory of cognitive distortions (MMT-CD).” Aggression and Violent Behavior 39 (2018): 139–51.
- Olatunji, B.O. “Cognitive-behavioral therapy for a woman with social phobia.” Washington, D.C.: American Psychological Association (2014).
- Boillat, Deuring, Pflueger, Graf, Rosburg. “Neuroticism in child sex offenders and its association with sexual dysfunctions, cognitive distortions, and psychological complaints.” International Journal of Law and Psychiatry 54 (2017): 83–9.
- Johannes N. Finne, Frode Svartdal. “Social Perception Training: Improving social competence by reducing cognitive distortions.” International Journal of Emotional Education 9.2 (2017): 44–58. Available from: https://doaj.org/article/f85b6e93f92840 f08e8842fbe75e68b3
- Wallace, R. Consciousness. A Mathematical Treatment of the Global Neuronal Workspace Model. Springer (2005).
- Avcı Çayir, G., Kalkan, M. “The effect of interpersonal dependency tendency on interpersonal cognitive distortions on youth.” Journal of Human Behavior in the Social Environment 28.6 (2018): 771–86.
- Jager-Hyman, S., Cunningham, A., Wenzel, S., et al. “Cognitive Distortions and Suicide Attempts.” Cognitive Therapy and Research 38.4 (2014): 369–74.
- Kalkan, M. “Predictiveness of interpersonal cognitive distortions on university students' problematic Internet use.” Children and Youth Services Review 34.7 (2012): 1305–8.
- Wallinius, M., Johansson, P., Lardén, M., Dernevik, M. “Self-Serving Cognitive Distortions and Antisocial Behavior Among Adults and Adolescents.” Criminal Justice and Behavior 38.3 (2011): 286–301.
- Çelik, O. “The relationship between problematic internet use and interpersonal cognitive distortions and life satisfaction in university students.” Children and Youth Services Review 35.3 (2012): 505–8.
- Coelho, J., Jansen, S., Bouvard, A. “Cognitive Distortions in Normal-Weight and Overweight Women: Susceptibility to Thought-Shape Fusion.” Cognitive Therapy and Research 36.4 (2012): 417–25.
- Antypkin, Y.G., Vdovychenko, Y.P., Graziottin, A., Kaminskyi, V.V., Tatarchuk, T.F. "Uterine bleedings and quality of woman's life: Resolution of advisory board" Reproductive Endocrinology 47 (2019): 13-18.
- Burlaka, O., Tatarchuk, T. "The therapeutic possibilities of continuous mode of oral contraceptives for Ukrainian military women in ATO zone" Giornale Italiano di Ostetricia e Ginecologia 38.1 (2016): 58-59.
- Helmond, P., Overbeek, G., Brugman, D., Gibbs, J.C. “A Meta-Analysis on Cognitive Distortions and Externalizing Problem Behavior: Associations, Moderators, and Treatment Effectiveness.” Criminal Justice and Behavior 42.3 (2015): 245–62.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Вл. В. Подольський, В. В. Подольський
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.