Psychological Aspects of Women's Health Care: the Interface Between Psychiatry and Obstetrics and Gynecology, 2nd Ed., Edited by Nada L. Stotland, M.D., M.P.H., and Donna E. Stewart, M.D., D. Psych., F.R.C.P.C.,  APA Press. Inc, 2001, pp.  654.

Given that the history of contemporary psychiatry began with the study of hysteria it is fitting that a century later we have this book on the interface between obstetrics and gynecology and psychiatry. It is also fitting that it comes at a time when the womb has become a public space—a source of political litmus tests for political nominees to the Supreme Court or to the Presidency as well as the source of the stem cells that have such glowing prospects for the cure of devastating diseases. It also comes at a time when both specialties in medicine are under siege—psychiatry because of its many insurance “carve-outs” and discriminatory barriers against access and coverage for patients and for Obstetrics and Gynecology the mandate to be eligible for primary care for their patients at the same time the burden of their residency hours are almost unrestrained, their malpractice premiums soaring and the culture failure to provide good infant care means that natural childbearing is delayed, increasing risk and relying on more technology for older, infertile women. On top of all that add the scourge of AIDS that is the 3rd cause of death among women of child bearing years, the 1st among women of color—there is a need for great empathy, understanding and support of each other. No question but that this weighty book has a political subtext, that is bolstered by our ethical principles under Section 5 and 7 that a physician shall continue to study, apply, and advance scientific knowledge, make relevant information available to patients, colleagues, and the public, obtain consultation, and use the talents of other health professionals when indicated. And to recognize a responsibility to participate in activities contributing to an improved community (The Principles of Medical Ethics, ). The two editors share their perspective of optimizing the choices women and their caregivers have in resolving their health needs and dilemmas.

Thus their first Section is on Pregnancy, with an e