Mogul K M
Hosp Community Psychiatry. 1985 Oct;36(10):1080-5. doi: 10.1176/ps.36.10.1080.
The use of psychotropic drugs with women patients raises special considerations. In some settings women are medicated too readily, and in others they have inadequate access to comprehensive care that includes medication. However, judicious use of medications to relieve disabling symptoms frequently promotes productive psychotherapy. Either prescribing drugs or withholding medication may involve special transference and countertransference issues for the woman patient. Women also have special concerns and conflicts about the effects of psychotropic drugs on pregnancy and lactation and about side effects involving sexual functioning and change of appearance.
对女性患者使用精神药物需要特别考虑。在某些情况下,女性用药过于随意,而在其他情况下,她们难以获得包括药物治疗在内的全面护理。然而,明智地使用药物来缓解致残症状往往能促进有效的心理治疗。对女性患者而言,开药或停药可能都涉及特殊的移情和反移情问题。女性还特别担心精神药物对怀孕和哺乳的影响,以及涉及性功能和外貌变化的副作用。