Premenstrual Dysphorias: Myths and Realities

Premenstrual Dysphorias: Myths and Realities

Premenstrual Dysphorias: Myths and Realities

Premenstrual Dysphorias: Myths and Realities

Synopsis

This is the first book to examine the specific myths, controversies, and research findings in the area of late luteal phase dysphoric disorder (LLPDD; now called premenstrual dysphoric disorder[PMDD]). Written by members of the LLPDD Work Group for DSM-IV, Premenstrual Dysphorias: Myths and Realities presents the latest issues surrounding the concept of premenstrual dysphoria. It includes a thorough description of empirical issues related to the recent literature on LLPDD, examines the methodological problems of LLPDD research, and covers sociocultural issues, including early medical approaches to menstruation and myths about menstruation.

Premenstrual Dysphorias: Myths and Realities is designed to promote a better understanding of menstruation and the myths related to the menstrual cycle. It also covers the specific diagnosis and treatment of disorders that affect women and recommendations for future research.

Excerpt

This book describes the issues surrounding the concept of premenstrual dysphoria, including both 1) empirical issues related to the state of the art of the literature and methodological problems and 2) sociocultural issues, including early medical approaches to menstruation and myths about menstruation. It presents the current reality of late luteal phase dysphoric disorder (LLPDD) as viewed by the DSM-IV Work Group on LLPDD in conjunction with the Work Group Advisers.Some chapters (Chapters 1, 3, 5, and 8) were written as part of the DSM-IV process and present a review of the literature through 1991. The other chapters broaden the discussion and include literature published through 1992. The book concludes with recommendations for the future.

Because the symptoms of LLPDD are not specific for the disorder, it is important to rule out all other possible diagnoses as well as to establish a woman's monthly symptom profile in the process of arriving at a definitive diagnosis.This is the art and science of medicine. Disorders are carefully defined according to criteria that are explicitly stated and rigorously applied. At times, of course, more than one disorder can occur simultaneously in the same individual. The problem then for the clinician is to determine what is causing each symptom and how to treat each. For the researcher, the problem is to separate symptoms into their respective disorders to ensure proper investigation of the etiology of the disease and to allow for replication at another time.

This book begins with Dr.Endicott's examination, in Chapter 1, of this process as it relates to LLPDD. The occurrence of other mental and physical disorders together with LLPDD symptoms confounds investigation if they are not considered carefully in each individual case.Dr. Schnurr and her colleagues further de-

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