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June 1965

Fantasy and the Outcome of Pregnancy

Author Affiliations

From the Department of Psychiatry, Emory University School of Medicine.

Arch Gen Psychiatry. 1965;12(6):602-606. doi:10.1001/archpsyc.1965.01720360074012

THE psyche-soma interdependency is seldom more strikingly evidenced than during pregnancy where bodily changes and the psychological state reciprocally influence each other. As evidence of this reciprocal functioning, McConnell and Daston17 found perception of physiological changes following delivery reflected as significant changes in body image while McDonald and Gynther19 found reliable pre- to postdelivery changes in self and parental ratings among unmarried primigravidas. Recognition of the intimate relationship between psychological factors and physiological processes during pregnancy has stimulated a growing body of research focusing on differentiation of obstetric complications through assessment of various personality parameters.

These studies have clearly demonstrated that women with obstetric complications differ reliably in various respects during the latter stages of pregnancy (eg, seventh month of gestation) from those who have uneventful parturitions, deliveries, and normal offspring. Both married and unmarried patients with a variety of obstet

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