PSYCHOSEXUAL PROBLEMS IN YOUNG PEOPLE (INSTANCE 2)

At the next visit Miss R. had stopped taking the Pill and then started it again, and had many complaints about feeling weak and tired, and having vague aches and pains. Again, she was not examined. During the next year she saw many different members of the clinic staff with complaints about sore breasts, fear of infection, pain in her leg (which could have been a deep vein thrombosis), and continuing anxieties about her parents finding out she was on the Pill, and about her marriage prospects. Finally, one day Dr A. noticed that the boyfriend was always in the waiting room, and was able to lead the patient to a discussion of the question of choice, and the patient’s right to say yes or no to sex. This led to further questions about virginity, and the state of her hymen, although again no genital examination.

Following this important consultation her visits to the clinic became less frequent, and later she was able to admit that she was not ready for sex when she started and that she should not have done it. However, there was no discussion of the feelings that led her to start.

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