Article |

Midlife Reactions to Mastectomy and Subsequent Breast Reconstruction

Marcia Kraft Goin, MD, PhD; John M. Goin, MD
Arch Gen Psychiatry. 1981;38(2):225-227. doi:10.1001/archpsyc.1981.01780270111016.
Text Size: A A A
Published online

• The well-documented psychological disturbances that follow mastectomy have been said to be less frequent and intense in postclimacteric women. Data from our interviews with mastectomy patients, 12 of whom were postclimacteric, indicate otherwise. Their distress was often outwardly different, but inwardly still traumatic. During frequent, open-ended interviews, feelings were revealed of loss, depression, and shame about sexual feelings that the patients believed to be inappropriate to their age. These revelations were facilitated by the frequency of the interviews, the decreasing unconscious use of denial as time passed, and the knowledge of the possibility of breast reconstruction. The patients' need to pretend to themselves and others that the mastectomy was relatively unimportant added an extra burden to the usual stress of coping with midlife anxieties. Reconstruction decreased the mastectomized woman's feelings of dependence and mutilation.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.