Desire For Procreation and Therapeutic Compliance in Patients on Antipsychotics

Author(s): Asseman Médard Koua, François Djo Bi Djo, Konan Koffi Paulin Ahou, Brahim Samuel Traoré, CN Djariata, Mariam Baldé, Y Jean-Marie Yéo-Ténéna.

The authors discuss the problem of compliance with antipsychotic treatment and its impact on the sexuality and desire for procreation of stabilized psychotic patients. The ethical and deontological principles, individual, family or cultural values that determine the choices and attitudes of each care provider (patient, couple, family, mental health professionals) raise ethical problems observed in the therapeutic process. The sexological and/or gynecological care of mentally ill patients must be better coordinated. Parenting assistance for mentally ill patients must be strengthened through collaborative work involving the psychiatrist, the gynecologist, the midwife, the couple and the family. The paternalistic model of care in psychiatry is gradually giving way to a construction of the psychiatric clinic around the autonomy of the patient and the couple in order to ensure their quality of life and care