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Published Online:https://doi.org/10.1176/ps.34.6.536

Interviews with 23 chronically institutionalized, schizophrenic women living on a chronic care unit indicated that the majority had a continuing interest in sex and engaged in sexual activity. Fourteen oftbe women wanted to become pregnant. Few seemed to recognize their limited potential to be adequate parents. Respondents often gave bizarre or maccurate responses to the interview questions, indicating that their ideas about contraception, pregnancy, and childrearing were affected by psychopathology. The authors concede that the task of designing and implementing birth controlprogramsfor severely ill schizophrenic patients is f ormidable but encourage mental health professionals to openly discuss sex, birth control, and having children with their patients.

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