WOMEN'S PROGRESS Promises and Problems WOMEN IN CONTEXT: Development and Stresses Editorial Matina Homer, Radcliffe College Board: Martha Kirkpatrick, University of California at Los Angeles Claire B. Kopp, University of California at Los Angeles Carol C. Nadelson, New England Medical Center Tufts University School of Medicine Malkah T. Nohnan, New England Medical Center Tufts University School of Medicine Carolyn B. Robinowitz, American Psychiatric Association Jeanne Spurlock, American Psychiatric Association BECOMING FEMALE: PERSPECTIVES ON DEVELOPMENT Edited by Claire B. Kopp THE CHALLENGE OF CHANGE: PERSPECTIVES ON FAMILY, WORK, AND EDUCA TION Edited by Matina Homer, Carol C. Nadelson, and Malkah T. Nohnan THE WOMAN PA TIENT Volume 1: Sexual and Reproductive Aspects pf Women's Health Care Edited by Malkah T. Notman and Carol C. Nadelson Volume 2: Concepts of Femininity and the Life Cycle Edited by Carol C. Nadelson and Malkah T. Notman Volume 3: Aggression, Adaptations, and Psychotherapy Edited by Malkah T. Notman and Carol C. Nadelson WOMEN IN MIDLIFE Edited by Grace Baruch and Jeanne Brooks-Gunn WOMEN'S PROGRESS: PROMISES AND PROBLEMS Edited by Jeanne Spurlock and Carolyn B. Robinowitz WOMEN'S SEXUAL DEVELOPMENT: EXPLORATIONS OF INNER SPACE Edited by Martha Kirkpatrick WOMEN'S SEXUAL EXPERIENCE: EXPLORATIONS OF THE DARK CONTINENT Edited by Martha Kirkpatrick WOMEN'S PROGRESS Promises and Problems Edited by JEANNE SPURLOCK AND B. CAROLYN RaBINOWITZ American Psychiatric Association Washington, D. C. Springer Science+Business Media, LLC Library of Congress Cataloging-in-Publication on Data Women's progress : promises and problems / edited by Jeanne Spur lock and Carolyn B. Robmotitz. p. cm. — (Women 1n context) Includes bibliographical references. ISBN 978-1-4899-0857-5 1. Women. 2. Mothers. 3. Family. I. Spurlock, Jeanne. II. Rob1non1tz, Carolyn. III. Series. HQ1154.W934 1990 305.4--dc20 90-7175 CIP ISBN 978-1-4899-0857-5 ISBN 978-1-4899-0855-1 (eBook) DOI 10.1007/978-1-4899-0855-1 © 1990 Springer Science+Business Media New York Originally Published by Plenum Press, New York in 1990 Sottcover reprint of the hardcover 1st edition 1990 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher Contributors Evelia v.-R. Adams • 1207 Summit Avenue, Louisville, Kentucky 40204 Paul L. Adams, M.D. • Private practice, 1169 Eastern Parkway, G-45, Louisville, Kentucky, 40127 Mary S. Akerley, J.D. • Sasscer, Clagett, Channing & Bucher, Upper Marlboro, Maryland 20772 Leona L. Bachrach, Ph.D. • Maryland Psychiatric Research Center, Uni versity of Maryland School of Medicine, Cantonsville, Maryland 21228 Elissa P. Benedek, M.D. • Center for Forensic Psychiatry, Ann Arbor, Michigan 48106 Norman R. Bernstein, M.D. • Department of Psychiatry, Harvard Med ical School, Cambridge, Massachusetts 02140 Leah J. Dickstein, M.D. • University of Louisville School of Medicine, Louisville, Kentucky 40204 Peggy Dulany • The Synergos Institute, New York, New York 10028 Paul M. Fine, M.D. • Creighton-Nebraska Universities Departm.ent of Psychiatry, Omaha, Nebraska 68108 Ruth L. Fuller, M.D. • Department of Psychiatry, University of Colora do Health Sciences Center, School of Medicine, Denver, Colorado 80262 Janice Hutchinson, M.D. • District of Columbia Department of Mental Health, Washington, D. C. 20009 S. Peter Kim, M.D. • Medical College of Georgia, Augusta, Georgia 30912 Martha J. Kirkpatrick, M.D. • Department of Psychiatry, University of California School of Medicine, Los Angeles, California 90024 Mary Pape, M.S. • Iowa Western Community College, Council Bluffs, Iowa 51502 Carolyn B. Robinowitz, M.D. • Office of the Medical Director, Ameri can Psychiatric Association, Washington, D.C. 20005 Louise Rogoff-Thompson, Ph.D. • Suburban Mental Health Associates, Baltimore, Maryland 21228 v vi CONTRIBUTORS Jeanne Spurlock, M.D. • Office of Minority/National Affairs, American Psychiatric Association, Washington, D.C. 20005 James W. Thompson, M.D., M.P.H. • Department of Psychiatry, Uni versity of Maryland School of Medicine, Baltimore, Maryland 21201 Thomas G. Webster, M.D. • George Washington University Medical Center, Washington, D.C. 20037 Virginia N. Wilking, M.D. • Columbia University College of Physi cians and Surgeons, New York, New York 10032 Foreword Now, 25 years into our country's most recent "women's movement" for equality, it is appropriate to reexamine the social and cultural experiences of women. Thanks to the media, researchers, clinicians, and the general public, all are aware that women have been unable to realize many of their goals. At times, distress rather than satisfaction and rejection and disap pointment rather than contentment have been the result of the ongoing struggle of women to achieve change-the change in attitudes, behavior, and values necessary to broaden the personal choices and work options open to women. Nationally recognized authorities on several of the sociocultural issues addressed in this volume, the editors invited noted scholars and clinicians to study some of those issues particularly relevant to women. These include frequently neglected topics, such as the multiplicity of responsibilities of single women and the spectrum of mothering roles, and those more commonly discussed, such as the various roles and patterns in the family, work options and burdens, and interpersonal relationships. The volume provides insightful detail on two prominent and poignant problems of the 1980s-the causes and repercussions of homelessness and sexual life-styles. Such material may facilitate under standing and serve as a catalyst for positive action. The editors suggest that their volume serve as a model to encourage researchers interested in the issues of women-and men-to investi gate other areas of women's lives, areas rife with problems but largely denied or ignored. A paucity of acknowledgment and understanding of the need for change persists in a number of segments of women's life experiences-for example, coping in the later stages of life and with the stresses of a dual career. The feminist movement of the 19th century had as its goal the right to vote. Our recent women's movement, initiated in the early 1960sand ongoing, seeks broader changes in women's lives and, consequently, in the lives of men. The past two decades of effort have generated personal and cultural turmoil-and change. The changes have been accompanied by an increased awareness of the conflicts felt by some women and the vii viii FOREWORD fulfillment of promises experienced by others. I congratulate the editors of this volume and their contributors for highlighting many of the perti nent issues that must be addressed if women-as well as their children and men-are to enjoy the option of a better quality of life. J. LEAH DICKSTEIN Louisville, Kentucky Preface The idea for this volume grew out of the editors' awareness and con cerns that some of the gains of the most recent women's movement were more mythical than real. Although we were convinced that there are greater opportunities and options for women in our society, and particu larly for those interested in and committed to pursuing a career, barriers and inequities continue. We recognized, too, the various societal pres sures that have an impact on the different life-styles that women have chosen or have had forced upon them. It was upon these reflections that we based the purpose of this volume-to explore current life situations of women and their options for change and growth. Like the others in the series Women in Context: Development and Stresses, this volume is directed to clinicians as well as academicians, including behavioral scientists, educators, nurses, physicians, and social workers. It may be of particular use in women's studies programs. In developing this volume we sought input from colleagues from various disciplines and asked them to address specific issues from either their personal or professional frame of reference. We are deeply indebt ed to each of the contributors and thank them for their patience and willingness to respond to what must have seemed to be a myriad of editorial critiques. We are especially appreciative of the editorial services of Joan O'Connor and 'Elyse Zuckerman, and for the secretarial as sistance provided by Hope Ball, Linda Roll, Rosely Stanich, and Lillian Wilson. JEANNE SPURLOCK, M.D. CAROLYN B. ROBINOWITZ, M.D. ix