Vaginismus in one of the most frequent causes of non-consummation of marriage, and of infertility, in Arab-Muslim societies. Cognitive behavioural therapy (CBT) proved to be effective, but it is important to consider the cultural context of the patient attending CBT for vaginismus. The aim of our study was therefore to draw attention to the belief systems and behaviours linked to female sexuality and couple relationship in the Arab-Muslim culture. We present a series of four patients representative of the local culture and show how treatment strategies were adapted to fit these behaviours and belief systems, as well as environmental factors. We found that excessive closeness of family members, allowing the family to be intrusive and exercising pressure on the couple, a strict education which highly values virginity, transmits fear of ‘the male’ and fear of sex, and which links sex with pain, were the common denominator of all patients of our case series. We adapted the classical CBT strategies for vaginismus to our cultural context. The educational component was enlarged. Cognitive techniques were used to modify specific traditional beliefs. The integration of the family, and not only of the partner, into the treatment process proved uniquely beneficial for the patients.

In this study, we examine substantive representation of women in the 2011–15 Turkish Parliament by focusing on sponsorship of private members’ bills by members of parliament (MPs) across eight major issue areas. The Turkish case offers new insights into women's representation, not only because this topic is unexplored in the Turkish context but also because it provides an opportunity to examine the tension between gender as a social identity and ideology as a political identity in a legislature characterized by disciplined political parties and low gender parity. Findings indicate that women MPs in Turkey substantively represent women by sponsoring more bills on women's rights and equality issues than their male colleagues, despite their low numbers in parliament and affiliation with highly disciplined parties. Party ideology also shapes women MPs’ issue priorities depending on the emphasis placed by the parties on different issue areas. Whereas left-wing women MPs sponsor more bills on women's rights and equality issues defined with a feminist accent, right-wing women MPs sponsor more bills on issues regarding children and family. Left-wing women also differ significantly from right-wing women in their sponsorship of bills on health and social affairs issues, as left-wing parties prioritize those issues more than right-wing parties.

The inpatient unit faces many challenges in the effort to deliver comprehensive psychiatric care to acutely ill patients with minimal lengths of stay. Cognitive behaviour therapy (CBT), a structured, problem-focused, time-limited form of treatment has been shown to be a promising intervention with the inpatient population. This paper describes a group-oriented inpatient CBT programme for women and reports pilot data on the experiences of 78 adult female patients. Repeated-measures ANOVAs revealed that participants exhibited improved psychosocial functioning from admission to discharge, with gains maintained at 1 month post-discharge. Partial correlations indicated that participation and engagement in CBT groups is related to improved functioning at discharge. Participants diagnosed with major depressive disorder, bipolar disorder, and psychotic disorders all evidenced similar positive treatment trajectories, suggesting that group-oriented CBT programming may be a useful addition to standard inpatient care.