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Coping with infertility: a new nursing perspective.

J Bernstein, M Brill, S Levin

    Naacog'S Clinical Issues in Perinatal and Women'S Health Nursing
    |January 1, 1992
    PubMed
    Summary
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    Couples facing infertility may use magical thinking instead of effective coping strategies, hindering resolution. Understanding and assessing this magical ideation is crucial for clinical nursing interventions.

    Area of Science:

    • Reproductive Medicine
    • Psychology
    • Nursing

    Background:

    • Infertility presents significant life stress, and reproductive failure is emotionally challenging.
    • Couples may engage in repetitive, ineffective treatments without personal growth or resolution.
    • Inappropriate coping behaviors in infertility are poorly understood, limiting clinical guidance.

    Purpose of the Study:

    • To discuss the use of superstition and ritual (magical thinking) in couples experiencing infertility.
    • To evaluate magical ideation as a barrier to resolving infertility.
    • To introduce a clinical tool for assessing magical ideation and explore its utility.

    Main Methods:

    • Literature review and conceptual analysis of magical thinking in infertility.
    • Description of a clinical tool for assessing magical ideation.

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  • Exploration of potential differences in magical thinking between women with and without prior pregnancies.
  • Main Results:

    • Magical thinking may serve as a maladaptive coping mechanism, preventing couples from moving forward.
    • Women with previous pregnancies might be more prone to using magical thinking than nulliparous women.
    • A tool for assessing magical ideation is presented for clinical application.

    Conclusions:

    • Magical ideation can impede effective coping and decision-making for infertile couples.
    • Further research is needed to understand the causes of magical thinking and develop targeted nursing interventions.
    • Clinical assessment of magical ideation can inform supportive care for couples undergoing fertility treatments.