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Psychological patterns in donor insemination couples.

D M Berger, A Eisen, J Shuber

    Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
    |December 1, 1986
    PubMed
    Summary
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    Infertility diagnosis causes distress for both partners. Discussing these emotional conflicts, rather than maintaining secrecy, is psychologically beneficial for couples undergoing donor insemination (DI).

    Area of Science:

    • Psychology
    • Reproductive Medicine
    • Psychiatry

    Background:

    • Infertility affects couples profoundly, impacting their emotional well-being.
    • Donor insemination (DI) is a common assisted reproductive technology.
    • Psychological adjustment is crucial for couples navigating infertility and DI.

    Purpose of the Study:

    • To identify and analyze the psychological conflicts experienced by couples during infertility diagnosis and donor insemination (DI).
    • To explore the role of secrecy versus open discussion in managing these conflicts.
    • To highlight the utility of psychiatric assessment in facilitating conflict resolution.

    Main Methods:

    • Clinical consultations and therapy with 120 couples undergoing DI.
    • Illustrative clinical vignettes to demonstrate conflict patterns.

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  • Questionnaire study of 76 couples regarding the psychological impact of discussing infertility.

    • Main Results:

    • Infertility discovery triggers distinct emotional responses: husbands experience impotence and withdrawal, while wives feel anger and guilt.
    • The DI procedure can evoke oedipal conflicts.
    • Open discussion about infertility is perceived as psychologically beneficial by many, despite prevailing secrecy.

    Conclusions:

    • Couples should address infertility-related conflicts before undergoing DI.
    • Secrecy, while common, can hinder acknowledging and discussing problems.
    • Psychiatric assessment can aid couples in confronting and resolving psychological conflicts related to infertility and DI.