infertilità e coppia

[sulinari]

Ho posto lo stesso quesito nella sezione di psicologia clinica, lo ripropongo qui, se qualcuno di voi si occupa di disagi legati alla sfera sessuale e affettiva magari saprà aiutarmi
Avrei bisogno di testi e autori che si occupino di terapia e di supporto con coppie o singoli riguardo alla situazione di infertilità di uno dei due partner.
Vi ringrazio per l'aiuto, se qualcuno ha consigli bibliografici ben venga.

[GIOVANEPSY83]

Anche se non dedicato totalmente all'argomento, è molto interessante: Zurlo "La filiazione problematica" Liguori editore. Spero di esserti stato d'aiuto

[willy61]

Psychological group support attenuates distress of waiting in couples scheduled for assisted reproduction. By: Tarabusi, M; Volpe, A; Facchinetti, F. Journal of Psychosomatic Obstetrics & Gynecology, Sep2004, Vol. 25 Issue 3/4, p273-279, 7p Abstract: The aim of the study is to determine whether a cognitive-behavioral group treatment could lead to a decrease of psychological distress in couples waiting for assisted reproduction. Fifty consecutive couples included in the waiting list for IVF-ET or ICSI were randomly allocated either to receive Cognitive-Behavioral Treatment (CBT Group) or just waiting (Observation Group). The group is formed by 8-10 couples; 12 meetings are provided for a period of 4 months. Two psychometric test have been administered (Symptom Rating Test and Westbrook Coping Scales) at baseline and after 4 months. At baseline, females showed a higher level of SRT than males (F = 16.6 ± 14.1; M = 10.2 ± 9.0; p  = 0.01). This became evident for anxiety (F = 5.6 ± 4.9; M = 3.3 ± 3.0, p  = 0.004), somatization (F = 3.0 ± 2.5; M = 1.8 ± 2.1, p  = 0.01) and feelings of inadequacy (F = 3.9 ± 3.7; M = 2.3 ± 2.7, p  = 0.01). After 4 months in the males of Observation Group (from 2.3 ± 2.0 to 4.0 ± 2.8, p  = 0.01) there was an increase of the level of anxiety. No other meaningful differences in other variables were found. In females of CBT Group a trend towards a significant decrease in the total value of psychological uneasiness (the SRT) (from 17.7 ± 13.7 to 14.1 ± 14.0, p  = 0.07) was found. A long wait before the scheduled intervention of assisted reproduction increased anxiety levels, namely in male partners. CBT avoids such a 'waiting stress' and could be useful for stimulating discussion and awareness inside the couple. Shortening the waiting list and psychological support would be... [ABSTRACT FROM AUTHOR] DOI: 10.1080/01674820400017905 (AN 15496480)

To Reveal or Not to Reveal a Secret. By: Landau, Gila. American Journal of Psychotherapy, 2003, Vol. 57 Issue 1, p122, 16p Abstract: As the physiological birth of the human infant precedes the psychological birth, the technology that bas enabled birth of a child through donor fertility treatments may precede the psychological birth of the parent to such a child. The clinical vignette describes the therapy of a man preoccupied with the secret that his children bad been conceived by artificial insemination due to his own infertility. His quandary over whether to keep the secret or reveal it to those close to him, and if so, then when and how, sapped his emotional energy, dragged down his spirits, and unsettled his life. The preoccupation with the secret and the question whether to keep it or reveal it, constitutes an organizing and containing envelope for other concealed issues and unconscious conflicts' seeking revelation: who am I and where did I come from? Unsatisfactory answers to these fundamental questions during the pre-oedipal and oedipal stages of development can create a difficult dilemma to overcome. [ABSTRACT FROM AUTHOR] (AN 9268391)

INFERTILITY AND THE ROLE OF PSYCHOTHERAPY. By: Hart, Valerie A.. Issues in Mental Health Nursing, Jan2002, Vol. 23 Issue 1, p31-41, 11p Abstract: Infertility affects 6 million American women and their partners, about 10% of the reproductive age population. Recent improvements in medication, microsurgery, and assisted reproductive technology (ART) make pregnancy possible for more than half the couples pursuing treatment, yet infertility is more than a medical condition. Infertility touches all aspects of a person's life. It affects how individuals feel about themselves, their relationships, and their life perspective. Stress is only one of a myriad of emotional realities that couples facing infertility deal with, often for extended periods of time. In addition to ongoing stress, infertility creates issues of guilt, anxiety, tension within the relationship, and feelings of depression and isolation. Treating couples and individuals who are involved in the journey of dealing with infertility is an opportunity for clinical specialists in psychiatric mental health nursing. The expertise of clinical specialists both in providing psychotherapy services as well as providing a bridge of understanding of sophisticated medical and surgical procedures places them in a unique position among the various disciplines offering mental health services. This paper provides an overview of the psychological issues that play a role in psychotherapy with this population and suggests specific clinical interventions and potential role expansion for psychiatric clinical specialists. [ABSTRACT FROM AUTHOR] (AN 6347075)

The impact of group psychological interventions on distress in infertile women. Domar, Alice D.; Clapp, Diane; Slawsby, Ellen; Health Psychology, Vol 19(6), Nov 2000. pp. 568-575. [Journal Article] Abstract: Infertile women express higher levels of distress than fertile women, with distress peaking between the 2nd and 3rd year. The purpose of this study was to determine whether group psychological interventions could prevent this surge. One hundred eighty-four women who had been trying to conceive between 1 and 2 years were randomized into either a cognitive-behavioral group, a support group, or a control group. All experimental participants attended a 10-session group program. Participants completed psychological questionnaires at intake and again at 6 and 12 months. Substantial attrition occurred, particularly in the control group. The cognitive-behavioral and support participants experienced significant psychological improvement at 6 and 12 months compared with the control participants, with the cognitive-behavioral participants experiencing the greatest positive change. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

INFERTILITY AS A TRANSFORMATIONAL PROCESS: A FRAMEWORK FOR PSYCHOTHERAPEUTIC SUPPORT OF INFERTILE WOMEN. By: Gonzalez, Lois O.. Issues in Mental Health Nursing, Sep2000, Vol. 21 Issue 6, p619-633, 15p, 1 diagram Abstract: The purpose of this qualitative descriptive study was to investigate the phenomenon of infertility as experienced by infertile women. A purposive sample of 25 infertile women participated in the study. Data were extracted from taped interviews and the researcher’s observational field notes. Data analysis was conducted according to the techniques described by Miles and Huberman (1994). Participant responses to interviews were categorized by examining the interview transcripts and identifying significant statements and meanings. Themes which emerged from the statements were then ascertained and cross-case comparisons were made in order to confirm or to reconsider these themes. Five key themes emerged from the data: failure to fulfill a prescribed societal norm, assault on personal identity, mourning, transformation, and restitution. The women experienced infertility as a transformational process in which they mourned their loss of reproductive function and parenting roles and struggled to make restitution for the perceived stigma and powerlessness associated with nonfulfillment of a prescribed societal norm, the exclusion from cherished societal rituals, and the deprivation of ties of descent. Findings from this study have provided a framework for increased awareness of the phenomenon of infertility and for the essential components of supportive counseling or psychotherapy, regardless of the outcome of the infertility experience. [ABSTRACT FROM AUTHOR] DOI: 10.1080/01612840050110317 (AN 3860948)

Efficacy of Emotion-Focused and Problem-Focused Group Therapies for Women with Fertility Problems. By: McQueeney, Debra A.; Stanton, Annette L.; Sigmon, Sandra. Journal of Behavioral Medicine, Aug97, Vol. 20 Issue 4, p313-331, 19p, 3 charts, 2 graphs Abstract: Competing positions exist in the literature regarding whether problem-focused or emotion-focused coping is more useful when one confronts a chronic health-related problem. In this study, 29 infertile women, who on average had been attempting conception for almost 4 years, were assigned to six sessions of training in problem- or emotion-focused coping or to a no-treatment control condition. Problem-focused training produced improvements in general distress and infertility-specific well-being at treatment termination. However, emotion-focused training resulted in greater improvement at a 1-month follow-up. Emotion-focused participants reported less depression and more infertility-specific well-being at 1 month than did controls. At 18 months, problem-focused group members were more likely to have a child than were other participants. Results argue for the efficacy of both emotion-directed and problem-focused interventions in women's adjustment to infertility. [ABSTRACT FROM AUTHOR] (AN 9710022503)

PSYCHOTHERAPY FOR INFERTILITY: A COGNITIVE-BEHAVIORAL APPROACH FOR COUPLES. By: Myers, Lisa B.; Wark, Linda. American Journal of Family Therapy, Spring96, Vol. 24 Issue 1, p9, 12p Abstract: A cognitive-behavioral model for treating couples' negative reactions to infertility is described. After a discussion of why the cognitive-behavioral approach can competently address the goals of couples coping with infertility, three phases of treatment are outlined: assessment, therapy, and closure. Areas for assessment include the individual spouse, the marital relationship, and the familial and social network. Therapeutic components entail identification and validity testing of appraisals and attributions regarding infertility and marriage, redirection of the couple's energies toward alternative sources of satisfaction, communication and problem-solving techniques to facilitate express ion of emotions and needs and resolution of the infertility crisis, and improving the couple's sexual relationship. [ABSTRACT FROM AUTHOR] (AN 9605140829)

An empathy-supporting approach to the treatment of infertile women. Ferber, Geri M.; Psychotherapy: Theory, Research, Practice, Training, Vol 32(3), Fal 1995. pp. 437-442. [Journal Article] Abstract: Applies recent theoretical writings on women's psychological development to the psychotherapy of infertile women. It is proposed that infertility can cause crises of empathy toward self and others, resulting in the loss of a self-affirming "voice" and of affirming relationships with others. A psychotherapy relationship which supports the establishment of empathic connections with self and others can help clients regain self-affirmative processes and coping mechanisms which they need to sustain themselves during infertility treatment. Clinical material and treatment models are included. (PsycINFO Database Record (c) 2007 APA, all rights reserved)


Più parecchi altri. Se ti servono te li mando per mail.

Buona vita, Suli

Guglielmo

[claudia1976]

Se è per dei pazienti, se attraverso i libri non riesci ad aiutarli, non lasciarli a se stessi, ma inviali ad uno psicoterapeuta esperto in temi di sessualità.
Mi auguro però tu abbia già risolto, nel caso, comunque.
Ciao e buon lavoro

[chiocciolina4]

anch'io ho trovato molto bello la filiazione problematica, anche se non parla tanto della terapia.