Abstract
The present biomedical model of health care fails to consider the psychosocial aspects of problems of health and illness. Nevertheless, guidance and support through appropriate treatment remains a necessity, especially for patients with chronic and complex diseases. Moreover, information about the disease and its treatment is important with regard to a successful outcome. Health care providers should also pay attention to the psychosocial impact of the disease on the patient, on his or her family and on the wider social context. Counselling infertility patients adds a new dimension to this process: new reproductive technologies offer infertile patients the possibility of setting up a family, but at the cost of turning the parenting wish into a very stressful event. Fertility problems and the fertility treatment itself tend to place a lot of stress on the emotional and sexual relationship of the infertile couple. Although infertile patients focus on such treatments as providing a means to become parents, they should also be able to cope with possible failure. On the other hand, if the treatment succeeds patients should not only be guided through the treatment but also informed about possible psychological and social consequences that might affect them as future parents, their parent-child relationship and the family dynamics. If it is considered that this kind of treatment involves a new life, one might expect psychological counselling to be an essential part of it.
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References
Altmaier, E. & Johnson, B. (1992). Health-related applications of counselling psychology: Toward health promotion and disease prevention across the life span. In S. Brown & R. Lent (eds.), Handbook of counselling psychology. New York: John Wiley & Sons.
Baetens, P., De Saedeleer, V., Pennings, G., Devroey, P., Van Steirteghem, A.C. & Ponjaert-Kristoffersen, I. (1997). Oocyte donors: Helping out family and friends. Human Reproduction 12: 43.
Baetens, P., Verté, D., Ponjaert-Kristoffersen, I., Devroey, P. & Van Steirteghem, A.C. (1995). Counselling recipients for oocyte donation. In J. Hox, B. van der Meulen, J. Janssens, J. ter Laak & L. Tavecchio (eds.), Advances in Family Research. Amsterdam: Thesis Publishers.
Bandura, A. (1977b). Self-efficacy: Toward a unifying theory of behavioural change. Psychological Review 84: 191–215.
Bandura, A. (1989). Perceived self-efficacy in the exercise of personal agency. Psychologist2: 411–424.
Boivin, J. & Takefman, J.E. (1996). Impact of the in-vitro-fertilisation process on emotional, physical and relational variables. Human Reproduction 11: 903–907.
Brewaeys, A., Ponjaert-Kristoffersen, I., Van Steirteghem, A.C. & Devroey, P. (1993). Children from anonymous donors: An inquiry into homosexual and heterosexual parents' attitudes. Journal of Psychosomatic Obstetrics and Gynaecology 14: 23–35.
Brinsmead, M., Guttmann, S., Oliver, M., Stanger, J., Clark, L. & Adler, M. (1986). Demographic and personality characteristics of couples undergoing in vitro fertilisation. Clinical Reproduction and Fertility 4: 373–381.
Callan, V.J. & Hennessey, J.F. (1988). The psychological adjustment of women experiencing infertility. British Journal of Medical Psychology 61: 137–140.
Colpin, H. & Vandenmeulebroecke, L. (1994). The parent-child relationship following in-vitro-fertilisation. Human Reproduction 9: 14–15.
Cook, R., Parsons, J., Mason, B. & Golombok, S. (1989). Emotional, marital and sexual functioning in patients embarking upon IVF and AID treatment for infertility. Journal of Reproductive and Infant Psychology 7: 87–93.
Domar, A.D., Zuttermeister, P.C. & Friedman, R. (1993). The psychological impact of infertility: A comparison with patients with other medical conditions. Journal of Psychosomatic Obstetrics and Gynaecology 14: 45–52.
Downey, J. & McKinney, M.A. (1992). The psychiatric status of women presenting for infertility evaluation. American Journal of Orthopsychiatry 62: 196–205.
Drake, T.S. & Grunnart, M. (1979). A cyclic pattern of sexual dysfunction in the infertility investigations. Fertility and Sterility 32: 542–545.
Festinger, L. (1957). Theory of Cognitive Dissonance. Evanston: Row, Peterson.
Freeman, E.W., Boxer, A.S., Rickels, K., Tureck, K. & Mastrioanni, L. (1985). Psychological evaluation and support in a program of in vitro fertilisation and embryo transfer. Fertility and Sterility 43: 48–53.
Golombok, S. (1992). Psychological functioning in infertility patients: Review. Human Reproduction 7: 208–212.
Golombok, S., Cook, R., Bish, A. & Murray, C. (1993). Quality of parenting in families created by the new reproductive technologies: A brief report of preliminary findings. Journal of Psychosomatic Obstetrics and Gynaecology 14: 17–22.
Golombok, S., Cook, R., Bish, A. & Murray, C. (1995). Families created by the new reproductive technologies: Quality of parenting and social and emotional development of the children. Child Development 66: 285–298.
Haseltine, F.P, Mazure, W., De l'Aune, W., Greenfeld, D., Laufer, N., Tarlatzis, B., Polan, M.L., Jones, E.E., Graebe, R., Nero, F., D'Lugi, A., Fazio, D., Masters, J. & DeCherney, H. (1985). Psychological interviews in screening couples undergoing in vitro fertilisation. Annuals of the New York Academy of Sciences 442: 504–522.
Heurckmans, N., Baetens, P. & Verté D. (1993). Beginnend ouderschap in Vlaanderen. Brussel: Vrije Universiteit Brussel.
Holohan, C.J. & Moos, R.H. (1985). Life stress and health: personality, coping and family support in stress resistance. Journal of Personality and Social Psychology 49: 739–747.
Kentenich, H. (1989). Psychological guidance of IVF patients. Human Reproduction 4: 17–22.
Kentenich, H. (1992). The male IVF patient. Psychosomatic considerations. Human Reproduction 7: 13–18.
Laffont, I. & Edelmann, R.J. (1994). Perceived support and counselling needs in relation to in vitro fertilisation. Journal of Psychosomatic Obstetrics and Gynaecology 15: 183–188.
Laffont, I. & Edelmann, R.J. (1994). Psychological aspects of in vitro fertilisation: A gender comparison. Journal of Psychosomatic Obstetrics and Gynaecology 15: 85–92.
Link, P.W. & Darling, C.A. (1987). Couples undergoing treatment for fertility: Dimensions of life satisfaction. Journal of Sex and Marital Therapy 12: 46–59.
Miall, C. (1986). The stigma of involuntary Childlessness. Social Problems 33: 268–282.
Moos, R.H. (1982). Coping with acute health crises. In T. Milton, C. Green & R. Maegher (eds.), Handbook of Clinical Health Psychology. New York: Plenum.
Ogden, J. (1996). Health Psychology: A Textbook. Buckingham: Open University Press.
Raval, H., Slade, P., Buck, P. & Lieberman, B.E. (1987). The impact of infertility on emotions and the marital and sexual relationship. Journal of Reproductive and Infant Psychology 5: 221–234.
Reading, A.E. (1989). Decision making and in vitro fertilisation: the influence of emotional state. Journal of Psychosomatic Obstetrics and Gynaecology 10: 107–112.
Reading, AE, Chang, L.C. & Kerin, J.F. (1989). Psychological state and coping styles across an IVF treatment cycle. Journal of Reproductive and Infant Psychology 7: 95–103.
Roth, S. & Cohen, L.J. (1986). Approach, avoidance and coping with stress. American Psychologist 7: 813–819.
Shaw, P., Johnston, M. & Shaw, R. (1988). Counselling needs, emotional and relationship problems in couples awaiting IVF. Journal of Psychosomatic Obstetrics and Gynaecology9: 171–180.
Van Balen, F. (1991). Een leven zonder kinderen. Ongewilde kinderloosheid: beleving, stress en aanpassing. Assen: Dekker & van der Vegt.
Van Balen, F. (1994). Factors influencing the well-being of long term infertile couples. Journal of Psychosomatic Obstetrics and Gynaecology 15: 157–164.
Visser, A., Haan, G., Zalmstra, H. & Wouters, I. (1994) Psychosocial aspects of in vitro fertilisation. Journal of Psychosomatic Obstetrics and Gynaecology 15: 35–43.
Weaver, S., Clifford, E., Gordon, A., Hay, D. & Robinson, J. (1993). A Follow-up study of successful IVF/GIFT couples: A social-emotional well-being adjustment to parenthood. Journal of Psychosomatic Obstetrics and Gynaecology 14: 5–16.
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Ponjaert-Kristoffersen, I., Baetens, P. Counselling patients with infertility problems. International Journal for the Advancement of Counselling 21, 249–261 (1999). https://doi.org/10.1023/A:1005407918369
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DOI: https://doi.org/10.1023/A:1005407918369