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Pregnancy, Assisted Reproduction, and Psychoanalysis reflects on contemporary views on pregnancy, while offering guidance on how to work with women and couples experiencing infertility as well as the unique issues raised by having a child through assisted reproduction technologies. Comprised of chapters written by eminent analysts working with infertile couples and women, and parents who have a child born from assisted reproduction, this book offers insightful ways to better understand the challenges these patients undertake and the various issues this might bring into the analytic room. The contributors examine the myriad psychic problems subjects are confronted with which could impact their ability to bond with children born through ART: the mourning processes infertility entails, the identification with the fertile parental couple, the unconscious representation of origin, the representation of the primal scene, and the process of symbolic affiliation. They consider the working-through these processes necessitate in order to enable filiation and healthy parenting, and give invaluable tools to the analyst to enable the promotion of psychological growth. Throughout, the chapters address the emotions that infertility summons in which both patient and analyst find a spectrum of unconscious phantasies and anxieties. This book is an essential read for psychoanalysts and other professionals working in the field of ART, as well as those interested in motherhood and its vicissitudes and intersection with psychoanalysis.
This book stems from the author's clinical experience working with infertile women in psychotherapy and psychoanalysis. It highlights the crucial importance of integrative work of psychotherapists and psychoanalysts with reproductive medical specialists in assisted reproductive technology (ART).
The Business of Being Made is the first book to critically analyze assisted reproductive technologies (ARTs) from a transdisciplinary perspective integrating psychoanalytic and cultural theories. It is a ground-breaking collection exploring ARTs through diverse methods including interview research, clinical case studies, psychoanalytic based ethnography, and memoir. Gathering clinicians and researchers who specialize in this area, this book engages current research in psychoanalysis, sociology, anthropology, philosophy and debates in feminist, queer and cultural theory about affect, temporality, and bodies. With psychoanalysis as its fulcrum, The Business of Being Made explores the social constructions and personal experiences of ARTs. Katie Gentile frames the cultural context, exploring the ways ARTs have become a complex form of playing with time, attempting to manufacture a hopeful future in the midst of growing global uncertainty. The contributors then present a range of varied experiences related to ARTs, including: Interviews with women and men undergoing ARTs; A psychoanalytic memoir of male infertility; Clinical research and work with transgender, gay and lesbian patients creating new Oedipal constellations, the experiences of LBGTQ people within the medical system and the variety of families that emerge; Research on the experiences of egg donors (now central to the business of ARTs) and a corresponding clinical case study of successful egg donation; The experiences of ongoing failure which is the often unacknowledged for ART procedures; How and when people choose to stop using ARTs; A psychoanalytic ethnography of a neonatal intensive care unit populated in part with the babies created through these technologies and their parents, haggard and in shock after years of failed attempts. Full of original material, The Business of Being Made conveys the ambivalence of these technologies without simplifying their complicated consequences for the bodies of individuals, the family, cultures, and our planet. This book will be relevant to clinicians, medical and psychological personnel working in assisted reproductive technologies and infertility, as well as academics working in the fields of sociology, literature, queer and feminist theories and at the intersections of cultural, critical and psychoanalytic theories.
This book explores the issues that surround medically assisted reproduction. It addresses the place of destiny, including how to think about individual destinies in an age of increasingly accessible gene sequencing paired with a growing link between procreation and prediction.
This book is about the psychological experiences of women and men who have used donor conception to create their families. The authors offer diverse accounts of their clinical, research, and personal experiences. They describe the challenge of powerful conscious and unconscious fantasies that can be aroused and how these may reawaken early anxieties and developmental struggles. Whilst recipients of donated eggs or sperm may think they are simply acquiring a factor of reproduction, they are also receiving the genetic history of another family. The sensitive management of these relationships is considered in relation to establishing healthy and well-functioning families. The way these emotional challenges are negotiated is likely to be reflected in how parents talk with children about their donor origins.
What do mothers want and need from their parenting partners, their extended families, their friends, colleagues, and communities? And what can mental health professionals do to help them meet their daunting responsibilities in the contemporary world? The talented contributors to What Do Mothers Want? address these questions from perspectives that encompass differences in marital status, parental status, gender, and sexual orientation. Traversing the biological, psychological, cultural, and economic dimensions of mothering, they provide a compelling brief on the perplexing choices confronting mothers in the contemporary world. Of course, mothers most basically want their children to be safe and healthy. But to this end they want and need many things: caring partners, intergenerational and community support, a responsive workplace, public services, and opportunities to share their experiences with other mothers. And they want their feelings and actions as mothers to be understood and accepted by those around them and by society at large. The role of psychotherapy in reaching these latter goals is taken up by many of the contributors. They reflect on the special psychological challenges of pregnancy, birth, and the arrival of a newborn into a couple’s (whether hetero- or homosexual) life, and they address new venues of therapeutic assistance, such as brief low-cost therapy for at-risk mothers and infants and group interventions to help couples grow into the new role of parental couples.
Wedding up-to-date scientific information to an understanding of the emotional burdens and ethical dilemmas that inhere in reproductive medicine, Frozen Dreams: Psychodynamic Dimensions of Infertility and Assisted Reproduction provides an overview of the psychology of infertility patients and of the evaluative, administrative, and especially psychotherapeutic issues involved in helping them. The contributors to this volume, who include professionals from nationally prestigious reproductive programs as well as psychotherapists who evaluate and work clinically with infertility patients, explore the complex choices about life and death that are the daily experience of infertility specialists. In voices equally authoritative and intimate, psychotherapists and other health professionals explore the therapeutic process with patients and couples struggling with miscarriage, infertility, childlessness, the possibility of adoption, and the promise of assisted pregnancy. And the contributors are equally attentive to the range of issues that challenge physicians and nurses active in reproductive medicine, intent on providing practical information that will aid decision-making in this demanding area of practice. Written for a large audience of psychiatrists, psychologists, social workers, researchers, nurses, physicians, and general readers, Frozen Dreams is a fascinating introduction to the human face of reproductive medicine. Filled with intriguing and edifying case histories, it will appeal to all mental health professionals who work with adult patients through their childbearing years. For professionals who work inside the complex world of infertility treatment, Frozen Dreams will quickly become an essential text that is turned to repeatedly for information, guidance, reassurance, and revitalization.
In this book, Patricia Alkolombre explores the desire for a child from a contemporary psychoanalytic perspective, and covers the questions raised in the face of new resources offered by reproductive medicine. This volume reviews traditional psychoanalytic conceptualisations from the perspective of gender theories and analyses theoretical hegemonies related to the desire and passion for a child. Alkolombre discusses how the ‘passion to have a child’ is a key aspect of motherhood, characterised by emotional intensity, persistence, and self-sacrificial aspects. The book is divided into three sections: Part One deals with the desire and passion to have a child, while Part Two focuses on the impact of reproductive techniques, as well as the ever-changing role of parenthood in the modern day. Throughout these fascinating chapters, clinical vignettes of both individual and couple analyses span topics such as mourning, the use of reproductive technology, the anonymity of gamete donors, enigmatic infertility, surrogacy, and abortion from an interdisciplinary perspective. The historical and cultural contexts of infertility are reviewed from a psychoanalytic angle in Part Three with the view of transcending the former androcentric perspective that has deeply influenced the maternal ideal and expectations of men. Alkolombre also proposes a new analysis of the Oedipus myth. This book is vital reading for psychoanalysts, mental health professionals, teachers and students interested in contemporary parenting, motherhood, and infertility, as well as the theoretical analysis of the desire for a child.
This detailed and rigorous analysis locates reproductive technologies in the historical context of the progressive technification of the management of human life, and their relation to the social and medical discourses on femininity, maternity and infertility. The circulation of representations between the individual imaginary and collective myths is the basis of a multidisciplinary complex and original point of view, which confronts a variety of discourses arising from psychoanalysis, medicine, journalism, ethnology, mythology and literature.