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Perinatología y Reproducción Humana

ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología
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2001, Number 2

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Perinatol Reprod Hum 2001; 15 (2)

El deseo de maternidad en pacientes sujetas a tratamientos de reproducción asistida: una propuesta de psicoterapia

Arranz-Lara L, Blum-Grynberg B, Morales-Carmona F
Full text How to cite this article

Language: Spanish
References: 14
Page: 133-138
PDF size: 108.66 Kb.


Key words:

Sterility, desire of maternity, psychotherapy, identity, narcissist structure of personality, imaginary child.

ABSTRACT

Objective: The main purpose of this research is to establish the criteria of psychotherapy for women who want to get pregnant under reproductive assisted treatments. This psychotherapy was based on the results of a preliminary study of the desire of maternity of women who insistently take complicated fertility treatments, many of which have a low possibility of being successful.
Material and methods: The research took place in a Social Security Institute in Mexico City, with women of 25 to 40 years old that were previously diagnosed with primary sterility. These women were derived to assisted reproductive treatments as a last alternative, particularly of in vitro fertilization and embryo transfer (FIV-TE), in a third level hospital. The methodological instrument that was used was the psychological interview in the open and deep character. In the research it was investigated the influence and the contexts in which the desire of getting pregnant is developed. A hundred of women patients were interviewed; ten of them were deeply studied and followed up. The research was based on the qualitative-interpretative method, and inside this methodology it was worked with grounded theory design.
Results: Based on fact analysis it has found that gender, family pressures, the medical institution, the narcissist structures of personality, the imaginary child and the side effects of the treatment were important elements that influenced the “desire of maternity”. Among them narcissistic personality and imaginary child were central in women narrative.
Conclusions: From all the results obtained, we consider that these investigations may develop specific psychotherapeutic treatments. This psychotherapy will have the aim of giving elements to treat the factors that influence women who are constantly looking for pregnancy through assisted reproductive treatments, especially in vitro fertilization. Family and medical support is required all along the treatment. A brief psychotherapy focused on elements such as social influences, narcissistic personality and the imaginary child must be lead on women who are detected to have similarities with the studied group.


REFERENCES

  1. Arranz L. El deseo de maternidad en un grupo de mujeres sujetas a tratamientos de reproducción asistida. Tesis de doctorado en Psicología. UNAM, 2001.

  2. Abbey A, Halman JA, Andrews FM. Psychosocial treatment, and demographic predictors of the stress associated with infertility. Fertility and Sterility 1992; 57: 122-8.

  3. Carreño J, Morales-Carmona F, Aldana E. Depresión y ansiedad en distintos periodos de evolución de la esterilidad. Perinatol Reprod Hum 2000; 14: 14-21.

  4. Facchinetti F, Matteo M. An increased vulnerability to stress is associated with a poor outcome of in vitro fertilization-embryo transfer treatment. Fertility and Sterility 1997; 67: 314-9.

  5. Morales-Carmona F. Estudio psicológico de pacientes sometidas a inseminación asistida médicamente. Tesis de doctorado, UNAM, Facultad de Psicología, 1995.

  6. Creswell JW. Qualitative inquire and research design. Londres: Editorial Sage; 1998.

  7. Strauss A, Corbin J. Basics of qualitative research, grounded theory procedures and techniques. Londres: Editorial Newbury Park, Sage; 1990.

  8. Bleichmar H. El narcisismo. Buenos Aires: Nueva Visión; 1981.

  9. Bleichmar H. Avances en psicoterapia psicoanalítica. Buenos Aires: Paidós; 1997.

  10. Bleichmar H. El narcisismo. Buenos Aires: Nueva Visión; 1981. p. 121-247.

  11. Carreño, Meléndez. Programa de atención a la paciente estéril. Psicología Iberoamericana 1994; 2 (2): 63-70.

  12. Carreño J, Morales-Carmona F, Martínez. Estrategias de afrontamiento y depresión en mujeres estériles. Perinatol Reprod Hum 1997; 11: 176-83.

  13. Morales-Carmona F. El impacto de los factores psicosociales en la esterilidad. Perinatol Reprod Hum 1996; 10 (2); 81-8.

  14. Gillot-de Vries F. La place de l’ enfant: enjeux psychologiques et ethiques dans le cas des techniques de procréation artificielle. Bruselas, Editorial Hottois, Col Lafoite, l988.




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C?MO CITAR (Vancouver)

Perinatol Reprod Hum. 2001;15