Küchenhoff J, Könnecke R
Abteilung Pschotherapie, Psychiatrische Universitätsklinik, Basel.
Psychother Psychosom Med Psychol. 1999 Jul;49(7):225-34.
Somatic causes are equally distributed between the sexes, as are challenges in coping with infertility. The present paper is concerned with the hypothesis that coping mechanisms are influenced by personal motives for parenting and by the narcissistic demands of the personality. In the Heidelberg project on male infertility, 136 (80) male patients seeking andrological treatment were assessed before the onset of andrological diagnosis and one year later. Questionnaires on the motivation for parenting, narcissistic self-regulation, and coping mechanisms were submitted. Among the results, two correlational patterns that were stable over time are especially important: 1. "fragile self" pattern consisting of correlations between an endangered self image, depressive coping, and the wish to be emotionally stabilized by a child. 2. "symbiotic" pattern characterized by self-stabilization through symbiotic wishes expressed regarding the partner or the desired child, or by commitment to religion. The relevance of these patterns for men coping with infertility is discussed.
躯体原因在两性中分布相当，应对不孕不育的挑战也是如此。本文关注的假设是，应对机制受到育儿的个人动机和人格的自恋需求的影响。在海德堡男性不育项目中，136名（80名）寻求男科治疗的男性患者在男科诊断开始前和一年后接受了评估。提交了关于育儿动机、自恋自我调节和应对机制的问卷。在结果中，有两种随时间稳定的相关模式尤为重要：1. “脆弱自我”模式，由濒危的自我形象、抑郁应对以及希望通过孩子获得情感稳定之间的相关性组成。2. “共生”模式，其特征是通过对伴侣或期望孩子表达的共生愿望或对宗教的信奉来实现自我稳定。讨论了这些模式对男性应对不孕不育的相关性。
