Bernstein J, Brill M, Levin S, Seibel M
NAACOGS Clin Issu Perinat Womens Health Nurs. 1992;3(2):335-42.
Infertility is a major life stressor, and reproductive failure is difficult to accept. Many couples become trapped in a cycle of repeated medical treatment, repeating painful patterns without developing insight or growth, feeling powerless to achieve their goal or move on. The causes of inappropriate coping behaviors are not well understood, and there is little direction for the nurse clinician's efforts to assist the couple with decision making. The use of superstition and ritual (magical thinking or magical ideation) by couples with infertility is discussed, and its role as a potential barrier to resolution is evaluated. A clinical tool for assessing the extent of magical ideation is described and its potential clinical utility explored. Women who have experienced a previous pregnancy may be more likely than nulliparas to substitute magical thinking for coping behaviors that might bring them closer to resolution. Problems with current research in this area are discussed, and directions for developing clinical nursing interventions are suggested.
不孕是一种主要的生活压力源，生殖失败令人难以接受。许多夫妇陷入反复就医的循环，重复着痛苦的模式，却没有产生洞察力或实现成长，感觉无力实现目标或继续前行。人们对不适当应对行为的原因了解不足，护士临床医生协助夫妇做决策的努力也缺乏方向。本文讨论了不孕夫妇使用迷信和仪式（魔法思维或魔法观念）的情况，并评估了其作为解决问题潜在障碍的作用。描述了一种评估魔法观念程度的临床工具，并探讨了其潜在的临床应用价值。有过怀孕经历的女性可能比未生育过的女性更倾向于用魔法思维替代那些可能使她们更接近解决问题的应对行为。本文讨论了该领域当前研究存在的问题，并提出了开发临床护理干预措施的方向。
