University of Huddersfield, School of Human and Health Sciences, Queensgate, Huddersfield HD1 3DH, United Kingdom.
Reprod Biomed Online. 2011 Nov;23(5):642-51. doi: 10.1016/j.rbmo.2011.07.009. Epub 2011 Jul 23.
Encountering infertility and involuntary childlessness and undergoing infertility treatment are acknowledged as stressful experiences that impact on individuals' psychological and emotional health – and for which access to psychosocial counselling by a skilled mental health professional may be beneficial. Evidence of patients', gamete donors' and surrogates' experiences indicates that utilization of infertility treatment in another country may not only exacerbate these psychosocial adversities, but may also pose additional risks to the psychological or physical health of participants, thus further emphasizing the need for competent psychosocial counselling services in cross-border reproductive care. However, this is a largely neglected topic in recent discussions of both CBRC itself and of infertility counselling practice. This paper extends the previous work undertaken by two of the authors to begin to map out practice issues within an ethical framework for counsellors when working with clients, donors, surrogates, individuals conceived following infertility treatment and existing children in clients', donor's and surrogates' families where cross-border reproductive treatment is considered or undertaken.
遇到不孕不育和非自愿性不孕，以及进行不孕治疗被认为是会对个人的心理和情绪健康产生影响的压力体验——为此，获得熟练心理健康专业人员的社会心理咨询可能会有益处。患者、配子捐赠者和代孕者的经历表明，在另一个国家使用不孕治疗不仅可能会加剧这些社会心理困境，还可能对参与者的心理或身体健康造成额外的风险，因此进一步强调了在跨境生殖护理中需要提供有能力的社会心理咨询服务。然而，这在最近对跨境生殖护理本身和不孕咨询实践的讨论中基本上是一个被忽视的话题。本文扩展了两位作者之前的工作，开始在为咨询师制定的伦理框架内，为与客户、捐赠者、代孕者、通过不孕治疗受孕的个体以及客户、捐赠者和代孕者家庭中现有的孩子一起工作时，勾画出实践问题，这些家庭正在考虑或进行跨境生殖治疗。
