Van Thiel M, Mantadakis E, Vekemans M, Gillot de Vries F
Service de Psychologie du Développement, Faculté des Sciences Psychologiques et Pédagogiques, Université Libre de Bruxelles, Belgique.
J Gynecol Obstet Biol Reprod (Paris). 1990;19(7):823-8.
A Thematic Aperception Test was used with 13 male and 16 female patients who were requesting A.I.D. The following main psychological reactions were found in women: anxiety and depression (fear of rejection by their family and friends; lowering the image of the husband--the donor being considered as a rival), aggression (the narcissistic woman "demands" A.I.D.; the donor is esteemed highly); mother is protective ("true" paternity comes through love of the child and the need to forget the donor). They found, in men: an inability to abandon fertility as lost (with denial of sterility); ambivalence, castration anxiety and a feeling of being excluded from the mother-child symbiosis with later acceptance of loss of fertility and (sometimes excessively) identification with the "mother". Most subjects studied were not intending telling the child about his true origin; because disclosure would be tantamount to transgressing twice over the laws of paternity and the rules against Oedipus behaviour. There is often a great difference between the ways the partners view the matter and inter-relate. We strongly recommend that psychological advice should be taken before treatment with A.I.D. is started.
对13名男性和16名寻求人工授精的女性患者进行了主题统觉测验。在女性中发现了以下主要心理反应：焦虑和抑郁（担心被家人和朋友拒绝；降低丈夫的形象——将供体视为竞争对手）、攻击性（自恋的女性“要求”人工授精；对供体评价很高）、母亲的保护欲（“真正的”亲子关系源于对孩子的爱以及忘记供体的需要）。在男性中发现：无法接受生育能力已丧失（否认不育）、矛盾心理、阉割焦虑以及被排除在母婴共生关系之外的感觉，随后接受生育能力丧失并（有时过度地）认同“母亲”。大多数研究对象不打算告诉孩子其真实身世；因为透露将等同于两次违反亲子关系法律和反对俄狄浦斯行为的规则。伴侣双方看待此事的方式以及相互之间的关系往往存在很大差异。我们强烈建议在开始人工授精治疗前寻求心理建议。
