Latifnejad Roudsari Robab, Allan Helen T
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Division of Health and Social Care, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
Int J Fertil Steril. 2011 Oct;5(3):158-67. Epub 2011 Dec 22.
Religion and spirituality are a fundamental part of culture and influence how individuals experience and interpret infertility counselling. Thus far, little research has examined the influence of religiosity on the experience of infertility, and to our knowledge no study exists investigating the responses of religious infertile women to counselling. In this study we explored Muslim and Christian women's experiences and preferences with regard to infertility counselling.
Using a grounded theory approach, 30 infertile women affiliated to different denominations of Islam (Shiite and Sunni) and Christianity (Protestantism, Catholicism, Orthodoxies) were interviewed. Data were collected through semi-structured in-depth interviews at fertility clinics in the UK and Iran, and analyzed using the Straussian mode of grounded theory.
EMERGING CATEGORIES INCLUDED: Appraising the meaning of infertility religiously, applying religious coping strategies, and gaining a faith-based strength. These were encompassed in the core category of 'relying on a higher being'. Religious infertile women experienced infertility as an enriching experience for spiritual growth. This perspective helped them to acquire a feeling of self- confidence and strength to manage their emotions. Hence, they relied more on their own religious coping strategies and less on formal support resources like counselling services. However, they expected counsellors to be open to taking time to discuss their spiritual concerns in counselling sessions.
In addition to focusing on clients' psychosocial needs, infertility counsellors should also consider religious and spiritual issues. Establishing a sympathetic and accepting relationship with infertile women will allow them to discuss their religious perspectives, which consequently may enhance their usage of counselling services.
宗教与灵性是文化的基本组成部分,影响着个体体验和理解不孕不育咨询的方式。到目前为止,很少有研究考察宗教信仰对不孕不育体验的影响,据我们所知,尚无研究调查宗教信仰的不孕女性对咨询的反应。在本研究中,我们探讨了穆斯林和基督教女性在不孕不育咨询方面的经历和偏好。
采用扎根理论方法,对隶属于伊斯兰教不同教派(什叶派和逊尼派)以及基督教不同教派(新教、天主教、东正教)的30名不孕女性进行了访谈。通过在英国和伊朗的生育诊所进行半结构化深度访谈收集数据,并使用施特劳斯式扎根理论模式进行分析。
出现的类别包括:从宗教角度评估不孕不育的意义、应用宗教应对策略以及获得基于信仰的力量。这些都包含在“依靠更高存在”这一核心类别中。有宗教信仰的不孕女性将不孕不育视为精神成长的丰富经历。这种观点帮助她们获得自信和力量来管理自己的情绪。因此,她们更多地依赖自己的宗教应对策略,而较少依赖咨询服务等正式支持资源。然而,她们期望咨询师愿意花时间在咨询过程中讨论她们的精神问题。
除了关注客户的心理社会需求外,不孕不育咨询师还应考虑宗教和精神问题。与不孕女性建立同情和接纳的关系将使她们能够讨论自己的宗教观点,从而可能增加她们对咨询服务的使用。