Jeker L, Micioni G, Ruspa M, Zeeb M, Campana A
Gynaecological Endocrinology Unit, La Carità Hospital, Locarno, Switzerland.
Int J Fertil. 1988 Nov-Dec;33(6):411-20.
The authors wish to stress the importance of the psychosomatic approach in the investigation of infertility. Following the hypothesis that infertile patients may present emotional conflicts with regard to the wish of having a child, psychodynamic interviews were carried out with 116 infertile couples concomitantly with their first consultation at the Sterility Department. The psychological findings show that severe conflicts with regard to wish of parenthood were present in the majority of the female patients and especially in those without clinically defined organic infertility factors. The relationship between clinical diagnosis and psychological outcome was less evident in the male partners. The 11 pregnancies which occurred in the study group are also discussed with regard to the motivational quality of the wish of child of these patients. A recommendation is made that psychological interviews should be included in any infertility investigation as a matter of routine and that therapeutic procedures should take into account both the clinical and psychological diagnosis to prevent unsuccessful situations.
作者希望强调心身疗法在不孕症研究中的重要性。基于不孕患者可能在生育愿望方面存在情感冲突这一假设，对116对不孕夫妇在他们首次前往不育科就诊时同时进行了心理动力学访谈。心理调查结果显示，大多数女性患者，尤其是那些没有临床明确器质性不孕因素的患者，在生育愿望方面存在严重冲突。男性伴侣中临床诊断与心理结果之间的关系不太明显。还就这些患者生育愿望的动机质量对研究组中发生的11次妊娠进行了讨论。建议在任何不孕症调查中都应常规纳入心理访谈，并且治疗程序应兼顾临床诊断和心理诊断，以避免治疗失败的情况。
