Mitrović Milica, Ćirović Nikola, Janković Ivana, Spasić Šnele Miljana, Opsenica Kostić Jelena, Guberinić Mila, Trenkić Milan
Department of Psychology, Faculty of Philosophy, University of Niš, Niš, Serbia.
Faculty of Medicine, University of Niš, Niš, Serbia.
Health Psychol Behav Med. 2024 Dec 26;13(1):2444245. doi: 10.1080/21642850.2024.2444245. eCollection 2025.
Women typically experience more intense stress related to infertility compared to men, which is partly connected to the importance that motherhood and parenthood have for women in most societies. Considering the dominance of pronatalism in the majority of cultures, it is not surprising that women, who are most often considered responsible for reproduction, suffer greater social and psychological pressure due to infertility.
The study employs a social constructionist framework to explore how women facing infertility construct their notions of their first IVF treatment. Eleven women, aged 21-39, participated in the study and underwent semi-structured interviews. Thematic Analysis with a social constructionist epistemology was employed to investigate co-produced accounts of their first IVF.
Four ways of representing IVF emerged from the women's statements about this procedure: IVF as a helpful step towards success; as a stressful journey into the unknown; as a game of chance; and as something I (do not) ask about.
The representations of IVF identified allow us to understand the subject positions of our participants that determine their thoughts, emotions, and behavior. In the narratives of almost all participants, we encounter different, even contradictory positions. The results allow us to understand better the needs of women facing infertility and to try to develop a system of treatment that is going to meet these needs, and therefore prevent the psychological consequences caused by this bio-psycho-social crisis.
与男性相比,女性通常会因不孕经历更强烈的压力,这在一定程度上与在大多数社会中母亲身份和为人父母对女性的重要性有关。鉴于多数文化中生育主义占据主导地位,那些通常被认为对生育负有责任的女性因不孕而承受更大的社会和心理压力也就不足为奇了。
本研究采用社会建构主义框架,探讨面临不孕问题的女性如何构建她们对首次体外受精(IVF)治疗的观念。11名年龄在21至39岁之间的女性参与了该研究,并接受了半结构化访谈。采用具有社会建构主义认识论的主题分析法,来调查她们首次体外受精的共同叙述。
从女性关于这一治疗过程的陈述中,出现了四种描述体外受精的方式:体外受精是迈向成功的有益步骤;是一段充满压力的未知之旅;是一场碰运气的游戏;以及是我(不)去询问的事情。
所确定的体外受精的描述方式使我们能够理解参与者的主体立场,这些立场决定了他们的思想、情感和行为。在几乎所有参与者的叙述中,我们都遇到了不同的,甚至相互矛盾的立场。这些结果使我们能够更好地理解面临不孕问题的女性的需求,并尝试开发一种能够满足这些需求的治疗体系,从而预防这种生物 - 心理 - 社会危机所带来的心理后果。