Ballou J, Bryson J
Psychiatry. 1983 May;46(2):161-71.
A woman's decision to end her fertility surgically can be a well-founded decision with which she is satisfied, or it can be made for reasons that later lead to regret. What psychosocial factors distinguish the woman who will regret her sterilization and seek to have it reversed? Using a retrospective design, we compared 33 women who were satisfied with their ligations with 32 who chose to have the procedure reversed. We found that age, marital difficulties, emotional problems in the year prior to the ligation, and a history of unreliable contraceptive use differentiated the reversal patient from her satisfied counterpart. In addition, we found that the decision to be sterilized can occur in response to intrapsychic and interpersonal stresses that have little to do with fertility per se. In the reversal subjects, the decision to have and then reverse the ligation was part of the woman's characteristic use of fertility behavior to deal with conflicts about autonomy, dependency and self-esteem.
女性通过手术终止生育能力的决定可能是一个有充分理由且令其满意的决定，也可能是基于某些日后会导致后悔的原因而做出的。哪些社会心理因素能区分出那些会后悔绝育并寻求恢复生育能力的女性呢？采用回顾性设计，我们将33名对结扎手术满意的女性与32名选择进行手术恢复的女性进行了比较。我们发现，年龄、婚姻问题、结扎前一年的情绪问题以及不可靠的避孕史，这些因素使得要求恢复生育能力的患者与满意结扎手术的患者有所不同。此外，我们还发现，绝育决定可能是对内心和人际压力的一种反应，而这些压力本身与生育能力并无太大关系。在要求恢复生育能力的受试者中，进行结扎然后又要求恢复的决定，是女性利用生育行为来处理关于自主性、依赖性和自尊的冲突的一种典型方式。
