Lester E P
Int J Psychoanal. 1995 Apr;76 ( Pt 2):325-34.
Recent advances in reproductive technologies have created situations in which early psychoanalytic thinking with regard to the procreative wish, infertility, and the significance of pregnancy in mothering, calls for reconsideration. The paper addresses briefly issues related to psychological infertility; it focuses specifically on possible psychological implications during full surrogacy, as this procedure is now practised in many fertility clinics in North America. The analysis of a young woman whose infertility was related to her exposure, during intra-uterinary life, to her mother's hormonal treatment (DES), presented us with the opportunity to observe the many psychological issues developing during in vitro fertilisation (IVF) and other similar procedures and, ultimately, to address the far more complex interpersonal states evolving between the biological (genetic) mother and the surrogate during full surrogacy. Analytic material provides the opportunity to discuss, specifically, questions of boundaries and boundary confusion in the relationship between the surrogate (who carried the couple's fertilised ovum to the birth of a healthy child) and the genetic mother.
生殖技术的最新进展带来了一些情况，使得早期精神分析学对于生育愿望、不孕不育以及怀孕在母性中的意义的思考需要重新审视。本文简要探讨了与心理性不孕不育相关的问题；特别关注了完全代孕过程中可能产生的心理影响，因为目前北美许多生育诊所都在实施这一程序。对一名年轻女性的分析显示，她的不孕不育与子宫内发育期间接触母亲的激素治疗（己烯雌酚）有关，这让我们有机会观察到体外受精（IVF）及其他类似程序中出现的诸多心理问题，最终得以探讨完全代孕过程中生物学（基因）母亲与代孕者之间演变出的更为复杂的人际状态。分析材料提供了契机，具体讨论代孕者（将夫妻的受精卵孕育至健康婴儿出生）与基因母亲之间关系中的边界及边界混淆问题。
