Schilling S, Küchenhoff J, Könnecke R, Tilgen W
Psychosomatische Klinik, Universität, Heidelberg.
Hautarzt. 1996 Sep;47(9):686-92. doi: 10.1007/s001050050490.
115 andrological patients were studied with psychological self-assessment tests to assess both their motivation concerning parenthood, and their own explanations for the causes. Additionally self-esteem was evaluated in 51 patients. The main results were: Motivation concerning parenthood is of greater importance in coping with involuntary childlessness than objective andrological data. Patients assess their situation quite realistically; no tendency to misinterpret the medical data in order to defend negative feelings and to protect self-esteem could be found. Most patients with reduced fertility consider this situation a challenge and are willing to mobilize resources and the help of others in order to cope. Self-esteem was only threatened in those patients with longlasting unvoluntary childlessness and little acceptance of medical infertility treatment and parenting substitutes, e.g. adopting a child.
对115名男科患者进行了心理自我评估测试，以评估他们生育子女的动机以及他们对原因的自我解释。此外，还对51名患者的自尊进行了评估。主要结果如下：生育子女的动机在应对非自愿性无子女问题上比客观的男科数据更为重要。患者对自己的情况评估得相当现实；未发现为了捍卫负面情绪和保护自尊而误读医学数据的倾向。大多数生育能力下降的患者认为这种情况是一种挑战，并愿意调动资源并寻求他人帮助来应对。只有那些长期非自愿无子女且很少接受医学不孕治疗和养育替代方式（如领养孩子）的患者自尊才会受到威胁。
