Allison G H
Psychoanal Q. 1997 Jan;66(1):1-17.
This paper revives an issue dormant in recent psychoanalytic literature--that of psychogenic causes of infertility. Modern technology to overcome anatomic or physiological blocks to fertility has probably contributed to the assumption that the psychogenic issue is obsolete. However, a broader perspective on the vicissitudes of pregnancy and motherhood in women who have particular psychological problems warrants reconsideration of the rationale for psychoanalytic evaluation and treatment. Three case presentations illustrate similar psychological issues that may interfere with the ability or wish to conceive. A hitherto unreported commonality in these cases is conscious and unconscious guilt and hostility toward a defective or deceased male sibling.
本文重新探讨了近期精神分析文献中被搁置的一个问题——不孕症的心理成因。现代技术能够克服生育方面的解剖学或生理学障碍，这可能导致了一种观点，即心理因素导致不孕的问题已过时。然而，从更广泛的视角来看待有特定心理问题的女性在怀孕和为人母过程中的种种变迁，有必要重新审视精神分析评估和治疗的基本原理。三个病例展示了可能会干扰受孕能力或意愿的类似心理问题。这些病例中一个此前未被报道的共性是，对有缺陷或已故的男性同胞存在有意识和无意识的内疚及敌意。
