Boivin J
School of Psychology, University of Wales Cardiff, U.K.
J Assist Reprod Genet. 1997 Apr;14(4):184-6. doi: 10.1007/BF02766106.
Clinical papers strongly recommend psychosocial counseling for patients attending infertility clinics. These recommendations are at odds with studies showing that very few patients actually take-up such services. The disparity between recommendation and actual use would seem to be due to the lack of distinction between the needs of the few highly distressed patients who feel overwhelmed by their infertility and those of the average infertile couple who experience distress but cope well with it. In the former case, psychosocial counseling is likely to be beneficial, while in the latter case informal sources of help, for example, that provided through documentation, are likely to be sufficient. Unfortunately, the emphasis on psychosocial counseling for highly distressed patients in the area of infertility has left the needs of less distressed patients neglected and the potential usefulness of alternative methods of intervening with these patients unexplored.
临床研究报告强烈建议为前往不孕不育诊所就诊的患者提供心理社会咨询服务。这些建议与研究结果相悖，研究表明实际上很少有患者接受此类服务。建议与实际使用情况之间的差异似乎是由于未能区分少数因不孕问题而感到不堪重负的高度痛苦患者的需求与普通不孕夫妇的需求，后者虽也经历痛苦，但能很好地应对。在前一种情况下，心理社会咨询可能有益，而在后一种情况下，非正式的帮助来源，例如通过资料提供的帮助，可能就足够了。不幸的是，在不孕不育领域，对高度痛苦患者的心理社会咨询的强调导致较少痛苦患者的需求被忽视，且干预这些患者的替代方法的潜在效用未得到探索。
