Professional Documents
Culture Documents
University Hospital Gasthuisberg, Leuven University Fertility Centre (LUFC), Herestraat 49, B-3000 Leuven, Belgium
Psychosomatic and Psychosocial Medicine SAPPM, Switzerland
c
Heidelberg University Hospital, Institute of Medical Psychology, Germany
d
Practice for Couple and Family Therapy, Germany
b
A R T I C L E I N F O
A B S T R A C T
Article history:
Received 27 February 2010
Received in revised form 1 October 2010
Accepted 6 October 2010
Keywords:
Infertility counselling
Interventions
Assisted reproduction
1. Introduction
Infertility is considered a biopsychosocial crisis and infertility
counselling is recommended as an integral part of a multidisciplinary approach. In recent years, infertility counselling has
become a specialist form of counselling requiring professional
expertise and qualication.
2. Methods
This paper summarizes the proceedings of the rst campus
workshop of the Special interest group of Psychology and
Counselling of the European Society for Human Reproduction
and Embryology (ESHRE). The authors outline the signicance and
clarify the different forms of counselling in the domain of infertility
and medically assisted procreation. They also describe a theoretical background and suggest possible interventions used in
infertility counselling for individuals, couples and in a group
setting based on their own clinical experience and where available,
in the literature.
3. Results
Pregnancy begins psychologically long before it occurs physically [1]. During pregnancy, a process of attachment to the childto-be-born starts as the couple slowly adjusts to the changing
realities. Individuals progress on the continuum of the imaginary
child (e.g. a child in our minds how we fantasize our future childto-be) towards the real child (e.g. the actual child that is born and
can differ from what we hoped or expected it to be) [2]. This
transition to parenthood, though often a time of happiness and
excitement, can also bring about feelings of ambivalence and a
period of crisis and change. Individuals confronted with impaired
fertility, however, are unable to move on this continuum as the
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Conict of interest
4.2. Conclusion
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