Matrix for understanding perinatal psychic processes mediated by assisted reproductive technology

Elizabeth Ormart, Fiorella Brunetti
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Abstract

This writing is the product of more than fifteen years of clinical work with patients who attend to medically assisted reproduction treatments, including our own clinical cases and those of other colleagues. Some of them compiled in the book “Wishes, children, technologies”, others developed in writings of my authorship in recent years. This clinical material has allowed me to develop a matrix of understanding of the psychological processes that women undergo throughout reproductive treatments, which includes a series of losses that are added to the psychic processing that occurs in natural pregnancies. This general matrix serves as a compass to guide us around some common elements that usually appear in reproductive treatments that last years. Having an ethical horizon of promotion and protection of the right to mental health of women facing reproductive treatments, we propose an interdisciplinary approach to medically assisted reproduction processes with a privileged heeding to singularity
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了解以辅助生殖技术为媒介的围产期心理过程的矩阵
这篇文章是我们十五年来对接受医学辅助生殖治疗的患者进行临床工作的成果,其中包括我们自己和其他同事的临床病例。其中一些病例已编入《愿望、孩子、技术》一书,另一些病例则在我近年来撰写的著作中有所发展。这些临床材料使我对妇女在整个生殖治疗过程中所经历的心理过程有了一个矩阵式的理解,其中包括在自然怀孕过程中所发生的心理过程之外的一系列损失。这个总体矩阵可以作为指南针,引导我们绕过通常出现在持续数年的生殖治疗中的一些共同因素。从促进和保护面临生育治疗的妇女的心理健康权利的伦理角度出发,我们提出了一种跨学科的方法来处理医学辅助生育过程,并特别关注其特殊性。
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