Communication in assisted reproductive technology (art)

Journal title RICERCHE DI PSICOLOGIA
Author/s Daniela Leone, Marina Lorefice, Elena Vegni
Publishing Year 2015 Issue 2015/3
Language Italian Pages 13 P. 545-557 File size 172 KB
DOI 10.3280/RIP2015-003007
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

It is becoming increasingly frequent for infertile couples to resort to medically assisted reproduction technology. Couples turning to infertility centers are often under emotional and psychological strain as a result of a long and painful clinical journey that seldom gives the results they hoped for. As for other areas in medicine, in medically assisted reproduction technology settings a need for a patient centered clinical approach has become increasingly important for it considers, as opposed to a disease centered approach, the patients’ illness perception, their values and their treatment’s preferences. The case study described in this article looks at the different levels of complexity of the doctor-patient relationship during the assisted reproductive technology check-ups. The case study shows on one hand the relational complexity of having to deal with patients/couples and their specific illness perceptions; on the other hand it shows the communicative complexity of having to manage multiple communicative flows during the check-ups.

Keywords: Assisted reproductive technology, communicative complexity, infertility, patient centered medicine, triadic medical consultation.

  1. Lalos, A. (1999). Breaking bad news concerning fertility. Human Reproduction, 14, 581-5, DOI: 10.1093/humrep/14.3.581
  2. Baile, W.F., Buckman, R., Lenzi, R., Glober, G., Beale, E.A., & Kudelka, A.P. (2000). SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist, 5, 302-11. DOI: 10.1634/theoncologist.5-4-302.
  3. Boivin, J., & Takefman, J. E. (1995). Stress levels across stages of in-vitro fertilization in subsequently pregnant and non-pregnant women. Fertility and Sterility, 64, 802-810.
  4. Dancet, E.A., Nelen, W.L., Sermeus, W., De Leeuw, L., Kremer, J.A., & D’Hooghe, T.M. (2010). The patients’ perspective on fertility care: a systematic review. Human Reproduction Update, 16, 467-87. DOI: 10.1093/humupd/dmq004
  5. Dancet, E.A., Van Empel, I.W., Rober, P., Nelen, W.L., Kremer, J.A., & D’Hooghe, T.M. (2011). Patient-centred infertility care: a qualitative study to listen to the patient’s voice. Human Reproduction, 26, 827-33, DOI: 10.1093/humrep/der022
  6. Ferraretti, A.P., Goossens, V., Kupka, M., Bhattacharya, S., de Mouzon, J., Castilla, J.A., Erb, K., Korsak, V., Nyboe Andersen, A., & European IVF-Monitoring (EIM) Consortium for the European Society of Human Reproduction and Embryology (ESHRE) (2013). Assisted reproductive technology in Europe, 2009: results generated from European registers by ESHRE. Human Reproduction, 28, 2318-31, DOI: 10.1093/humrep/det278
  7. Gameiro, S., Boivin, J., Peronace, L., Verhaak, C.M. (2012). Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment. Human Reproduction, 18, 652-69, DOI: 10.1093/humupd/dms031
  8. Gameiro, S., Verhaak, C.M., Kremer, J.A., & Boivin, J. (2013). Why we should talk about compliance with assisted reproductive technologies (ART): a systematic review and meta-analysis of ART compliance rates. Human Reproduction, 19, 124-35, DOI: 10.1093/humupd/dms045
  9. Groh, C.J., & Wagner, C. (2005). The art of communicating ART results: an analysis of infertile couples’ experience. Journal of Reproductive and Infant Psychology, 23, 333-346, DOI: 10.1080/02646830500273533
  10. Hjelmstedt, A., Andersson, L., Skoog-Svanberg, A., Bergh, T., Boivin, J., & Collins, A. (1999). Gender differences in psychological reactions to infertility among couples seeking IVF- and ICSI-treatment. Acta Obstetricia et Gynecologica Scandinavica, 78, 42-8, DOI: 10.1034/j.1600-0412.1999.780110.x
  11. Iapichino, E., & Vegni, E. (2007). Il terzo incomodo. Complicanze comunicativorelazionali nella visita medica triadica. La parola e la cura, autunno, 28-32.
  12. Kraft, A.D., Palombo, J., Mitchell, D., Dean, C., Meyers, S., & Schmidt, A.W. (1980). The psychological dimensions of infertility. American Journal of Orthopsychiatry, 50, 618-28.
  13. Wright, J., Duchesne, C., Sabourin, S., Bissonnette, F., Benoit, J., & Girard, Y. (1991). Psychosocial distress and infertility: men and women respond differently. Fertility and Sterility, 55, 100-8.
  14. Visigalli, R. (2011). Sterilita e infertilita di coppia. Counseling e terapia psicologica. Milano: FrancoAngeli.
  15. Van den Broeck, U., Holvoet, L., Enzlin, P., Bakelants, E., Demyttenaere, K., & D’Hooghe, T. (2009). Reasons for dropout in infertility treatment. Gynecologic and Obstetric Investigation, 68, 58-64. DOI: 10.1159/000214839
  16. Sansone, R.A., & Sansone, L.A. (2012). Doctor shopping: a phenomenon of many themes. Innovations in Clinical Neuroscience, 9, 42-6.
  17. Rodriguez, D. (2013). Female fertility: a conceptual and dimensional analysis. Journal of Midwifery Womens Health, 58, 182-8, DOI: 10.1111/j.1542-2011.2012.00234.x
  18. Pozzobon, C. (2011). L’infertilità da un punto di vista medico. In R. Visigalli, Sterilita e infertilita di coppia. Counseling e terapia psicologica (pp. 97-108). Milano: Franco Angeli.
  19. Monacelli, N., & Tarricone, V. (2012). Anamnesi psicosociale delle coppie che approdano ai centri PMA. Intervento al Congresso: “Un figlio tra desiderio e tecnica: raccontar storie per sviluppare servizi”, Parma.
  20. Moja, E.A., & Vegni, E. (2000). La visita medica centrata sul paziente. Milano: Raffaello Cortina.
  21. Minuchin, S. (1978). Famiglie e terapia della famiglia. Roma: Astrolabio Ubaldini.
  22. Milne, B.J. (1988). Couples’ experiences with in vitro fertilization. Journal of Obstetrics Gynecology Neonatal Nursing, 17, 347-352, DOI: 10.1111/j.1552-6909.1988.tb00454.x
  23. Meyers, M., Diamond, R., Kezur, D., Scharf, C., Weinshel, M., & Rait, D.S. (1995). An infertility primer for family therapists: I. Medical, social, and psychological dimensions. Family Process, 34, 219-29, DOI: 10.1111/j.1545-5300.1995.00219.x
  24. Leite, R.C., Makuch, M.Y., Petta, C.A., & Morais, S.S. (2005). Women’s satisfaction with physicians’ communication skills during an infertility consultation. Patient Education and Counseling, 59, 38-45, DOI: 10.1016/j.pec.2004.09.006.

Daniela Leone, Marina Lorefice, Elena Vegni, La comunicazione nella procreazione medicalmente assistita (pma) in "RICERCHE DI PSICOLOGIA " 3/2015, pp 545-557, DOI: 10.3280/RIP2015-003007