Within-family reproductive technologies as a solution to childlessness due to infertility: Psychological issues and interventions

Patients choosing new reproductive technologies benefit from psychological consultation as they face unforeseen emotional and interpersonal sequalae from these procedures. This paper focuses on those patients who choose family members or close friends (i.e., known donors) to donate sperm or eggs or uteri in order to conceive and produce their babies. Medical family therapy offers these patients and families a framework from which to examine the biological, psychological, and interpersonal issues involved in these within-family solutions to childlessness due to infertility.This paper is a revision of a talk, Medical Family Therapy, Infertility, and the New Reproductive Technologies, given at the 1994 annual meeting of the American Psychological Association on August 4 in Los Angeles, CA, as part of the Mini-convention on Families panel on Clinical Issues in Families and Health.     

Access to reproductive technologies by single women and lesbians: Social representations and public debate

A landmark decision in 2000 by the Federal Court of Australia (FCA) allowed access to medically assisted reproductive technologies (MART) regardless of marital status, i.e. by single women and lesbians. This decision sparked much debate, including comments by the Prime Minister of Australia and hundreds of letters to newspapers around the country. In this study, 180 letters to the editor in two newspapers were analyzed to identify themes and processes relevant to conceptualizing who should have access to MART. Representations of family were particularly evident and themes supported the traditional family structure of a mother, father and children, arguing that access to MART should be restricted to this family form. However, emerging representations of family, based on themes of positive parenting values, independent of gender and number of parents, were also observed, suggesting that political agendas restricting MART to heterosexual family structures are not supported by public consensus, or by the emerging acceptance of alternative family forms. Copyright © 2008 John Wiley & Sons, Ltd.     

The developmental change in strategies parents employ to settle young children to sleep,and their relationship to infant sleeping problems,as assessed by a new questionnaire: the Parental Interactive Bedtime Behaviour Scale

The development of a new parental self‐report questionnaire, the Parental Interactive Bedtime Behaviour Scale (PIBBS) is described. The PIBBS was designed to capture a wide range of parental behaviours used to settle infants off to sleep. The commonest behaviours employed were giving a feed, talking softly to the child, cuddling in the arms, and stroking. A factor analysis revealed five settling strategies; ‘active physical comforting’ (e.g. cuddling in arms); ‘encouraging infant autonomy’ (e.g. leaving to cry); ‘movement’ (e.g. car rides), ‘passive physical comforting’ (e.g. standing next to the cot without picking the infant up), and ‘social comforting’ (e.g. reading a story). Excessive ‘active physical comforting’ and reduced ‘encourage autonomy’ strategy use was associated with infant sleeping problems. Regarding developmental change in strategy between 1 and 2 years, the later the onset at which ‘encourage autonomy’ became the principal strategy used, the more likely that persistent infant sleeping problems would be present. Factors accounting for the change in strategy use over time were: (i) parental adaptation to infant developmental maturation; (ii) the interaction between maternal cognition and strategy, and, to a lesser extent; (iii) the interaction between infant temperament and parental strategy. Copyright © 2002 John Wiley & Sons, Ltd.