An Infertility Primer for Family Therapists: II. Working with Couples Who Struggle with Infertility

The distress of infertility and its medical treatments are profound, and the effects reverberate in each partner, the couple dyad, and the couple's relationships with family, friends, and medical systems. Yet family therapists, like others in our society, are often uninformed or misinformed about the experience of infertility. While the legacies of infertility may be painful and enduring, they often remain unspoken, and hence may be overlooked in standard interviews. This article describes the experiences of couples struggling with infertility, most of whom have sought medical intervention, and it provides treatment interventions for guiding couples through this difficult and often uncharted terrain. Case vignettes derived from 2 years of this clinical research study are included.     

SELF-ESTEEM AND JOB PERFORMANCE: THE MODERATING ROLE OF SELF-ESTEEM CONTINGENCIES

Although theoretical perspectives suggest self-esteem level (i.e., high/low) should have main and moderating effects on job performance, empirical and narrative reviews of the literature suggest such effects are either nonexistent or highly variable. To account for these mixed findings, we hypothesized that self-esteem level should only have main and moderating effects on job performance when one's self-esteem is not contingent upon workplace performance. Using multisource ratings across 2 samples of working adults, we found that the importance of performance to self-esteem (IPSE) moderated the effect of self-esteem level on job performance and moderated the buffering interaction between self-esteem level and role conflict in the prediction of job performance. Our results thus support IPSE as an important moderator of both main and moderating effects of self-esteem level.     

COMBINING TELEOLOGICAL ETHICS WITH EVALUATOR RELATIVISM: A PROMISING RESULT

Abstract: Consequentialism is an agent‐neutral teleological theory, and deontology is an agent‐relative non‐teleological theory. I argue that a certain hybrid of the two – namely, non‐egoistic agent‐relative teleological ethics (NATE) – is quite promising. This hybrid takes what is best from both consequentialism and deontology while leaving behind the problems associated with each. Like consequentialism and unlike deontology, NATE can accommodate the compelling idea that it is always permissible to bring about the best available state of affairs. Yet unlike consequentialism and like deontology, NATE accords well with our commonsense moral intuitions.     

ANTICIPATED INTERACTION AND INFORMATION SEEKING

The information that persons possess about others influences social judgments and behavior. Previous analyses have shown that, when expecting to meet with a target, persons recall comparatively more information about the target. Those analyses, however, have provided no indication as to the type of information persons recall nor the range of recall across an action sequence. Moreover, there is no present understanding of the recall performance of persons who observe a target prior to being induced to expect interaction, although such a situation may be common in social contexts. This analysis sought to address these issues. Subjects viewed a videotaped interaction between a female (target) and a male. Subsequent analysis of subjects' recall revealed meaningful between-group differences.     

Understanding Marital Satisfaction and Couple Type as Functions of Relational Expectations

The present study examined the role played by relational expectations in determining marital satisfaction and in discriminating between married couple types. The discrepancy between one's expectations for his or her spouse's relational behavior and one's perceptions of his or her spouse's actual behavior significantly predicted marital satisfaction. Discrepancy scores for the relational dimensions of intimacy, distance, equality/ trust, dominance, and noncomposure/arousal appear to be most central in predicting satisfaction. While agreement between spouses on relational expectations significantly predicted satisfaction, expectation/perception discrepancies were revealed to be stronger predictors than agreement scores. There were no differences in relational expectations when compared across couple type; however, intimacy and noncomposure/arousal displayed significant differences when compared across wives’ individual marital type. Overall, intimacy, noncomposure/arousal, and equality/trust played central roles in understanding marital satisfaction.