Failed surrogate conceptions: social and ethical aspects of preconception disruptions during commercial surrogacy in India

Background

During a commercial surrogacy arrangement, the event of embryo transfer can be seen as the formal starting point of the arrangement. However, it is common for surrogates to undergo a failed attempt at pregnancy conception or missed conception after an embryo transfer. This paper attempts to argue that such failed attempts can be understood as a loss. It aims to reconstruct the experiences of loss and grief of the surrogates and the intended parents as a consequence of their collective failure to conceive a surrogate pregnancy.

Methods

Drawing on a qualitative study conducted over a period of eight months between 2014 and 2015 at two fertility clinics in Delhi and two in Kolkata, India, this paper examines the experiences of the surrogates and the intended parents when faced with missed conceptions or failed conceptions during a surrogacy arrangement.

Results

We argue that while the surrogate grieves the non-arrival of a ‘good news’ as an uncertain loss, the intended parents experience yet another, failure in addition to the losses they might have incurred during their previous fertility treatments. The body of the surrogate becomes a site of ‘a lost opportunity’. The surrogate embodies a loss in her quest to achieve social mobility and the intended parents experience a disembodied pregnancy loss. This very emotional experience stands in stark contrast to the conceptualisation of such failed attempts as non-events within the discourse of the surrogacy industry. The experience of loss of the intended parents is recognised but their grief is given no space. We argue that such ambiguity around the nature of losses resulting out of a missed or failed conception during surrogacy is an outcome of lack of interpersonal relationship between the surrogate and the intended parents.

Conclusions

Since commercial surrogacy is a relational process, the only way in which the experiences of losses and failures of the actors at the preconception stage can be better addressed is through developing close sharing and understanding between each other through an ethics of care. Therefore, to nurture caring relationships, surrogacy needs to be understood as a moral commitment by –the surrogates and intended parents. To enable such a commitment, there is a need to reconsider the pre-defined and legally regulated professional duty of the doctors, agents and agencies. It cannot be a one-sided commitment, but has to have elements of mutuality.

     

Emotional responses in spider fear are closely related to picture awareness

Theories of emotion propose that responses to emotional pictures can occur independently of whether or not people are aware of the picture content. Because evidence from dissociation paradigms is inconclusive, we manipulated picture awareness gradually and studied whether emotional responses varied with degree of awareness. Spider fearful and non-fearful participants viewed pictures of spiders and flowers at four levels of backward masking while electrodermal activity and heart rate were measured continuously. Recognition ratings confirmed that participants' picture awareness decreased with masking. Critically, effects of spider fear on emotion ratings and heart rate also decreased with masking. These findings suggest that effects of spider fear on emotion ratings and heart rate are closely related to picture awareness.     

Dyadische Planungsintervention nach Prostatektomie

Background

Prostate cancer is one of the most prevalent forms of cancer in men. One treatment for localized prostate cancer is radical prostatectomy. Patients and partners have to deal with stressors associated with the diagnosis, the surgery and its consequences (e.g. incontinence). Dyadic planning prepares for the coping process with illness consequences in order to enhance self-regulation and reduce anxiety. Dyadic planning means generating plans together with a partner specifying when, where and how the target person wants to initiate a health behavior.

Patients and methods

In this longitudinal randomized controlled trial (RCT) 112 prostatectomy patients and their spouses were invited to participate in a dyadic planning intervention. Participants were randomly allocated to a dyadic pelvic floor exercise (pfe) planning group or one of three control groups (i.e., individual pfe planning, dyadic or individual nutrition planning). Patients and partners received questionnaires at baseline, 2 weeks and 6 months after surgery.

Results

Patients in the dyadic pfe planning group reported higher dyadic pfe planning 2 weeks after surgery than patients in the nutrition planning groups. No such differential effects were found in partners. Additionally, there were no group differences in patient reports on anxiety 6 months after surgery, whereas partners in the dyadic pfe planning group reported lower anxiety levels compared to partners in the individual pfe planning group. Self-reported pfe planning did not, however, mediate the effects of the intervention on partners?? anxiety.

Conclusion

Economical dyadic planning interventions may not only support change of health-relevant behaviour in target persons but also emotional adjustment of their partners.     

Basic number processing in children with specific learning disorders: Comorbidity of reading and mathematics disorders

As well as being the hallmark of mathematics disorders, deficits in number processing have also been reported for individuals with reading disorders. The aim of the present study was to investigate separately the components of numerical processing affected in reading and mathematical disorders within the framework of the Triple Code Model. Children with reading disorders (RD), mathematics disorders (MD), comorbid deficits (RD + MD), and typically developing children (TD) were tested on verbal, visual-verbal, and nonverbal number tasks. As expected, children with MD were impaired across a broad range of numerical tasks. In contrast, children with RD were impaired in (visual-)verbal number tasks but showed age-appropriate performance in nonverbal number skills, suggesting their impairments were domain specific and related to their reading difficulties. The comorbid group showed an additive profile of the impairments of the two single-deficit groups. Performance in speeded verbal number tasks was related to rapid automatized naming, a measure of visual-verbal access in the RD but not in the MD group. The results indicate that deficits in number skills are due to different underlying cognitive deficits in children with RD compared to children with MD: a phonological deficit in RD and a deficit in processing numerosities in MD.     

Emotionality in free recall: Language specificity in bilingual memory

Abstract

Bilingual subjects (Spanish English) who had acquired fluency in their second language after 8 years of age rated 18 emotional and 18 neutral words for ease of pronunciation, implied activity, or emotionality; half of each type was presented in Spanish and half in English. During a subsequent, unexpected test of free recall subjects recalled more emotional than neutral words, but only for words that had been presented in the native language. This finding applied across native-language groups and suggests that emotion provides a basis for language specificity in bilingual memory.     

Voluntary Engagement in an Open Web-Based Encyclopedia: Wikipedians and Why They Do It

The online encyclopedia Wikipedia is a highly successful “open content” project, written and maintained completely by volunteers. Little is known, however, about the motivation of these volunteers. Results from an online survey among 106 contributors to the German Wikipedia project are presented. Both motives derived from social sciences (perceived benefits, identification with Wikipedia, etc.) as well as perceived task characteristics (autonomy, skill variety, etc.) were assessed as potential predictors of contributors' satisfaction and self-reported engagement. Satisfaction ratings were particularly determined by perceived benefits, identification with the Wikipedia community, and task characteristics. Engagement was particularly determined by high tolerance for opportunity costs and by task characteristics, the latter effect being partially mediated by intrinsic motivation. Relevant task characteristics for contributors' engagement and satisfaction were perceived autonomy, task significance, skill variety, and feedback. Models from social sciences and work psychology complemented each other by suggesting that favorable task experiences might counter perceived opportunity costs in Wikipedia contributors. Moreover, additional data reported by Wikipedia authors indicate the importance of generativity motives.     

The impact of mindfulness on well-being and performance in the workplace: an inclusive systematic review of the empirical literature

Work can be demanding, imposing challenges that can be detrimental to the physical and mental health of workers. Efforts are therefore underway to develop practices and initiatives that may improve occupational well-being. These include interventions based on mindfulness meditation. This paper offers a systematic review of empirical studies featuring analyses of mindfulness in occupational contexts. Databases were reviewed from the start of records to January 2016. Eligibility criteria included experimental and correlative studies of mindfulness conducted in work settings, with a variety of well-being and performance measures. A total of 153 papers met the eligibility criteria and were included in the systematic review, comprising 12,571 participants. Mindfulness was generally associated with positive outcomes in relation to most measures. However, the quality of the studies was inconsistent, so further research is needed, particularly involving high-quality randomized control trials.     

65 Jahre später

Research on the long-term emotional impact of World War II experiences is an important psychoanalytical issue and requires an interdisciplinary approach. In the project: “Witnesses of the ‘Operation Gomorrha (Hamburg Firestorm)’ (1943) and their families” long-term processing of and coping with war experiences of former children and adolescents are investigated by historians and psychoanalysts. A sample of 64 witnesses (34 women, 30 men, average age 75 years) and their families was recruited and investigated by semi-structured interviews. The interviews were analyzed by methods of “renarrated and interpreted history of coping” and group analysis against the background of historical, psychological and cultural approaches. A total of nine prototypical cases give insight into different biographically determined representations of the “Firestorm” and the conjunction with socio-cultural processes. Analysis of coping over the life-time has to take life experiences after the war and during the time of rebuilding into account. The research project attracts much interest among the former “war”-children.     

Reciprocal support provision: personality as a moderator?

In some cases, support provision can be predicted by the history of prior social exchange. Receiving may encourage providing. Moreover, personality dispositions may moderate the degree to which persons reciprocate support. Co‐student dyads (N = 43) facing an exam repeatedly reported their levels of received and provided support. Data revealed both direct and moderated reciprocal support provision. Actors' receipt of emotional support predicted the subsequent change in actors' provision of emotional support, indicating reciprocity. Also, more reciprocal emotional support provision was found in introverted and open individuals, whereas more reciprocal instrumental support provision was observed in introverts and less open individuals. Findings were partially validated when partner‐provided support instead of actor‐received support served as the predictor of later support provision. Copyright © 2006 John Wiley & Sons, Ltd.     

An ERP investigation on the temporal dynamics of emotional prosody and emotional semantics in pseudo- and lexical-sentence context

Previous evidence supports differential event-related brain potential (ERP) responses for emotional prosodic processing and integrative emotional prosodic/semantic processing. While latter process elicits a negativity similar to the well-known N400 component, transitions in emotional prosodic processing elicit a positivity. To further substantiate this evidence, the current investigation utilized lexical-sentences and sentences without lexical content (pseudo-sentences) spoken in six basic emotions by a female and a male speaker. Results indicate that emotional prosodic expectancy violations elicit a right-lateralized positive-going ERP component independent of basic emotional prosodies and speaker voice. In addition, expectancy violations of integrative emotional prosody/semantics elicit a negativity with a whole-head distribution. The current results nicely complement previous evidence, and extend the results by showing the respective effects for a wider range of emotional prosodies independent of lexical content and speaker voice.