alexa Psychoanalytic Understanding of Repeated In-Vitro Fertilization Trials, Failures, and Repetition Compulsion | OMICS International | Abstract
ISSN: 2161-038X

Reproductive System & Sexual Disorders: Current Research
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Review Article

Psychoanalytic Understanding of Repeated In-Vitro Fertilization Trials, Failures, and Repetition Compulsion

Mali Mann*

Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, USA

*Corresponding Author:
Mali Mann
Clinical Professor
Department of Psychiatry and Behavioral Sciences
Stanford University Medical Center; Training and Supervising Psychoanalyst
San Francisco Center for Psychoanalysis; and Child and Adolescent Psychoanalyst
Member of American Society of Reproductive Medicine
550 Hamilton Ave, Suite 329, Palo Alto, Ca 94301, USA
Tel: 650-325-8762
E-mail: [email protected]

Received date: July 18, 2014; Accepted date: July 29, 2014; Published date: July 31, 2014

Citation: Mann M (2014) Psychoanalytic Understanding of Repeated In-Vitro Fertilization Trials, Failures, and Repetition Compulsion. Reprod Syst Sex Disord 3:140. doi:10.4172/2161-038X.1000140

Copyright: © 2014 Mann M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Rapid advances in reproductive technologies confront us with the need to understand the complex psychological impact on participating parties. Understanding of repetition compulsion and psychoanalytic understanding of repeated IVF trials and failures is an important dynamic in some of the patients who resort to these methods. The discussion of two detailed case histories, illustrate how infertility traumata were re-experienced compulsively during the course of treatment. The unconscious self-induced traumatization resulted from the compulsion to repeat an earlier repressed trauma. The denial of multiple and repeated failures illustrate a complex compilation of several unprocessed losses that the individuals have yet to finish mourning. In addition, the lack of acceptance of a failure to conceive presented itself as a technical challenge offering an understanding of repeated past experiences in the context of the transference and counter transference paradigm. Each new IVF cycle followed the unprocessed mourning of a loss with persistence to repeat. The repeating of the past experiences over and over in a rather fast-paced use of ARTs shows the strong evidence for dynamic repetition compulsion phenomena. The denial of the failure to conceive can linger on, becoming a long process with unfinished mourning throughout the life cycle. There is a need for psychoanalytic thinking and understanding of psychological implications of the use of In-Vitro Fertilization (IVF).

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