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This book contributes in an important way to the psychoanalytic understanding and impact of Assisted Reproductive Technology on a majority of patients who have difficulties starting new families. Recent advances in reproductive technology and the increased use of techniques based upon it have created a need for psychoanalytic thinking and understanding of the psychological implications of Assisted reproductive procedures, in-vitro fertilization and other similar procedures. The recent and rapid advances in medical technologies confront us with a mandate in our clinical work to understand their complex impact on women, men, and children. However, attention to the intra psychic conflicts and traumatic experience of the use of such techniques has not been addressed in psychoanalytic literature. The developmental trauma and intra psychic conflicts of individuals using reproductive technologies are ubiquitous, yet it has been neglected as a topic of special interest in our clinical work.
The Business of Being Made is the first book to critically analyze assisted reproductive technologies (ARTs) from a transdisciplinary perspective integrating psychoanalytic and cultural theories. It is a ground-breaking collection exploring ARTs through diverse methods including interview research, clinical case studies, psychoanalytic based ethnography, and memoir. Gathering clinicians and researchers who specialize in this area, this book engages current research in psychoanalysis, sociology, anthropology, philosophy and debates in feminist, queer and cultural theory about affect, temporality, and bodies. With psychoanalysis as its fulcrum, The Business of Being Made explores the social constructions and personal experiences of ARTs. Katie Gentile frames the cultural context, exploring the ways ARTs have become a complex form of playing with time, attempting to manufacture a hopeful future in the midst of growing global uncertainty. The contributors then present a range of varied experiences related to ARTs, including: Interviews with women and men undergoing ARTs; A psychoanalytic memoir of male infertility; Clinical research and work with transgender, gay and lesbian patients creating new Oedipal constellations, the experiences of LBGTQ people within the medical system and the variety of families that emerge; Research on the experiences of egg donors (now central to the business of ARTs) and a corresponding clinical case study of successful egg donation; The experiences of ongoing failure which is the often unacknowledged for ART procedures; How and when people choose to stop using ARTs; A psychoanalytic ethnography of a neonatal intensive care unit populated in part with the babies created through these technologies and their parents, haggard and in shock after years of failed attempts. Full of original material, The Business of Being Made conveys the ambivalence of these technologies without simplifying their complicated consequences for the bodies of individuals, the family, cultures, and our planet. This book will be relevant to clinicians, medical and psychological personnel working in assisted reproductive technologies and infertility, as well as academics working in the fields of sociology, literature, queer and feminist theories and at the intersections of cultural, critical and psychoanalytic theories.
A late-comer to psychoanalytic theorizing, 'shame' results from a disjunction between the ego and the ego-ideal. A complex psychosocial experience, it is comprised of a painful exposure of one's vulnerable aspects, rupture of self-continuity, and a sense of isolation. The figure-ground harmony of 'going-on-being' is disrupted and the individual feels alone and watched by others. Shame pushes for hiding and thus intensifies the experience of isolation.Seeking to advance clinicians' empathy and therapeutic skills in this realm, in this book ten distinguished analysts discuss shame from various perspectives. These include its developmental substrate, its vicissitudes during adolescence, and its manifestations in the course of aging and infirmity. The authors discuss shame from a cross-cultural viewpoint and note how shame-driven search for power and glory can turn malignant and societally destructive. They also address shamelessness, the link between shame and laziness, and the shame that underlies the inability to apologize. They devote attention to shame in the transference-countertransference axis and highlight the technical challenges in dealing with shame in clinical encounters.
The New Motherhoods: Patterns of Early Child Care in Contemporary Culture offers innovative perspectives in psychotherapy that accommodate emerging pathways to parenthood, changing roles of mothers, and evolving patterns of family structure. Incorporating the most current research along with engaging clinical vignettes, The New Motherhoods provides mental health professionals with an invaluable collection of insights into modern motherhood and its essential role in the care and healthy development of children.
This volume covers the range of reactions that both patients and clients have to the circumstance of a child entering the therapist’s family. Through research, the authors show these reactions can be extremely powerful, and when fully explored can be used to advance the therapy and the development of the patient. Rich clinical illustrations are provided throughout the text. In addition, the reader is offered many therapeutic strategies for working with patient-therapist reactions as they unfold. Many practical issues arise in conjunction with this life transition. Examples include announcing a pregnancy or an imminent adoption, planning parental leave and covering the patient’s needs during the hiatus. In this second edition, therapists who are members of LGBT families and single parent families are described in terms of their special needs, challenges and resources. This updated edition also contains a new chapter on special problems that can arise during pregnancy.
New pathways to parenthood are being traveled by growing numbers of couples and single adults, including many who face medical and social barriers to having children. From a psychological standpoint, families formed by complex adoption and assisted reproductive technology (ART) are first and foremost just that--families. Yet they also face a unique array of issues and challenges that may be clarified and resolved in the therapeutic setting. This much-needed book provides a deeper understanding of the ways that complex adoption and ART shape the life experience of children and parents, identifying important areas and methods for assessment and treatment. Combining developmental and ecological research with in-depth case material, the book establishes an integrative framework for clinical practice. The authors draw upon knowledge and skills gained from working in a variety of new family contexts. In the area of adoption, many new options have evolved that differ from traditional practices of adoption at birth. Thousands of older children in foster and institutional care in the United States and abroad are awaiting permanent placements. Open adoption, kinship adoption, and transracial adoption are also transforming family life, as is the use of ART, which raises significant issues of family identity and family process. The book explores such key themes as the significance of early experience, the capacity to recover from exposure to trauma, the impact of heredity and the difference that environment can make, and the centrality of primary attachment relationships. Also discussed are the impact of bias and other issues affecting families of difference, including lesbian and gay families. Concluding chapters consider promising future directions for training and research. This is an important resource for social workers, family therapists, clinical psychologists, psychiatrists, and other professionals working with children and families, as well as researchers and students in these fields. It will serve as a text in advanced undergraduate and graduate-level courses.
Advances in assisted reproductive technology are producing a new world whose boundaries and implications have yet to be fully explored and understood. New advances are announced and hit the headlines with dizzying regularity, triggering the hopes and aspirations of some, and the fears of others. What is possible? What are the implications? What should be permissible? Who should decide?Medically assisted reproductive techniques were developed to treat sterility and infertility. However, in parallel this has created a demand for applications outside the fields for which these technologies were originally intended. This book explores the issues that surround medically assisted reproduction by addressing them from the perspective of four key areas: the mystery of procreation and the enigma of origin and where we come from; the question of difference and alterity in procreation (be it the breaking down of the notion that one comes from two in heterologous procreation to the aspirations for same-sex procreation, or the blurring of chronology and generations through cryoconservation); the place of destiny, including how to think about individual destinies in an age of increasingly accessible gene sequencing paired with a growing link between procreation and prediction; and an exploration of how clinicians and professionals can respond to the subjective experiences of those who resort to medically assisted reproduction, and the singularity of each person's response to the difficult and complex questions it raises.

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