Abstract
D. Litt. et Phil.
Psychogenic infertility is both a medically and psychologically complex issue for women who have tried for several years to have a baby. Irrespective of etiology, infertility may be a very intense and stressful experience for both partners, affecting their relationship, sexuality, self-esteem, body image and identity. The ‘not knowing’ of psychogenic infertility creates uncertainty and anxiety, and may represent a crisis for many women. Conceiving and raising a child has social and cultural meaning that may precipitate a sense of loss about her female identity if she is not able to have a baby.
The study’s exploration of psychogenic infertility entails four aspects:
- an investigation of both the overt and covert attitudes of psychogenically infertile women towards dimensions of the feminine role, and an assessment of this quantitative analysis to determine which of the feminine role factors are significant
- an analysis of the twenty-one case studies to investigate the life scripts of each woman and how these relate to: her femininity and her acceptance of her feminine role; her sense of motherhood and her motherliness; her own mother-daughter relationship; and to her psychogenic infertility.
- a narrative exploration with one woman which incorporates these significant factors together with elements of her life scripts, using an integrated scripts, psychodynamic and narrative approach for the analysis
- a storied account of the narrative exploration with one psychogenically infertile woman, in an effort to explore the relationship between femininity and life scripts in the psychogenesis of unexplained female infertility, and to investigate the possible therapeutic value of a therapeutic intervention for women experiencing unexplained infertility, specifically an intervention that would integrate: exploration of life scripts, psychodynamic understanding and narrative re-storying of her infertility.
Therapeutic intervention for women experiencing infertility is often focused on the stress experienced and on cognitive-behavioural ways of living with the distress. Literature to date does not indicate a therapeutic framework based on an approach that integrates elements of life scripts, psychodynamic, and narrative therapies to explore how scripts about femininity and motherhood may be unknowingly preventing the women from identifying with her female role of conceiving a baby.