Systemic-relational approach to couples experiencing infertility

Journal title RIVISTA DI PSICOTERAPIA RELAZIONALE
Author/s Ilaria Genovesi, Francesca Lemmi
Publishing Year 2025 Issue 2024/60
Language Italian Pages 20 P. 39-58 File size 269 KB
DOI 10.3280/PR2024-060003
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Infertility and couple sterility represent an unexpected variable (Vignati, 2002) in the family life cycle and in particular, in the transition of a couple towards parenthood. According to the systemic paradigm, the life of a family is marked by transitions, linked to foreseen and/or unexpected events in family life (Cigoli, Scabini, 2000): infertility or sterility of a couple represents an experience that can impact on the bond and can sometimes lead to the failure of its planning dimension. From this perspective, it is necessary to support the couple, so that they can face their discomfort and be able to maintain a solidity and intimacy that allows them to overcome this unexpected event, giving value to the relational dimension of care. Our contribution focuses on the systemic relational approach to infertility which, through collaboration between professional figures operating in the field of human reproduction, proposes a clinical intervention with the couple, supporting them emotionally in all phases of the process, from evaluation and elaboration of the diagnosis to the outcome of the treatment.

Keywords: infertility, couple, relational systemic approach, emotions, resonances.

  1. Bell A.V. (2016). The Margins of Medicalization: Diversity and Context through the Case of Infertility. Social Science & Medicine, 156: 39-46.
  2. Boivin J., Scanlan L.C., Walker S.M. (1999). Why are infertile patients not using psychosocial counselling?. Human Reproduction, 14: 1384-1391.
  3. Boivin J., Takefman J., Braverman A. (2011). The fertility quality of life (FertiQoL) tool: development and general psychometric properties. Hum. Reprod., 26: 2084-91.
  4. Boivin J., Gameiro S. (2015). Evolution of psychology and counseling in infertility. Fertil. Steril., 104: 251-9.
  5. Cappelleri J.C., Rosen R.C., Smith M.D., Mishra A., Osterloh I.H. (1999). Diagnostic evaluation of the erectile function domain of the International Index of Erectile Function. Urology, 54: 346-51.
  6. Cigoli, V., Scabini, E. (2000). Il famigliare. Legami, simboli, transizioni. Milano: Raffaele Cortina.
  7. Combs G., Freedman J. (2016). Narrative Therapy’ Relational Understanding of Identity. Fam. Process, 55: 211-24.
  8. Cotoloni G. (2021). Il concepimento in-possibile. Il supporto psicologico alla coppia infertile in fecondazione assistita. Ecologia della mente, 44: 200-215.
  9. Cousineau T.M., Domar A.D. (2007). Psychological impact of infertility. Best Pract. Res. Clin. Obstet. Gynaecol., 21: 293-308.
  10. Covington S.N. (2015). Fertility counseling: Clinical guide and case studies.
  11. Cambridge: Cambridge University Press.
  12. Cyrulnik B., Elkaïm M., Maestre M. (2009). Entre résilience et résonance. A l’écoute des émotions. Parigi: Fabert.
  13. Diamond R., Kezur D., Meyers M., Sharf C., Weinshel M. (1999). Couple Therapy for Infertility. New York: Guilford Press.
  14. De Bernart R. (1989). Tecniche relazionali con la famiglia e con l’individuo. Terapia Familiare, 31.
  15. Derogatis L.R., Cleary P.A. (1977). Confirmation of the dimensional structure of the scl-90: A study in construct validation. Journal of Clinical Psychology, 33: 981-989.
  16. Elkaïm M. (1992). Se mi ami non amarmi. Orientamento sistemico e psicoterapia. Torino: Bollati Boringhieri.
  17. Filocamo M.T., Serati M., Li Marzi V., Costantini E., Milanesi M., Pietropaolo A., Polledro P., Gentile B., Maruccia S., Fornia S., Lauri I. (2014). The Female Sexual Function Index (FSFI): linguistic validation of the italian version. The journal of sexual medicine, 11: 447-453.
  18. Fisher J., Hammarberg K., Gordon Baker H.W. (2008). Antenatal mood and fetal attachment after assisted conception. Fertility and Sterility, 89: 1103-1112.
  19. Foy, D. W., Wood, J. L., King, D. W., King, L. A., Resnick, H. S. (1997). Los Angeles Symptom Checklist: Psychometric Evidence with an Adolescent Sample. Assessment, 4: 377-384. DOI: 10.1177/10731911970040040
  20. Freud S. (1976). Lutto e malinconia. In Opere, vol. 8. Bollati Boringhieri, Torino.
  21. Ghilardi F., Foroni A. (2022). Prospettive sistemiche di presa in carico psicologica dell’infertilità e della sterilità nella società contemporanea. Frattali, 4: 45-67.
  22. Giacometti K., Mazzei D. (2011). Il terapeuta sistemico-relazionale. Itinerari, mappe e nessi tra interazioni e rappresentazioni. Milano: Franco Angeli.
  23. Greil A.L, Slauson-Blevins K.S., McQuillan J. (2011). The social construction of infertility. Sociology Compass, 5: 736-46.
  24. Graziottin A., Scopesi A., Stagno P., Strano B. (1993). Vissuti psicosessuali nell’infertilità di coppia. In Baldaro Verde J., Genazzani A.R., Marrama P. (a cura di), Sessuologia 93 ‒ L’identità sessuale e le sue vicissitudini, La sessuologia quale integrazione tra biologico e psicologico. Roma: CIC Edizioni Internazionali.
  25. Jaffe J., Diamond M.O. (2011). Reproductive trauma: Psychotherapy with infertility and pregnancy loss clients. American Psychological Association, 1: 9-29 DOI: 10.1037/12347-00
  26. King L.A., King D.W., Leskin G., Foy D.W. (1995). The Los Angeles Symptom Checklist: A self-report measure of post-traumatic stress disorder. Assessment, 2: 1-17. DOI: 10.1177/107319119500200100
  27. Loftus J., Andriot A.L. (2012). That’s what makes a woman: infertility and coping with a failed life course transition. Sociological Spectrum, 32: 226-43. DOI: 10.1080/02732173.2012.66371
  28. Lorenzini R., Mancini F. e Sassaroli S. (2985). La costruzione dell’attaccamento. In Mancini F., Semerari A. (a cura di), La teoria dei costrutti personali. Milano: Franco Angeli.
  29. McCarthy M.P. (2008). Women’s lived experience of infertility after unsuccessful medical intervention. The Journal of Midwifery & Women’s Health, 53: 319-324.
  30. Menning B.E. (1984). The Psychology of Infertility. In: Aiman J. (ed.), Infertility. Clinical Perspectives in Obstetrics and Gynecology. New York: Springer.
  31. Meyers M., Weinshel M., Scharf C., Kezur D., Diamond R., Rait D.S. (1995). An infertility primer for family therapists: II. Working with couples who struggle with infertility. Family Process, 34: 231-40.
  32. Nelson-Coffey S.K., Cavanaugh L.A. (2022). Baby fever: Situational cues shift the desire to have children via empathic emotions. Journal of experimental psychology. Applied, 28: 438-450.
  33. Norré J., Wischmann T. (2011). The position of the fertility counsellor in a fertility team: a critical appraisal. Hum. Ferti. (Camb.), 14: 154-9. DOI: 10.3109/14647273.2011.580824
  34. Ohl J., Reder F., Fernandez A., Bettahar-Lebugle K., Rongières C., Nisand I. (2009). Impact de l’infertilitè et de l’Assistance medicale la procreation sur la sexualitè. Gynecologie Obstetrique Fertilite, 37: 25-32.
  35. Parker G., Tupling H., Brown L.B. (1979). Parental Bonding Instrument. British Journal of Medical Psychology, 52: 1-10.
  36. Peterson B. (2015). Fertility counseling for couples. In Covington S.N. (Ed.). Fertility Counseling: Clinical Guide and Case Studies (pp. 60-73). Cambridge: Cambridge University Press.
  37. Piva I., Lo Monte G., Graziano A., Marci R. (2014). A literature review on the relationship between infertility and sexual dysfunction: does fun end with baby making? The European Journal of Contraception & Reproductive Health Care: The Official Journal of the European Society of Contraception, 19: 231-7. DOI: 10.3109/13625187.2014.91937
  38. Preti E., Sarno I., Prunas A., Madeddu, F. (2011). SCL-90-R. Symptom Checklist90-R. Firenze: Organizzazioni Speciali.
  39. Pozzobon C. (2015). Cause e diagnosi di infertilità e tecniche di PMA. In Visigalli R. (a cura di), Desiderare un Figlio. Milano: Franco Angeli.
  40. Rialti R., Ricci R. (1993). La crisi d’identità della coppia sterile che decide di adottare. Sessuologia. Roma: CIC Edizioni Internazionali.
  41. Riccio M. (2017). La cicogna distratta. Il paradigma sistemico-relazionale nella clinica della sterilità e dell’infertilità di coppia. Milano: Franco Angeli.
  42. Rosen R., Brown C., Heiman J., Leiblum S., Meston C., Shabsigh R., Ferguson D., D’Agostino R. (2000). The Female Sexual Function Index (FSFI): A Multidimensional Self-Report Instrument for the Assessment of Female Sexual Function. Journal of Sex & Marital Therapy, 26: 191-208.
  43. Scinto A., Marinangeli M.G., Kalyvoka A., Daneluzzo E., Rossi A. (1999). Utilizzazione della versione italiana del Parental Bonding Instrument (PBI) in un campione clinico ed in un campione di studenti: uno studio di analisi fattoriale esplorativa e confermatoria. Epidemiologia e Psichiatria Sociale, 8: 276-283. DOI: 10.1017/S1121189X0000819
  44. Shreffler K.M., Gallus K.L., Peterson B., Greil A.L. (2020). Couples and Infertility, The Handbook of Systemic family Therapy, 17: 385-406.
  45. Shreffler K.M., Greil A.L., McQuillan J. (2017). Responding to infertility: Lessons from a growing body of research and suggested guidelines for practice. Family Relations, 66: 644-658.
  46. Slade P., Emery J., Lieberman B.A. (1997). A prospective, longitudinal study of emotions and relationships in in-vitro fertilization treatment. Human Reproduction, 12: 183-190.
  47. Spoletini R., Di Trani M., Renzi A., Fedele F., Scaravelli G. (2022). Psychological care for infertile couples undergoing assisted reproductive technology: a national study on the characteristics of counselling services. Ann. Ist. Super. Sanità, 58: 46-54. DOI: 10.4415/ANN_22_01_07
  48. Thompson J. (2021). The Effectiveness of Couple Therapy on Psychological and Relational Variables and Pregnancy Rates in Couples with Infertility: A Systematic Review. Australian & New Zeland Journal of Family Therapy, 42: 120-144.
  49. Vegetti Finzi S. (1997). Volere un figlio. La nuova maternità tra natura e scienza. Milano: Mondadori.
  50. Vignati R. (2002). L’assessment sessuorelazionale eseguito con una nuova metodica. PsicoIn ‒ Informazione Ordine Psicologi Marche, Anno VIII, n.1. Issn: 2039-4101.
  51. Visigalli R. (2015). Desiderare un figlio. Un sostegno psicologico per affrontare i trattamenti di fecondazione omologa ed eterologa. Milano: Franco Angeli.
  52. Vito A. (2018). Il sé e le emozioni del terapeuta. Napoli: Luigi Guerriero.
  53. Wirtberg I., Möller A., Hogström L., Tronstad S.E., Lalos A. (2007). Life 20 years after unsuccessful infertility treatment. Hum. Reprod., 22: 598-604.
  54. Wischmann T.H. (2010). Sexual disorders in infertile couples. Journal of Sexual Medicine, 7: 1868-1876.
  55. Zigmond A.S., Snaith R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67: 361-370.

Ilaria Genovesi, Francesca Lemmi, Approccio sistemicorelazionale alla coppia che affronta l’infertilità in "RIVISTA DI PSICOTERAPIA RELAZIONALE " 60/2024, pp 39-58, DOI: 10.3280/PR2024-060003