불임부부의 부부역동적 고찰

Abstract

The present study was designed to assess the marital relationship including psychological stress, sexual dissatisfaction and marital maladjustment etc. in infertile couples and to provide 3 hypotheses through the analyses of 4 infertile couples and the literature review about the causal modes of infertility. Wives and husbands were interviewed independently, and the following findings were presented.

Both members of a couple who desire experienced marital discord and a wide range of negative psychological, behavioral, and sexual aspects. Infertile problem stress influenced on increased marital conflict due to wives abuse and/or extramarital affairs and frequent matrimonial quarrel etc. Therefore, wives showed various somatization, anxiety, depression and other psychotic symptoms like infidelity delusion. Also, there appeared in decreased sexual self-esteem, negative body image and dissatisfaction with own sexual performance by infertile stress. These negative problems of life quality and marriage factors were more serious for wives than for husbands.

In psychoanalytical analyses of 4 infertile women, all of them had a difficult, conflicted and frustrating relationship with their own mothers.

3 hypotheses were as follows:

1. A higher positive relationship will be found between infertility and longstanding emotional and psychosocial problems.

2. The experience of fertility problem stress itself and/or the related medical diagnosis and treatment process, will be operated as a psychosocial stressor in many cases.

3. Depending on the particular case, a higher positively correlating relationship will be shown between infertility and psychological and somatic problems.

The above 3 hypotheses will be tested by LISREL path analysis.

The present study was designed to assess the marital relationship including psychological stress, sexual dissatisfaction and marital maladjustment etc. in infertile couples and to provide 3 hypotheses through the analyses of 4 infertile couples and the literature review about the causal modes of infertility. Wives and husbands were interviewed independently, and the following findings were presented.

Both members of a couple who desire experienced marital discord and a wide range of negative psychological, behavioral, and sexual aspects. Infertile problem stress influenced on increased marital conflict due to wives abuse and/or extramarital affairs and frequent matrimonial quarrel etc. Therefore, wives showed various somatization, anxiety, depression and other psychotic symptoms like infidelity delusion. Also, there appeared in decreased sexual self-esteem, negative body image and dissatisfaction with own sexual performance by infertile stress. These negative problems of life quality and marriage factors were more serious for wives than for husbands.

In psychoanalytical analyses of 4 infertile women, all of them had a difficult, conflicted and frustrating relationship with their own mothers.

3 hypotheses were as follows:

1. A higher positive relationship will be found between infertility and longstanding emotional and psychosocial problems.

2. The experience of fertility problem stress itself and/or the related medical diagnosis and treatment process, will be operated as a psychosocial stressor in many cases.

3. Depending on the particular case, a higher positively correlating relationship will be shown between infertility and psychological and somatic problems.

The above 3 hypotheses will be tested by LISREL path analysis.