ABSTRACT
OBJECTIVE: To study unconscious factors involved with the occurrence of spontaneous pregnancies in Assisted Reproductive Technologies process (ART). PATIENTS AND METHODS: We wrote to 519 couples having received the benefit of an ART process in the years 2005-2007 in the center of ART of the CHU of Bordeaux. In the mail, they were asked whether a spontaneous pregnancy had occurred during the process and a psychoanalytical orientation talk was suggested to them. RESULTS: Among 214 answers, 28 couples have declared a spontaneous pregnancy (so 13.1%). Twenty-six couples have been interviewed, 19 resulting from the questionnaire and seven registered in 2008 and having announced by their own the occurrence of a spontaneous pregnancy. Subjective factors directing the occurrence of a spontaneous pregnancy are found up to a significant degree. They are classified and studied by headings. DISCUSSION AND CONCLUSION: Each heading is confronted with the data of the psychoanalytical literature. We find a correlation between the elements collected in the talks and those of the literature. The conclusion is in favor of unconscious factors playing a predominant part in the occurrence of spontaneous pregnancies for the unfertile subjects.
Subject(s)
Infertility/psychology , Infertility/therapy , Reproductive Techniques, Assisted/psychology , Adult , Female , Humans , Infertility/etiology , Parent-Child Relations , Pregnancy , Stress, Psychological/complications , Surveys and QuestionnairesABSTRACT
Psychogenic amenorrhoea turns a life event into a body event, for the simple reason that the sexed body cannot be reduced to an organism ruled by physiological laws. In addition to being a datum of life, the body, which is dedicated to "jouir", is also a construction both created by the imaginary and dissolved by the symbolic. This element accounts for the sensitivity of a bodily symptom to speech. As an illustration, the relation of a clinical case will show how, in the course of psychogenic amenorrhoea, the body undergoes a process of "jouissance" that translates into a kind of "organ paralysis", along with the dormant state of one physiological function and the whole body. Psychotherapy enabled one of the subjects to awaken her inhibited body after she had unrolled the significant elements of her desire. Addressing to the Other of language allowed her to create a social link and thus, undo the symptom.
