看不見說不出的「痛」－不孕婦女的失落、悲傷與自我調適之質性研究

• Main Author: 詹豐毓
• Other Authors: 李佩怡
• Format: Others
• Language: zh-TW
• Online Access: http://ndltd.ncl.edu.tw/handle/a4zcxu

碩士 === 國立臺灣師範大學 === 教育心理與輔導學系在職進修碩士班 === 97 === The purpose of this study is to understand the impacts, loss and grief reactions that infertility has caused on women and how they deal and self-adjust with such feelings of loss. Through methods of qualitative investigations and in-depth interviews, this study in total holds interviews with three infertile women, and summarizes the findings as below: 1.The impacts of being infertile--which includes aimless self-immersion in medical measures, the pressure of bearing babies from the post-marriage family and friends, which could be not only concerns, the changes and inconvenience in life, and the unbearable weight on women out of the biased and negative stigma. 2.The loss and grief reactions of infertile women--which include the connotation of loss to infertile women and the grieving reaction at the surface level, the emotional level, the behavioral level and the spiritual level. （1）The connotation of loss to infertile women includes the loss of trust for the medical team, the loss of sense of self-worth and meaning of life, the relationship change with the husband’s family the interpersonal barriers, and the suspicion of side-effects caused by the medical treatments. （2）The grieving reactions of infertile women: A. Their grieving reactions reflected in such exterior responses that “they were to blame for the infertility”, and “that they were puzzled by why pregnancy was so easy for others, but not for them”. They denied themselves easily, assuming negative outcomes of matters before even doing them. Furthermore, they started to wonder the reason why they should be bullied at home and started to believe they had to be wronged. B. At the emotional level, they became at a loss of the fate of infertility, denying and rejecting that they were infertile. They were not only nervous and anxious whether they had successfully become pregnant or not, but angry at their in-laws for judging them based on fertility. Besides, they were frustrated after failed impregnation. The repeated disillusion for pregnancy tortured them. They suffered from the loneliness of isolation and helplessness. Frustration and sadness always followed the negative impregnation results. Therefore, they became emotional and impatient, and kept feeling regretted for not having children. C. At the behavioral level, they escaped the pressuring situations by reducing frequency of visiting in-laws and attending friendly gatherings. Besides, they diverted attention by keeping busy to avoid having to face the negative emotions of infertility, and, furthermore, vented emotions by crying. D. At the spiritual level, they began to disbelieve “how the fate of infertility had fallen upon them.” They were also puzzled “why pregnancy was so easy for others, but so difficult for them.” Their inner self wondered and asked God: “I am innocent, why can’t I bear a child?” 3. The self-adjustment of infertile women’s loss—which includes self adjustment at the surface level, the emotional level, the behavioral level and the spiritual level. （1）Self adjustment at the surface level includes“accepting the lament of infertility and utilizing positive thinking to consider the advantages of not bearing children,＂“finding once again self-worth and identify,＂“telling self: I’ve tried my best to try to become pregnant, thus I have a clear conscience and no regrets,” and focusing on how blessed they are now. （2）Self adjustment at the emotional level includes“venting emotions by crying and expressing to husband that sad emotion, and expressing emotions freely as it contributes to healing. （3）Self adjustment at the behavioral level includes “shifting focus to avoid falling into the trap of negative emotions,”“spending time with family,＂ “reallocating love to other family members or students,”“avoiding sources of conflicts and hurt,”“being more active in sexual intercourse with husband rather than only following doctor’s orders,＂“depressurizing through recreational sports,＂“sharing experience with other infertile friends,＂and “making future plans for a world of the couple only.” （4）Self adjustment at the spiritual level includes reducing the pressure from the inspiration caused by the death of the interviewer’s father, which was a reminder for her to learn how to take care of herself, and from which she found liberation by considering infertility as a result of karma. This study further discusses the results described above and proposes specific recommendations to provide future reference for affiliated medical staff, infertile women, associated friends and family, psychological advisors and future researchers.