Abortion can create tensions and/or conflicts between partners by revealing their contradictory desires. It is suggested that institutions where men and women are heard can help both partners to outlive this experience as a constructive step in their personal psychosocial evolution and in their relationship.
This article focuses on the relationship between defence mechanisms, coping strategies, palliative attitude, and the well-being of caregivers in palliative care units, who are confronted with death, suffering, and pain. They use many different defence mechanisms; however, studies linking their coping strategies and defence mechanisms are rare. This study uses a quantitative and qualitative design and is based on 18 caregivers (nurses) in 2 palliative care units in Belgium. Defence mechanisms are tested through a semi-structured interview, TAT, and DSQ-60. Coping strategies are evaluated through a semi-structured interview, COPE, and WCQ. To maximize our global approach, coping strategies and defence mechanisms are associated with measures of well-being and palliative attitude. We determined that defence mechanisms and coping strategies should not be seen as obstacles to professional practices. Palliative caregivers are more likely to adopt “mature” and “mental inhibition and compromise formation” defence mechanisms, as well as “emotion-focused” and “problem-focused” coping strategies. Defence mechanisms are more unconscious and constitute appropriate answers in extreme emotional situations. Coping strategies allow for more conscious processes of adaptation to the environment of palliative care units. This study shows positive relationships between different defence mechanisms and coping strategies, palliative attitudes, and caregivers’ well-being. Institutions should improve the conditions for group exchange and for caregivers’ individual introspection so that care-givers develop adapted capacities to cope with anxiety.
L’objectif de cet article est de mettre l’accent sur la difficulté de dissocier la sexualité de la reproduction dans le psychisme des personnes qui veulent accéder à la parentalité mais doivent recourir à des méthodes de reproduction (assistée médicalement ou non) dissociées des rapports sexuels. En s’appuyant sur des extraits d’entretiens réalisés avec des parents homosexuels dans le cadre de deux recherches cliniques, l’auteure propose une analyse des réaménagements psychiques auxquels sont amenées les personnes concernées sous l’impact des paradoxes et des conflits internes induits par les nouvelles méthodes de procréation. Plus particulièrement sont explorés les fantasmes de la scène originaire qui imprègnent les récits des sujets et bouleversent les tentatives de contrôle de la fécondation. La prise en compte de cette conflictualité psychique de la part des cliniciens peut contribuer à un accompagnement bienveillant des personnes concernées.
Using data from clinical psychoanalytic research on lesbian couples undertaking Artificial Insemination by Donor (AID), this article explores the position of the third as it appears in the family project of lesbian couples. The third is examined through the analysis of constructions surrounding the image of the anonymous donor, the impact of the medical act of insemination on the women's psychic economy, and the search for other promising bases for triangulation. The complexity of the issue of the third in same-sex parenting is highlighted. Excerpts from clinical interviews with two lesbian couples are used to illustrate and support the authors' hypotheses.
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