Étude du fonctionnement psychique de femmes en protocole FIV suite à l'hypofertilité du conjoint : une recherche clinique en contexte culturel égyptien

Abstract : This study aims at exploring the impact of male subfertility and In Vitro Fertilization (IVF) on the psychological functioning of a group of female spouses, in the first Egyptian IVF center in Egypt (1986), within the Egyptian cultural context. Approximately 60% of couples consulting at the Egyptian Center for IVF carry the diagnosis of male factor infertility. We are interested in understanding what constitutes the specificity of the psychological functioning of these women within this cultural context, where male infertility is a taboo pathology provoking family shame, and where only homologous IVF -using a married couple's gametes- is allowed by the law. The first hypothesis states that there is a specific female suffering related to the maintenance of the secret of male subfertility. The second hypothesis assumes that for the wife, the diagnosis disclosure and medical treatments are followed by an oedipal idealization of the her parents. Our sample is composed of ten women aged between 20 and 40 years old, and undergoing an IVF protocol. On the methodological aspect, we have used semi-structured interviews and the 13-Item Beck Depression Inventory. Results indicate the existence of a complain discourse among the wives, addressed towards their husbands, and at the same time an idealization of their own parents. Variable depression symptoms have been observed in our sample. Finally, the way women integrate psychologically the IVF experience is a relevant indicator of their psychological balance. As a conclusion, this study aims at being a research-action, which objective is to elaborate a clinical intervention at the service of women and couples, and suitable to this particular cultural context.
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Shams Labib-Sami. Étude du fonctionnement psychique de femmes en protocole FIV suite à l'hypofertilité du conjoint : une recherche clinique en contexte culturel égyptien. Psychologie. Université Sorbonne Paris Cité, 2015. Français. ⟨NNT : 2015USPCB040⟩. ⟨tel-01214577⟩

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