This book stems from the author's clinical experience working with infertile women in psychotherapy and psychoanalysis. It highlights the crucial importance of integrative work of psychotherapists and psychoanalysts with reproductive medical specialists in assisted reproductive technology (ART).

Pregnancy, Assisted Reproduction, and Psychoanalysis reflects on contemporary views on pregnancy, while offering guidance on how to work with women and couples experiencing infertility as well as the unique issues raised by having a child through assisted reproduction technologies. Comprised of chapters written by eminent analysts working with infertile couples and women, and parents who have a child born from assisted reproduction, this book offers insightful ways to better understand the challenges these patients undertake and the various issues this might bring into the analytic room. The contributors examine the myriad psychic problems subjects are confronted with which could impact their ability to bond with children born through ART: the mourning processes infertility entails, the identification with the fertile parental couple, the unconscious representation of origin, the representation of the primal scene, and the process of symbolic affiliation. They consider the working-through these processes necessitate in order to enable filiation and healthy parenting, and give invaluable tools to the analyst to enable the promotion of psychological growth. Throughout, the chapters address the emotions that infertility summons in which both patient and analyst find a spectrum of unconscious phantasies and anxieties. This book is an essential read for psychoanalysts and other professionals working in the field of ART, as well as those interested in motherhood and its vicissitudes and intersection with psychoanalysis.

This book contributes in an important way to the psychoanalytic understanding and impact of Assisted Reproductive Technology on a majority of patients who have difficulties starting new families. Recent advances in reproductive technology and the increased use of techniques based upon it have created a need for psychoanalytic thinking and understanding of the psychological implications of Assisted reproductive procedures, in-vitro fertilization and other similar procedures. The recent and rapid advances in medical technologies confront us with a mandate in our clinical work to understand their complex impact on women, men, and children. However, attention to the intra psychic conflicts and traumatic experience of the use of such techniques has not been addressed in psychoanalytic literature. The developmental trauma and intra psychic conflicts of individuals using reproductive technologies are ubiquitous, yet it has been neglected as a topic of special interest in our clinical work.

The importance of knowing and being known is at the heart of the human experience and has always been the core of the psychoanalytic enterprise. Freud named his central Oedipal construct after Sophocles’ great play that dramatically encapsulated the desire, difficulty, and dangers involved in knowing and being known. Psychoanalysis’ founder developed a methodology to facilitate unconscious material becoming conscious, that is, making the unknown known to help us better understand ourselves and our relational lives, including psychic trauma, and multigenerational histories. This book will stimulate readers to contemplate knowing and being known from multiple perspectives. It bursts with thought-provoking ideas and intriguing cases illuminated by penetrating reflections from diverse theoretical perspectives. It will sensitize readers to this theme’s omnipresent, varied importance in the clinical setting and throughout life. Accomplished contributors discuss a wide variety of fascinating topics, illustrated by rich clinical material. Their contributions are grouped under these headings: Knowing through dreams; Knowing through appearances; Dreading and longing to be known; The analyst’s ways of knowing and communicating; Knowing in the contemporary sociocultural context; The known analyst; and No longer known. Readers will find each section deeply informative, stimulating thought, insights, and ideas for clinical practice. Psychoanalytic Explorations in Knowing and Being Known will appeal to psychoanalysts, psychotherapists, psychologists, psychiatrists, clinical social workers, counselors, students in these disciplines, and members of related scholarly communities.

Couples as Parents: Explorations in Couple Therapy explores the complex task of parenting from the perspective of the couple relationship. A book for clinicians and parents alike, it describes problems that can occur during the transition to parenthood and the initial decision to have a child to raising young children and adolescents. The book offers a comprehensive exploration of the nature and patterns of intimate partner relationships and how they can be affected by such things as the loss of a baby, raising a child with autism or adoption. Chapters delve into issues unique to same-sex parents and those facing an empty nest. With moving clinical examples, it illustrates how a couple's sex life can be altered on becoming parents and describes how parents can best help their children as they separate. Couples as Parents explains how couple therapy has a unique stance with which to help parents and describes clinical vignettes that demonstrate how parents have been helped in the past. The book considers the historical context of couple relationships, utilises research and psychoanalytic ways of thinking to further understanding for psychotherapists and interested parents, as well as offering a variety of therapeutic approaches to the specific needs of parents, whether as a couple, separated or single.

This book applies psychoanalytic insight to work with children and adolescents in a changing, often traumatic, world. Each chapter considers how psychoanalysis can develop and be developed, assessing how in the modern world, psychological disturbance and psychological trauma is manifest in new, unfamiliar ways. From new and different social and technological realities, to the internet, and new sexual discourse, each chapter explores how the analyst can hold onto fundamental psychoanalytic understandings of mental functioning, address the young patient’s or family’s need for containment, while respecting the importance of drives, the varieties of psychosexuality, and the powerful impact of anxiety on psychological development. In relation to children, these authors disclose the potential destructiveness of impingements from adults on a precious, vulnerable development. This collection is essential reading for all psychoanalysts and psychoanalytic psychotherapists, as well as other health and educational professionals working with children and adolescents.

In this book, Patricia Alkolombre explores the desire for a child from a contemporary psychoanalytic perspective, and covers the questions raised in the face of new resources offered by reproductive medicine. This volume reviews traditional psychoanalytic conceptualisations from the perspective of gender theories and analyses theoretical hegemonies related to the desire and passion for a child. Alkolombre discusses how the ‘passion to have a child’ is a key aspect of motherhood, characterised by emotional intensity, persistence, and self-sacrificial aspects. The book is divided into three sections: Part One deals with the desire and passion to have a child, while Part Two focuses on the impact of reproductive techniques, as well as the ever-changing role of parenthood in the modern day. Throughout these fascinating chapters, clinical vignettes of both individual and couple analyses span topics such as mourning, the use of reproductive technology, the anonymity of gamete donors, enigmatic infertility, surrogacy, and abortion from an interdisciplinary perspective. The historical and cultural contexts of infertility are reviewed from a psychoanalytic angle in Part Three with the view of transcending the former androcentric perspective that has deeply influenced the maternal ideal and expectations of men. Alkolombre also proposes a new analysis of the Oedipus myth. This book is vital reading for psychoanalysts, mental health professionals, teachers and students interested in contemporary parenting, motherhood, and infertility, as well as the theoretical analysis of the desire for a child.