Table Of ContentFertility Counseling: Case Studies
Published online by Cambridge University Press
Published online by Cambridge University Press
Fertility Counseling: Case
Studies
Second Edition
Edited by
Sharon N. Covington
ShadyGroveFertility,Rockville,MD
Published online by Cambridge University Press
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Informationonthistitle:www.cambridge.org/9781009014304
DOI:10.1017/9781009030175
©SharonN.Covington2023
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Firstpublished2015
Thissecondeditionpublished2023
AcataloguerecordforthispublicationisavailablefromtheBritishLibrary.
LibraryofCongressCataloging-in-PublicationData
Names:Covington,SharonN.,editor.
Title:Fertilitycounseling.Casestudies/editedbySharonN.Covington.Other
titles:Casestudies|Fertilitycounseling.
Description:Secondedition.|Cambridge;NewYork,NY:CambridgeUniversity
Press,2022.|ReplacementinpartofFertilitycounseling/editedbySharonN.
Covington.2015.|Includesbibliographicalreferencesandindex.
Identifiers:LCCN2022024069(print)|LCCN2022024070(ebook)|ISBN
9781009014304(paperback)|ISBN9781009030175(ebook)
Subjects:MESH:Infertility–psychology|ReproductiveTechniques,Assisted–
psychology|Counseling|CaseReports|BISAC:MEDICAL/MentalHealth
Classification:LCCRC889(print)|LCCRC889(ebook)|NLMWP570|DDC
616.6/92–dc23/eng/20220615
LCrecordavailableathttps://lccn.loc.gov/2022024069
LCebookrecordavailableathttps://lccn.loc.gov/2022024070
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Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateandup-to-
dateinformationthatisinaccordwithacceptedstandardsandpracticeatthetime
ofpublication.Althoughcasehistoriesaredrawnfromactualcases,everyeffort
hasbeenmadetodisguisetheidentitiesoftheindividualsinvolved.Nevertheless,
theauthors,editors,andpublisherscanmakenowarrantiesthattheinformation
containedhereinistotallyfreefromerror,notleastbecauseclinicalstandardsare
constantlychangingthroughresearchandregulation.Theauthors,editors,and
publishersthereforedisclaimallliabilityfordirectorconsequentialdamages
resultingfromtheuseofmaterialcontainedinthisbook.Readersarestrongly
advisedtopaycarefulattentiontoinformationprovidedbythemanufacturerof
anydrugsorequipmentthattheyplantouse.
Published online by Cambridge University Press
Casestudiesarebaseduponrelationshipsandteamworkthatexistswithbothour
clients and our colleagues. I am eternally grateful for the many patients I have
worked with over the years who have entrusted me with their care, some for a
single meeting and others for 30+ years. I am also profoundly indebted to the
trustedcolleagueswhohavesupported,educatedandguidedmealongthe way.
Toonumeroustomentionbyname,thesementalhealthprofessionalsaswellas
the physicians and staff at Shady Grove Fertility have provided me the “wind
beneathmywings”.Withdeepappreciation,Idedicatethisbooktoallofyou:It
hasbeenanhonorandaprivilegetobeonthisjourneywithyou.
Thesecretofchangeistofocusallofyourenergy,notonfightingtheold,buton
buildingthenew.Socrates
Published online by Cambridge University Press
Published online by Cambridge University Press
Contents
Preface ix
ListofContributors x
I Introduction 10 CounselingNonidentifiedGameteDonors 54
LauraJosephsandUschiVandenBroeck
1 CollaborativeReproductiveHealthcareModel:A
11 CounselingEmbryoDonorsandRecipients 59
Patient-CenteredApproachtoMedicaland
PsychosocialCare 1 MayaGrobelandElaineGordon
NancyKaufmanandLoreeJohnson 12 SpecialConsiderationsinGestationalSurrogacy
AssessmentsandArrangements 65
2 ReproductivePsychologyandFertility
Counseling 10 MaryRiddleandTaraSimpson
SusanKlock 13 DNAandtheEndofAnonymity:Disclosure,
Donor-LinkageandFertilityCounseling 70
II Therapeutic Approaches KateBourne
14 FamilyLifeAfterDonorConception 76
3 FertilityCounselingforIndividuals 15
JaneEllis,MarilynCrawshawandAstrid
LindaApplegarthandArabelleRowe
Indekeu
4 FertilityCounselingforCouples 20
KristyKoser
IV Addressing the Needs of Diverse
5 FertilityCounselingwithGroups 25
Populations
RachelRabinorandLandonZaki
15 TheMaleExperiencewithFertilityand
6 SexualTherapyPrimerforFertility
Counselors 31 Counseling 83
WilliamPetokandBrennanPeterson
ErikaKelleyandSherylKingsberg
7 “It’sComplicated”:TheIntersectBetween 16 CounselingLesbian,Gay,BisexualandQueer
PsychiatricIllnessandInfertility 38 FertilityPatients 88
SarahHolleyandLauriPasch
KatherineWilliamsandLauriPasch
8 “BeFruitfulandMultiply”:AddressingSpirituality 17 TransgenderAssistedReproductive
inFertilityCounseling 44 Technology 94
KarenWasserstein
MeganFloodandEileenDombo
18 ARaciallyandCulturallySensitiveApproach
toFertilityCounseling 99
III Third Party Reproduction: Assessment
KimberlyGrocher
and Preparation
9 CounselingRecipientsofNonidentifiedDonor V Special Topics in Fertility Counseling
Gametes 49
19 ResilienceinReproductiveLoss 105
CarolTollandPatriciaSachs
IrvingLeon
vii
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Contents
20 ReproductiveTraumaandPTSD:Onthe VI Practice Issues
BattlefieldofFertilityCounseling 109
JanetJaffe 25 TelementalHealthinFertilityCounseling 137
CarrieEichbergandLaurenMagalnick
21 PregnancyLossCounseling 114
Berman
IrvingLeon
26 NutsandBoltsofFertilityCounseling:
22 “ALittleBitPregnant”:CounselingforRecurrent
LegalIssuesandPractice
PregnancyLoss 120 Management 143
MiaJoelsson
WilliamPetokandMargaretSwain
23 PregnancyandPostpartumAdjustment 27 EthicalPlatformofAssistedReproduction 149
inFertilityCounseling 125 JeanneO’BrienandJulianneZweifel
LauraWinters
24 WalkingtheTightrope:ThePregnantFertility
Counselor 130
LauraCovingtonandJanetJaffe Index 156
Onlineresourcesareavailablefordownloadatwww
.cambridge.org/covington-case-studies
Password:CaseStudies2023
viii
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Preface
A case study approach to learning is one of the most field as a result of their own personal experience with
effective tools in many fields, including medicine and reproductiveloss.Everypatientweseehasareproductive
mental health counseling. It provides a link between historyandstorythatinfluencesthecourseoftherapy,as
theory and practice, allowing for an in-depth, multi- doesthetherapist.
facetedexplorationofcomplexissuesinreal-lifesettings. I am grateful for and deeply appreciative of these
Ihaveheardconsistentlyovermymanyyearsofteaching vibrant case studies and the authors’ willingness to
thatcliniciansrelatebestandoftenlearnmorefromthe sharetheirfeelingsabouttheimpactofthiswork.Their
storieswetellaboutourworkwithpatientsthanfromall personalexperiences enrich the casematerial, making it
thedidacticmaterialtheyread.Bridgingclinicalconcepts highly relatable for the reader. An essential element in
andrealpracticeisessentialininternalizingknowledge. every case is the importance of the therapeutic relation-
TheCaseStudiesvolumeofFertilityCounselinginte- ship, and as psychologist Carl Rogers noted, the
grates the foundational material of the Clinical Guide empathic, genuine and unconditional positive regard
with common situations that arise in clinical practice. the therapist brings to it. As I went through each of
Whilethecasespresentedinthesechaptersaremadeup these cases, there were so many that resonated with
fromacompilationofclientsratherthanindividualstor- patientsIhadseenovertheyearsaswellasthethoughts,
ies, they nonetheless represent key components and reactions, feelings I had about them and their struggles.
issues that occur in fertility counseling. The authors are I felt I learned a great deal from the concepts and case
all highly skilled clinicians with years of knowledge and analysis presented in both volumes, which is one of the
have generously shared not only their experiences in thingsIvaluemostinmyalmost50yearsasaclinician:to
working with fertility patients, but also how they felt have the honor and privilege to continue to learn and
abouttheseexperiences.Transferenceandcountertrans- growfromallthoseIworkwith.
ference are key counseling concepts discussed in both
volumes and are critically important to address in these SharonCovington
cases, because many fertility counselors come to the December2021
ix
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