Table Of ContentFertility Counseling
Clinical Guide and Case Studies
Fertility Counseling
Clinical Guide and Case Studies
Editedby
SharonN.Covington
PsychologicalSupportServices,ShadyGroveFertilityReproductiveScienceCenter,Rockville,MD;
IntramuralResearchProgramonReproductiveandAdultEndocrinology,NationalInstitutesof
ChildHealthandHumanDevelopment(NICHD),NationalInstitutesofHealth(NIH),Bethesda,MD;
andDepartmentofObstetricsandGynecology,GeorgetownUniversitySchoolofMedicine,Washington,DC,USA.
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Fertilitycounseling:clinicalguideandcasestudies/editedby
SharonN.Covington.
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Includesbibliographicalreferencesandindex.
ISBN978-1-107-64311-6(paperback)
I.Covington,SharonN.,editor.
[DNLM:1.Infertility–psychology. 2.Counseling.
3.ReproductiveTechniques,Assisted–psychology.WP570]
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Everyefforthasbeenmadeinpreparingthisbooktoprovide
accurateandup-to-dateinformationwhichisinaccordwith
acceptedstandardsandpracticeatthetimeofpublication.
Althoughcasehistoriesaredrawnfromactualcases,everyeffort
hasbeenmadetodisguisetheidentitiesoftheindividualsinvolved.
Nevertheless,theauthors,editorsandpublisherscanmakeno
warrantiesthattheinformationcontainedhereinistotallyfree
fromerror,notleastbecauseclinicalstandardsareconstantly
changingthroughresearchandregulation.Theauthors,editors
andpublishersthereforedisclaimallliabilityfordirector
consequentialdamagesresultingfromtheuseofmaterial
containedinthisbook.Readersarestronglyadvisedtopaycareful
attentiontoinformationprovidedbythemanufacturerofany
drugsorequipmentthattheyplantouse.
Family,likealotus,maystruggletogrow,pushingthroughmurkinessbefore
reachingthelightand,then,blossomintouniquebeautyandstrength.
Dedicatedto:
Mypatientswhohaveallowedmethehonortoshareintheirstruggle
throughthemurkinessofinfertilityandwitnesstheirgrowth.
Myhusband,Barry,andourgrowingfamily:Laura,Brendan,Darleneand
LukeCovington;andMichelle,Scott,Sean,MichaelaandLiamHarmon.
LotusphotobyMichelleCovingtonHarmon,usedwithpermission
Contents
Listofcontributors pageix
Foreword xi
AlanDeCherneyandDorothyGreenfeld
Acknowledgments xii
Section1:Introduction 10 Counselingknownparticipantsinthird
partyreproduction 136
1 Collaborativereproductive
EricaJ.MindesandLauraS.Covington
healthcaremodel 1
SharonN.CovingtonandG.DavidAdamson
Section4:Theexpandingimage
2 Reproductivepsychologyand
offamilies
fertilitycounseling 33
SusanC.Klock
11 Lastchanceortoolate?Counseling
prospectiveolderparents 150
Section2:Therapeuticapproaches
JulianneE.Zweifel
3 Fertilitycounselingforindividuals 45 12 Counselingsinglewomenandsingle
LindaD.Applegarth menchoosingparenthood 166
LauriA.PaschandSarahR.Holley
4 Fertilitycounselingforcouples 60
13 Counselinglesbian,gay,bisexualand
BrennanD.Peterson
transgenderpatients 180
5 Spiritualityinfertilitycounseling 74 SarahR.HolleyandLauriA.Pasch
EileenA.DomboandMeganFlood
14 Adoption 197
6 Reproductivepsychiatryand AnneF.Malave´
fertilitycounseling 85
KatherineWilliams Section5:Specialtopicsin
fertilitycounseling
Section3:Thirdpartyreproduction:
assessmentandpreparation 15 Fertilitypreservationcounseling 212
AllisonB.Rosen
7 Counselingrecipientsofanonymous
donorgametes 97 16 Pregnancyandlosscounseling 226
PatriciaL.SachsandCarolB.Toll IrvingG.Leon
8 Counselinganonymousgametedonors 109 17 Theviewfromthefertility
counselor’schair 239
LauraJosephsandUschiVandenBroeck
JanetJaffe
9 Counselingsurrogatecarrier
18 Disclosure:helpingfamiliestalkabout
participants 122
assistedreproduction 252
TaraH.SimpsonandHilaryHanafin
JeanM.Benward
vii
Contents
Section6:Practiceissues 22 Cross-borderreproductiveservicesand
fertilitycounseling 308
19 Anevidence-basedapproachto
PetraThornandEricBlyth
counselingforfertilitytreatment
compliance 265
SofiaGameiroandJackyBoivin
20 Ethicalaspectsoffertilitycounseling 281 Glossary 321
JoannPaleyGalstandJudithE.Horowitz Index 324
21 Legalissuesforfertilitycounselors 296
Onlineresourcesandtoolsforfertility
MargaretSwainandWilliamPetok
counselingpracticeavailableat
www.cambridge.org/9781107643116.
viii
Contributors
G.DavidAdamson,MD EileenA.Dombo,MSW,PhD
MedicalDirector,PaloAltoMedicalFoundation AssistantProfessorandAssistantDean&BSW
FertilityPhysiciansofNo.California,PaloAlto,CA; ProgramChairperson,TheNationalCatholicSchool
ClinicalProfessor,ACF,StanfordUniversity, ofSocialService,TheCatholicUniversityofAmerica,
Stanford,CA;andAssociateClinicalProfessor, Washington,DC,USA
UniversityofCaliforniaSanFrancisco,CA,USA
SofiaGameiro,PhD
LindaD.Applegarth,EdD Lecturer,CardiffFertilityStudiesGroup,Schoolof
ClinicalAssociateProfessorofPsychologyand Psychology,CardiffUniversity,UK
DirectorofPsychologicalServices,TheRonaldO.
Perelman&ClaudiaCohenCenterforReproductive MeganFlood,MA,MSW
Medicine,WeilMedicalCollegeofCornellUniversity, LicensedIndependentClinicalSocialWorker;
NewYork,NY,USA Faculty,WashingtonSchoolofPsychiatry,
Washington,DC,USA
JeanM.Benward,MS
Psychotherapist,CounselingOfficesofJeanBenward, JoannPaleyGalst,PhD
SanRamon,CA,USA
PsychologistatIndependentPractice,NewYork,NY,
USA
JackyBoivin,PhD
Professor,CardiffFertilityStudiesGroup,Schoolof
HilaryHanafin,PhD
Psychology,CardiffUniversity,UK
LicensedPsychologistattheCenterforSurrogate
EricBlyth,MA,PhD Parenting,Encino,CA,USA
ProfessorofSocialWorkattheCentreforApplied
SarahR.Holley,PhD
ChildhoodStudies,UniversityofHuddersfield,
AssistantProfessorofClinicalPsychology,San
Queensgate,Huddersfield,UK
FranciscoStateUniversity,SanFrancisco,CA,
LauraS.Covington,MSW USA
ClinicalSocialWorker,ShadyGroveFertility
ReproductiveScienceCenter,Rockville,MD,USA JudithE.Horowitz,PhD
LicensedPsychologists,IndependentPractice,Coral
SharonN.Covington,MSW
Springs,FL,USA
DirectorofPsychologicalSupportServices,Shady
GroveFertilityReproductiveScienceCenter, JanetJaffe,PhD
Rockville,MD;AssociateInvestigator,Intramural Co-founderandCo-directoroftheCenterfor
ResearchProgramonReproductiveandAdult ReproductivePsychology,SanDiego,CA
Endocrinology,NationalInstitutesofChildHealth
andHumanDevelopment(NICHD),National LauraJosephs,PhD
InstitutesofHealth(NIH),Bethesda,MD;and ClinicalAssistantProfessorofPsychologyatthe
AssistantClinicalProfessor,Departmentof CenterforReproductiveMedicine,New
ObstetricsandGynecology,GeorgetownUniversity York-PresbyterianWeillCornellMedicalCenter,
SchoolofMedicine,Washington,DC,USA NewYork,NY,USA
ix
