What is to be done with surplus embryos? Attitude formation with ambivalence in German fertility patients

Kufner, K; Tonne, M; Barth, J (2009). What is to be done with surplus embryos? Attitude formation with ambivalence in German fertility patients. Reproductive biomedicine online, 18 Suppl 1, pp. 68-77. Oxford: Elsevier 10.1016/S1472-6483(10)60118-6

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Improved pregnancy rates in IVF have led to increasing numbers of surplus embryos which can potentially be used for purposes like donation to another infertile couple or further research. Individuals report high levels of ambivalence concerning the donation of surplus embryos. This study examined which strategies infertile patients use to deal with this ambivalence when asked to evaluate potential dispositions of surplus embryos created during IVF. Guideline-based interviews with fertility patients were audio-recorded and transcribed verbatim. Following the principle of theoretical sampling, eight interviews were analysed by use of Grounded Theory. Analyses focused on processes of individual attitude formation. Strategies for handling ambivalence during attitude formation were identified: the six strategies comprise cognitive and communicative strategies, and were integrated into a model of attitude formation under ambivalence. As ambivalence is a relevant phenomenon in attitude formation within IVF treatment, assessment of ambivalence is strongly recommended in social science studies investigating ethical problems in patient care. In the context of informed consent, there is a need for individual counselling which draws attention to the conflicting values during attitude formation. Counsellors should be aware of the signs of and the strategies to deal with ambivalence.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Barth, Jürgen

ISSN:

1472-6483

ISBN:

19281667

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:09

Last Modified:

05 Dec 2022 14:21

Publisher DOI:

10.1016/S1472-6483(10)60118-6

PubMed ID:

19281667

Web of Science ID:

000264539400011

BORIS DOI:

10.7892/boris.30196

URI:

https://boris.unibe.ch/id/eprint/30196 (FactScience: 191356)

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