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Biomedical subjects

K R Daniels

Publications and source records attributed to K R Daniels.

30 records · Page 2Linked to original sources
PubMed1992

Management of the psychosocial aspects of infertility.

There is a growing recognition of the place and importance of psychosocial factors in the infertility field. Counsellors, social workers, psychologists and others who work with the psychosocial dimensions are of relatively recent origin and as a consequence it is not uncommon for there to be confusion, sometimes conflict and often uncertainty between them and the more established health professionals. Knowledge, understanding and appreciation of the contributions of the staff involved is essential if the referral process is to be beneficial for the patients and less frustrating for the staff. Against this backdrop, the paper will seek to clarify some of the factors associated with recognizing and responding to the psychosocial aspects of infertility, highlight some points concerning teamwork between doctors and workers in the psychosocial field, and finally present a list of indicators which might be used as a guide in determining when to make a referral for psychosocial assistance.

Counseling↗
PubMed1989

Psychosocial factors for couples awaiting in vitro fertilization.

This paper reviews the literature on the psychological and psychosocial aspects of in vitro fertilization and of consumer attitudes towards IVF. A study of the psychosocial factors reported by 61 couples who were awaiting IVF treatment in Auckland, New Zealand is presented. Results cover demographic characteristics, couples responses to infertility, decision making regarding IVF, the impact of infertility on self and relationships, availability and use of counselling, expected problems associated with IVF treatment and attitudes towards policy and ethical issues. Discussion of the results includes some implications for social work services.

Adult↗
PubMed1988

Artificial insemination using donor semen and the issue of secrecy: the views of donors and recipient couples.

The issue of secrecy and artificial insemination using donor semen has psychosocial, moral and legal implications. These implications are explored within the context of New Zealand AID practice, and particularly, recent legislation aimed at clarifying the status of the child. The results of two studies, one covering 37 donors involved in six AID programmes and the other covering 55 couples who had been accepted into one of the same six programmes, insomuch as they relate to issues of secrecy, are reported. Recipient couples and donors, while thinking that secrecy is important, have told other people-a not dissimilar situation to what occurred in the adoption field 25 years ago. Forty-one per cent of recipient couples and donors do not believe children should be told of their origins. A high 46% of couples had not yet decided if they would tell their child. Donors are almost equally divided over the child's right to non-identifying information about them. Donors are more likely than recipient couples to believe that the child who knows s/he has been conceived via AID will want information about them. Only 11% of donors and 5% of couples believe a child would want to know the identity of the donor, although for three quarters of both groups the issue is far from clear. Donors were not as opposed to the possibility of tracing occurring as some doctors suggest. Response to questions concerning the legal position suggests there is considerable confusion amongst both groups. The overwhelming majority of couples were intending to place the husband's name on the birth certificate, regarding him as the father.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1987

Semen donors in New Zealand: their characteristics and attitudes.

The characteristics and attitudes of 37 semen donors in six New Zealand AID programmes are reported. Donors were found to be highly educated and, as a result, in predominantly professional and technical fields. The major reason for being a donor was altruism--a desire to help infertile couples, although financial considerations were a factor for almost one-quarter of the respondents. The attitude of donors towards payment differs markedly from the attitudes of specialists providing AID services. Personal knowledge of infertile couples was found to be a factor leading one-quarter of the donors to offer their services. There is a wide variation in the number of times that some donors are asked to donate, with some specialists operating outside the guidelines produced by the Royal New Zealand College of Obstetricians and Gynaecologists. Donors are almost equally divided on the issue of the child's right to know of the nature of her/his conception. Almost one-quarter of donors would still donate if there was a possibility that they could be traced in the future and a further 30% were unsure. These findings challenge some of the traditionally accepted views about the need for donor anonymity. It was found that 39% of donors expressed an interest in knowing the outcome of their donations. The results of the study have implications for policy and practice issues associated with the psychosocial aspects of AID. One implication is that it seems important that the psychosocial needs of donors be considered and that programmes should be flexible in responding to the differing attitudes, expectations, and needs of donors.

Adult↗
PubMed1986

New birth technologies: a social work approach to researching the psychosocial factors.

Developments in reproductive technology, notably in vitro fertilization and artificial insemination using donor sperm, are occurring at a rapid rate. Research into the psychosocial aspects of these developments has been minimal, as has been the contribution of social workers to this research. This paper reports the author's research and discusses a number of issues that have emerged as a result of a social work attempt to investigate the psychosocial factors.

Attitude of Health Personnel↗
PubMed1986

Psychosocial issues associated with being a semen donor.

Little attention has been given to the psychosocial issues associated with being a semen donor and some of the reasons for this are outlined. An extensive range of psychosocial issues is discussed. These are presented via a 'relationship model' which has been developed to illustrate how the donor, through his act of donating, is involved in a series of relationships. Some of these are interactive, in that they are two-way relationships, while others are non-reactive, being a one-way relationship only. These relationships and their impact need to be considered by, and discussed with, prospective donors. Only then will the donor and not merely his donation be responded to. Discussion of all the issues is essential if the principle of informed consent is to have any meaning. The reports of the Committees of Inquiry that have been set up in various parts of the world (as they relate to the psychosocial aspects of semen donation) are reviewed. They, along with this paper, suggest that a comprehensive service needs to be provided for semen donors and this must include consideration of the psychosocial issues. Suggestions regarding such a service are made.

Australia↗
PubMedDate not supplied

Adoption and donor insemination: factors influencing couples' choices.

The increasing availability of donor insemination (DI) gives couples faced with male infertility a choice between DI and adoption, and for many, DI is now the preferred option. The results of a study of 54 couples who gave birth to a child or children by means of DI are presented both quantitatively and qualitatively, and show that most couples who have children by DI have considered adoption. Their reasons for choosing DI range from the practical to the emotional, from perceived negative aspects of adoption to perceived advantages of DI. This article discusses these perceptions and their implications.

Adoption↗