Patient-Centred IVF
Berghahn Books (Verlag)
978-1-78533-226-5 (ISBN)
Contemporary Dutch policy and legislation facilitate the use of high quality, accessible and affordable assisted reproductive technologies (ARTs) to all citizens in need of them, while at the same time setting some strict boundaries on their use in daily clinical practices. Through the ethnographic study of a single clinic in this national context, Patient-Centred IVF examines how this particular form of medicine, aiming to empower its patients, co-shapes the experiences, views and decisions of those using these technologies. Gerrits contends that to understand the use of reproductive technologies in practice and the complexity of processes of medicalization, we need to go beyond ‘easy assumptions’ about the hegemony of biomedicine and the expected impact of patient-centredness.
Trudie Gerrits is Assistant Professor in the Anthropology Department at the University of Amsterdam (UvA), Netherlands, where she is co-director of the Masters in Medical Anthropology and Sociology (MAS).
Acknowledgements
Abbreviations
Introduction
Medicalization and Persistence
Patient-Centred Medicine
Outline of the Book
Chapter 1. Studying ARTs: Theory, Context, the Clinic and Methods
Understanding the Use of ARTs
Dutch Context – Families, Children and Childlessness
The Radboud Clinic
The Study
Chapter 2. ‘Dutch IVF’. Legislation, Guidelines and Health Insurances
Legislation and Guidelines
Health Insurance Coverage
Conclusion
Chapter 3. The Couples and their Quest for a Child
Social and Demographic Characteristics
Facing Fertility Problems: Diverse Points of Departure
Couples’ Quest for a Child: the Process
Complementary and Alternative Medicine
Adoption as a Last Resort
Conclusion
Chapter 4. Daily Practices in the Patient-Centred Clinic
Interpersonal Aspects of Care
Privacy (or Not)
Abundant Information
Psycho-Social Support and Empathy
Decision Making – Multiple Dynamics
Conclusion
Chapter 5. Information and Interpretation. Risks and Rates
IVF Success Rates: What Do They Tell Us?
Risks: Facts and Perceptions
Beyond Facts – Uncertainty and Trust
Conclusion
Chapter 6. The Body and Visualizing Technologies
Gaining Insight in the Reproductive Body and its Flaws
Visualization of Reproduction through IVF
Case: Louise’s Diary
Trying Once More? Compelling Technology
Conclusion
Chapter 7. Gendered Suffering and Support
The Gendered and Unequal Burdens of IVF
Sharing the Grief of Loss after IVF
Essentializing Genetics and Gender Dynamics
Conclusion
Chapter 8. Bioethics in Practice
Multi-Disciplinary Ethics Meeting
Case: Woman Carrier of a Cancer Gene
Concerns in Context
Addressing Ethically Sensitive Requests
Conclusion
Chapter 9. Conclusion
Dutch IVF
Bioethics in Practice
Patient-Centred Practices
Gender Inequality and the Imperative of Genetics
Final Thoughts: Implications for the Field and Future Research
Appendices
Appendix I: Methods
Appendix II: Social and Demographic Background Data Of Study Participants
Appendix III: Patients’ or Couples’ Characteristics or Situations Leading to Concerns among Clinic Staff and their Reasons for Withholding Treatment
Glossary
Reference list
Index
| Erscheinungsdatum | 10.09.2016 |
|---|---|
| Reihe/Serie | Fertility, Reproduction and Sexuality: Social and Cultural Perspectives |
| Verlagsort | Oxford |
| Sprache | englisch |
| Maße | 152 x 229 mm |
| Gewicht | 667 g |
| Themenwelt | Medizin / Pharmazie ► Medizinische Fachgebiete ► Gynäkologie / Geburtshilfe |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Medizinethik | |
| Studium ► Querschnittsbereiche ► Geschichte / Ethik der Medizin | |
| Naturwissenschaften ► Biologie ► Humanbiologie | |
| Sozialwissenschaften ► Soziologie | |
| ISBN-10 | 1-78533-226-0 / 1785332260 |
| ISBN-13 | 978-1-78533-226-5 / 9781785332265 |
| Zustand | Neuware |
| Haben Sie eine Frage zum Produkt? |
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