Infertility and relationships: the importance of constructions in context
Infertility and relationships: the importance of constructions in context
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DOI：
10.1332/204674313x664680
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发表时间：
2013-03-01
影响因子：
1.4
通讯作者：
de Kok, Bregje Christina
中科院分区：
文献类型：
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作者：
de Kok, Bregje Christina
在低收入和中等收入国家，不孕不育是一种被忽视但极具耻辱性的疾病，往往会导致婚外情、一夫多妻制和离婚。我在马拉维采访了有生育问题的妇女，并用话语心理学分析了她们是如何描述和构建(婚外)婚姻关系的。令人惊讶的是，一些受访者认为他们的关系很好，描述中将丈夫婚外情的重要性和可责性降至最低。这与文献对婚姻关系问题的描述形成了鲜明对比，婚姻关系问题是不孕不育女性所承受的主要困难之一。关注参与者自己对关系“麻烦”的取向是很重要的。此外，言简意赅的做法，如不抱怨或不指责配偶的婚外情，似乎限制了“直言不讳”和“调皮捣蛋”的可能性。干预措施可以为替代账户和建设提供便利。这项研究阐明了当地的家庭和亲密行为，人们在互动中是如何处理关系和亲密关系的，以及受访者对婚姻关系和社会类别(例如，配偶)的共同期望。这一点很重要：性健康和生殖健康干预措施应该考虑关系及其特定背景的含义。
In low- and middle-income countries, infertility is a neglected but highly stigmatising condition, which often leads to extramarital affairs, polygamy and divorce. I conducted interviews in Malawi with women with a fertility problem and used discursive psychology to analyse how they described and constructed (extra) marital relationships. Surprisingly, several respondents constructed their relationships as good, and descriptions minimised the significance and blameworthiness of husbands' affairs. This contrasts with the literature's portrayal of conjugal relationship problems as among the main hardships that infertile women endure. Attention to participants' own orientations to relationship 'trouble' is important. Furthermore, discursive practices, such as not complaining or not blaming one's spouse for affairs, appear to limit possibilities for 'speaking out' and 'acting up'. Interventions could facilitate alternative accounts and constructions. This study illuminates local practices of family and intimacy, how people 'do' relationships and intimacy in interaction, and the shared expectations concerning marital relationships and social categories (eg,'spouse') that the respondents draw on. This is important: sexual and reproductive health interventions should consider relationships and their context-specific meanings.