title: A surrogate carries a fertilised ovum: multiple crossings in ego boundaries.
abstract: Recent advances in reproductive technologies have created situations in which early psychoanalytic thinking with regard to the procreative wish, infertility, and the significance of pregnancy in mothering, calls for reconsideration. The paper addresses briefly issues related to psychological infertility; it focuses specifically on possible psychological implications during full surrogacy, as this procedure is now practised in many fertility clinics in North America. The analysis of a young woman whose infertility was related to her exposure, during intra-uterinary life, to her mother's hormonal treatment (DES), presented us with the opportunity to observe the many psychological issues developing during in vitro fertilisation (IVF) and other similar procedures and, ultimately, to address the far more complex interpersonal states evolving between the biological (genetic) mother and the surrogate during full surrogacy. Analytic material provides the opportunity to discuss, specifically, questions of boundaries and boundary confusion in the relationship between the surrogate (who carried the couple's fertilised ovum to the birth of a healthy child) and the genetic mother.
authors.forename: E P
authors.initials: EP
authors.lastname: Lester
mesh_terms: D000328:Adult; D004532:Ego; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007231:Infant, Newborn; D007247:Infertility, Female / Q000523:psychology*; D009034:Mother-Child Relations; D011247:Pregnancy; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy; D013533:Gestational Carriers / Q000523:psychology*