[Preimplantation genetic diagnosis and its psychological effects].
OBJECTIVE
Report our psychoanalyst experience in clinical practice of pre-implantation genetic diagnosis (PGD).


METHODS
Between January 1999 and July 2001, 230 couples attended a multidisciplinary PGD consultation and the information meeting that preceded it. Eighty-six of these couples met the team's psychoanalyst during a private encounter (either as couples or individually, depending on their preference).


RESULTS
The development of this technique was capital for couples at risk who, prior to PGD, had often suffered a termination of pregnancy and who may have a child who was seriously ill. Whether they were carriers or affected by the disease, PGD gave them the possibility to react to their condition. Those who have repeatedly been subjected to a painful experience were given the opportunity to play an active part in their own medical history.


CONCLUSIONS
Beyond the scientific claims of this method, PGD contributes to the healing process of distressed couples and responds to their quest for recognition. We believe that this evolution in preventative medical practice, seen as a positive development, must necessarily lead to a number of ethical as well as psychoanalytical considerations, discussions and interrogations.
Flis-Trèves
M
M
Service de Gynécologie-Obstétrique, Hôpital Antoine-Béclère (AP-HP), 157, rue de la Porte-de-Trivaux, 92140 Clamart Cedex.
Achour-Frydman
N
N
Kerbrat
V
V
Munnich
A
A
Vekemans
M
M
Frydman
R
R
D005260:Female; D005817:Genetic Counseling; D020022:Genetic Predisposition to Disease; D005820:Genetic Testing / Q000523:psychology*; D006801:Humans; D011247:Pregnancy; D019836:Preimplantation Diagnosis / Q000523:psychology*
Aspects psychologiques du diagnostic génétique pré-implantatoire (DPI).