title: Parental coping with sudden infant death after donor insemination: case report.
abstract: We report the case of an artificial donor insemination couple experiencing sudden infant death of their 8-month-old child. Six months after the incident, the couple were investigated by means of an extensive interview, a repertory grid investigation and the Family Assessment Measure, as well as at 6 years after the incident by an extensive interview. The results show the importance of the diagnosis of male infertility and the preceding fertility treatment for coping with the death of their child. Six months after the incident, acute feelings associated with bereavement are mixed with feelings of anger and shame, apparently due to the experience of infertility. However, secrecy and shame associated with male infertility and donor insemination make it impossible for the couple to communicate their feelings to each other or to friends and relatives; furthermore, they decline psychological counselling. Repertory grid investigation and the Family Assessment Measure point to significant problems within the partnership. Six years after the incident, the couple's relationship is destabilized and both partners plan to divorce. We suggest a possible link between donor insemination secrecy and difficulties with coping. We discuss implications for couple counselling and emphasize the necessity for an improved legal framework for donor insemination in Germany.
authors.affiliation: Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Sigmund Freud Str. 25, D-53105 Bonn, Germany. cr.bonn@t-online.de
authors.forename: Rupert
authors.initials: R
authors.lastname: Conrad
authors.forename: Guntram
authors.initials: G
authors.lastname: Schilling
authors.forename: Reinhard
authors.initials: R
authors.lastname: Liedtke
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D004243:Divorce; D005260:Female; D006117:Grief; D006801:Humans; D007223:Infant; D007248:Infertility, Male / Q000523:psychology; D007315:Insemination, Artificial / Q000523:psychology*; D008297:Male; D010290:Parents / Q000523:psychology*; D012649:Self Concept; D012752:Shame; D013398:Sudden Infant Death