[Information, transmission, secrecy: What kind of discourse for children born by gamete donation?].
The number of children born through gamete donation grows by the conceptions made abroad. All the couples engaging in this process do not benefit from of the same support around the issues raised by the information to the child and its terms. Through a literature review, the authors explore the data on information intentions from parents to child and to entourage, the influence of the issue of anonymity, the effective rate information, the influences of the age of the child, the terms information and links with family dynamics. The quantitative findings underscore the complexity of this task, since 10-90 % of couples report an intention to inform their child from conception through donation, while 5-30 % actually inform them after birth. Fifty-nine to 93 % of the relatives are nevertheless informed. The authors will highlight the psychopathological tracks that support the possibility of narration for parents: the internalization of their infertility, the representation of the gift, the development of rivalry towards donors, the secrecy and privacy. The objective of this article is to enable carers to accompany this reflection among future parents, a better listening of the issues raise by the couples allowing shoring their process.
Institut de psychologie, 71, avenue Édouard-Vaillant, 92100 Boulogne-Billancourt, France.
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Canneaux
Institut Édouard-Claparède, 5, rue du Général-Cordonnier, 92200 Neuilly-sur-Seine, France.
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Kobilinsky
Inserm U1016, service d'histologie embryologie biologie de la reproduction, CECOS, hôpital Cochin, université Paris Descartes, AP-HP, 75014 Paris, France.
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Wolf
Service de pédopsychiatrie, hôpital Necker-Enfants-Malades, AP-HP, 75015 Paris, France.
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Golse
Hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France. Electronic address: berengere.beauquier@nck.aphp.fr.
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Beauquier-Maccotta
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003219:Confidentiality / Q000523:psychology*; D005260:Female; D006801:Humans; D007246:Infertility / Q000523:psychology; D007316:Insemination, Artificial, Heterologous / Q000523:psychology*; D008297:Male; D018587:Oocyte Donation / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D033283:Patient Access to Records; D013094:Spermatozoa; D014019:Tissue Donors
Conception; Disclosure; Don de gamète; Gametes donation; Information; Psychology; Transmission