Experiences of involuntary childlessness and treatment in the UK: what has changed in 20 years? (original) (raw)

Childlessness: Concept Analysis

International Journal of Environmental Research and Public Health, 2022

The purpose of this concept analysis is to explore childlessness and provide understanding to professionals involved in the field of infertility. Walker and Avant's method was used to identify descriptions, antecedents, consequences, and empirical referents of the concept. A model with related and contrary cases was developed. The analysis was based on the definition of the term in major dictionaries in the Greek, Lithuanian, Finnish, Maltese, and Turkish languages, while further literature searches utilized the Web of Science, PubMed, PsychInfo, Medline, Google Scholar, and National Thesis Databases. The literature search was limited to papers/books published in the authors' national languages and English. As a result, childlessness is defined as the absence of children in the life of an individual, and this can be voluntary or involuntary. However, the deeper analysis of the concept may be preceded and amplified through cultural, psychological, biological, philosophical, theological, sociological, anthropological, and linguistic aspects throughout history. These elements presented challenges for childless individuals, ultimately influencing their choices to resort to alternative ways of becoming parents, such as in vitro fertilization (IVF), surrogacy, adoption, or other forms of childbearing. Historically, childlessness has been viewed with negative connotations due to its potential impact on the survival of the human species. This negativity can be directed even to individuals who may decide to opt to voluntarily remain childfree. The long-term impact of the experience, both on an individual and collective level, continues to cause pain to those who are involuntarily childless. In conclusion, health professionals and other stakeholders who have a deep understanding of childlessness, including the antecedents and attributes, can minimize the potential negative consequences of those factors contributing to childlessness, whether voluntary or involuntary. In fact, they can capitalize on a powerful impact of change adaptation by providing support to those in their practice to recover the lost homeostasis.

Voluntary Childlessness: A Critique of Existing Research and Suggestions for Future Study

1979

This paper presents a discussion of thecimportance of voluntary childlessness as a contemporary social phenomenon. The negative attitudes associated with voluntary childlessness are discussed in a brief summary of recent literature. An exploration of the methodological limitations of existing research is included which emphasizes its usefulness for hypothesis formation and points to the need for more in-depth studies. A research strategy based in a theoretical foundationis outlined in terms of five propositions. dealing with both thartecedents and consequences of fertility choices, including: (1)the husband's and wife's freedom from traditional sex role identification; 1/0-sex role identification and fertility values formed by-experieicet'in the family of origin; (3) decision-making patterns in the-marriage; (4) the quality of a marriage without children; and (5) the potential for individual development in a childless mirriagi,:-A chart illustrating a schema for couple's development is also provided, (Author/MCF) ti

Choice and circumstance: Qualitative insights into contemporary childlessness in Australia

European Journal of Population / Revue européenne de Démographie, 2007

Using data from in-depth interviews with 115 women, men and couples in eastern Australia for whom family formation was a recent, current or imminent future issue, this article explores contemporary childlessness among those physically able to have children. It differentiates between those childless by choice and by circumstance, and among other themes highlights (i) the role preservation of lifestyle appears to play as a motive for deliberate childlessness following development of a life course through early adulthood that both generates lifestyle aspirations and often places parenthood on the backburner until after age 30, and (ii) the roles difficulty forming suitable relationships, women's desire for meaningful careers, and male involvement in family formation decisions play in bringing about childlessness by circumstance.

Men leave me as I cannot have children': women's experiences with involuntary childlessness

Human Reproduction, 2002

BACKGROUND: This study explores the concerns and experiences related to involuntary childlessness of infertile women living in a diverse cultural urban community in South Africa. METHODS: In-depth interviews were conducted with 30 women seeking treatment for involuntary childlessness. Women were interviewed at the time of their first visit to an infertility clinic in a tertiary referral centre. RESULTS: All women verbalized intense emotions about their involuntary childlessness. In addition, a large number of women experienced negative social consequences including marital instability, stigmatization and abuse. CONCLUSIONS: These findings demonstrate that infertility can have a serious effect on both the psychological well-being and the social status of women in the developing world. Furthermore, the study provides insight into the cultural context of involuntary infertility in South Africa. The delivery of good infertility care in a community requires awareness of the implications of infertility and insight into the context in which these occur. Since many of the negative social implications of infertility are probably rooted in low status women in the developing world, effective intervention will ultimately require social, economical and political changes.

‘No longer invincible’: the impact of involuntary childlessness on older men

Physical Therapy Reviews, 2021

The global trend of declining fertility rates and an increasingly ageing population has led to increased scrutiny of parenthood. Although there are more childless men than childless women, there is very little research literature on the impact of male childlessness. The childless are absent from much social science literature, which has mainly focussed on family and women. Feminist studies into infertility and ageing have highlighted the absence of the male experience. Involuntary childlessness has been viewed as a complex bereavement formed by multiple losses. Distress levels in both men and women in this population have been found to be as high those with grave medical conditions. Objectives The aim of this study was to examine older men?s experience of involuntary childlessness. Methods This piece draws on my qualitative auto/biographical doctoral study that was framed by biographical, life course, gerontological, and feminist approaches. Data collection involved in-depth semi-structured biographical interviews with 14 self-defined involuntary childless men aged between 49 and 82?years from across the United Kingdom. A latent thematic analysis highlighted the complex intersections between agency, biology, childlessness, economics, mental and physical health, relationships, and socio-cultural structures. Major findings Findings countered the stereotype that men are not interested in reproduction. I argue that that involuntary childlessness should be considered as a significant factor in older men's poor health and social capital. Conclusions This piece challenges the common narratives that the social, emotional, and relational aspects of involuntary childlessness do not affect men.

‘Point number one in your bloody PhD’: The experiences of involuntarily childless men as they age

"The global trend of an increasingly ageing population and a declining fertility rate has been widely accepted. Moreover, as men’s mortality rates are predicted to soon equal women’s, the gender profile of the UK’s ageing population is predicted to change. Childless men are, compared to women, missing from gerontological, sociological, infertility, and psychological research. These fields have all mainly focussed on family and women, with the fertility intentions, history and experience of older men being overlooked. Involuntary childlessness may be seen as a complex bereavement formed by multiple losses with distress levels in both men and women in this population have been found to be as high those with grave medical conditions This paper aims to provide some insight in to the experiences of involuntarily childless (older men. Drawing on 27 in-depth biographical interviews (lasting 1-5 hours) conducted with 14 men aged between 49 and 82 from across the country. This paper highlights the complex intersections between men’s experience of involuntary childlessness and agency, structure, and relationships. It was found there are diverse routes of entering involuntary childlessness of which interpersonal skills, partner selection, timing of relationships, and the assumption of fertility are important factors. The accounts also demonstrated the importance of relationships: the centrality of it to those in them and the desire for one for those not. Grand fatherhood was referenced through four routes: Latent, Adopted, Surrogate, and Proxy. This paper demonstrates how men’s involuntary childlessness affects their life course. "

State-ofthe-art report Childlessness in Europe

2015

In the last decades, European societies have experienced changes in the postponement of the age of having a first child, shrinking family size, and increased (in)voluntary childlessness. This report provides a review of the state-of-the-art research in relation to one of the central research goals of Working Package 4: to examine the rise, determinants and societal consequences of childlessness by different perspectives. The report provides an overview of the central macro-level determinants of childlessness among women and men firstly from a quantitative perspective examining trends, relevant determinants and measures. We will then outline the central micro-level determinants of childlessness among women, men and couples by examining core characteristics of childless individuals such as higher education or marital disruption. We then turn to an overview of anthropological and qualitative examinations of the determinants of childlessness and the psychological, social and socio-polit...