{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,2]],"date-time":"2024-03-02T00:28:56Z","timestamp":1709339336764},"reference-count":12,"publisher":"Guilford Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychodynamic Psychiatry"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p> In this article, I employ a psychodynamic lens to describe how women's fantasies of time as standing still, which is encouraged by sociocultural forces, is used to undermine the notion of the biological clock. These fantasies, also fueled by the timeless nature of the unconscious, can lead to hesitancy in not only initiating fertility treatment but also in complying with fertility treatment recommendations. When this happens, hesitancy is often unconsciously utilized in a conflict about becoming a mother. Once these hesitancies are worked through in therapy through a focus on previous losses, fertility treatment often moves forward. I present the psychotherapy treatment of a 45-year-old woman with both fertility treatment hesitancy and fertility compliance hesitancy, who had not only significant childhood losses but also significant losses in her ongoing fertility treatment. I also comment how my countertransference, which urged me to work through issues quickly in therapy, was informed partly by my experience as a former obstetrician and gynecologist and hindered my work with this patient. <\/jats:p>","DOI":"10.1521\/pdps.2024.52.1.68","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T14:01:07Z","timestamp":1709301667000},"page":"68-79","source":"Crossref","is-referenced-by-count":0,"title":["Hesitancy and Time in Fertility Treatment"],"prefix":"10.1521","volume":"52","author":[{"given":"Brita Reed","family":"Lucey","sequence":"first","affiliation":[{"name":"Center for Medical Psychology and Counseling, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1080\/21674086.1984.11927060","volume":"53","author":"Arlow J.","year":"1984","journal-title":"Psychoanalytic Quarterly"},{"key":"ref2","first-page":"427","volume":"21","author":"Bonaparte Marie","year":"1940","journal-title":"International Journal of Psychoanalysis"},{"key":"ref3","volume-title":"The reproduction of mothering","author":"Chodorow N.","year":"1998","edition":"2"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1177\/00030651030510040701","volume":"51","author":"Chodorow N.","year":"2003","journal-title":"Journal of the American Psychoanalytic Association"},{"key":"ref5","volume-title":"The second sex","author":"De Beauvoir S.","year":"1949"},{"key":"ref6","first-page":"243","volume-title":"The standard edition of the complete psychological works of Sigmund Freud","volume":"16","author":"Freud S.","year":"1963"},{"key":"ref7","first-page":"3","volume-title":"The standard edition of the complete psychological works of Sigmund Freud","volume":"18","author":"Freud S.","year":"1955"},{"key":"ref8","first-page":"226","volume-title":"The standard edition of the complete psychological works of Sigmund Freud","volume":"19","author":"Freud S.","year":"1961"},{"key":"ref11","first-page":"187","volume-title":"The Kristeva reader","author":"Kristeva J.","year":"1979"},{"key":"ref13","volume-title":"Psychoanalytic aspects of assisted reproductive technology","author":"Mann M.","year":"2014"},{"key":"ref14","author":"Noel-Smith K.","year":"2014","journal-title":"Freud on time and timelessness"},{"key":"ref15","volume-title":"The motherhood constellation: A unified view of parent-infant psychotherapy","author":"Stern D. N.","year":"1995"}],"container-title":["Psychodynamic Psychiatry"],"original-title":[],"language":"en","deposited":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T14:02:46Z","timestamp":1709301766000},"score":1,"resource":{"primary":{"URL":"https:\/\/guilfordjournals.com\/doi\/10.1521\/pdps.2024.52.1.68"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1521\/pdps.2024.52.1.68"],"URL":"https:\/\/doi.org\/10.1521\/pdps.2024.52.1.68","relation":{},"ISSN":["2162-2590"],"issn-type":[{"value":"2162-2590","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}