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PRESSURES ON THE DOCTOR – UNDERSTANDING AND RESOLUTION


A common human tendency is to project negative feelings outwards, often onto those who are seen to be in authority. The contraceptive doctor may be the recipient of negative projections when he is seen as the agent of social control, preventing what comes naturally and making value judgements about the reproductive behaviour of others, ’stopping all the lovely babies’ as one woman put it. Alternatively, the doctor can be blamed when medical methods fail, especially when the patient has wanted the doctor to take control, and to somehow save her from her own muddle and failure.

The conflict within the individual, presenting as a contraceptive difficulty, may turn into a kind of fight between the patient and the doctor. The patient takes up an extreme position and somehow forces the doctor to take an opposing one. If the doctor can recognize that such a fight is taking place and remember that it is a product of the internal problem (no easy task in the middle of a fight!) some understanding and resolution may be possible. Thus the doctor might say, ‘You know, I’ve been wondering whether this argument we seem to have got into is something to do with different parts of you disagreeing. There seems to be that part of you saying you don’t want to get pregnant struggling with the part of you that does, so that on the one hand you do want a reliable method of contraception while at the same time anything I offer is rejected.’ This may free the woman to explore her dilemma more openly with herself.

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