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Psychiatric symptomatology, incidence of clinical depression, measures of self-esteem, and sexual functioning were not found to be significantly different between a group of 118 women undergoing infertility evaluation and treatment and a demographically similar group of 83 routine-care women patients with no known fertility problems. However, a significant number of the infertility patients reported changes in mood and in sense of self-worth since becoming concerned about conception.

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Chapter 8 discusses cyclical psychodynamics and integrative relational psychotherapy, and covers the approach, active intervention and the inclusion of a behavioral view, the continued importance of the psychodynamic perspective, applicability and structure, the therapy relationship, a case example, empirical research, and a discussion of future directions.