“…Intense guilt may surface over past decisions, such as having an abortion or taking birth control pills, thus increasing self-punishment (Atwood & Dobkin, 1992;Klempner, 1992;Serono Laboratories, 1996). The list of intense experiences that the couple might manifest is quite lengthy and may be the source of considerable pain: guilt, shame, inadequacy, stigmatization, anxiety, stress, fear of spousal rejection, devastation, rage, anger, isolation, helplessness, powerlessness, loss of control, doom, despair, mourning, depression, frustration, feeling cheated, fatigue, moodiness, tenseness, disappointment, and loneliness (Atwood & Dobkin, 1992;Butler & Koraleski, 1990;Connolly & Cooke, 1987;Daniluk, 2001b;Forrest & Gilbert, 1992;Serono Laboratories, 1996;Williams et al, 1992). The preceding itemization of emotions is by no means an attempt to minimize the pain and intensity of each experience for the couple.…”