[Study of relational collusion in infertile couples with a possible psychogenic background].

The authors have investigated the psychodynamic background of possible psychogenic infertility in twenty couples. Four levels were studied: 1. Functioning of the relationship was measured with the Consensus Rorschach Test, following communication patterns in the couples. 2. Individual psychological functioning was investigated with the Individual Rorschach Test, positive and negative choices were asked, and titles were given to the figures. 3. Positive and negative reactions to particular image stimuli were also recorded, thus the joint psychological functioning of the couple was analysed. 4. Content analysis of Rorschach responses was also performed, and associations of the infertile couples were compared with associations of twenty couples expecting a child (matched by education level, SES and age). Results have provided evidence for the "phallic collusion" originally conceptualised by Jürg Willi. Starting from Willi's model, we can identify fixation at the Oedipal stage of development (3-6 years) in these partners living in a dysfunctional relationship. They have the same Achilles heel, a common grievance, a common "history pattern". Their common life is built on the hope that by living together, they could solve the problems originating from the childhood trauma. Generally, they have common fears of authority, and fears of adopting mature gender roles. According to maturity of communication content, their personality is in a transitional stage between childhood and adulthood. At a manifest level however, they hope to achieve fulfillment (birth of a child). The interactions are very ambivalent, strong mutual confirmation is present as well as criticism, devaluation and ignoration of the partner. Results of the study provide various new possibilities for promoting personality development through therapy in infertile couples with a possible psychogenic background.