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Zusatztext "The ethnographic perspective of the book offers a valuable insight into the limitations that patient-centred approaches offer to solving the issues of medicalization in the context of ART. What is more! the book provides a close look into the daily work of health care providers! which is extremely valuable as it offers a careful analysis of health care providers' interactions with patients! including mundane details often left outside of the analytical gaze." ? Medicine Anthropology Theory "The social scientific study of reproduction is a growing field and scholars in that field will welcome a book on ART in the Dutch context as do a wide range of scholars and general readers interested in either feminism! gender! or health care. Physicians and other medical professionals will be interested in this work due to its clear implications for practice." ? Arthur L. Greil ! Alfred University Informationen zum Autor Trudie Gerrits is Assistant Professor in the Anthropology Department at the University of Amsterdam (UvA), Netherlands, where she is co-director of the Masters in Medical Anthropology and Sociology (MAS). Klappentext The first ethnography on the use of any new reproductive technologies (NRTs) in the Netherlands. Based on a long and intensive period of observations in a clinic and the situated accounts of couples which were followed over time. Contributes to current debates on medicalization and the use of new reproductive technologies in clinical practice. Zusammenfassung Contemporary Dutch policy and legislation facilitate the use of high quality! accessible and affordable assisted reproductive technologies (ARTs) to all citizens in need of them! while at the same time setting some strict boundaries on their use in daily clinical practices. Through the ethnographic study of a single clinic in this national context! Patient-Centred IVF examines how this particular form of medicine! aiming to empower its patients! co-shapes the experiences! views and decisions of those using these technologies. Gerrits contends that to understand the use of reproductive technologies in practice and the complexity of processes of medicalization! we need to go beyond 'easy assumptions' about the hegemony of biomedicine and the expected impact of patient-centredness. Inhaltsverzeichnis Acknowledgements Abbreviations Introduction Medicalization and Persistence Patient-Centred Medicine Outline of the Book¿ Chapter 1. Studying ARTs: Theory, Context, the Clinic and Methods Understanding the Use of ARTs Dutch Context - Families, Children and Childlessness The Radboud Clinic The Study Chapter 2. 'Dutch IVF'. Legislation, Guidelines and Health Insurances Legislation and Guidelines Health Insurance Coverage Conclusion Chapter 3. The Couples and their Quest for a Child Social and Demographic Characteristics Facing Fertility Problems: Diverse Points of Departure Couples' Quest for a Child: the Process Complementary and Alternative Medicine Adoption as a Last Resort Conclusion Chapter 4. Daily Practices in the Patient-Centred Clinic Interpersonal Aspects of Care Privacy (or Not) Abundant Information Psycho-Social Support and Empathy Decision Making - Multiple Dynamics Conclusion Chapter 5. Information and Interpretation. Risks and Rates IVF Success Rates: What Do They Tell Us? Risks: Facts and Perceptions Beyond Facts - Uncertainty and Trust Conclusion Chapter 6. The Body and Visualizing Technologies Gaining Insight in the Reproductive Body and its Flaws Visualization of Reproduction through IVF Case: Louise's Diary Trying Once More? Compelling Technolog...