Search results for ‘Author:"crawshaw marilyn"’ Sort:
Results 1 - 3 of 3
A qualitative study of the experiences of teenagers and young adults when faced with possible or actual fertility impairment following cancer treatment
- Authors:
- CRAWSHAW Marilyn, SLOPER Patricia
- Publisher:
- University of York. Department of Social Policy and Social Work
- Publication year:
- 2006
- Pagination:
- 223p., bibliog.
- Place of publication:
- York
This study looks in depth at the experiences of young people diagnosed with cancer who find that this may result in their reproductive system becoming damaged. In depth interviews were conducted with thirty eight individuals diagnosed with cancer between ages 13 and 21 and aware of a risk, no matter how small, that their fertility may have been affected. Age at interview ranged from 16 to 30. Recruitment was primarily through three regional paediatric oncology centres in the North of England. There was strong support for being told at diagnosis about the potential impact of treatment on their reproductive system. There was strong support for sperm banking to be offered to all males regardless of their physical or emotional state. Some females would have preferred greater clarity to be offered by doctors about the link between possible interruptions to their menstrual cycle and their reproductive system. Some wanted an explanation at this stage about why egg freezing was not on offer. Overall, coping with the impact of cancer-related fertility concerns was a dynamic process with different aspects arising at different times, in different contexts and in different life stages.
A qualitative study of the experiences of teenagers and young adults when faced with possible or actual fertility impairment following cancer treatment: research report executive summary
- Authors:
- CRAWSHAW Marilyn, SLOPER Patricia
- Publisher:
- University of York. Department of Social Policy and Social Work
- Publication year:
- 2006
- Pagination:
- 6p.
- Place of publication:
- York
Treatment for cancer can lead to fertility impairment. The effects of this on a young person's emotional and sexual health, identity and well-being, and on their relationships were not known. Neither was it known what effect the experience of coping with potential or actual impairment has on young people as they enter adulthood and were faced with related decisions, including whether and when to have their fertility status tested (where appropriate) and, if they are contemplating parenthood at some stage, whether to opt for assisted conception treatment (where appropriate) or adoption or another route. As growing numbers of young people survive treatment for cancer, and as advances in fertility preservation open up new possibilities for future treatments, it became crucial that more information was gathered about the experiences of patients themselves. The aim of this study was to identify the needs for services that teenagers and young adults had in relation to this aspect of their cancer experience. This will inform staff involved with these patients and those responsible for planning and commissioning cancer services, fertility impairment services and other services as appropriate.
Working at the margins: the views and experiences of court social workers on parental orders work in surrogacy arrangements
- Authors:
- CRAWSHAW Marilyn, PUREWAL Satvinder, VAN DEN AKKER Olga
- Journal article citation:
- British Journal of Social Work, 43(6), 2013, pp.1225-1243.
- Publisher:
- Oxford University Press
Unlike many contemporary social work tasks, the work of Parental Order Reporters (PORs) in surrogacy cases in England is infrequent and unresearched. This study offers insights into how experienced social workers approach work in little-regulated but ethically complex contexts outside the mainstream. Sixteen PORs took part in telephone interviews about their experiences in providing court reports on over 135 applications. There was little evidence of controversy about surrogacy, but there were variations in approaches to the task, including that of financial scrutiny. Perceptions of risk arising from genetic difference were thought to be low in light of apparently strong parent–child bonding, commitment of commissioning parents, openness with the child about their origins and awareness of longer-term identity and contact needs. Concern about parents' potential to achieve the latter was limited. However, concerns about the impact on surrogates' children and PORs' constraints of entering the process too late were high. Findings suggest a need for regulation of surrogacy agencies and improved child-focused suitability assessments and preparation of surrogates and commissioning parents, including external scrutiny. More reference to courts over financial aspects and increased use of analytic, research-informed approaches by PORs is also indicated. (Publisher abstract)