Exploring the experiences of English-speaking women who have moved to Israel and subsequently used Israeli fertility treatment services: A qualitative study

BACKGROUND

Israel's pronatalist cultures result in a social expectation to have children and drive Israel's fertility rate of 2.9. Israeli policy reflects this through funding unlimited fertility treatment up to two children. Societal pressure to have children exacerbates challenges of fertility treatment. Furthermore, the lack of financial burden creates a culture of perseverance following treatment failures. Whilst the experiences of Israeli women using fertility treatment have been studied, the experiences of women who migrated to Israel and were therefore raised in a different society have not. This study aimed to address this gap in knowledge.

METHODS

A qualitative study using semi-structured interviews to investigate the experiences of 13 English-speaking women who utilised Israeli state funded fertility treatment. Participants were located across Israel and were recruited using purposive sampling through social media. Data was analysed using framework analysis.

RESULTS

Despite not being aimed at specific ethnic or religious groups, all respondents were Jewish. Three themes were identified: 1. Systemic factors: The lack of financial burden was positive, however, participants struggled to navigate the bureaucratic healthcare system, especially when experiencing a language barrier. 2. Influence of others: Encountering a cold bedside manner alongside contending with the expectations of a pronatalist society was challenging. Participants utilised support from other migrants who appreciated the same culture shock. Understanding of healthcare professionals regarding shared religious values further improved treatment experiences. 3. Impact of journey: Participants often withdrew socially and the treatment process implicated upon their lives, jobs and relationships.

CONCLUSION

Navigating a bureaucratic system and pronatalist society are difficulties associated with fertility treatment in Israel. The lack of financial burden and an understanding of religious and cultural beliefs by healthcare providers improved treatment experience. Better provision of resources in English and further research into supporting women who are navigating Israel's pronatalist society is required.

The cost of changing language context: The language-dependent recall of fictional stories

Language-dependent recall refers to the language-specific retrieval of memories in which the retrieval success depends on the match between the languages of encoding and retrieval. The present study investigated language-dependent recall in terms of memory accuracy, false memory, and episodic memory characteristics in the free recall of fictional stories. We also asked how language-dependent memories were influenced by language proficiency and visual imagery. One hundred and thirty-seven native Turkish (L1) speakers who were second-language learners of English (L2) were divided into four groups in which they read fictional stories and then recalled them: (1) Turkish reading-Turkish recall, (2) English reading-English recall, (3) English reading-Turkish recall, (4) Turkish reading-English recall. Regardless of the match between L1 or L2, accuracy was higher when participants read and recalled the stories in the same language than when they did it in different languages, showing the language-dependent recall effect. Notably, the effect of match or mismatch between encoding and retrieval languages on accuracy did not depend on L2 proficiency and visual imagery. In addition, false memories were salient, particularly for participants who read the stories in L2 but retrieved them in L1. Overall, our findings suggest that accuracy-oriented memory research provides a comprehensive investigation of language-dependent recall, addressing the links of language-dependent memories with accuracy, false memory, and episodic memory characteristics.

EMDR Therapy for Bilinguals

EMDR protocols, theories, and guides tend to presume or prescribe a monolinguistic approach However, there are many bilinguals whose knowledge of a second language (L2) is sufficiently advanced to allow them to interact with EMDR therapists, but who might also possess memories encoded in a first language (L1), which is strategically useful in EMDR. The objectives of this clinical practice study were to (a) describe the real-world use of EMDR therapy in which the L1 of an EMDR recipient is selectively integrated into processing by a therapist who need not know the recipient’s L1 and (b) demonstrate an adaptation of the standard EMDR therapy protocol to support full resolution of memory material among clients with exposure to more than one language.