Building families through MAR (medically assisted reproduction), donor conception and surrogacy: Where does this fit into clinical psychology?

This article focuses on the experiences and complexities surrounding Medically Assisted Reproduction (MAR), including donor conception (DC) and surrogacy, emphasizing the importance of Clinical Psychologists understanding this field to better support individuals and families involved. It outlines the historical development of MAR, relevant UK legislation such as the Human Fertilisation and Embryology Authority (HFEA) established under the Human Fertilisation and Embryology Act 1990, and the evolving legal and ethical challenges, including donor anonymity and international surrogacy arrangements. The article highlights psychological issues faced by those using MAR, the significance of openness about origins, and the need for clinicians to consider diverse family forms, including LGBTQ+ families. It also discusses the role of support organizations and calls for enhanced training and research within Clinical Psychology to address the nuanced needs of this population.