The literature is summarized on normative reactions to abortion and factors that increase risk of negative emotional sequelae. Four areas of inquiry for identifying psychotherapeutic issues in regard to abortion are elaborated, including: (a) characteristics of the woman prior to and at the time of the abortion, (b) the nature of social support and the cultural milieu around the abortion, (c) characteristics of the medical environment and abortion procedure, and (d) events subsequent to the abortion which may have aroused post-decisional conflict. The implications of the research literature for psychotherapeutic treatment of women who have had abortions are discussed.
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References
1.
Abortion clinics' toughest cases (1987, March 9). Medical World News, p. 55–61.
2.
AdlerN. (1975). Emotional responses of women following therapeutic abortion. American Journal of Orthopsychiatry, 45, 446–454.
3.
AdlerN. (1979). Abortion: A social psychological perspective. Journal of Social Issues, 35, 100–119.
4.
AdlerN. E.DolciniP. (1986). Psychological issues in abortion for adolescents. In MeltonG. B. (Ed.), Adolescent abortion: Psychological and legal issues (pp. 74–95). Lincoln: University of Nebraska Press.
5.
AlterR. C. (1984). Abortion outcome as a function of sex-role identification. Psychology of Women Quarterly, 8, 211–233.
6.
AthanasiouR.OppelW.MichelsonL.UngerT.YagerM. (1973). Psychiatric sequelae to term birth and induced early and late abortion: A longitudinal study. Family Planning Perspectives, 5, 227–231.
7.
BelseyE.GreerH.LalS.LewisS.BeardR. (1977). Predictive factors in emotional response to abortion: King's termination study-IV. Social Science Medicine, 11, 71–82.
8.
Blackburne-StoverG.BelenkyM.GilliganC. (1982). Moral development and reconstructive memory: Recalling a decision to terminate an unplanned pregnancy. Developmental Psychology, 18, 862–870.
9.
BrackenM. (1978). A causal model of psychosomatic reactions to vacuum aspiration abortion. Social Psychiatry, 13, 135–145.
10.
BrackenM.HachamovitchM.GrossmanG. (1974). The decision to abort and psychological sequelae. The Journal of Nervous and Mental Disease, 158, 154–162.
11.
BrackenM. B.KaslS. V. (1975). Delay in seeking induced abortion: A review and theoretical analysis. American Journal of Obstetrics and Gynecology, 121, 1008–1019.
12.
CohenL.RothS. (1984). Coping with abortion. Journal of Human Stress, 10(3), 140–145.
13.
DavidH.RasmussenN.HolstE. (1981). Postpartum and postabortion psychotic reactions. Family Planning Perspectives, 13, 88–92.
14.
EisenM.ZellmanG. (1984). Factors predicting pregnancy resolution decision satisfaction of unmarried adolescents. The Journal of Genetic Psychology, 145, 231–239.
15.
FingererM. (1973). Psychological sequelae of abortion: Anxiety and depression. Journal of Community Psychology, 1, 221–225.
16.
ForssmanH.ThuweI. (1966). One hundred and twenty children born after application for therapeutic abortion refused. Acta Psychiatrica Scand., 42, 71.
17.
FreemanE.RickelsK.HugginsG.GarciaC.PolinJ. (1980). Emotional distress patterns among women having first or repeat abortions. Obstetrics and Gynecology, 55, 630–636.
18.
FriedmanC.GreenspanR.MittlemanF. (1974). The decision-making process and the outcome of therapeutic abortion. American Journal of Psychiatry, 131, 1332–1337.
19.
GroverJ.TinkmanC. (1975). Abortion in teenagers – positive intervention at a negative time. Psychiatric Opinion, 12, 13–22.
20.
HatcherS. (1976). Understanding adolescent pregnancy and abortion. Primary Care, 3, 407–425.
21.
IllseyR. S.HallM. (1976). Psychosocial aspects of abortion: A review of issues and needed research. Bulletin of World Health Organization, 53, 83–106.
22.
KerenyiT.GlascockE.HorowitzM. (1973). Reasons for delayed abortion: Results of four hundred interviews. American Journal of Obstetrics and Gynecology, 117, 209.
23.
KummerJ. (1963). Post-abortion psychiatric illness: A myth?American Journal of Psychiatry, 119, 980–983.
24.
LodlK.McGettiganA.BucyJ. (1984–85). Women's responses to abortion: Implications for post-abortion support groups. Journal of Social Work and Human Sexuality, 3, 119–132.
25.
MajorB.MuellerP.HildebrandtK. (1985). Attributions, expectations, and coping with abortion. Journal of Personality and Social Psychology, 48, 585–599.
26.
MalloryG.RubensteinL.DrosnessD.KleinerG.SidelV. (1972). Factors responsible for delay in obtaining interruption of pregnancy. Obstetrics and Gynecology, 40, 556.
27.
MarecekJ. (1987). Counseling adolescents with problem pregnancies. American Psychologist, 42, 89–93.
28.
McAllK.WilsonW. (1987). Ritual mourning for unresolved grief after abortion. Southern Medical Journal, 80, 817–821.
29.
MoseleyD. T.FollingstadD. R.HarleyH.HeckelR. (1981). Psychological factors that predict reaction to abortion. Journal of Clinical Psychology, 37, 276–279.
30.
NeidhardtA. (1986). Why me? Second trimester abortion. American Journal of Nursing, 86, 1133–1135.
31.
OlsonJ. (1980). Social and psychological correlates of pregnancy resolution among adolescent women: A review. American Journal of Orthopsychiatry, 50, 432–445.
32.
OsofskyJ.OsofskyH. (1972). The psychological reaction of patients to legalized abortion. American Journal of Orthopsychiatry, 42, 48–60.
33.
OsofskyJ.OsofskyH.RajanR. (1971). Psychological effects of legalized abortion. American Journal of Orthopsychiatry, 14, 215–234.
34.
PasnauR. (1972). Psychiatric complications of therapeutic abortion. Obstetrics and Gynecology, 40, 252–256.
35.
PayneE.KravitzA.NotmanM.AndersonJ. (1976). Outcome following therapeutic abortion. Archives of General Psychiatry, 33, 725–733.
36.
PeppersL. (1987–88). Grief and elective abortion: Breaking the emotional bond?Omega, 18, 1–12.
37.
SchafferC.PineF. (1972). Pregnancy, abortion, and the developmental tasks of adolescence. American Academy of Child Psychiatry Journal, 11, 511–536.
38.
SenayE. (1970). Therapeutic abortion: Clinical aspects. Archives of General Psychiatry, 23, 408–415.
39.
ShustermanL. R. (1976). The psychosocial factors of the abortion experience: A critical review. Psychology of Women Quarterly, 1, 79–106.
40.
SimonN.SenturiaA. (1966). Psychiatric sequelae of abortion. Archives of General Psychiatry, 15, 378.
41.
SmithE. M. (1973). A follow-up study of women who request abortion. American Journal of Orthopsychiatry, 43, 574–585.
42.
TalanK.KimballC. (1972). Characterization of 100 women psychiatrically evaluated for therapeutic abortion. Archives of General Psychiatry, 26, 571.
43.
WalterG. (1970). Psychological and emotional consequences of elective abortion. Obstetrics and Gynecology, 36, 482–491.
44.
WilmothG. (1988, April). The risks of researching controversial social issues. Society for Psychological Study of Social Issues Newsletter, pp. 3–4.
