Skip to main content
Top
Published in: Archives of Women's Mental Health 6/2009

01-12-2009 | Original Contribution

Introducing abortion patients to a culture of support: a pilot study

Authors: Lisa L. Littman, Christina Zarcadoolas, Adam R. Jacobs

Published in: Archives of Women's Mental Health | Issue 6/2009

Login to get access

Abstract

Currently in the United States, women who have abortions face a societal culture in which disapproval, stigma, and misinformation about the risks and sequelae of abortion are common. The purpose of this study is to pilot test an intervention that introduces abortion patients to a “culture of support” by providing validating messages and information about groups and services that support women in their reproductive decisions, addressing stigma, and providing information to help women identify and avoid sources of abortion misinformation. Twenty-two women who completed their post-operative exam after abortion were enrolled to take part in the study intervention. In-depth interviews were conducted to explore patient experiences and responses to the intervention. All (22/22) participants responded that they believed that interventions like the one studied could help women avoid letting the judgmental actions and attitudes of others “get to them so much”. All (20/20) participants felt that the intervention was personally helpful to them. An intervention that introduces women having abortions to a “culture of support” was well-received. This study provides a framework for future research about the content, strength, and effect of societal and cultural influences on women having abortions and for additional research about interventions to promote resilience after abortion.
Footnotes
1
The strongest predictor of mental health after an abortion is mental health prior to abortion (Major et al. 2008). However, addressing mental health prior to abortion is beyond the scope of this research.
 
2
Our Truths-Nuestras Verdades is a magazine published by EXHALE: http://​www.​ourtruths.​org/​magazines/​OurTruths-NuestrasVerdades​-Winter2009.​pdf.
 
Literature
go back to reference Adler NE (1975) Emotional responses of women following therapeutic abortion. Amer J Orthopsychiat 45(3):446–454PubMed Adler NE (1975) Emotional responses of women following therapeutic abortion. Amer J Orthopsychiat 45(3):446–454PubMed
go back to reference Adler NE, David HP, Major BN, Roth SH, Russo NF, Wyatt GE (1992) Psychological factors in abortion: a review. Am Psychol 47(10):1194–204CrossRefPubMed Adler NE, David HP, Major BN, Roth SH, Russo NF, Wyatt GE (1992) Psychological factors in abortion: a review. Am Psychol 47(10):1194–204CrossRefPubMed
go back to reference American College of Obstetrics and Gynecology (2009) ACOG (American College of Obstetrics and Gynecology) committee opinion: induced abortion and breast cancer risk. Obstet Gynecol 113(6):1417–1418 American College of Obstetrics and Gynecology (2009) ACOG (American College of Obstetrics and Gynecology) committee opinion: induced abortion and breast cancer risk. Obstet Gynecol 113(6):1417–1418
go back to reference Baker A, Berg JS (2002) Women Know. In: Jacob K (ed) Our choices, our lives: unapologetic writings on abortion. Writers Advantage, Lincoln, pp 3–5 Baker A, Berg JS (2002) Women Know. In: Jacob K (ed) Our choices, our lives: unapologetic writings on abortion. Writers Advantage, Lincoln, pp 3–5
go back to reference Beckwith FJ (2001) Taking abortion seriously: a philosophical critique of the new anti-abortion rhetorical shift. Ethics & Medicine: A Christian Perspective on Issues in Bioethics 17(3):155–166 Beckwith FJ (2001) Taking abortion seriously: a philosophical critique of the new anti-abortion rhetorical shift. Ethics & Medicine: A Christian Perspective on Issues in Bioethics 17(3):155–166
go back to reference Beral V, Bull D, Doll R, Peto R, Reeves G, Collaborative Group on Hormonal Factors in Breast Cancer (2004) Breast cancer and abortion: collaborative reanalysis of data from 53 epidemiological studies, including 83,000 women with breast cancer from 16 countries. Lancet 363(9414):1007–1016CrossRefPubMed Beral V, Bull D, Doll R, Peto R, Reeves G, Collaborative Group on Hormonal Factors in Breast Cancer (2004) Breast cancer and abortion: collaborative reanalysis of data from 53 epidemiological studies, including 83,000 women with breast cancer from 16 countries. Lancet 363(9414):1007–1016CrossRefPubMed
go back to reference Borkin J (1992) Immersion/Crystallization. In: Crabtree BF, Miller WL (eds) Doing qualitative research, 2nd edn. Sage, California, pp 179–194 Borkin J (1992) Immersion/Crystallization. In: Crabtree BF, Miller WL (eds) Doing qualitative research, 2nd edn. Sage, California, pp 179–194
go back to reference Cannold L (2002) Understanding and responding to anti-choice women-centred strategies. Reprod health matters 10(19):171–179CrossRefPubMed Cannold L (2002) Understanding and responding to anti-choice women-centred strategies. Reprod health matters 10(19):171–179CrossRefPubMed
go back to reference Charles VE, Polis CB, Sridhara SK, Blum RW (2008) Abortion and long-term mental health outcomes: a systematic review of the evidence. Contraception 78(6):436–450CrossRefPubMed Charles VE, Polis CB, Sridhara SK, Blum RW (2008) Abortion and long-term mental health outcomes: a systematic review of the evidence. Contraception 78(6):436–450CrossRefPubMed
go back to reference Curfman GD, Morrissey S, Greene MF, Drazen JM (2008) Physicians and the first amendment. N Engl J Med 359(23):2484–2485CrossRefPubMed Curfman GD, Morrissey S, Greene MF, Drazen JM (2008) Physicians and the first amendment. N Engl J Med 359(23):2484–2485CrossRefPubMed
go back to reference Donohoe M (2005) Increase in obstacles to abortion: the american perspective in 2004. J Am Med Women’s Assoc 60(1):16–25 Donohoe M (2005) Increase in obstacles to abortion: the american perspective in 2004. J Am Med Women’s Assoc 60(1):16–25
go back to reference Ferree MM, Gamson WA, Gerhards J, Rucht D (2002) Framing. In: Ferree MM, Gamson WA, Gerhards J, Rucht D (eds) Shaping abortion discourse: democracy and the public sphere in germany and the united states. Cambridge University Press, Cambridge Ferree MM, Gamson WA, Gerhards J, Rucht D (2002) Framing. In: Ferree MM, Gamson WA, Gerhards J, Rucht D (eds) Shaping abortion discourse: democracy and the public sphere in germany and the united states. Cambridge University Press, Cambridge
go back to reference Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM (2005) Reasons U.S. women have abortions: quantitative and qualitative perspectives. Perspect Sex Reprod Health 37(3):110–118CrossRefPubMed Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM (2005) Reasons U.S. women have abortions: quantitative and qualitative perspectives. Perspect Sex Reprod Health 37(3):110–118CrossRefPubMed
go back to reference Goffman E (1963) Stigma; notes on the management of spoiled identity. Prentice-Hall, Englewood Cliffs Goffman E (1963) Stigma; notes on the management of spoiled identity. Prentice-Hall, Englewood Cliffs
go back to reference Hogue CJ (1986) Impact of abortion on subsequent fecundity. Clin Obstet Gynaecol 13(1):95–103PubMed Hogue CJ (1986) Impact of abortion on subsequent fecundity. Clin Obstet Gynaecol 13(1):95–103PubMed
go back to reference Jones RK, Frohwirth LF, Moore AM (2008) “I would want to give my child, like, everything in the world”: how issues of motherhood influence women who have abortions. J Fam Issues 29(1):79–99CrossRef Jones RK, Frohwirth LF, Moore AM (2008) “I would want to give my child, like, everything in the world”: how issues of motherhood influence women who have abortions. J Fam Issues 29(1):79–99CrossRef
go back to reference Jones RK, Kost K, Singh S, Henshaw SK, Finer LB (2009) Trends in abortion in the united states. Clin Obstet Gynecol 52(2):119–129CrossRef Jones RK, Kost K, Singh S, Henshaw SK, Finer LB (2009) Trends in abortion in the united states. Clin Obstet Gynecol 52(2):119–129CrossRef
go back to reference Jordan B, Wells ES (2009) A 21st-century trojan horse: the “abortion harms women” anti-choice argument disguises a harmful movement. Contraception 79(3):161–164CrossRefPubMed Jordan B, Wells ES (2009) A 21st-century trojan horse: the “abortion harms women” anti-choice argument disguises a harmful movement. Contraception 79(3):161–164CrossRefPubMed
go back to reference Kist W (2005) New literacies in action: teaching and learning in multiple media. Teachers College Press, New York Kist W (2005) New literacies in action: teaching and learning in multiple media. Teachers College Press, New York
go back to reference Kress G, Van Leeuwen T (2001) Multimodal: the modes and media of contemporary communication. Arnold, London Kress G, Van Leeuwen T (2001) Multimodal: the modes and media of contemporary communication. Arnold, London
go back to reference Kulczycki A (2007) Ethics, ideology, and reproductive health policy in the United States. Stud Fam Plann 38(4):333–51CrossRefPubMed Kulczycki A (2007) Ethics, ideology, and reproductive health policy in the United States. Stud Fam Plann 38(4):333–51CrossRefPubMed
go back to reference Lakoff G (2007) Introduction: framing is about ideas, and ideas matter. In: Feldman J (ed) Framing the debate. Ig Publishing, New York, pp xi–xvii Lakoff G (2007) Introduction: framing is about ideas, and ideas matter. In: Feldman J (ed) Framing the debate. Ig Publishing, New York, pp xi–xvii
go back to reference Lakoff G (1996) Moral politics: what conservatives know that liberals don’t. University of Chicago Press, Chicago Lakoff G (1996) Moral politics: what conservatives know that liberals don’t. University of Chicago Press, Chicago
go back to reference Lakoff G (2004) Don’t think of an elephant! : know your values and frame the debate : the essential guide for progressives. Chelsea Green Pub. Co., White River Junction Lakoff G (2004) Don’t think of an elephant! : know your values and frame the debate : the essential guide for progressives. Chelsea Green Pub. Co., White River Junction
go back to reference Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York
go back to reference Lazzarini Z (2008) South Dakota’s abortion script—threatening the physician-patient relationship. N Eng J Med 359(21):2189–2191CrossRef Lazzarini Z (2008) South Dakota’s abortion script—threatening the physician-patient relationship. N Eng J Med 359(21):2189–2191CrossRef
go back to reference Major B, Mueller P, Hildebrandt K (1985) Attributions, expectations, and coping with abortion. J Pers Soc Psychol 48(3):585–99CrossRefPubMed Major B, Mueller P, Hildebrandt K (1985) Attributions, expectations, and coping with abortion. J Pers Soc Psychol 48(3):585–99CrossRefPubMed
go back to reference Major B, Cozzarelli C, Sciacchitano AM, Cooper ML, Testa M, Mueller PM (1990) Perceived social support, self-efficacy, and adjustment to abortion. J Pers Soc Psychol 59(3):452–63CrossRefPubMed Major B, Cozzarelli C, Sciacchitano AM, Cooper ML, Testa M, Mueller PM (1990) Perceived social support, self-efficacy, and adjustment to abortion. J Pers Soc Psychol 59(3):452–63CrossRefPubMed
go back to reference Major B, Cooper ML, Zubek JM, Cozzarelli C (1997) Mixed messages: implications of social conflict and social support within close relationships for adjustment to a stressful life event. J Pers Soc Psychol 72(6):1349–63CrossRefPubMed Major B, Cooper ML, Zubek JM, Cozzarelli C (1997) Mixed messages: implications of social conflict and social support within close relationships for adjustment to a stressful life event. J Pers Soc Psychol 72(6):1349–63CrossRefPubMed
go back to reference Major B, Richards C, Cooper ML, Cozzarelli C, Zubek J (1998) Personal resilience, cognitive appraisals, and coping: An integrative model of adjustment to abortion. J Pers Soc Psychol 74(3):735–752CrossRefPubMed Major B, Richards C, Cooper ML, Cozzarelli C, Zubek J (1998) Personal resilience, cognitive appraisals, and coping: An integrative model of adjustment to abortion. J Pers Soc Psychol 74(3):735–752CrossRefPubMed
go back to reference Major B, Gramzow R (1999) Abortion as stigma: cognitive and emotional implications of concealment. J Pers Soc Psychol 77(4):735–45CrossRefPubMed Major B, Gramzow R (1999) Abortion as stigma: cognitive and emotional implications of concealment. J Pers Soc Psychol 77(4):735–45CrossRefPubMed
go back to reference Mueller P, Major B (1989) Self-blame, self-efficacy, and adjustment to abortion. J Pers Soc Psychol 57(6):1059–1068CrossRefPubMed Mueller P, Major B (1989) Self-blame, self-efficacy, and adjustment to abortion. J Pers Soc Psychol 57(6):1059–1068CrossRefPubMed
go back to reference National Cancer Institute (2005) Summary report: early reproductive events and breast cancer workshop. Issues Law Med 21(2):161–165 National Cancer Institute (2005) Summary report: early reproductive events and breast cancer workshop. Issues Law Med 21(2):161–165
go back to reference O’Connell K, Jones HE, Simon M, Saporta V, Paul M, Lichtenberg ES (2009) First-trimester surgical abortion practices: a survey of national abortion federation members. Contraception 79(5):385–392CrossRefPubMed O’Connell K, Jones HE, Simon M, Saporta V, Paul M, Lichtenberg ES (2009) First-trimester surgical abortion practices: a survey of national abortion federation members. Contraception 79(5):385–392CrossRefPubMed
go back to reference Osofsky JD, Osofsky HJ (1972) The psychological reaction of patients to legalized abortion. Am J Orthopsychiatry 42(1):48–60PubMedCrossRef Osofsky JD, Osofsky HJ (1972) The psychological reaction of patients to legalized abortion. Am J Orthopsychiatry 42(1):48–60PubMedCrossRef
go back to reference Ott MA, Santelli JS (2007) Abstinence and abstinence-only education. Curr Opin Obstet Gynecol 19(5):446–452CrossRefPubMed Ott MA, Santelli JS (2007) Abstinence and abstinence-only education. Curr Opin Obstet Gynecol 19(5):446–452CrossRefPubMed
go back to reference Reardon DC (2002) A defense of the neglected rhetorical strategy (NRS). Ethics & Medicine: A Christian Perspective on Issues in Bioethics 18(2):23–32 Reardon DC (2002) A defense of the neglected rhetorical strategy (NRS). Ethics & Medicine: A Christian Perspective on Issues in Bioethics 18(2):23–32
go back to reference Rohlinger DA (2002) Framing the abortion debate: organizational resources, media strategies, and movement-countermovement dynamics. Sociol Q 43(4):479–507CrossRef Rohlinger DA (2002) Framing the abortion debate: organizational resources, media strategies, and movement-countermovement dynamics. Sociol Q 43(4):479–507CrossRef
go back to reference Russo NF, Denious JE (2005) Controlling birth: science, politics, and public policy. The Journal of Social Issues 61(1):181–191CrossRefPubMed Russo NF, Denious JE (2005) Controlling birth: science, politics, and public policy. The Journal of Social Issues 61(1):181–191CrossRefPubMed
go back to reference Vrij A, Nunkoosing K, Paterson B, Oosterwegel A, Soukara S (2002) Characteristics of secrets and the frequency, reasons and effects of secret keeping and disclosure. J Community Appl Soc Psychol 12:56–70. doi:10.1002/casp.652 CrossRef Vrij A, Nunkoosing K, Paterson B, Oosterwegel A, Soukara S (2002) Characteristics of secrets and the frequency, reasons and effects of secret keeping and disclosure. J Community Appl Soc Psychol 12:56–70. doi:10.​1002/​casp.​652 CrossRef
Metadata
Title
Introducing abortion patients to a culture of support: a pilot study
Authors
Lisa L. Littman
Christina Zarcadoolas
Adam R. Jacobs
Publication date
01-12-2009
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 6/2009
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-009-0095-0

Other articles of this Issue 6/2009

Archives of Women's Mental Health 6/2009 Go to the issue

Original Contribution

Maternally focused worry