MEN & ABORTION: SCHOLARLY PAPERS
standapart.orgAlliance for Post-Abortion Research & TrainingMEN & ABORTION: SCHOLARLY PAPERSPublicationBlumberg, B.D., Golbus, M.S.,& Hanson, KH. (1975). Thepsychological sequelae ofabortion performed for agenetic indication. AmericanJournal of Obstetrics &Gynecology, 122 (7), 799-808.Gordon, R.H. & Kilpatrick, C.A.(1977). A program of groupcounseling for men whoaccompany women seekinglegal abortion. CommunityMental Health Journal, 13 (4),291-295.Gordon, R.H. (1978). Efficacy ofa group crisis-counselingprogram for men whoaccompany women seekingabortions. American Journal ofCommunity Psychology, 6 (3),239-246.CountrySample Size(males only)MethodologyQuantitative/QualitativeTime ofAssessmentUSA132 days to 37months afterabortionUSANotreportedClinicalObservationAt time ofabortionprocedureUSA46InterventionStudyAt time ofabortionprocedureFindingsDepression was observedamong 82% of unseling wasassociated with asignificant decrease instate-anxiety.
Rothstein, A, (1977a).Abortion: A dyadic perspective.The American Journal ofOrthopsychiatry, 47 (1), 111118.Rothstein, A. (1977b). Men’sreactions to their partners’elective abortions. AmericanJournal of Obstetrics andGynecology, 128 (8), 831-837.Rothstein, A. (1978).Adolescent males, fatherhood,and abortion. Journal of Youthand Adolescence, 7 (2), 203214.Shostak, A.B. (1979). Abortionas fatherhood lost: Problemsand reforms. FamilyCoordiantor, 28 (4), 569-574.USA60QualitativeUSA60(same as1977a)Quantitative/QualitativeUSA35(subsampleof 1977a)QualitativeUSA50Quantitative/Qualitative26 at time ofabortionprocedure & 34at time ofpreabortionmedicalscreening26 at time ofabortion procedure & 34 attime ofpreabortionmedicalscreening# at time ofabortion and# at time ofpreabortionmedicalscreening notspecifiedSome reports of negativeimpact on sexualrelationships with onecase of impotence.Some at time ofabortion andothers werecollegestudentswith abortionhistory.Specificnumbers not72% disagreed thatabortion is easy for men& that they have fewlingering or disturbingthoughts about it.20% believed abortioncontributed torelationship failure.40% reported thoughts20% expressed interest incounseling, 26.7% wereconcerned about safetyof abortion, and 86.7%believed they were beinghelpful in some way.Adolescents wereespecially concerned withautonomy andstruggled with assumingthe parental role and itsthreats to their owndependency needs.
reportedMcAll, R.K. & McAll, F.M.(1980). Ritual mourning inanorexia nervosa. Lancet,2(8190), 368.Dubouis-Bonnefond, J.C. &Galle-Tessonneau, J.R. (1982).Psychological aspects ofvoluntary induced abortionamong fathers drafted intomilitary service. PsychologicalMedicine, 14 (8), 187-1189.Shostak, A.B. (1983). Men andabortion: Three neglectedethical aspects. Humanity andSociety, 7 (1), 66-85.Jones, O.W. et al. (1984).Parental response to midtrimester therapeutic abortionfollowing amniocentesis.USA1CaseStudy 20 yearsafter tative/QualitativeNotspecifiedUSA12Qualitative4 to 43 monthsafter abortionabout the “child thatmight have been.”Following a process ofmourning for &committal of his abortedchild, depression andanorexia were resolved ina male client.Men experienceddepression, anxiety, andguilt as well as behavioralproblems leading toexpulsion from themilitary.75% disagreed thatabortion is easy for men& that they have fewlingering or disturbingthoughts about it.61% believed men shouldhave equal power inabortion decisions.44% reported dreams orthoughts about the“infant they might havefathered.”75% reported relief,50% depression, & 1/3guilt.70% reported increased
Prenatal Diagnosis, 4 (4), 249256.Shostak, A. & McLouth, G.(1984). Men and Abortion:Lessons, Losses, and Love. NewYork: Praeger.Mattinson, J. (1985). Theeffects of abortion on amarriage. Ciba FoundationSymposium, 115, 165-177.Rue, V.M. (1985). Abortion inrelationship context.International Review of NaturalFamily Planning, 9 (2), 95-121.Schelotto, G. & Arcuri, C.(1986). Supposing it hurt metoo? Abortion: The anguishexperienced by men. IPPF EurReg Inf (Planned Parenthood inEurope), 15 (1), 25-34.closeness in relationshipswith partners.47% of clinic-day and 63%1000 at time of of post-abortion menabortionagreed that men involvedprocedurein abortion havedisturbing thoughts about75 “months and it afterwards.often years”68% of clinic-day and 75%after abortionof post-abortion mendisagreed that meninvolved in abortiongenerally have an easytime of it.Delayed grief reactionsNotmay occur in men withspecifiedabortion history.USA1000 64QualitativeNotspecifiedAbortion may createconfusion and anxietyabout men’s roleperformance.Most men reported fear,anxiety, and tension withonly 9.3% stating that theabortion did not affectthem. Nearly ½ indicatedthat relationships withpartners were negativelyaffected and 15.6%blamed the abortion for
Buchanan, M. & Robbins, C.(1990). Early adultpsychological consequences formales of adolescent pregnancyand its resolution. Journal ofYouth and Adolescence, 19 (4),413-424.Rothstein, A. (1991). Maleexperience of Elective abortion:Psychoanalytic perspectives. InN. L. Stotland (Ed.) Psychiatricaspects of abortion (pp. 145158). Washington DC: AmericanPsychiatric Association.White-van Mourik, M.C.,Connor, J.M. & FergusonSmith, M.A. (1992). Thepsychological sequelae of asecond-trimester terminationof pregnancy for fetalabnormality. PrenatalDiagnosis, 12 (3), 189-204.USAUSAUSA2,533, 15.4%of whomexperiencedan adolescentpregnancy(38.3% of thissubgroupexperiencedabortion asresolution ofpregnancy)60(same g earlyadulthood butafter abortionexperiencedduringadolescence26 at time ofabortionprocedure &34 at time ofpreabortionmedicalscreeningapproximately2 years afterabortionending thoserelationships.Men who experiencedabortion duringadolescence were morepsychologically distressedthan men who becamefathers duringadolescence.Men were uninformedconcerning abortionprocedures, expectant ofrelationship problems,and struggled with guiltand anxiety.47% experienceddepression, 33% anger,37% fear, 22% guilt, 26%failure, 32% relief, 32%withdrawn, and 41%concentration difficulties.Over half reportednegative effects on sexualrelationship including onecase of impotence. 58%were at risk for
Speckhard, A. & Rue, V. (1993).Complicated mourning:Dynamics of Impacted postabortion grief. Journal ofPrenatal and PerinatalPsychology, 8 (1), 5-32.Berger, J. (1994). Thepsychotherapeutic treatmentof male homosexuality.American Journal ofPsychotherapy, 48 (2), 251-261.Robbins, C.A. & Streetman,L.G. (1994). Resolution ofnonmarital adolescentpregnancy and the transition toadulthood: Educationalattainment and financial wellbeing. Policy Studies Review, 13(1/2), 141-156.Rue, V.M. (1996). His abortionexperience. Ethics and Medics,21, 3-4.USAUSAUSAUSANotreported32,868, 14.6%of whomexperiencedan adolescentpregnancy(34.4% of thissubgroupexperiencedabortion asresolution ofpregnancy andsampleoverlaps withthat ofBuchanan &Robbins, nicalObservationAfter abortion,time notspecifiedAfter abortion,time notspecifiedunresolved grief.Men may experiencethreats to masculinity,failure, guilt, grief,trauma reactions, andrelationship difficulties.Abortion may be a factorin the etiology of malehomosexuality.During earlyadulthood andafter abortionexperiencedduringadolescencePost-abortion men lesslikely to complete collegethan men who did notexperience adolescentpregnancy but nodifferent from them interms of financial wellbeing.After abortion,time notspecifiedAbortion poses a threatto masculinity and maycause grief, guilt, feelings
Coyle, C.T. & Enright, R.D.(1997). Forgivenessintervention with postabortionmen. Journal of Consulting andClinical Psychology, 65 (6),1042-1046.Coleman, P.K. & Nelson, E.S.(1998). The quality of abortiondecisions and college students’reports of post-abortionemotional sequelae andabortion attitudes. Journal ofSocial and Clinical Psychology,17 (4), 425-442.Johansson, A. et al. (1998).Husbands’ involvement inabortion in Vietnam. Studies inFamily Planning, 29 (4), 400413.Ring-Cassidy, E. & Gentles, I.(1998). Abortion: Its Effect onMen in Women’s Health afterAbortion: The Medical andPsychological Evidence.Toronto: de Veber Institute.USA10InterventionStudy6 months to22 years afterabortionUSA32QuantitativeFrom less thanone year tomore than twoyears aNALiteratureReviewNotspecifiedof loss, and problems inmen’s relationships.Forgiveness therapy wasassociated with asignificant increase inforgiveness andsignificant reductions inanxiety, anger, and grief.51.6 % reported regret,45.2% sadness, 25.8%depression, & 1/3 longingfor the fetus.Those men who had“moral doubts” aboutabortion as well as thosewho were ambivalentexpressed feelings ofguilt, unease, or worry.Men may experiencedepression, guilt, anger,grief, feelings ofpowerlessness andsubstance abuse afterabortion. Futurerelationships andfatherhood may beadversely affected by a
Kero, A., Lalos, A. Hogberg, U.& Jacobsson, L. (1999). Themale partner involved in legalabortion. Human Reproduction,14 (10), 2669-2675.Stern, E. M. (1999). Men andpost-abortion grief:Amendment, resolution andhope. Journal of CouplesTherapy, 8 (2), 61-71.Kero, A. & Lalos, A. (2000).Ambivalence – a logicalresponse to abortion: Aprospective study amongwomen and men. Journal ofPsychosomatic Medicine, 21(2), 81-91.Lauzon, P., Roger-Achim, D.,Achim, A. & Boyer, R. (2000).Emotional distress amongcouples involved in firsttrimester induced abortions.Canadian Family Physician, Oct.(46), 2033-2040.Sweden75QuantitativeAfter abortiondecision butprior toabortionprocedureUSA3ClinicalObservationAfter abortion,time notspecifiedSweden11(subsample ofKero, Lalos,Hogberg, &Jacobsson,1999).Quantitative/QualitativeOne yearafter abortionCanada69QuantitativePreabortion &1 to 3 weeksafter abortionpast abortion.57% of men chose wordsindicative of both positiveand negative emotions todescribe their feelingsabout the expectedabortion and 29% choseonly words indicative ofnegative emotions.Men may experiencegrief, fear of failure,moral anguish, guilt,regret, & a threat to thecontinuity of their ownlives.Most commonly chosenwords to describefeelings related toabortion wereresponsibility, maturity, &grief. Most menexperienced “conflicts ofconscience.”17.6% of men believedabortion had negativeimpact on relationshipswith partners, 30.4%would have liked to havebeen offered counseling,21.3% of those whoremained with partners
Myburgh, M., Gmeiner, A. &van Wyk, S. (2001a). Theexperience of biological fathersof their partners’ terminationof pregnancy. Health SAGesondheid, 6 (1), 28-37.Myburgh, M., Gmeiner, A. &van Wyk, S. (2001b). Supportfor adult biological fathersduring termination of theirpartners’ pregnancies. HealthSA Gesondheid, 6 (1), 38-48.Robson, F.M. (2002). ‘Yes! – Achance to tell my side of thestory’: A case study of a malepartner of a woman undergoingtermination of pregnancy forfoetal abnormality. Journal ofHealth Psychology, 7 (2), 183193.Poggenpoel, M. & Myburgh,(2002). The developmentalimplications of a termination ofpregnancy on adolescents withreference to the girl and herpartner. Education, 122 (4),South AfricaSouth Africa99(Same sampleas Myburgh, etal., 2001a)QualitativeAfter abortion,time notspecifiedQualitativeAfter abortion,time notspecifiedUnitedKingdom1Case StudyAt least 14months afterabortionSouth AfricaNotReportedQualitativeAfter abortion,time notspecifiedduring the abortionthought it was atraumatizing experience.Men experiencedpowerlessness, emotionalturmoil related torelationship problems &used psychologicaldefense mechanisms tocope.Biological fathers needprofessional support indealing with abortion andits impact on their livesand relationships.Male reported feelingexcluded, saw his primaryrole as one of support tohis partner, & sufferedfrom re-experiencing theabortion procedure. Heexhibited repression ofemotions, particularlygrief.Adolescent malepartners experiencedguilt, grief helplessness,social pain, psychologicalpain, and spiritual pain, aswell as overwhelming
731-831.Holmes, M.C. (2004).Reconsidering a “woman’sissue:” Psychotherapy and oneman’s post abortionexperiences. American Journalof Psychotherapy, 58 (1), 103115.Kero, A. & Lalos, A. (2004).Reactions and reflections inmen, 4 and 12 months postabortion. Journal ofPsychosomatic Obstetrics andGynecology, 25 (2), 135-143.Reich, J.A. & Brindis, C.D.(2006). Conceiving risk andresponsibility: A qualitativeexamination of men’sexperiences of unintendedpregnancy and abortion.International Journal of Men’sHealth, 5 (2), 133-152.Rodrigues, M.M.L. & Hoga,L.A.K. (2006). Spontaneous andinduced abortion: Feelingsexperienced by men. RevistaBrasileira de Enfermagem, 59(1), 14-19.USA1Case StudySix monthsafter abortionSweden26Quantitative/Qualitative4 months &12 monthsafter abortionUSA20QualitativeAfter abortion,time notspecifiedBrazil17QualitativeAfter abortion,time notspecifiedthoughts about theabortion and the future.Male partner experiencedsleep disturbance,somatic complaints,rumination about thefetus, worthlessness,emasculation,voicelessness, and threatto belief system.While nearly all menreported satisfaction withabortion decision, manyalso experienced abortionas sad, ethicallyproblematic, & painful.Men tended to feelexcluded from theabortion decision. Thetheme of “responsibility”was evident among themen. A “significantportion” of the men didnot confide in anyoneabout the abortion.Following miscarriage,men felt anguish relatedto the loss. Followinginduced abortion, menstruggled with culpabilityand its consequences.
Coyle, C.T. (2007). Men andabortion: A review of empiricalreports concerning the impactof abortion on men. TheInternet Journal of MentalHealth, 3 (2).Ferguson, H. & Hogan, F.(2007). Men, sexuality andcrisis pregnancy: A study ofmen’s experiences. CrisisPregnancy Agency ReportNumber 18. Dublin.Naziri, D. (2007). Man’sinvolvement in the experienceof abortion and the dynamicsof the couple’s relationship: Aclinical study. The EuropeanJournal of Contraception andReproductive Health Care, 12Varied by study,review published in theUSAVaried bystudySystematicReviewVaried by studyIreland8QualitativeSix months to34 years afterabortionBelgium andGreece30QualitativeOne to threeweeks afterabortionAuthors noted the needto support menemotionally and toprovide them withaccurate information.Common findings amongthe studies included:men’s desire forcounseling, feelings ofambivalence, relief,anxiety, grief, guilt,powerlessness, men’stendency to deferabortion decision topartners and to represstheir own emotions.Men’s emotionalresponses to abortionincluded sadness, despair,anger, and relief. Thedominant patternobserved was for men toprovide stoic support totheir partners.Sixteen men disagreedwith the decision andresponded with anger.Even those couples whoagreed to abortexperienced stress intheir relationships.
(2), 168-174.Coleman, P.K, Rue, V.M.,Spence, M. & Coyle, C.T.(2008). Abortion and thesexual lives of men andwomen: Is casual sexualbehavior more appealing andmore common after abortion?International Journal of Clinicaland Health Psychology, 8 (1),77-91.Reich, J. (2008). Not ready tofill his father’s shoes: Amasculine discourse ofabortion. Men andMasculinities, 11 (1), 3-21.Coleman, P.K., Rue, V.M. &Coyle, C.T. (2009). Inducedabortion and intimaterelationship quality in theChicago Health and Social LifeSurvey. Public Health, 123, 331338.Coyle, C.T., Coleman, P.K. &Rue, V.M. (2010). Inadequatepreabortion counseling anddecision conflict as predictorsof subsequent relationshipUSA872 of which105experienced apartner’sabortionQuantitativeAfter abortion,time notspecifiedUSA20QualitativeAfter abortion,time notspecifiedQuantitativeAfter abortion,time notspecifiedQuantitativeAverage of14½ yearsafter abortionUSAPrimarily USA withmany other nationsrepresented658, of which100 menexperiencedabortion witha previouspartner and 53men whosecurrentpartneraborted198Men’s experience of apartner’s abortion wassignificantly associatedwith attitudes endorsingsex with both more thanone partner and withstrangers, and withhaving had more sexpartners in the last year.Men’s experience ofabortion may reflectcultural expectationsconcerning fatherhoodand masculinity.The experience ofabortion in a previousrelationship wasassociated with negativeoutcomes in the currentrelationship. Abortion inthe current relationshippredicted arguing aboutchildren and jealousy inthe current relationship.Men may experiencesymptoms ofPosttraumatic StressDisorder and relationshipdifficulties after abortion.
difficulties and psychologicalstress in men and women.Traumatology, 16 (1), 16-30.DOI:10.1177/15344765609347550Hallden, B. & Christensson, K.(2010). Swedish young men’slived experiences of agirlfriend’s early inducedabortion. International Journalof Men’s Health, 9 (2), 126-143.Kero, A., Lalos, A. & Wulff, M.(2010). Home abortionexperiences of maleinvolvement. The EuropeanJournal of Contraception andReproductive Health Care, 15,264-270.Coyle, C. T. & Rue, V.M. (2010).Men’s experience of electiveabortion: A mixed methodsstudy of loss. Journal ofPastoral Counseling, XLV, 4-31.Canario, C., Figueiredo, B. &SwedenSwedenUSA102310QualitativeAfter abortionfollow-up visitto thegynecologyclinic. However,one participantexperienced hispartner’sabortion 3years prior.QualitativeOne to twoweeks afterabortionQualitative/Quantitative6 months to22 years afterabortionFour main themes wereidentified among theyoung men:1) having interrupted alife-giving process, 2)desire to relieve theirpartners’ pain, 3)helplessness, and 4)defending the abortiondecision.“Most men consideredthat their experiencesduring the expulsion hadbeen ‘easier thanexpected’ and theirdominant feeling was oneof relief.”The primary meaningmen ascribed to abortionwas profound loss. Menexperienced relationshipdifficulties, helplessness,anger, anxiety, grief, guilt.“Couple relationship
Ricou, M. (2011). Women’s andmen’s psychologicaladjustment after abortion.Journal of ReproductivePsychology, 29 (3), 262-275.Papworth, V. (2011). Abortionservices: The need to includemen in care provision. NursingStandard, 25 (40), 35-37.Makenzius, M., Tyden, T., Darj.E. & Larrson, M. (2012).Autonomy and dependence:Experiences of home abortion,contraception and prevention.Scandinavian Journal of CaringSciences. DOI:10.1111/j.14716712.2012.01068.xCoyle, C.T. & Rue, V.M. (2015).Men’s perceptions concerningdisclosure of a partner’sabortion: Implications forcounseling. The EuropeanJournal of CounsellingPsychology, 3 (2), 159-173.doi:10.5964/ejcop.v3i2.54Portugal15 men at firstassessmentand 7 n24 women13 menQualitativeUSA101 menQualitativeOne and sixmonths afterabortionNAWithin sixweeks afterabortion1 day to 43years afterabortionmoderates the effect ofthe etiology of abortionon trauma symptoms onemonth after abortion.”(This was not the case atthe six-monthassessment.)“Nurses have animportant role in ensuringmen are adequatelyprepared and supportedthroughout the process,”[of abortion].Primary themes identifiedwere autonomy anddependence. Men“should be considered asindividuals with their ownneeds in the context ofabortion.”Positive aspects ofdisclosure included relief,spiritual benefits,support, acceptance,empathy, forgiveness,helping others,acknowledgment of child,and increasedunderstanding. Negativeaspects of disclosure
Coyle, C.T. & Rue, V.M. (inpress). A thematic analysis ofmen’s experience with apartner’s elective abortion.Journal of Counseling andValues.USAPrepared by the Alliance for Post Abortion Research and Training89 menQualitative1 day to 46years afterabortionincluded lack of empathy,pain of facing reality, lackof resolution, andcondemnation.The salient themesidentified were: 1) lossand grief, 2) helplessnessand/or victimization, and3) spiritual healing.
Shostak, A. & McLouth, G. (1984). Men and Abortion: Lessons, Losses, and Love. New York: Praeger. USA 1000 75 Quantitative/ Qualitative 1000 at time of abortion procedure 75 months and often years after abortion 47% of clinic-day and 63% of post-abortion men agreed that men involved
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How to talk about abortion: a guide to rights-based messaging 3 Abortion procedures Abortion is the voluntary ending of a pregnancy.1 There are two main methods of safe abortion: medical abortion, where medication is
Aug 06, 2016 · abortion earlier. Nearly 60% of women who experienced a delay in obtaining an abortion cite the time it took to make arrangements and raise money. Teens are more likely than older women to delay having an abortion until after 15 weeks of pregnancy, when the medical risks associated with abortion are significantly higher.
The American Constitution Society for Law and Policy Truth is Truth: U.S. Abortion Law in the Global Context 2 pregnancy.7 And many have enacted and expanded regulations targeting abortion providers and other barriers making abortion increasingly inaccessible.8 The result is a patchwork of access to abortion care across the United States,9 with restrict
Septic abortion is a spontaneous or induced abortion complicated by fever, endometritis, and parametritis leading to generalized infection or sepsis. It is often the result of an unsafe abortion. Distinction between safe and unsafe abortion Safe abortion is a procedure and technique performe
2019 Abortion Statistics Pennsylvania Department of Health 1 2019 ABORTION STATISTICS Executive Summary Pennsylvania has been monitoring and reporting on abortion data since 1975. This report is produced pursuant to Section 3214 of the Abortion Control Act, 18 Pa. C.S. § 3214(e)(1). In 2019
dilated. The possible diagnosis will be:- A. Missed abortion C. Threatened abortion B. Inevitable abortion D. Complete abortion 4. All of the followings are the nursing management of unclassified abortion at H/C except:- A. Put on IV drip in case of severe ble
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