Statement Of APA President Nada Stotland, M.D. On Abortion And Mental Health
Main Category: AbortionAlso Included In: Mental Health; Psychology / Psychiatry
Article Date: 19 Aug 2008 - 0:00 PDT
A recently released report on mental health and abortion confirms the position of the American Psychiatric Association: abortion is not a risk to a woman's mental health. APA President Nada Stotland, M.D., an expert on women's mental health, made the following statement today: "As we have known, there is no convincing evidence that abortion is a significant cause of psychiatric illness. We must distinguish illnesses from feelings. A woman may have many emotional reactions to an unwanted pregnancy and abortion - most commonly relief, but also sadness and a sense of loss. These feelings can coexist and, like feelings about any important life decision, they can vary over time. Negative feelings often stem from the circumstances that led the woman to terminate the pregnancy, such as an abusive relationship or a lack of social supports, or from the circumstances of the abortion itself such as demonstrators at an abortion facility. Women have abortions because they understand the importance of good mothering; they want to have wanted babies and to be able to give those babies what they need to grow up loved, healthy, and happy.
Each woman contemplating abortion has her own history, circumstances, and values; no one else can fully understand her individual situation. Every pregnant woman who is considering abortion has a right to accurate medical information about the risks and benefits of either continuing or terminating the pregnancy and to whatever medical and mental health care she wants and needs.
Decisions about reproductive health should be made between a woman, her family and her doctor. The best way to protect the mental health of women considering abortion is to ensure that they have accurate, unbiased information, receive good medical care, and are given support by family and friends whether they decide to continue or terminate their pregnancies.
The American Psychiatric Association opposes all constitutional amendments, legislation, and regulations restricting family planning and abortion services to any segment of the population." Read the APA position statement on abortion.
About the American Psychiatric Association
The American Psychiatric Association is the nation's leading medical specialty society whose more than 38,000 physician members specialize in diagnosis, treatment, prevention and research of mental illnesses including substance use disorders. Visit the APA at http://www.psych.org and http://www.HealthyMinds.org.
American Psychiatric Association
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MLA
13 Feb. 2012. <http://www.medicalnewstoday.com/releases/118575.php>
APA
http://www.medicalnewstoday.com/releases/118575.php.
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Plenty Of Evidence
posted by Barb on 25 Aug 2009 at 12:33 pmFifteen years ago Dr. Stotland once claimed there was "no evidence" of mental health risks associated with abortion. Now she states there is no "convincing evidence" because there has accumulated a large body of peer reviewed research showing abortion is significantly associated with elevated rates of suicide (6 fold higher in the first year), psychiatric hospitalization, substance abuse, eating disorder, and more.
One study found that up to 64% of women who report having abortions say they felt pressured into the abortion by other people. While Stotland may argue that it was the trauma of being coerced into an unwanted abortion which causes the subsequent mental health problems, not the abortion itself, this is a rather nebulous distinction. The factors that precede and go into the abortion decision are part of the abortion experience. Her stance that critics of abortion must demonstrate a causal link to the abortion procedure itself, rather than the entire context of the pre- and post-abortion experience, only serves to obsuficate the issues.
What she avoids saying is that even if you question whether abortion itself is "the sole cause" for mental health issues, it is irrefutably a MARKER for higher rates of mental health problems and is often clearly entgangled in subsequent mental health problems, as she herself reports in her paper, Abortion: Social Context, Psychodynamic Implications" Am J Psychiatry.
Also, since many women attribute (falsely or correctly) their emotional conflicts to a past abortion, it is a disservice to them to not take these self-attributions seriously. Moreover, many therapists who treat women's abortion conflicts as serious issues have found this approach a rewarding one which alleviates the presenting symptoms.
Therefore, rather than deny the importance of the abortion experience in women's lives, the APA should be advising practitioners to screen for a history of pregnancy loss, including abortion, and to give women permission to discuss any unresolved issues with abortion or other losses.
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