Post-Abortion Syndrome: Who are vulnerable?
action by congress, research, example, support
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Who are most susceptible to PAS?
The authors of the Planned Parenthood information sheet on PAS
examined 50 studies from around the world that measured negative emotional reactions to abortion.1 They found that the women most at risk are those who:
Are emotionally unstable, with unstable living conditions.
Felt pressure to have an abortion from their partners or parents.
Chose an abortion because of a genetic problem with the fetus.
Had an abortion after the first trimester.
Had strong religious beliefs against abortion.
Ohio Right to Life describes a survey taken among women who have had
abortions, and later were sufficiently distressed by the experience to join a support
group: "Women Exploited by Abortion" (WEBA).2
The survey was conducted by David Reardon. 3 It involved 252
women contacted via WEBA chapters throughout the United States. The survey organizers made no attempt obtain a
random sampling of women. Rather, they collected data from women who felt "exploited
by abortion." Some of the factors reported by the women in the survey were:
90% were not given information on the biological nature of the fetus.
84% felt that the clinic/doctor/counselor very unhelpful in exploring options.
74% felt that her decision was not well thought out.
73% felt strongly that information was lacking or misinformation given.
69% felt very rushed.
65% felt that she was very much out of control of her life at the time.
58% had an annual income less than $10,000.
54% felt "very much" forced by outside circumstances to have the
abortion.
51% took 4 or fewer days to decide whether to have an abortion.
47% reported physical complications (vs. 0.06% reported for all abortions in Michigan
during 1995).
26% felt at the time of the abortion that the fetus was not a
person
97% currently
feel that the fetus was human when the abortion was performed.
19% were 13 or more weeks into their pregnancy (twice today's average).
18% reported permanent physical damage.
These indicators may point to the need for a woman to:
Confirm pregnancy as early as possible,
Carefully consider her beliefs about the personhood of the
Study of all of her options, and
Arrive at a careful decision, based on full and accurate
information.
However, of these precautions may be inadequate to prevent guilt and depression if the
woman changes her beliefs, and later concludes that the life that was terminated was
that of a human person rather than a potential human person.
Actions in Congress:
During the week of 2001-NOV-4, the U.S. Senate passed amendment 2085 which
was sponsored by Senator Bob Smith (R-NH). It is attached to the Departments of Labor and
Health and Human Services' funding bill. If the bill had become law, it would
call upon the National Institutes of Health to "expand and intensify
research and related activities... with respect to post-abortion depression and
post-abortion psychosis." Representative Joe Pitts, (R-PA) introduced a bill in the House that
would fund such a study. 4 They did
not proceed.
Senator Smith also introduced S. 2271 on
2002-APR-25. It is called the Post Abortion Support and Services Act of 2002.
If passed, it would fund a study of the physical and emotional repercussions of
abortion. It did not proceed. 5
On 2004-JUN-9, Representative Joseph
Pitts (R-PA) introduced H.R. 4543, a bill to provide for research on and
services for individuals with post-abortion depression and psychosis. Its
short title is: "Post-Abortion Depression Research and Care Act." It
calls for the National Institute of Mental Health to "...expand
and intensify research and related activities....with respect to
post-abortion depression and post-abortion psychosis .... referred to as
'post-abortion conditions'." The bill has a total of 32 sponsors, all
Republicans. A hearing in the House was conducted on 2004-SEP-29. 6,7
No action was taken; the bill died.
Research on "PAS":
PAS/PASS has become a political hot potato. The PASS Awareness web site
concludes that PAS is not accepted as an actual disorder by the medical
community because of
lack of information. Information comes from research. Money for research
mainly comes from pharmaceutical companies. However, these companies are
very reluctant to become involved because they may be the victims of:
"... protests and boycotts from both sides of the abortion war,
regardless of how their research turns out...The prochoice majority says
PASS 'does not exist', and that anti-abortionists are using it to try and
scare women away from abortion, and to try to influence lawmakers that
abortion is dangerous. The prolifers agree that PASS exists, but they use it
(as the prochoicers fear) as a way to discourage abortion, and as a way to
help revoke abortion rights. The woman who is suffering is left alone, as
the two sides argue, and the medical community stays out of it." 8
There may be some truth in the PASS Awareness statement. Both the
pro-choice and pro-life movements probably have sufficient political power to
urge federal government funding for a comprehensive study of PAS. However,
neither group seems to be doing this. They might both consider the current lack
of knowledge to be in their group's best interests. Meanwhile, those women who
suffer PAS must endure the pain.
One woman's experience:
We received this note in an Email from a woman in her late 20s who had an
abortion for medical reasons about a year before. Her experience emphasizes the
importance of a woman being fully informed in advance about all aspects of the
procedure, including the possibility of future emotional suffering from PAS:
"I am not saying that I condone this practice. I do think that one thing
should be changed and I want to tell you why because if my story can help just
one person then it was worth while. Never in my time of having this procedure
done did anyone go over the aftereffects of what this procedure can do to you
mentally. I thought that by detaching myself that I wouldn't have to deal with
the mental pain it caused. I was wrong and since then I have learned to grieve
for my loss because after all it is a loss. I believe that women who are
thinking about having this done should be told of the after effects it has and
the loss they will feel."
"I have been pretty open about my
decision to have an abortion so that I may hopefully be able to help someone
make the right decision for them and hope that if they do go through with
the procedure that they understand the lasting after effects it has. I know
that this will be with me till my dying day and I have to accept that to be
able to get through this. My only hope it that I can change one persons mind
who is border line on their decision. By no means am I saying to have an
abortion is wrong or right I just think that there should be a little more
honesty involved in it. I put postings on websites in hopes to reach out to
someone who needs the honest truth. Nothing can ever prepare someone for
what they will deal with afterwards but the truth from someone who has been
there. I hope that this is seen and I hope that I can reach as many women as
humanly possible."
PASS Awareness "...provides a neutral, non-political,
non-religion based, non-judgmental place for women to communicate with each
other after an abortion." See
http://www.afterabortion.com/
Exhale is an after-abortion counseling talk line. They were motivated
to form the group because "...they, or someone they knew, had personally
experienced the lack of non-judgmental services available for women and their
significant others after an abortion." See:
http://www.4exhale.org/ Their toll-free
number is 1-866-439-4253. It is accessible throughout the U.S., but not in
Canada.
There are hundreds of help lines in North America. Most are anonymous,
confidential and staffed by trained volunteers who care. They go by a
variety of names: distress lines, crisis centers, suicide prevention
bureaus, etc. Even though the words "crisis" and "suicide"
often appear in their names, most of their calls are from people in distress
and who simply want someone with whom they can talk.
In the U.S. see:
http://suicidehotlines.com/ for a listing of help lines by state.
There is a also a national hot line at 1-800-784-2433.
In Canada, look for a number on the first or second page of
your telephone book, or in the "distress center" topic in your yellow
pages.
"Post-Abortion Depression Research and Care Act," Office of Legislative
Policy and Analysis, 108th Congress, at:
http://olpa.od.nih.gov/
"Legislation to Provide for Research On, and Services for Individuals
With, Post-Abortion Depression and Psychosis," Family Research Council,
at:
http://www.frc.org/
N. Adler, statement on behalf of the American Psychological Association
before the Human Resources and Intergovernmental Relations Subcommittee of
the Committee on
Government Operations, U.S. House of Representatives, 1989-MAR-16, Pages
130-140.
"The Myth of the Abortion Trauma Syndrome," Commentary in
Journal
of the American Medical Association, (JAMA) 268:15, 1992-OCT-21.
Vincent M. Rue, "The Psychological Realities of Induced
Abortion," article in Michael T. Mannion, Ed., "Post-Abortion
aftermath: A Comprehensive Consideration," Sheed & Ward, (1994), Page 543.
Ava Torre-Bueno, "Peace after Abortion," Pimpernel Press, San Diego
CA.
Ms. Torre-Bueno has a Web page at:
http://www.peaceafterabortion.com/
It contains a form for ordering her book ($11.95 US). It also describes some women's
stories about handling depression after an abortion. It lists centers in the United States
and in Alberta, Canada which specialize in post-abortion counseling.