Therapeutic Abortion: Who Needs a Psychiatrist?
Clinical experience in evaluating more than 500 women requesting therapeutic abortion has led to the development of 10 diagnostic syndromes. Inclusion of a woman into one of these syndromes implies the need for psychiatric consultation and the probability of adverse emotional sequelae if abortion is...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1971-08, Vol.38 (2), p.206-213 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | FORD, CHARLES V ATKINSON, ROLAND M BRAGONIER, J ROBERT |
| description | Clinical experience in evaluating more than 500 women requesting therapeutic abortion has led to the development of 10 diagnostic syndromes. Inclusion of a woman into one of these syndromes implies the need for psychiatric consultation and the probability of adverse emotional sequelae if abortion is performed. Although most women do not require psychiatric consultation, it is essential for psychotic women, those with a history of psychosis and those who have suicidal ideation which persists after the offer of an abortion. Evaluation includes a detailed, private interview with the woman as well as ancillary interviews with involved third parties whenever possible. A cooling off period is recommended for women who are ambivalent or under acute stress. Because of the emotional complexities of pregnancy and abortion, the therapeutic relationship should not be severed with the performance of the abortion. |
| format | Article |
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Inclusion of a woman into one of these syndromes implies the need for psychiatric consultation and the probability of adverse emotional sequelae if abortion is performed. Although most women do not require psychiatric consultation, it is essential for psychotic women, those with a history of psychosis and those who have suicidal ideation which persists after the offer of an abortion. Evaluation includes a detailed, private interview with the woman as well as ancillary interviews with involved third parties whenever possible. A cooling off period is recommended for women who are ambivalent or under acute stress. 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Inclusion of a woman into one of these syndromes implies the need for psychiatric consultation and the probability of adverse emotional sequelae if abortion is performed. Although most women do not require psychiatric consultation, it is essential for psychotic women, those with a history of psychosis and those who have suicidal ideation which persists after the offer of an abortion. Evaluation includes a detailed, private interview with the woman as well as ancillary interviews with involved third parties whenever possible. A cooling off period is recommended for women who are ambivalent or under acute stress. Because of the emotional complexities of pregnancy and abortion, the therapeutic relationship should not be severed with the performance of the abortion.</description><subject>Abortion, Therapeutic</subject><subject>Attitude</subject><subject>Contraception</subject><subject>Crisis Intervention</subject><subject>Depression - diagnosis</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Guilt</subject><subject>Histrionic Personality Disorder - diagnosis</subject><subject>Humans</subject><subject>Personality Disorders - diagnosis</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Psychology</subject><subject>Psychotherapy</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Referral and Consultation</subject><subject>Religion</subject><subject>Suicide</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1971</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotUEtLw0AYXESptfoThJy8LX773vUipfiCoh4qegub7FcSTZu4m1D67w22p2EeDMyckCmzRlAuxNcpmQJwR42V8pxcpPQNAEw7MSETpTQw4FNyu6ow-g6Hvi6zedHGvm63d9ln1WaviCFlPntP-7KqfR_r1N9fkrO1bxJeHXFGPh4fVotnunx7elnMl7TjimmqOYcSzdpgkMKzwiiroMDSOuGk0Zyp0kFwBQotA3B0KmjrS6tQ-aAliBm5OfR2sf0dMPX5pk4lNo3fYjuk3EgH3Gg7Bq-PwaHYYMi7WG983OfHhaMvD_6ubXqM6acZdhjzCn3TV_n4CGiugDJnGNiR0X9J_AFmoltI</recordid><startdate>197108</startdate><enddate>197108</enddate><creator>FORD, CHARLES V</creator><creator>ATKINSON, ROLAND M</creator><creator>BRAGONIER, J ROBERT</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>197108</creationdate><title>Therapeutic Abortion: Who Needs a Psychiatrist?</title><author>FORD, CHARLES V ; ATKINSON, ROLAND M ; BRAGONIER, J ROBERT</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2516-6220ce7f7ed43a1b75850bec8939476215c90d9be364d02e95d68ac85e5ad6403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1971</creationdate><topic>Abortion, Therapeutic</topic><topic>Attitude</topic><topic>Contraception</topic><topic>Crisis Intervention</topic><topic>Depression - diagnosis</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>Guilt</topic><topic>Histrionic Personality Disorder - diagnosis</topic><topic>Humans</topic><topic>Personality Disorders - diagnosis</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Psychology</topic><topic>Psychotherapy</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Referral and Consultation</topic><topic>Religion</topic><topic>Suicide</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FORD, CHARLES V</creatorcontrib><creatorcontrib>ATKINSON, ROLAND M</creatorcontrib><creatorcontrib>BRAGONIER, J ROBERT</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FORD, CHARLES V</au><au>ATKINSON, ROLAND M</au><au>BRAGONIER, J ROBERT</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Therapeutic Abortion: Who Needs a Psychiatrist?</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1971-08</date><risdate>1971</risdate><volume>38</volume><issue>2</issue><spage>206</spage><epage>213</epage><pages>206-213</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>Clinical experience in evaluating more than 500 women requesting therapeutic abortion has led to the development of 10 diagnostic syndromes. Inclusion of a woman into one of these syndromes implies the need for psychiatric consultation and the probability of adverse emotional sequelae if abortion is performed. Although most women do not require psychiatric consultation, it is essential for psychotic women, those with a history of psychosis and those who have suicidal ideation which persists after the offer of an abortion. Evaluation includes a detailed, private interview with the woman as well as ancillary interviews with involved third parties whenever possible. A cooling off period is recommended for women who are ambivalent or under acute stress. Because of the emotional complexities of pregnancy and abortion, the therapeutic relationship should not be severed with the performance of the abortion.</abstract><cop>United States</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>5560102</pmid><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1971-08, Vol.38 (2), p.206-213 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74902768 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Abortion, Therapeutic Attitude Contraception Crisis Intervention Depression - diagnosis Family Characteristics Female Guilt Histrionic Personality Disorder - diagnosis Humans Personality Disorders - diagnosis Pregnancy Pregnancy Complications - diagnosis Psychology Psychotherapy Psychotic Disorders - diagnosis Referral and Consultation Religion Suicide |
| title | Therapeutic Abortion: Who Needs a Psychiatrist? |
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