“What Should I Do with My Pregnancy?”: Psychological Counseling Strategies (As Reflected In Online Discussion)



The paper addresses the problem of psychological counseling provided to a woman trying to decide whether to keep her pregnancy or terminate it. The authors argue that in modern Russian psychological counseling practice dealing with abortion-related issues there are two main approaches: pre-abortion counseling (aimed at abortion prevention) and reproductive choice counseling (trying to make it possible for a woman to come to her own autonomic and responsible decision regarding her own future). The paper analyzes the strategies of psychological counseling on the issue of keeping or terminating the pregnancy. The data was obtained from open online consultations on a Russian professional psychological platform b17.ru. We analyzed 36 consultations that consisted of 1335 posts in general, including 295 posts from the professional counselors. Inductive content analysis and cluster analysis methods were applied. As a result, five strategies of psychological counseling were defined: transmitting negative attitudes to abortion, transmitting the acceptance of abortion, infantilizing of the client, rational analysis of the situation and regulating the client’s emotional state. The issues of assessing the consequences and the effectiveness of these strategies are discussed.

General Information

Keywords: reproductive choice, pre-abortion counseling, abortion, women, psychological counseling

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2020280107

For citation: Miklyaeva A.V., Rumyantseva P.V. “What Should I Do with My Pregnancy?”: Psychological Counseling Strategies (As Reflected In Online Discussion). Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2020. Vol. 28, no. 1, pp. 113–126. DOI: 10.17759/cpp.2020280107. (In Russ., аbstr. in Engl.)


  1. Blokh M.E., Dobryakov I.V. Psikhologicheskaya pomoshch’ v kompleksnom podkhode k resheniyu problem reproduktivnogo zdorov’ya [Psychological help in the frame of complex approach to reproductive health issues]. Zhurnal akusherstva i ginekologii [Journal of Obstetrics and Gynecology], 2013. Vol. 62 (3), pp. 16—19.
  2. Varshavskaya M.I., Fridman A.A., Sherman E.M. Mediko-psikhologicheskoe konsul’tirovanie beremennykh s tsel’yu profilaktiki abortov [Medical and psychological counseling for pregnant women aimed at abortion prevention]. Upravlenie kachestvom meditsinskoy pomoshchi [Quality of care management], 2015, no. 1—2, pp. 31—35.
  3. Eremeev B.A. Statisticheskie protsedury pri psikhologicheskom izuchenii teksta [Statistical methods in psychological analysis of a text]. Saint Petersburg: Obrazovanie, 1996. 92 p.
  4. Khalyukina E.V., Solomatina A.S. Abort kak etiko-sotsial’naya problema sovremennosti [Abortion as a modern ethical and social issue]. Byulleten’ meditsinskikh internet-konferentsii [Bulletin of Medical Internet Conferences], 2017. Vol. 6 (1), p. 60.
  5. Baker A. Pro-voice: How to keep listening when the world wants a fight. Oakland, CA: Berrerr-Koehler, 2015. 240 р.
  6. Cote I., Lapierre S. Abortion and domestic violence: Woman’s decision-making process. Journal of Woman and Social Work, 2014. Vol. 29 (3), pp. 285—297. doi:10.1177/0886109913519791
  7. Hoggart L. “I’m pregnant… what am I going to do?” An examination of value judgments and moral frameworks in teenage pregnancy decision making. Health, Risk and Society, 2012. Vol. 14 (6), pp. 533—549. doi:10.1080/13698575.2012.706 263
  8. Huang Y., Davies P.G., Sibley C.G., et al. Benevolent sexism, attitudes toward motherhood, and reproductive rights: A multi-study longitudinal examination of abortion attitudes. Personality and Social Psychology Bulletin, 2016. Vol. 42 (7), pp. 970—984. doi:10.1177/0146167216649607
  9. Katz J. Advocacy above the fray? Limitations of the pro-voice approach to supporting abortion patients. Feminism and Psychology, 2017. Vol. 27 (2), pp. 243— 250. doi:10.1177/0959353517696514

Information About the Authors

Anastasia V. Miklyaeva, Doctor of Psychology, Associate Professor, Professor of the Department of General and Social Psychology, Herzen State Pedagogical University of Russia, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0001-8389-2275, e-mail: a.miklyaeva@gmail.com

Polina V. Rumyantseva, PhD in Psychology, Associate Professor, Human Psychology Department, Institute of Psychology, The Herzen State Pedagogical University of Russia, St.Petersburg, Russia, e-mail: polinarum@gmail.com



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