“What Should I Do with My Pregnancy?”: Psychological Counseling Strategies (As Reflected In Online Discussion) 292
Doctor of Psychology, Professor Department of Human Psychology, Institute of Psychology, Herzen State Pedagogical University of Russia, St.Petersburg, Russia
PhD in Psychology, Associate Professor, Human Psychology Department, Institute of Psychology, The Herzen State Pedagogical University of Russia, St.Petersburg, Russia
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.
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.
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.
Eremeev B.A. Statisticheskie protsedury pri
psikhologicheskom izuchenii teksta [Statistical methods in psychological
analysis of a text]. Saint Petersburg: Obrazovanie, 1996. 92 p.
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.
Baker A. Pro-voice: How to keep listening when the world
wants a fight. Oakland, CA: Berrerr-Koehler, 2015. 240 р.
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
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
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.
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.