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Psychodynamic aspects of delayed abortion decisions
J A Cancelmo1, B Hart, J L Herman
1Department of Psychology, Pace University, New York.
The British Journal of Medical Psychology
|December 1, 1992
Summary
Psychodynamic factors, including issues with self-identity and achievement, significantly explain why some women delay elective abortions. These delays may reflect attempts to affirm identity or reconnect with early caregivers.
Area of Science:
- Psychology
- Psychiatry
- Women's Health
Background:
- Elective abortion is a common reproductive health decision.
- Understanding factors influencing the timing of abortion is crucial for patient care.
Purpose of the Study:
- To identify psychodynamic factors associated with delayed elective abortion.
- To explore the psychological underpinnings of abortion timing in women.
Main Methods:
- Multiple regression analysis was used.
- A sample of 58 women undergoing elective abortion was studied.
- Psychodynamic variables, including self-perception and achievement orientation, were assessed.
Main Results:
- Psychodynamic factors were the sole significant predictors of delayed abortion.
- Disturbance in self-identity, indicated by gender/sexual conflict, correlated with delay.
- Lower achievement orientation ('striving') was also associated with delayed abortion.
Conclusions:
- Delayed abortion may be linked to efforts to resolve identity issues or address early developmental conflicts.
- For some women, delaying abortion may represent an active process related to psychological needs.