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Directive counseling on long-acting contraception

E Moskowitz1, B Jennings

  • 1The Hastings Center, Briarcliff Manor, NY 10510, USA.

American Journal of Public Health
|June 1, 1996
PubMed
Summary

Coercive policies for long-acting contraception are unethical. However, ethically justified persuasion in family planning counseling, using directive approaches, can promote long-acting contraceptive use.

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Area of Science:

  • Public Health
  • Reproductive Health
  • Bioethics

Background:

  • Unintended births are a significant public health issue.
  • Highly effective long-acting contraceptives are available.
  • Concerns exist regarding coercive policies for contraceptive use.

Purpose of the Study:

  • To evaluate the ethical implications of using long-acting contraceptives.
  • To explore the appropriateness of persuasion in family planning counseling.
  • To advocate for directive counseling protocols for long-acting contraception.

Main Methods:

  • Ethical analysis of public policies regarding contraception.
  • Critique of the dominant nondirective counseling model.
  • Proposal for revised practice protocols in family planning.

Main Results:

  • Broad-brush policies mandating long-term contraceptive use are unethical.
  • Persuasion to use long-acting contraception can be ethically justified.
  • The current nondirective counseling model is overly rigid.

Conclusions:

  • Family planning professionals should adopt directive counseling approaches.
  • Ethically guided persuasion can promote the use of long-acting contraception.
  • Revised protocols are needed to permit directive counseling in family planning.
Keywords:
Genetics and ReproductionNorplantProfessional Patient Relationship

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