observations on the post abortion syndrome does it really exist?

Observations on the Post Observations on the Post Abortion SyndromeAbortion Syndrome

DOES IT REALLY EXIST?

Yes it does!Yes it does!

In spite of opinions that are published to the contrary. There is scientific evidence to document the validity of the diagnosis!

Published reports in refereed journals provide us wit the validity of the harmful effects of abortion. They are:– physical and – psychological

Physical HarmPhysical Harm

10% of all abortions have unintended complications. They are:– Infection occurs in 27% of the patients– 3to 5% of all women become sterile and are

more likely to have ectopic pregnancies– Cervical lacerations occur in 22% of eh

women that later result in early deliveries or in miscarriages

– Finally there is a 30% increased incidence of breast cancer in women who have first pregnancy abortions

Psychological HarmPsychological Harm

There is only one positive emotional response to abortion and it is relief.– Relief from the embarrassment of

having an unwanted child if the are single and

– Relief from the potential duty of rearing an unwanted child

Psychological HarmPsychological Harm

Even if there are positive effects 40 to 60% have negative emotional responses. These are:– 55% have unremitting guilt– 31% have regrets– 33% have sleep disturbances– 10% have serious psychiatric

problems immediately afterwards

Psychological HarmPsychological Harm

The greatest psychiatric harm occurs in women under 17 years of age.

Interestingly there is in many a period of denial of 5 to 7 years that is used to prevent negative feelings from rising in consciousness.

Psychological HarmPsychological Harm

25% of all women who had an abortion eventually saw a psychiatrist for disturbing symptoms, vs 3% of women who delivered normally.

Among a large group of patients– 46% had feelings of self hatred – 49% used drugs and – 39% either began to use alcohol or

increased their use

Psychological harmPsychological harm

60% reported suicidal ideas28% attempted suicide. 50%

repeated the attemptThere is an incidence of completed

suicide that is 6 times greater in women after abortion compared with those who delivered normally.

Psychological harmPsychological harm

What about men?– It is reported that 75% of men who

accompany their consorts to have an abortion have psychiatric sequelae.

– It is also true that siblings who know their mother had an abortion are also affected negatively. This affects their feelings of wantedness

EtiologicEtiologic

Abortion can give rise to major depression serving as a precipitating factor

It can give rise to an existential depression that mimics major depression or dysthymic disorder

It can cause a person to abuse drugs and alcohol

It can be etiologic in Anorexia Nervosa or bulimorexia

Case IllustrationsCase Illustrations

I have seen over 300 women who have had illnesses that were caused by abortions or to which abortion was a major contributor

I will present three of these

CasesCases

Case 1. This woman was a 43 year old wife of a physician who had been ill for three years. Her main complaint was an intractable depression that had not responded to treatment. Many medications had been tried and she only got partial relief. She was self referred to me for a second opinion.

Case 1Case 1

When my efforts at treatment using different meds and cognitive behavioral therapy did not result in relief I decided to review her history. There were three major factors that seemed to be contributory. They were:– 1. She had been rejected as a Bible study

leader and her faith had been questioned

Case 1Case 1

– 2. She was under great pressure a mother and church leader

– 3 she had been in an auto accident with her son, but neither had been injured. Her car was totaled, though, when she rolled it.

She detailed her history of thse factors, but it was not until she told me of the accident that I learned something new.

Case 1Case 1

She told me that she was taking her dyslexic son for treatment in a nearby city when she detailed how she rolled her Volkswagen.

After she told me of the accident I asked her what she thought as the car rolled over.

Case 1Case 1

She said, “Now I will have killed both my sons!”

“But you have only one son,” I said.

“ Oh! I didn’t tell you. I had an abortion. I knew he was going to be a boy, and I was going to name him Christopher.”

Case 1Case 1

With this knowledge we used a spiritual intervention called “Requiem Healing.” During the intervention she had profound emotional release and in one week was symptom free. Her meds were DC’d and she has remained well for over 28 years.

Case 2.Case 2.

She was a 30+ year old woman who presented with intractable suicidal ruminations She had been hospitalized 5 times before for suicidal intent. I did all I could to relieve her depression using all the interventions I had available, and finally had to discharge her only slightly improved. Some months after she went home she committed suicide

Case 3Case 3

She was the unmarried daughter of a high official in the Malagasy Lutheran Church. It is illustrative of a 20 year old woman who lived in Madagascar.

I was in the country teaching primary care physicians basic psychiatric diagnosis and treatment.

I was asked to see her because she was displaying psychotic symptoms that had not responded to treatment by 1 of the countries 6 psychiatrists.

TreatmentTreatment

I noted in case 1 that we used a intervention called “Requiem Healing”

This was used in the other two cases as well with equally good results.

What is it?

Treatment TheoryTreatment Theory

Etiologically I have to say that one has to understand what happens when a woman becomes aware of her pregnancy. The child instantly becomes a part of her psychospiritually. The process was called by Bowlby (1982) “attachment”

Treatment TheoryTreatment Theory

However, Julian Marias in his book Metaphysical Anthropology called it “installation.” The latter word indicates that it is in internal event. He points out that all relationships involve installation. Those of a person with a spouse, a child, a friend and God.

Treatment TheoryTreatment Theory

We were all created with a radical need for relationships– With a mate – With children– With friends– With God

Treatment TheoryTreatment Theory

Installation is complete and instantaneous in pregnancy

And in conversion with GodIt is a process but becomes

complete in time in the installation of a mate

And is gradual, but partial with a friend

Treatment TheoryTreatment Theory

When we install any of these people we live our lives for them.

Wherever we go they go tooThe same is true for the person

with whom we have a relationship

Treatment theoryTreatment theory

The installation is a supernatural phenomenon

The installation is extremely strong and can be ended only with great mental work or by death

The mental work necessary for ending it is called grief

TreatmentTreatment

If indeed the fetus is installed completely in the woman it is clear that she must grieve to end her relationship with the person Francke called the “Little ghost within.”

Since she is not allowed to grieve either by providers or her mate she has unresolved grief. It gives rise to the emotional symptoms we described earlier

TreatmentTreatment

In the 1980’s Sack described the consequences of spontaneous abortions– 1. Others do not know the woman is

pregnant– 2. The woman is embarrassed to tell

people she has lost a baby– 3. She has not usually identified the

baby as a person

TreatmentTreatment

4. She is not able to identify the baby as someone else

5.She rarely sees the baby she a has lost

6. There is no funeral so they can only fantasize about its sex, size and personality

TreatmentTreatment

7. There is rarely recognition by the caregiver that a significant event has occurred

8. No one encourages her to grieve9. There is no anticipatory grieving

TreatmentTreatment

Several authors have commented on the need to resolve the grief, but few have offered any methodology to bring about the resolution

There is a 1944 study by Lindemann that does offer help

TreatmentTreatment

Lindemann has best described the role of religion in the process of grief resolution in his observations on the psychiatric aftermath of the Coconut Grove fire.

TreatmentTreatment

Fisher has utilized his work in a program for the resolution for grief in widows.

Kenneth McAll did the same for abortion

TreatmentTreatment

I fist learned of this method in 1978 when I met Dr. McAll

He had observed that many women he treated who had abortions would be healed if a memorial service similar to the Catholic Requiem Mass would be performed

TreatmentTreatment

He collected an enormous number of cases beginning in 1950 of women who were healed using the technique of “Requiem Healing.”

Among these in time were 441 cases of anorexia nervosa

TreatmentTreatment

Since I was seeing more an more women who had abortions and were had developed disabling symptoms after the procedure I used his techniques with results similar to those he got.

TreatmentTreatment

If I ascertain that the woman had an abortion or miscarriage as a determinant of her illness

I ascertain her level of spirituality– This is done by taking a spiritual history– If I think she is sufficiently spiritually

sophisticated I ask if she had any notions as to the sex of the child an what she would have named him/her.

TreatmentTreatment

I then get her to describe her feelings at the time of the abortion and afterward

I then try to help her understand the future she has with the child

This future is base on a hopeful biblical understanding of the afterlife.

TreatmentTreatment

We then conduct a service that is a modified service used by Methodists for the communion service

One can use the service for the dead in the book of common prayer

TreatmentTreatment

This is modified to include in the prayer of confession the admission that the woman took the life of the child and is truly sorry for doing so

After the confession they commit the child to the Lord while visualizing their doing so

TreatmentTreatment

In the visualizing of the release of the child, they see themselves standing at the threshold of God’s kingdom

In the background is the light of god’s presence

The patient then visualizes angels coming to the threshold and the mother passes the baby to the angels who carry it off into the light of God’s presence

TreatmentTreatment

The mother tells the child good-bye. We end by repeating the Lord’s prayer

If possible the Eucharist is celebrated at this time

The latter is not necessary for resolution of their grief

CommentsComments

There has been at times enormous resistance to integrating faith with the practice of medicine or psychiatry

Even so over 80 medical schools have courses in spirituality and medicine

CommentsComments

There has though been steady progress in bringing about his integration

Psychiatry has however not shown much interest, but instead had turned to using medications to treat everything

CommentsComments

Managed health care has precipitated this change

So we now neglect the psychological and spiritual aspects of our patients problems and end up treating major mental illnesses

CommentsComments

Residency training provides little instruction in anything besides the biological aspects of our patients illness

To handle these problems the patient is referred to counselors and psychologists who are ill prepared to treat them

CommentsComments

Why?– They like most psychiatrists

Deny the supernatural, have a limited worldview, are not taught about the nature of man, do not understand that man is a spiritual

being, and do not know how to use spiritual

interventions,

William P. Wilson MDWilliam P. Wilson MD

Professor Emeritus of Psychiatry Duke University Medical Center

Distinguished Professor of Counseling Carolina Evangelical Divinity School

www.InstChristiangrowth.org wpwilson@netpath.net