Professional Documents
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To cite this article: Tamara G. Coon Sells (2013) The transition to nonparenthood: A critical
feminist autoethnographic approach to understanding the abortion experience, Journal of Poetry
Therapy: The Interdisciplinary Journal of Practice, Theory, Research and Education, 26:3, 169-189,
DOI: 10.1080/08893675.2013.823314
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Journal of Poetry Therapy, 2013
Vol. 26, No. 3, pp. 169189, http://dx.doi.org/10.1080/08893675.2013.823314
A critical feminist autoethnography is used to illuminate the struggles associated with the elective
abortion decision and offer insight into, and understanding and knowledge of the physical and
emotional experience of the procedure, as well as the institutions associated with abortion. Framing the
abortion experience in this way qualitatively synthesizes feminist perspectives, symbolic interactionism,
and narrative to create a combined theoretical, analytical, and methodological approach.
Keywords Autoethnography; elective abortion; emotion; feminist perspectives; medical institu-
tions; parenthood
December 2007
Sitting alone in the woods on a cold foggy December afternoon, I find myself
thinking about the similarities between myself and a lifeless tree in the dead of
winter. I say aloud, ‘‘My arms are like the bare branches, swaying from the harsh
winds and trying not to break, but still reaching out for an incandescent embrace.
My body is like the exposed trunk, longing to feel whole again with the presence
and comfort of a shelter from the elements of this cold world. My soul is like the dry
roots, searching for the nutrients that another season will bring.’’
Throughout history, women around the globe have been performing their own
abortions, helping others perform abortions, or seeking medical help as a means of
pregnancy prevention (Feldt, 2004). Currently, more than forty million women
worldwide undergo a clinical abortion each year (Sedgh, Henshaw, Singh, Åhman, &
Shah, 2007). In 2007, I became a statistic when I terminated a pregnancy. While it
was a life-changing and terrifying decision, it also created a self-awareness and social
*Corresponding author. Tamara G. Coon Sells, Department of Human Development and Family
Studies, University of Missouri, 314 Gentry Hall, Columbia, MO 65211, USA. Tel: (573) 473-7771.
Email: tgc8qd@mail.missouri.edu
# 2013 National Association for Poetry Therapy
170 T. G. C. Sells
awareness that may have superseded my comprehension if I had not lived this
experience. Although this is a critical topic to explore because of the new and
changing roles of women, as well as gender power dynamics, within the family unit
and in society, abortion is rarely discussed openly in public because of its religious,
ethical, moral, emotional, and political nature. Using my personal experience as a
starting point, and utilizing what I call a critical feminist autoethnography, the
current project is an attempt to conceptualize the abortion decision, the physical and
emotional experience of the procedure, the influence of the institution on abortion
discourse, and the way in which abortion is embedded within a wider cultural arena.
Framing the abortion experience in this way allows me to qualitatively synthesize
feminist perspectives, symbolic interactionism, and narrative to create a combined
theoretical, analytical, and methodological research approach.
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motherhood.
The critical feminist autoethnographic method used in this project incorporates
storytelling and focuses inward on self-narrative within the social context by
examining simultaneously the subjective and objective (Ellis, 2004). This is achieved
by switching focus back and forth between the outward social and cultural aspect of a
personal experience and the inward process of resisting or embodying cultural
interpretations. Capturing the intersection between culture, society, and politics
(Pinar, 1997), autoethnography provides a direct standpoint, otherwise described as
a case study of the researcher (Ellis, 2004). In this way, the researcher views oneself
as a case example, a local life circumstance, among many others (Jackson, 1989).
Breaking through the objective nature of traditional study, autoethnography makes
the subjective experience an openly shared and identifiable lived experience.
Although I tell my personal abortion story in hopes of publicly connecting with and
creating a shared identification with other women, I tell this story knowing that my
voice, reality, and meaning of the experience are not any more exceptional, unique,
or significant than others.
The nature of the autoethnographic voice should also be embodied, which
refers to deliberately including a full range of sensory experiences to produce
cultural understanding (Gray, Ivonoffski, & Sinding, 2002). Embodiment is a sense
of feeling, mindset, way of being, way to analyze and conceptualize, and way to
consider, examine, and embrace a mindbody connection (Gibson-Graham, 2006).
Once one has experienced a lifestyle, or situation, the emotional sense that he or
she has embodied as a result of the lived experience influences thought processes
from that time forward. It is thought that embodiment influences one’s own
sense-making, but also influences others’. Like the processes of reflexivity and
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That fateful evening when I found out that I was pregnant was an awakening
experience. But it was not because I became aware of the consequences of not
wearing contraceptive protection (that came later). Instead, it awakened me to the
physical vulnerabilities of being a woman. I was what my parents called a ‘‘Tom-
boy’’; I loved playing in the dirt, being outdoors, playing sports, and anything
destructive. I hated being called a ‘‘girl’’ or hearing the words ‘‘You . . . like a girl’’
because it seemed like an insult to me and other women. I always thought ‘‘I can
do anything you can do, and probably better,’’ and that’s what I strived to do my
entire life. But when I found out that I was pregnant, all of my masculine displays
to prove that I was just like one of the ‘‘boys’’ were invalidated. I had to face the
reality that I was a woman and because I was a woman, I had the biological
‘‘gift’’ to carry a baby.
Butler’s (1990) critique of the sex and gender binary systems and the notion of
constructing gender through discourse and performance provide an analysis. Having
conceived was a major dialectic to my being, as my biological sex and its implication
174 T. G. C. Sells
was different from what I claimed and performed as my socialized gender. This made
me realize that no matter how much I strived to challenge the social norm of
woman femininity, I still possessed the internal organs of a woman that had the
capability of making me become feminine. This realization was quickly followed by
the awareness that, as a result of the women’s movement in the 1960s, I had
reproductive choices available to me that enabled me to challenge conventional
female roles of motherhood in exchange for the unconventional role of graduate
education (Ginsburg, 1998).
At the age of 25, I had other ‘‘identities’’ and roles that I wanted to pursue that
did not involve children, like graduate education, a fulfilling career, and an
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At this time, my feelings are shifting between outrage and loneliness* outrage
because I put myself in this situation, because I was treated so horribly by clinic
staff, and because I feel as though my happy and fulfilling life will never be the
same; and loneliness because I feel like a part of me is gone, because I think my
family, friends, and Bill won’t love me anymore as a result of choosing this option,
and because I realize how much hate is in this world after witnessing the protesting
outside of the abortion clinic.
Now, looking back on the experience, I realize that this procedure indicated when
my previous life ended and I was reborn into something new. I now have a completely
different outlook on life, as well as a newfound passion in feminist research.
the actual lived experience, while others were constructed as I later voiced my story
to others. During these times, I often found myself simultaneously producing
research-oriented thoughts and building a stage-like structure to help organize my
ideas and emotions.
‘‘You can’t be mad at me for not wanting to move away from my family and
friends.’’
‘‘I know.’’
We hugged and cried away all of our future plans as a couple, not knowing that
the night before would change our lives forever. This was the night that we
conceived.
Although this exact scenario might not resonate with every woman, I have the
notion that most women will experience instability or insecurity in their life prior to
undergoing an abortion. Discovering an unplanned pregnancy at a time of turmoil
makes the already unstable environment more traumatic and, thus, sets the stage for
the future decision to terminate a pregnancy. For some, this may be losing a job, just
beginning a new job or school, moving to a new neighborhood, or a death in the
family. For me, an unstable relationship status was one of the underlying reasons why
I choose to later have an abortion.
Stage 2 (September 9 16, 2007): Fear of knowing
I had a very light menstruation the week prior, so I wasn’t alarmed until I began
to experience stomach cramps, wooziness, vomiting, troubles focusing, and
emotional swings. A good friend bought me a pregnancy test and told me in a
stern, yet motherly, tone, ‘‘Take this right now. Whatever happens, I’ll be here for
you.’’ Feeling as though she was a mother and I was her child, I thought, how can
I mother a child when I am so fearful of even knowing if I am pregnant?
In my mind, if I ignored the symptoms long enough they would just go away, but
if I took the test I would have to acknowledge that I was probably pregnant with Bill’s
baby. Having these symptoms for nearly a week, I eventually was forced to face the
176 T. G. C. Sells
inevitable. Bill needed to know that I was having these symptoms and we both
needed to know if I was in fact pregnant. Knowing that I could not take the
pregnancy test without him being there, I called him.
‘‘I need you to come here right now’’ I told Bill while sobbing on the phone.
‘‘I can’t come tonight, but I’ll be there tomorrow. Why? What’s the matter?’’
‘‘I can’t tell you right now. It’s something that I need to tell you in person.’’
I now ask myself, why couldn’t I tell him over the phone? The truth was, I
missed him in my life and I thought that reuniting with him and speaking to him
face-to-face about something so pivotal would help to bring us back together. We did
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not call off our relationship as a result of infidelity or loss of love, but out of a conflict
in where we wanted to live. After knowing that we could possibly have a family
together, this conflict seemed negotiable. I could imagine making sacrifices for the
survival of our family. But those sacrifices did not seem reciprocal because he would
not make the hour drive to see me that day. This reinforced my insecurities, anxiety,
and confusion, and contributed to a sense of loss*one that incorporated the loss of a
partner, loss of independence, and loss of future dreams (e.g., education and a two-
parent family).
I desperately needed to know the fate of my life and our relationship, so moments
after Bill arrived I went in the bathroom and took the test. The two pregnancy
indicator lines turned bright pink within seconds. I looked away, took a second
glance, and they were still there. Instantly I had beaded up sweat all over my
body. Without a doubt, I was pregnant. Bill was in the kitchen when I slowly
walked out and just looked at him. He hugged me and we didn’t say a word for
about 10 minutes. We cried together, and then laughed. ‘‘You sure are hot for
being pregnant’’ he said to me. ‘‘Are you calling me a Hot Mama?’’ I ask as I
struck a sexy pose.
intense emotions we were experiencing. Using humor was a way to deflect the actual
issue. And, besides, part of why I loved him so much was his humor. This stage made
us question why we couldn’t make our relationship work. If we loved each other and
were talking about the possibility of having a child together, why couldn’t we make
sacrifices to be together?
The next couple of days were a period of numbness alternating with extreme
sensation. I had days of living in numbness to nights filled with extreme emotion and
realization. Just as many women in Harden and Ogden’s (1999) qualitative study, I
experienced a range of emotions because I felt a lack of control in the situation. At
the same time, however, I could not take my mind off of being pregnant, almost like I
was living in a haze.
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An ultrasound informed Bill and me that the embryo was about 5 weeks old.
Feeling that I must make a reproductive decision quickly, that evening Bill and I
sat on a picnic table at a local park and weighed my options, from having an
abortion, seeking an adoption, to keeping the baby. I looked over to an empty
swing set and imagined our child running, playing, smiling, and calling me
Mommy. In the next moment, my mind wandered to schoolwork and I began to
worry that I wouldn’t be able to complete the 20-page literature review due that
Friday.
road. One of the biggest concerns, however, was the fear that having a baby would
alter my life trajectory and interfere with my goals, such as a doctorate degree and
earning tenure in the academy. All of these factors directed us toward having an
abortion. After continuing on with my life for a week knowing that I was
pregnant, I made the call to the clinic.
The clinic was located in a badly maintained part of the city, had an industrial
exterior, and plenty of pro-life advocates. ‘‘You are killing a human being! You are
going to hell!’’ we heard as we walked by.
The atmosphere of the clinic and the treatment I received from clinic staff was
similar to what other women have experienced (Aléx & Hammarström, 2004;
Harden & Ogden, 1999), in that it felt like an assembly line, very impersonal
and cold. I was expecting more of a personal and caring tone, so I was surprised
and somewhat insulted when I learned of how each and every woman had to
follow the one in front of her through a series of stations from signing paperwork,
having an ultrasound, and sitting in the waiting room with our ‘‘drivers’’ to
speaking with a counselor, getting a Dramamine pill and a shot of Versed and
Fentanyl to help us relax and eliminate pain and nausea, and having the abortion
procedure.
While in the waiting room, I could not help but to think of how my experience
was related to issues of death, power, and control. These concepts surround the issue
of abortion, as fetuses, potential mothers and fathers, practitioners that perform the
procedure, and the clinic personnel are all battling for life, power, and control in
some sense (Ginsburg, 1998). Further, the self and the social world are shaped by
social structures and the power that they exhibit (Gergen, 1999). Smith (1990)
advises that researchers make sense of everyday life by revealing the power relations
interwoven within institutions.
The power dynamic within the abortion experience was very evident to me then
and now. The activity surrounding abortion is institutionalized and, thus power-
driven. First, there is a power hierarchy between the state legislation and the
availability of the service and operation of the clinic. State laws mandate the mere
existence of the clinic and if an anti-abortion law is passed, clinics could close
immediately, leaving women without access to abortion. Second, there are several
power hierarchies that exist within the clinic, which impact the patient’s experience.
Security guards determine an individual’s access into the clinic. Receptionists,
Transition to nonparenthood 179
ultrasound personnel, nurses, doctors, and counselors are also key actors within the
institution. The assembly-line organization in itself creates an ordered, impersonal,
and cold feeling to the process, not to mention the cold and almost rejecting style of
interaction patients encounter from the staff. Although the abortion institution
makes women’s reproductive choice available, this agentic choice is delegated solely to
the decision to terminate. The institution regulates and controls every maneuver
within the confines of the social space, producing an intimidating, criminal-like order
that does not foster respect, care, and liberation.
Although Shostak (2008) describes, ‘‘it is not ‘‘her’’ abortion alone, it is our
abortion’’ (p. 365), it seems that men are not involved as frequently as Shostak
believes they should be. One recent study actually found that under one-quarter of
women acquiring an abortion procedure were accompanied by the man by whom they
became pregnant (Beenhakker et al., 2004). Most of the other women seeking to
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terminate a pregnancy that I came into contact with that day at the clinic were
accompanied by a friend or mother, and only a few were accompanied by their
boyfriends or husbands*the potential father. I felt very fortunate to have Bill with me.
‘‘Thank you for coming with me. I don’t know what I would do without you.’’
‘‘I would never let you do this alone. This is when we need each other the most.’’
We kissed and held hands for a few minutes. Bill and I intently looked over a
manual that graphically and textually explained the procedure and any
information we should know about the aftermath. Bill found the material and
thought of me undergoing surgery very traumatizing, and whispered to me, ‘‘Let’s
go. I can’t do this and I can’t let you do this.’’
‘‘We can’t go now . . . well, we could, but it wouldn’t help the situation. We can’t
run.’’ In this moment, I was called back to the counselor.
Most US states (i.e., thirty-two) require counseling for patients who wish to
terminate a pregnancy before the abortion can be performed (Alan Guttmacher
Institute, 2007), but only 40% allow the woman’s partner to have access to a private
meeting with their partner and a counselor (Shostak, 2008)
Crying, I reluctantly walked back to the counselor’s office. Expecting the worst,
this meeting actually turned out to be a blessing. The room had a window that let
in a small ray of sunshine; the first that I had seen in the three hours I had been in
the clinic. And although the counselor stated that it was not typical protocol to
have a partner or friend in the counseling room because his presence may interfere
with the woman’s wishes, after some coaxing she invited Bill to sit down with us.
She asked me questions, spoke to me like an educated person, and also told us that
it was nice to see such a strong and committed couple with bright future plans,
which made me feel like she was genuinely interested in my lifestyle and whether or
not this decision was the best one for me. Our talk was very refreshing and helped
180 T. G. C. Sells
The next step was the operation waiting room, where I had the opportunity to meet
and talk with five other women. We shared with each other our backgrounds and
some of the reasons why we ended up in the same place and the same time. Three
of the women, all whom had a previous abortion, seemed to be coping very well
with the situation. One of these women, who was unmarried, in her late 20s with
one child, was having her third abortion. The other two women were having their
second abortion. One was married, in her late 30s and had 3 children, and the
other was unmarried, in her late teens with no children. Finally, two of the five
women seemed to be very affected by their situation. One of these women was
unmarried, in her early 20s with no children, and having her second abortion.
The other, who seemed to be just as scared as I, was unmarried, in her mid-teens
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with no children, and having her first abortion. She did not say much to the other
women, but she explained to me that she only had sex one time and she didn’t
know that she was 11 weeks pregnant until two days ago. Her mom was making
her have an abortion, but she didn’t want to go through with it. Before we could
continue talking, I was called into the operation room. I hoped for the best for the
young woman, and myself.
Nothing could prepare me for the traumatic experience of the actual surgical
termination of pregnancy. Although the manual that the clinic provided us with was
detailed graphically, it echoed a scientific and medical, rather than a psychological,
discourse. I had also read qualitative research articles on the emotional experiences
of other women, but their synthesized accounts did not fully portray the pain and
psychological responses that I experienced. There are no adjectives that accurately
describe the feeling, but a few have remained in my mind: agonizing, violating, and
exposing.
The psychological and physical pain associated with the procedure still haunts me
today. The cold machine, like a vacuum, was forcibly inserted into my vagina
without any warning and sucked away what felt like was my entire internal
structure. I felt internally bare, empty, violated, and exposed. The doctor and
nurse aide wouldn’t speak a word to me, like I was an animal. I tried to ask them
how long it would take, and while I was screaming in pain I asked if they could
make the pain stop, but they didn’t supply me with even a recognition of hearing
my requests. No care or positive interaction was even attempted by the staff.
During and after the procedure I felt as though I did not have control over my
body, as though something else*another force, this ‘baby’, the doctor, the nurses,
the man who impregnated me*governed my every move, my every choice, my
every feeling; I no longer had my own senses. It felt as though I gave possession of
my bodily functions to someone, or something else. My personal boundaries and
self-awareness, self-identity, autonomy were discarded. I had a sense of power-
lessness. I had never before thought of my body as an object, as something outside
of myself, but now I am feeling that my body is a dispensable commodity.
Transition to nonparenthood 181
Stage 6 (September 25 29, 2007): Cramped emptiness
Although I did not experience regret as some women report (Fielding et al., 2002),
the aftermath of my abortion procedure can be characterized as a period of
cramped emptiness, pain, disorientation, illness, and loneliness.
society at every step, as has been described in the discussion of death, power, and
control. The treatment of women by clinic staff is yet another institutional
characteristic that affects women’s experiences, as the amount and quality of the
emotional support given by nurses and other medical staff are often cited as factors
of the emotional impact of an abortion (Aléx & Hammarström, 2004; Simonds, et
al., 1998). Although professionals working in abortion services have been perceived
to be more sympathetic, supportive, and caring and less judgmental than primary
care professions (Harden & Ogden, 1999; Kumar, Baraitser, Morton, & Massil,
2004), I did not receive this type of sympathetic and caring support from the medical
staff at my chosen abortion clinic.
The medical staff at the abortion institutions that I visited came into contact
with a countless number of women each day and likely became resistant to becoming
attached to their patients or even getting to know them as people because of being
overcrowded. Further, the staff and practitioners have a very emotional job, and
allowing themselves to become emotionally attached to their clients may cause
burnout and depression. While these seem like valid excuses as to why the staff did
not express concern, I still wonder, is this psychologically detached treatment an
attempt to discourage women from having an abortion? Was my experience
interpreted as traumatic because it was institutionally constructed to be traumatic?
After sitting me in a reclining chair in the recovery room, a nurse gave me a small
cup of sprite and bag of pretzels and told me that I needed to eat so the drugs would
dissolve and give way to normal bodily functioning. I was also told to go to the
restroom to put on a sanitary pad that would protect my clothes from the excess
blood, but they did not help me into the bathroom. While in the bathroom, I
remember vomiting in the toilet and falling to the floor as I went out of
consciousness. After coming to, I had to crawl to the door and back to my seat,
without the staff even taking notice. A few minutes later, I was feeling ill again
and asked the nurse to help me to the restroom. She told me that I already went so
I didn’t need to go again. I once again crawled to the restroom and vomited, laid
on the floor for what felt was a lifetime before coming to and crawling back to my
seat for a second time.
182 T. G. C. Sells
Finally, when they said that our ‘‘drivers’’ could come in and get us, they gave me
a vomit-bag to take on the ride home. On the walk back to the car, I was forced to
interact with protestors when some middle-aged men called me and the other girls
‘‘whores’’ and ‘‘devils’’ and told us we were going to hell.
I felt very insulted and misunderstood by many people over that week period
and coming into contact with this group, whom I felt ignorantly stereotyped and
forced their views upon me, was very difficult for me. This was primarily because
these absurd remarks came from grown men who did not know my story, or any of the
other women’s stories. I wondered how they could find it in themselves to portray us
so shamelessly. Do the male protestors think that they will have a more profound
influence on women’s reproduction decisions because they are the ‘‘superior’’ sex, or
because they tend to have more political power than women? Do they think that
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protesting to women who have already undergone the procedure will somehow take
back what has already been done or are they simply trying to instill guilt in us? Why
are they trying to silence and disempower an already oppressed group? Would these
men be proportionately involved in a child’s life if their wife, girlfriend, or one-night
stand were to have their child? Do they realize that one in three women undergo an
abortion in their lifetime (Alan Guttmacher Institute, 2003) and that their mother,
sister, or daughter probably is one of them?
On the drive home, I continued vomiting and going in and out of consciousness.
Bill later told me that he didn’t know what to say to me, how to comfort me, or
how to stop the vomiting. We did not speak much that evening, probably because
both of us were in shock and could not fully comprehend our actions. As he left for
work early the next morning, he gently kissed my forehead but said nothing. I was
forced to also go on with my day as though the procedure never happened. I drove
the hour to class, interacted with professors and classmates, and tried to keep my
tears to a minimum. I felt as though I was living in a cloud, functioning just
enough to get by but not really taking notice to any detail in life.
Stage 7 (September 2007 August 2008): Living in silence
The quality of a woman’s post-abortion interpersonal support seems to determine
how well she functions emotionally (Goodwin & Ogden, 2007). However, like
women in other abortion studies, the amount of interpersonal support I had available
to me was limited because I could not share this experience with just anyone
(Edelman, 1996; McIntyre et al., 2001; Trybulski, 2006). The disgrace that I felt
from others as a result of this decision shaped the way in which I carried myself, my
self-confidence, and my friendships. I was no longer the open, energetic person I
Transition to nonparenthood 183
‘‘Actually, yes . . . Please don’t tell anyone, but I recently had a miscarriage.’’
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Of those friends that I was frank with, only a couple supported my decision.
Others were very disappointed in me and tended to detach themselves from our
friendship. Further, I was not able to speak with Bill about my feelings because he
did not know how to cope with the decision. I could not publicly grieve or mourn
because I felt silenced by the stereotypes, stigma, and judgments surrounding
abortion portrayed by the dominant, more conservative culture. Having lived the
experience, I suddenly became utterly aware of the ways in which the dominant pro-
life discourse expresses discontent with abortion and further suppresses discourse of
women’s choice and their experiences. I took notice of pro-life bumper stickers and
road-side advertisements that I once just glanced over.
I thought to myself, ‘‘How can you discredit the genocide of millions of Jews by
comparing it to a woman’s decision to terminate a pregnancy?’’ ‘‘You must not be
an empathetic, understanding, and loving person if you can judge someone else for
his or her actions without even knowing the constraints within the context of that
action.’’
Then I thought, ‘‘I am judging you the same way you are judging me . . . I should
stop . . . You simply have your perspective and I have mine.’’ I tried to keep this
nonjudgmental and accepting attitude about the person who would proudly place a
bumper sticker that read those horrible words on a vehicle, but I couldn’t help
feeling ignorantly stereotyped as selfish and evil . . . Why is it that many Americans
are so dedicated to their own beliefs and values that they discredit, and sometimes
disgrace, others for having differing views?
Stage 8 (August 2008 now): Sharing my story
This stage is the last, and also the most important, stage that I have experienced
on my journey through the abortion experience. After about a year of living in
silence, I decided to live proud and unnerved by the criticism associated with the
184 T. G. C. Sells
abortion. After taking on this new attitude, surprisingly I found support from
many friends and acquaintances. Although it has only been a few years since I
took on this attitude, it will continue for the rest of my life and hopefully help me,
and others, to develop into more confident and self-assured persons.
During this time, I am sharing my story and growing from the experience, as it
gives me insight into myself and an understanding and maturity of life. This
experience has been the most thought-provoking of my life, often making me ponder
what life is, how to live it, and how to enhance it. This experience has helped me to
become an active pro-choice advocate, research abortion, and become a more
accepting and helpful person to others. Most importantly, this experience has helped
me speak out for women rights and aid in the quest to end gender-based
discrimination.
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Concluding remarks
Although this story is not meant to be understood as a universal or an international
experience, it is important to understand the cultural experiences of other women. It
has been well documented that the decision to terminate a pregnancy is moderated
by contextual variables, such as value systems and social and cultural norms
(Andrews & Boyle, 2003; Harden & Ogden, 1999; Simonds, Ellertson, Springer, &
Winikoff, 1998). However, despite divergent health care provisions, political context,
religious context, and the legality of the procedure, research suggests that women
around the globe experience similar psychological and emotional responses when
deciding on abortion, undergoing the procedure, and also when coping with the
aftermath of the procedure.
When discovering an unplanned pregnancy, women from the United Kingdom
experienced a range of emotions, such as shock, panic, anger, shame, and disbelief
(Harden & Ogden, 1999). According to Slonim-Nevo (1991), Israeli women
experienced similar emotions of sadness, ambivalence, confusion, and fear before
they underwent an abortion procedure. An increased level of anxiety is also a typical
reaction to deciding upon abortion and preparing for the procedure in American
women (Wells, 1991). During and directly following an abortion procedure,
American, Swedish, and Canadian women alike tend to report pain (Wells, 1991)
and feelings of regret and guilt (Fielding et al., 2002), distress and anxiety (Fielding
et al., 2002; Kero et al., 2004; Wells, 1991), and grief, loss, emptiness, and suffering
(McIntyre et al., 2001). Opposing feelings of relief, happiness, liberation, and a
reduction in stress resulting from dealing with an unplanned pregnancy are also
reported during this time (Adler et al., 1992; Lazarus, 1985). Unsettled feelings and
emotional isolation resulting from not having an opportunity to mourn and speak
openly of the abortion experience are other cross-cultural responses to undergoing an
abortion (Edelman, 1996; McIntyre et al., 2001; Trybulski, 2006).
However, long-term responses to living through the cultivating experience of
abortion include more positive emotions. Similar to American women who have
Transition to nonparenthood 185
of gender equality is often overlooked. Because the abortion issue is essentially about
valuing women, not abortion, the two sides of the debate should unite in this quest
by changing the patriarchal structure of society, advocating for policy change that
supports equality of mothers, fathers, women, and men in the workplace, establish-
ing mandatory paid maternity and paternity leave policies, promoting more
convenient and reliable childcare, promoting universal health care, covering the
costs of abortion in health care policies, as well as encouraging equality in the
domestic sphere. Further, simply changing the language within abortion discourse,
and adopting a proactive discourse that promotes pro-women’s rights rather than pro-
choice or pro-life may help to reconcile the two sides of the debate (Richards, 2006).
together as one and fail to take notice of the intricacies that each woman experienced.
For instance, social class, education, race, and age have not been teased apart in the
literature on abortion. Other areas in need of study are the context in which
pregnancy occurred, whether or not the abortion is elected for personal or medical
reasons, whether or not a woman has previously had children or undergone an
abortion, whether or not a woman has a committed partner, and the clinic
atmosphere in which the abortion is carried out. These demographics may play a
role in how women prepare for, experience, and cope with abortion and thus should
be studied to further aid in reframing the discourse surrounding abortion and
tailoring programs for women and their partners, families, and friends.
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Final thoughts
January 2010
Sitting alone in the woods on a cold foggy January afternoon, I find myself thinking
about the similarities between myself and a tree in the dead of winter. I say aloud,
‘‘My arms are like the bare branches, strong, unswayed, and unbroken by the harsh
winds, and reaching high into the sky. My body is like the exposed trunk, shameless
and proudly showing rings of vibrant growth for all to see. My soul is like the roots,
planted and reaching deep into the Earth to provide never-ending enrichment.’’
Acknowledgements
I would like to acknowledge Dr. Peggy Placier for providing me with guidance and
interpersonal support throughout this project.
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