'Choice' in women's abortion decision-making narratives: Introducing a supportability approach
- Mavuso, Jabulile M-J J, Chiweshe, Malvern T, Macleod, Catriona I
- Authors: Mavuso, Jabulile M-J J , Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446220 , vital:74482
- Description: Liberal abortion legislation emphasises pregnant persons' autonomous choices in abortion decision-making. Within psychological theories, decision-making is understood as largely individual, rational and cognitive, with various factors affecting women's1 abortion decision-making. In this study, purposively recruited from three sites in South Africa and three sites in Zimbabwe, 25 and 18 women, respectively, participated in narrative interviews which were analysed using thematic analysis and a supportability framework. Participants' narratives constructed continuation of the pregnancy as a 'non-option, abortion emerging as the only solution. Economic resources, gender norms and partnerships, and the undesirability of the pregnancy meant the pregnancy was unsupportable at micro- and macro-levels, and sometimes despite parenting being desired by the women. A supportability framework offers opportunities to understand reproductive decision-making as imbricated in the circumstances of the pregnancy which render it (un)supportable, therefore opening up or closing down particular decisions. This framework enables a necessary shift, towards systemic understandings of decision-making, and a possible reduction in abortion-related stigma.
- Full Text:
- Date Issued: 2020
- Authors: Mavuso, Jabulile M-J J , Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446220 , vital:74482
- Description: Liberal abortion legislation emphasises pregnant persons' autonomous choices in abortion decision-making. Within psychological theories, decision-making is understood as largely individual, rational and cognitive, with various factors affecting women's1 abortion decision-making. In this study, purposively recruited from three sites in South Africa and three sites in Zimbabwe, 25 and 18 women, respectively, participated in narrative interviews which were analysed using thematic analysis and a supportability framework. Participants' narratives constructed continuation of the pregnancy as a 'non-option, abortion emerging as the only solution. Economic resources, gender norms and partnerships, and the undesirability of the pregnancy meant the pregnancy was unsupportable at micro- and macro-levels, and sometimes despite parenting being desired by the women. A supportability framework offers opportunities to understand reproductive decision-making as imbricated in the circumstances of the pregnancy which render it (un)supportable, therefore opening up or closing down particular decisions. This framework enables a necessary shift, towards systemic understandings of decision-making, and a possible reduction in abortion-related stigma.
- Full Text:
- Date Issued: 2020
Resisting abortion stigma in situ: South African womxn's and healthcare providers' accounts of the pre-abortion counselling healthcare encounter
- Mavuso, Jabulile M-J J, Macleod, Catriona I
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443749 , vital:74149 , xlink:href="https://doi.org/10.1080/13691058.2019.1674922"
- Description: Abortion providers and pregnant people who undergo abortion potentially face significant stigma. Researchers have started to explore how womxn respond to abortion stigma, usually focusing on individual strategies in managing or reducing stigma effects. Drawing on narrative data from research conducted on womxn’s and healthcare providers’ experiences of the pre-abortion healthcare encounter in the South African public health sector, we highlight how stigma may be resisted in social ways within this context. Everyday chatter and informal social support amongst womxn in the waiting room provided a counterpoint for health service providers’ ascription of shame to the womxn, and a sense of solidarity amongst the womxn. Health service providers narrated their decision to do abortion work through the socially affirming hero canonical narrative, and womxn described their counselling as helpful. These social and discursive practices resist the awfulisation of abortion and provide relief for the womxn and the healthcare providers in particular contexts.
- Full Text:
- Date Issued: 2020
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443749 , vital:74149 , xlink:href="https://doi.org/10.1080/13691058.2019.1674922"
- Description: Abortion providers and pregnant people who undergo abortion potentially face significant stigma. Researchers have started to explore how womxn respond to abortion stigma, usually focusing on individual strategies in managing or reducing stigma effects. Drawing on narrative data from research conducted on womxn’s and healthcare providers’ experiences of the pre-abortion healthcare encounter in the South African public health sector, we highlight how stigma may be resisted in social ways within this context. Everyday chatter and informal social support amongst womxn in the waiting room provided a counterpoint for health service providers’ ascription of shame to the womxn, and a sense of solidarity amongst the womxn. Health service providers narrated their decision to do abortion work through the socially affirming hero canonical narrative, and womxn described their counselling as helpful. These social and discursive practices resist the awfulisation of abortion and provide relief for the womxn and the healthcare providers in particular contexts.
- Full Text:
- Date Issued: 2020
Contradictions in womxn’s experiences of pre-abortion counselling in South Africa: Implications for client‐centred practice
- Mavuso, Jabulile M-J J, Macleod, Catriona I
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443638 , vital:74140 , xlink:href="https://doi.org/10.1111/nin.12330"
- Description: Pre-abortion counselling may play a key role in abortion seekers’ understanding of their decision to terminate a pregnancy and the subsequent emotions that they feel. In this paper, we report on a study conducted in the Eastern Cape province of South Africa concerning womxn's experiences of the pre-abortion counselling offered as part of the implementation of the Choice of Termination Act that governs the provision of legal abortion in the country. Using a narrative-discursive lens, the analysis revealed four micro-narratives in which participants appreciated non-directive and empathic counselling, as well as being provided with information. They also indicated that the counselling was upsetting and hurtful, particularly when providers drew on the awfulisation of abortion discourse to suggest that abortion leads to terrible consequences, and foetal personhood discourse to intimate that terminating the pregnancy is wrong and other alternatives (adoption, parenting) are better. The connection between these broadly positive and negative responses may lie in the dominance of anti-abortion discourses coupled with the powerful positioning of healthcare providers as experts. The attendant disempowerment of clients within the health clinic setting may constrain pregnant people's ability to question such ‘expert’ information. The implications for feminist client-centred pre-abortion counselling are discussed.
- Full Text:
- Date Issued: 2020
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443638 , vital:74140 , xlink:href="https://doi.org/10.1111/nin.12330"
- Description: Pre-abortion counselling may play a key role in abortion seekers’ understanding of their decision to terminate a pregnancy and the subsequent emotions that they feel. In this paper, we report on a study conducted in the Eastern Cape province of South Africa concerning womxn's experiences of the pre-abortion counselling offered as part of the implementation of the Choice of Termination Act that governs the provision of legal abortion in the country. Using a narrative-discursive lens, the analysis revealed four micro-narratives in which participants appreciated non-directive and empathic counselling, as well as being provided with information. They also indicated that the counselling was upsetting and hurtful, particularly when providers drew on the awfulisation of abortion discourse to suggest that abortion leads to terrible consequences, and foetal personhood discourse to intimate that terminating the pregnancy is wrong and other alternatives (adoption, parenting) are better. The connection between these broadly positive and negative responses may lie in the dominance of anti-abortion discourses coupled with the powerful positioning of healthcare providers as experts. The attendant disempowerment of clients within the health clinic setting may constrain pregnant people's ability to question such ‘expert’ information. The implications for feminist client-centred pre-abortion counselling are discussed.
- Full Text:
- Date Issued: 2020
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