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Abstract: Clinical observations indicated that those psychiatric patients who survived when a preborn sibling died were adversely affected by the experience. It seemed that being a survivor of a pregnancy loss, particularly abortion, contributed to psychiatric illnesses. Data was collected from a sample of 293 adults - 98 patients and 195 counseling trainees. A self-report questionnaire with visual analogue, rating, and descriptive questions was used to ascertain the extent of common psychiatric symptoms. These were analyzed to determine if there were any significant associations with various types of pregnancy outcome. Correlations and stepwise regression analyses demonstrated a cluster of existential symptoms for those surviving when their preborn siblings were aborted. The symptom expressed by the subjects in the study that was most closely associated with abortions in the first pregnancy of their mothers was, "I feel I don't deserve to be alive." There were different and more loosely clustered symptoms found in patients whose mother miscarried. Conclusion: there is a reasonably definable syndrome of symptoms in patients associated with the abortion of their sibling, which we have termed, the Post Abortion Survivor Syndrome.
Key Words: Post- Abortion Survivor Syndrome, pregnancy loss, abortion, siblings, suicide, existential guilt, impending doom.
Introduction
There appears to be a paradoxical response when, for reasons over which they have no control, a person's life is spared when those who are near and dear to them die. You might think that persons who survive should be glad to be alive and greet every dawn with gladness. Instead, studies have shown that many survivors of torture, concentration camps, disasters, accidents, and illnesses have a pervasive sense of guilt, morbid thoughts, suicidal ideation, and difficulty grappling with the exigencies of life. What was first known as the "concentration camp syndrome" (Chodoff, 1963) later became the "survivor syndrome" (Niederland, 1968). Symptoms included cognitive and memory disturbances, depression and survivor guilt, chronic anxiety related to the fear of renewed persecution, and phobic fears. Frequently there are sleep disturbances including insomnia, nightmares, and anxiety dreams related to persecution, as well as somatic manifestations. Dr. Wanda Poltawska (1989) wrote And I am Afraid of my Dreams in which she describes terrifying night visions which persisted for many years until she was able to record and talk...