Lifting the cloak of secrecy: Experiences of providing crisis pregnancy counselling in a changing legislative context in Ireland

Abstract

Crisis pregnancy counselling (CPC) is a specific form of crisis counselling, whereby the pregnancy represents a personal crisis for the woman involved. While much research has been undertaken into understanding the antecedents and outcomes of crisis pregnancy, few studies have examined the experience of CPC from the perspective of counsellors. In addition, no studies to date have examined the changes in the experience of CPC following substantial changes in abortion legislation. The current study therefore aimed to describe the experiences of providing CPC within the context of recent legislative changes pertaining to the provision of abortion in Ireland. Seven semi-structured, in-depth individual interviews were conducted with counsellors and therapists who had provided CPC in the Irish context. Interviews were recorded, transcribed and analysed using interpretative phenomenological analysis (IPA). Four superordinate themes emerged from the data analysis: (1) tension created by legislative conditions, (2) the impact of societal views and stigma, (3) a new sense of freedom, and (4) finding meaning and motivation in supporting women's choices. Overall, the study highlights that CPC is a complex experience, which differs in important ways from providing counselling in other contexts, including other forms of crisis counselling. Implications for policy and practice are identified.