The EDIG study offered a unique chance for a multidisciplinary dialogue between ethicists, psychoanalysts, medical doctors, philosophers and cultural anthropologists. Another innovative aspect was the possibility that relatively detailed interviews with women/couples after PND as well as the empirical findings based on large scale questionnaire data could be used by different authors looking at them from different disciplinary and cultural perspectives.
We also could show that women/couples who accepted psychoanalytical crisis interventions during the decision phase after a positive finding of prenatal diagnostics showed less frequently depressions after 8 months (measured e.g. by the Hospital Anxiety and Depression Scale, HADS) than those who had not accepted any help (see Fischmann et al, 2008).
As for the counselling aspect in prenatal diagnostics, one important finding in our study was that the majority was pleased with the fact that professionals left the decision to them, thus stressing that a non-directive approach is preferable. Nevertheless, our data showed that the processing of the decision they made does not end with the act itself, but reminders catch up with them continuously, even though none of the participants thought she had made a wrong decision. So, what one can see here is the ambivalence, and one might go further and say a dilemma, caused by a simple prenatal test, seen in the predominant answer given: “there is no right decision to make in a situation like this”. Individuals are left alone with this and one has to respect their wish to decide by themselves, but support should be offered and given on an individual basis and not programmatically, taking each and every personality into account. @)15-1.*$#! In this European wide large interdisciplinary study an outcome study of psychoanalytical crisis interventions was included. Women who had accepted such a crisis intervention before deciding for an abortion of their handicapped embryo less frequently developed a serious depression 8 months after the interruption of the pregnancy (according to HADS). These results motivated us to develop a liaison service with a large gynaegological clinic in Frankfurt offering women/ couples psychoanalytical crisis interventions mostly directely in the hospital during the decision phase after a positive finding in prenatal diagnostics (see Leuzinger-Bohleber, in press). G$#.1/.\!
Marianne Leuzinger-Bohleber: M.Leuzinger-Bohleber@sigmund-freud-institut.de Tamara Fischmann: dr.fischmann@sigmund-freud-institut.de
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