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''The Silent Scream'' is a 1984
anti-abortion Anti-abortion movements, also self-styled as pro-life or abolitionist movements, are involved in the abortion debate advocating against the practice of abortion and its legality. Many anti-abortion movements began as countermovements in respons ...
propaganda film A propaganda film is a film that involves some form of propaganda. Propaganda films spread and promote certain ideas that are usually religious, political, or cultural in nature. A propaganda film is made with the intent that the viewer will ad ...
directed by Jack Duane Dabner, narrated by
Bernard Nathanson Bernard N. Nathanson (July 31, 1926 – February 21, 2011) was an American medical doctor and co-founder, in 1969, of the National Association for the Repeal of Abortion Laws (NARAL), later renamed NARAL Pro-Choice America, National Abortion Rig ...
(an abortion-provider-turned-anti-abortion-activist), and produced in partnership with the
National Right to Life Committee The National Right to Life Committee (NRLC) is the oldest and largest national anti-abortion organization in the United States with affiliates in all 50 states and more than 3,000 local chapters nationwide. Since the 1980s, NRLC has influen ...
. The film depicts the abortion process via
ultrasound Ultrasound is sound waves with frequency, frequencies higher than the upper audible limit of human hearing range, hearing. Ultrasound is not different from "normal" (audible) sound in its physical properties, except that humans cannot hea ...
and shows an abortion taking place in the
uterus The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female mammals, including humans that accommodates the embryonic and fetal development of one or more embryos until birth. The uter ...
. During the abortion process, the fetus is described as appearing to make outcries of pain and discomfort. The video has been a popular tool used by the anti-abortion campaign in arguing against abortion, but it has been criticized as misleading by members of the medical community.


Development

Nathanson credits then-president
Ronald Reagan Ronald Wilson Reagan ( ; February 6, 1911June 5, 2004) was an American politician, actor, and union leader who served as the 40th president of the United States from 1981 to 1989. He also served as the 33rd governor of California from 1967 ...
for inspiring him to make ''The Silent Scream''. In a speech to the Association of
National Religious Broadcasters National Religious Broadcasters (NRB) is an international association of evangelical communicators. While theologically diverse within the evangelical community, NRB members are linked through a Declaration of Unity that proclaims their joint comm ...
in January 1984, Reagan stated that a fetus suffers "long and agonizing pain" during an abortion. The
American College of Obstetricians and Gynecologists The American College of Obstetricians and Gynecologists (ACOG) is a professional association of physicians specializing in obstetrics and gynecology in the United States. Several Latin American countries are also represented within Districts of ...
issued a statement in response to the president's comment, saying that the neurological pathways necessary to experience pain do not begin to develop until the third trimester of pregnancy. Nathanson agreed with the president and issued a counterstatement. When critics continued to dispute that a fetus feels pain during the first two trimesters of pregnancy, Nathanson decided to make a movie, saying "I mulled it over and thought there's only one way we can resolve this issue, and that's by photographing an abortion, beginning to end."


Overview

Nathanson, an anti-abortion (formerly pro-abortion rights)
obstetrician Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
, serves as both the medical expert and narrator of the film, describing the events of the abortion as they unfold. He begins by stating the viewer is about to witness the "dazzling" new "science of fetology" and to witness an abortion in
real time Real-time or real time describes various operations in computing or other processes that must guarantee response times within a specified time (deadline), usually a relatively short time. A real-time process is generally one that happens in defined ...
"from the victim's vantage point." The film compiled a series of still ultrasound images of the abortion of a twelve-week-old fetus (referred to as a ''child'' by Nathanson) spliced together to create the video. Nathanson displays the instruments used in a typical abortion and calmly demonstrates how each instrument is introduced into a woman's body during an abortion. Nathanson states that the head, even at 12 weeks' gestation, will be too large to enter the suction device and shows how
forceps Forceps (plural forceps or considered a plural noun without a singular, often a pair of forceps; the Latin plural ''forcipes'' is no longer recorded in most dictionaries) are a handheld, hinged instrument used for grasping and holding objects. Fo ...
are used to crush the skull. He suggests that brain waves have been active for six weeks, though this is disputed by scientists. A television screen shows ultrasound images of a fetus. As the images of an abortion appear on the screen, Nathanson describes step-by-step what is taking place, pointing out new instruments that are introduced into the uterus. The suction cannula is described as a lethal weapon that will "dismember, crush, and destroy" the child. He narrates that the fetus is unprepared for the invasion of the womb and attempts to escape the cannula, describing it as a "child being torn apart ... by the unfeeling steel instruments of the abortionist." He notes how the fetus's heartbeat speeds up and how it seems to open its mouth in a "chilling silent scream." The film culminates in the now-famous "silent scream" which is accompanied with a shrill musical accompaniment. The film concludes by discussing the implications behind hiding this material from women. Nathanson states that he believes the film is necessary in keeping women informed on matters concerning abortion. This was the first time the images of an aborted fetus were given an electronic platform, as opposed to the
printed Printing is a process for mass reproducing text and images using a master form or template. The earliest non-paper products involving printing include cylinder seals and objects such as the Cyrus Cylinder and the Cylinders of Nabonidus. The ea ...
form of the imagery used in prior years.


Reception

''The Silent Scream'' was viewed by its producer and by the anti-abortion lobby as a tool capable of swaying public opinion against abortion. The film premiered on televangelist
Jerry Falwell Jerry Laymon Falwell Sr. (August 11, 1933 – May 15, 2007) was an American Baptist pastor, televangelism, televangelist, and conservatism in the United States, conservative activist. He was the founding pastor of the Thomas Road Baptist Church, ...
's program, and aired five times over the span of a month on major television networks.Pickering, B., & Lake, R. 1999. "Visual Images as (opposed to?) Reason: The Argument of Eclipse of Reason." Conference Proceedings – National Communication Association/American Forensic Association (Alta Conference on Argumentation), 253–261. Retrieved from Communication & Mass Media Complete database. The film was later distributed widely to high schools and colleges and, according to ''
Time Time is the continued sequence of existence and events that occurs in an apparently irreversible succession from the past, through the present, into the future. It is a component quantity of various measurements used to sequence events, to ...
'' magazine, "embraced as an effective propaganda weapon by right-to-life organizations." The film was popular among people who opposed abortion, even being shown at the
White House The White House is the official residence and workplace of the president of the United States. It is located at 1600 Pennsylvania Avenue NW in Washington, D.C., and has been the residence of every U.S. president since John Adams in 1800. ...
by then-President
Ronald Reagan Ronald Wilson Reagan ( ; February 6, 1911June 5, 2004) was an American politician, actor, and union leader who served as the 40th president of the United States from 1981 to 1989. He also served as the 33rd governor of California from 1967 ...
. Reagan said that "if every member of Congress could see that film, they would move quickly to end the tragedy of abortion." The film's producers reportedly planned to send copies to every member of the
United States Congress The United States Congress is the legislature of the federal government of the United States. It is bicameral, composed of a lower body, the House of Representatives, and an upper body, the Senate. It meets in the U.S. Capitol in Washing ...
and to the Justice of the
Supreme Court of the United States The Supreme Court of the United States (SCOTUS) is the highest court in the federal judiciary of the United States. It has ultimate appellate jurisdiction over all U.S. federal court cases, and over state court cases that involve a point o ...
upon its release. Some opponents of abortion stated that the film gave a scientific basis to their position.


Medical community

Many members of the medical community were critical of the film, describing it as misleading and deceptive. Richard Berkowitz, professor of obstetrics and gynecology at
Mount Sinai Medical Center Mount Sinai Hospital, formerly at times known as Mount Sinai Medical Center, is a 319-bed major urban hospital in Chicago, Illinois, with its main campus located adjacent to Douglass Park at 15th Street and California Avenue on the city's West Si ...
, described the film as "factually misleading and unfair." John Hobbins of the
Yale School of Medicine The Yale School of Medicine is the graduate medical school at Yale University, a private research university in New Haven, Connecticut. It was founded in 1810 as the Medical Institution of Yale College and formally opened in 1813. The primary te ...
called the film's use of special effects deceptive, a form of "technical flimflam." He pointed out that the film of the ultrasound is initially run at slow speed, but that it is sped up when surgical instruments are introduced to give the impression that "the fetus is thrashing about in alarm." Hobbins questioned the titular "scream", noting that "the fetus spends lots of time with its mouth open," that the "scream" may have been a yawn, and also that "mouth" identified on the blurry ultrasound in the film may in fact have been the space between the fetal chin and chest. Edward Myer, chairman of pediatrics at the
University of Virginia The University of Virginia (UVA) is a Public university#United States, public research university in Charlottesville, Virginia. Founded in 1819 by Thomas Jefferson, the university is ranked among the top academic institutions in the United S ...
stated that, at twelve weeks, the brain is not sufficiently developed for a fetus to be able to feel pain. Similarly, Hart Peterson, chairman of pediatric neurology at the
New York Hospital Weill Cornell Medical Center (previously known as New York Hospital or Old New York Hospital or City Hospital) is a research hospital in New York City. It is part of NewYork-Presbyterian Hospital and the teaching hospital for Cornell University. ...
, stated that the "notion that a 12-week-old fetus is in discomfort is erroneous." Fetal development experts argued that, contrary to Nathanson's assertion in the film, a fetus cannot perceive danger or make purposeful movements.
David Bodian David Bodian (15 May 1910 – 18 September 1992) was an American medical scientist at the Johns Hopkins University School of Medicine who worked in polio research. In the early 1940s he helped lay the groundwork for the eventual development of ...
, a neurobiologist at
Johns Hopkins School of Medicine The Johns Hopkins University School of Medicine (JHUSOM) is the medical school of Johns Hopkins University, a private research university in Baltimore, Maryland. Founded in 1893, the School of Medicine shares a campus with the Johns Hopkins Hospi ...
, stated that doctors had no evidence that a twelve-week-old fetus could feel pain, but noted the possibility of a reflex movement by a fetus in response to external stimuli such as surgical instruments. The size of the ultrasound image and of the fetus model used was also misleading, appearing to show a fetus the size of a full-term baby, while in actuality a twelve-week-old fetus is under two inches long. Jennifer Niebyl of the
Johns Hopkins School of Medicine The Johns Hopkins University School of Medicine (JHUSOM) is the medical school of Johns Hopkins University, a private research university in Baltimore, Maryland. Founded in 1893, the School of Medicine shares a campus with the Johns Hopkins Hospi ...
said that what Nathanson described as the fetus recoiling from pain and seeking to escape is "strictly reflex activity" which Nathason made look purposeful by speeding up the film as the suction catheter was placed. Fay Redwine of the
VCU Medical Center The VCU Medical Center is Virginia Commonwealth University's medical campus located in downtown Richmond, Virginia, in the Court End neighborhood. VCU Medical Center used to be known as the Medical College of Virginia (MCV), which merged with the ...
stated: "Any of us could show you the same image in a fetus who is not being aborted."


Senate subcommittee hearing

Additional medical opinions on the film, some critical and some supportive, were presented before a U.S. Senate subcommittee that was examining the question of fetal pain. Among the opinions expressed were those of Dr. Richard Berkowitz, whose criticism of the film was already mentioned above, and Dr. Ian Donald, an English physician and pioneer of diagnostic ultrasound. Dr. Donald's affidavit said that the fetal activities shown in the film “are not faked nor the result of artefact intentional or otherwise.” Nathanson himself appeared before the subcommittee and said that the film had portions that were shown in freeze frame or slow motion for clarification purposes but that it reverted to normal speed without any intention to deceive. On the issue of fetal pain, Nathanson said that the fetal reactions in the film imply that it is in pain, albeit at a “primitive level.” He also conceded that at this stage of development there would be no cognition of pain in the
cerebral cortex The cerebral cortex, also known as the cerebral mantle, is the outer layer of neural tissue of the cerebrum of the brain in humans and other mammals. The cerebral cortex mostly consists of the six-layered neocortex, with just 10% consisting of ...
.


Pro-abortion rights community

Ron Fitzsimmons, of the
National Abortion Rights Action League NARAL Pro-Choice America, commonly known as simply NARAL ( ), is a non-profit 501(c)(4) organization in the United States that engages in lobbying, political action, and advocacy efforts to oppose restrictions on abortion, to expand access to ...
, stated that "it has forced us to respond." In 1985,
Planned Parenthood Federation of America The Planned Parenthood Federation of America, Inc. (PPFA), or simply Planned Parenthood, is a nonprofit organization that provides reproductive health care in the United States and globally. It is a tax-exempt corporation under Internal Reven ...
(PPFA) produced a brochure in response, titled ''The Facts Speak Louder than "The Silent Scream"'', which described the video as "riddled with scientific, medical, and legal inaccuracies as well as misleading statements and exaggerations". PPFA convened what it described as "a panel of internationally known and respected physicians" to review and critique the film, and issue a rebuttal of the claims made, including
fetal pain Prenatal perception is the study of the extent of somatosensory and other types of perception during pregnancy. In practical terms, this means the study of fetuses; none of the accepted indicators of perception are present in embryos. Studies in th ...
, purposeful movement, and the titular "scream." PPFA also produced its own film, in which women, doctors, and other experts responded to the claims made in ''The Silent Scream'', and which criticized it as portraying pregnant women as childlike and unfit to hold
reproductive rights Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights as follows: Reproductive rights rest on t ...
. Author and journalist
Katie Roiphe Katie Roiphe (born July 13, 1968) is an American author and journalist. She is best known as the author of the non-fiction book '' The Morning After: Fear, Sex and Feminism'' (1994). She is also the author of ''Last Night in Paradise: Sex and Mora ...
described the video as "extremely suspect propaganda" and "essentially a horror movie that used frank distortions." Political scientist and pro-abortion rights activist Rosalind P. Petchesky described "its visual distortions and verbal fraud" and said it "belongs in the realm of cultural representation rather than... medical evidence."


Legacy

''The Silent Scream'' helped "to shift the public focus from the horror stories of women who had suffered back-alley abortions to the horror movie of a fetus undergoing one." The film has been very important for the anti-abortion movement. Nathanson later produced a follow-up film, ''
Eclipse of Reason ''Eclipse of Reason'' is a 1987 anti-abortion documentary video directed, filmed, and narrated by Bernard Nathanson, with an introduction by Charlton Heston. ''Eclipse of Reason'' is a follow up to Nathanson’s first film ''The Silent Scream'' ...
'', depicting a late-term abortion procedure known as
dilation and evacuation Dilation and evacuation (D&E) is the dilation of the cervix and surgical evacuation of the uterus (potentially including the fetus, placenta and other tissue) after the first trimester of pregnancy. It is a method of abortion as well as a common ...
(D&E).


References


External links

* * * {{DEFAULTSORT:Silent Scream, The 1984 films Documentary films about abortion Anti-abortion movement American short documentary films 1984 documentary films American propaganda films Obscenity controversies in film 1980s English-language films 1980s American films