Keeping it in the family: reproduction beyond genetic parenthood.

IF 3.3 2区 哲学 Q1 ETHICS
Daniela Cutas, Anna Smajdor
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引用次数: 0

Abstract

Recent decades have seen the facilitation of unconventional or even extraordinary reproductive endeavours. Sperm has been harvested from dying or deceased men at the request of their wives; reproductive tissue has been surgically removed from children at the request of their parents; deceased adults' frozen embryos have been claimed by their parents, in order to create grandchildren; wombs have been transplanted from mothers to their daughters. What is needed for requests to be honoured by healthcare staff is that they align with widely shared expectations about what people's reproductive potential ought to be, what marital relationships ought to result in, and which kinds of ties are desirable between parents and children. Costly and invasive technologies are not considered excessive when they are used to support the building of appropriate families. However, deviations from dominant reproductive norms, even if technologically simple and convenient to the participants, are unlikely to receive support. In this paper, we offer examples of such deviations and explore their implications. If reproduction is important as a way of creating genetic relationships, should reproductive material in storage be offered to genetic relatives other than the people from whom it originated? And if parents are allowed to have reproductive material collected from their offspring, or even to use it to create babies, should offspring likewise be allowed to use their parents' reproductive material? We tackle these questions and suggest ways in which interests in genetic ties could be operationalised in a more coherent and less-invasive manner than they currently are.

保持家族血统:超越基因亲子关系的生殖。
近几十年来,一些非常规甚至超常规的生殖活动得到了发展。应妻子的要求,从垂死或已故男子身上提取精子;应父母的要求,通过手术从儿童身上取下生殖组织;已故成年人的冷冻胚胎被其父母认领,以创造孙辈;母亲的子宫被移植给女儿。医护人员要想满足人们的要求,就必须使这些要求符合人们普遍的期望,即人们的生殖潜能应该是什么,婚姻关系应该是什么,父母与子女之间应该建立什么样的联系。当昂贵的侵入性技术被用于支持建立合适的家庭时,它们就不会被认为是过分的。然而,偏离主流生育规范的做法,即使技术上简单且方便参与者,也不太可能得到支持。在本文中,我们将举例说明这种偏离,并探讨其影响。如果生殖作为建立遗传关系的一种重要方式,那么是否应将储存的生殖材料提供给其来源人以外的遗传亲属?如果允许父母从他们的后代那里收集生殖材料,甚至用它来制造婴儿,那么是否也应该允许后代使用父母的生殖材料呢?我们探讨了这些问题,并提出了一些方法,使遗传联系中的利益能够以比目前更连贯、更低侵害性的方式得以实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medical Ethics
Journal of Medical Ethics 医学-医学:伦理
CiteScore
7.80
自引率
9.80%
发文量
164
审稿时长
4-8 weeks
期刊介绍: Journal of Medical Ethics is a leading international journal that reflects the whole field of medical ethics. The journal seeks to promote ethical reflection and conduct in scientific research and medical practice. It features articles on various ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and patients. Subscribers to the Journal of Medical Ethics also receive Medical Humanities journal at no extra cost. JME is the official journal of the Institute of Medical Ethics.
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