冷冻胚胎争议中的生殖不确定性与权利话语

Jessica Knouse
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引用次数: 0

摘要

生育的生活经历充满了不确定性。相反,司法修辞是绝对的。诉讼当事人被认为是有生育能力的或没有生育能力的,试图生育的或没有,怀孕的或没有,父母的或没有——而他们的现实情况要复杂得多。权利同样以二元的方式被理解,例如,寻求生育自主权的诉讼当事人可能主张“生育权”或“避免生育权”——即使两者都不能准确地描述她想要什么。关于冷冻胚胎的争议提供了对这一问题的独特见解,因为它们涉及到经历了数月(如果不是数年的话)生殖不确定性的各方,并且在诉讼点上,他们提出了相反的权利主张。当一对夫妇对共同创造的冷冻胚胎的处置存在分歧,且分歧不能通过合同解决时,大多数法院会采用一种平衡测试:主张“生育权”的一方的利益与主张“避免生育权”的一方的利益进行权衡。通常情况下,后者占上风,除非希望生育的一方在没有胚胎的情况下缺乏“合理”的生育途径。是否存在一条“合理”的途径,往往取决于希望使用胚胎的一方是否被认为是有生育能力的,在这种情况下,她的要求可能会被拒绝,或者是不育的,在这种情况下,它可能会成功。这个框架忽略了所有生殖努力中固有的复杂性、偶然性和不确定性。生育或不生育的决定很少是单一的或稳定的。接受体外受精的人很少有生育能力(能够怀孕)或不育(永久无法怀孕)。相反,他们是不孕的,他们的不孕导致他们在几个月甚至几年的时间里做出许多决定,决定如何、何时以及是否继续治疗。如果她们怀孕了——更不用说为人父母了——她们会生更多的孩子。在冷冻胚胎争议的背景下,将这些个体描述为选择“生育”或“避免生育”,将其情况的复杂性变得微不足道。同样,假设不孕不育的一方在没有胚胎的情况下有“合理”的途径成为父母,就是忽视了这样一个现实,即即使她有资源(身体上、情感上和经济上)接受进一步的治疗,也不能保证它会产生配子,配子会产生胚胎,胚胎会导致怀孕,或者怀孕会导致分娩。现有的司法辞令通过消除固有的不确定性,提供了令人失望的生殖潜力和生殖权利的有限视野。本文借鉴了从后现代女权主义到生殖正义等多个领域的研究成果,提出了一种新的学说,在这种学说中,生殖权利不是存在于二元体系中,而是存在于多维光谱中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reproductive Indeterminacy and Rights Discourse in Frozen Embryo Disputes
The lived experience of reproduction is infused with indeterminacy. Judicial rhetoric, in contrast, operates in absolutes. Litigants are perceived in binary terms as fertile or not, trying to procreate or not, pregnant or not, and parents or not – when the reality of their situations is far more complicated. Rights are similarly perceived in binary terms, such that a litigant seeking procreative autonomy may assert either the “right to procreate” or the “right to avoid procreation” – even if neither accurately describes what she wants. Disputes over frozen embryos provide unique insight into this problem, because they involve parties who have experienced months if not years of reproductive indeterminacy and who, at the point of litigation, make opposing rights claims. When a couple disagrees about the disposition of jointly-created frozen embryos and the disagreement is not resolved by contract, most courts apply a balancing test: The interests of the party asserting the “right to procreate” are weighed against the interests of the party asserting the “right to avoid procreation.” Ordinarily, the latter prevails, unless the party wishing to procreate lacks a “reasonable” path to parenthood without the embryos. Whether a “reasonable” path exists often turns on whether the party wishing to use the embryos is perceived as fertile, in which case her claim will likely be denied, or sterile, in which case it may succeed. This framework misses the complexity, contingency, and uncertainty intrinsic in all reproductive endeavors. The decision to procreate or avoid procreation is rarely singular or stable. People undergoing IVF are rarely either fertile (able to establish a pregnancy) or sterile (permanently unable to establish a pregnancy). They are, instead, infertile, and their infertility has led them to make many decisions over the course of many months and often years about how, when, and whether to proceed with treatment. And if they achieve pregnancy – not to mention parenthood – they will make many more. To describe these individuals, in the context of a frozen embryo dispute, as choosing “to procreate” or “to avoid procreation” trivializes the complexity of their circumstances. Similarly, to assume that a party experiencing infertility has a “reasonable” path to parenthood without the embryos is to ignore the reality that, even if she has the resources (physical, emotional, and financial) to undergo further treatment, there is no guarantee that it will produce gametes, that the gametes will create embryos, that the embryos will lead to pregnancy, or that the pregnancy will result in childbirth. Existing judicial rhetoric, by erasing inherent indeterminacy, offers a disappointingly limited vision of reproductive potential and reproductive rights. This article draws on multiple lines of work, from postmodern feminism to reproductive justice, to argue for a new doctrine in which reproductive rights exist not within a binary system but rather along a multi-dimensional spectrum.
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