Sterilization and intellectually disabled people in New Zealand: rights, responsibility and wise counsel needed

This article reports on the views of non-medical interest groups about sterilization and intellectually disabled people in New Zealand. The rationale for undertaking a study in this sensitive area is presented. Notes about survey distribution method are included and participants’ responses outlined. The study found that a majority of participants agreed that intellectually disabled people should make their own decisions about reproductive capacity. Yet a clear tension between an overall endorsement of individual choice and a majority who also considered that sterilization could be warranted in at least some cases emerged from the data. Reasons for sterilization included: the best interests of intellectually disabled people and carers; concerns about sexual health/well-being; lack of sexual control; and concerns about sexual abuse. The extent of agreement with sterilization as a desirable practice for intellectually disabled boys/men was an unexpected finding. The article concludes with questions posed to promote further discussion.