关于跨境生殖保健出行自主性的思考。

IF 1.6 Q2 ETHICS Monash Bioethics Review Pub Date : 2021-07-01 Epub Date: 2021-01-16 DOI:10.1007/s40592-020-00125-x
Anita Stuhmcke
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引用次数: 0

摘要

生殖保健旅行已成为一种普遍的全球现象。在实地调查中,人们普遍认为,去寻找第三方协助生育的决定是自主的。然而,很少有研究探索自治原则在跨境旅行者体验中的应用。为了对不断增长但仍然很小的社会学生物伦理学研究做出贡献,本文将自治的伦理原则应用于跨越国界进行生殖保健的不育个体的生活经验。它考察了他们作为病人、消费者和旅行者的选择。这表明他们的经历证明了一种矛盾的自主性,在他们最终决定旅行时,他们既有选择,也没有选择。该论文认为,这种缺乏有意义的自主权是由不孕不育的医疗化框架实现的,该框架优先考虑技术作为治疗不孕不育的方法。这既影响了不孕个体的期望,也限制了他们建立家庭的选择。最后,这篇论文建议,社会学生物伦理学研究表明,技术的解放资格应该受到质疑,并确定这一领域需要更多的学术关注。
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Reflections on autonomy in travel for cross border reproductive care.

Travel for reproductive health care has become a widespread global phenomenon. Within the field, the decision to travel to seek third parties to assist with reproduction is widely assumed to be autonomous. However there has been scant research exploring the application of the principle of autonomy to the experience of the cross-border traveller. Seeking to contribute to the growing, but still small, body of sociological bioethics research, this paper maps the application of the ethical principle of autonomy to the lived experience of infertile individuals who cross borders for reproductive care. It examines their choices as patient, consumer and traveller. It suggests that their experience evidences a contradictory autonomy, which offers them both choice and no choice in their final decision to travel. The paper argues that this lack of meaningful autonomy is enabled by a medicalised framework of infertility which prioritises technology as the cure to infertility. This both shapes expectations of infertile individuals and limits their options of family creation. Ultimately, the paper suggests that sociological bioethics research shows that the liberatory credentials of technology should be questioned, and identifies that this field demands greater scholarly attention.

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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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