Artificial insemination and in vitro fertilization

This paper explores some of the ethical (and legal) implications of artificial insemination and in vitro fertilization. In both cases the emphasis is on the interests of the potential child. It concludes that in neither case is great optimism or great pessimism appropriate. About AID, much of the legal and ethical concern has been other than child-centered, and has focused mainly on the interests of parents and donors. Three aspects expecially remain troubling: donor selection, record-keeping and disclosure and the testing of frozen semen. About further IVF research, approval appears justified, as long as remaining concerns about risk/safety and need are satisfied.     

Morality andin vitro fertilization

The question of the morality ofin vitro fertilization is examined. One of the central questions to be answered is whether the zygote loss that seems inseparable from the process is morally justified. Even when embryo transfer occurs, many zygotes which have been intentionally created are intentionally destroyed; they are used as means to the alleged benefits that others will attain (the benefit to the infertile couple, to the child produced by the process, and to those who might benefit from the increase of genetic knowledge that allegedly will occur fromin vitro research). The justifications advanced in defense of early abortion are discussed, and it is shown that these justifications must be totally distinct from those advanced in support ofin vitro fertilization. A theory of values is proposed which shows why a set of reasons may justify early abortion, but not an abortion late in the pregnancy. This theory states that the value characteristics of an entity are notidentical to the characteristics which make the entityhuman. It is concluded that if certain key empirical assumptions are correct, then in vitro fertilization is a morally permissible process; however, the falsity of these assumptions, or the unsoundness of the theory of value, might well result in a reversal of this judgment.     

In vitro fertilization and surrogate motherhood: The Jewish view

This paper examines the legal, moral, ethical, and Jewish religious issues involved inin vitro fertilization and surrogate motherhood. Also briefly discussed are the topics of artificial insemination and sex organ transplants. Jewish views on these subjects are based on the cardinal principles that life is of infinite value, that human life is sacred, and that the divine license to heal granted to the physician carries with it certain well-defined obligations and restrictions.     

Religion and Attitudes Toward Abortion and Abortion Policy in Brazil

This study examines the association between religion and attitudes toward the practice of abortion and abortion policy in Brazil. Drawing upon data from the 2002 Brazilian Social Research Survey (BSRS), we test a number of hypotheses with regard to the role of religion on opposition to the practice of abortion and its legalization. Findings indicate that frequently attending Pentecostals demonstrate the strongest opposition to the practice of abortion and both frequently attending Pentecostals and Catholics demonstrate the strongest opposition to its legalization. Additional religious factors, such as a commitment to biblical literalism, were also found to be significantly associated with opposition to both abortion issues. Ultimately, the findings have implications for the future of public policy on abortion and other contentious social issues in Brazil.     

Care of the transgender or gender-nonconforming patient undergoing in vitro fertilization

Background: Assisted reproductive technologies, including in vitro fertilization (IVF), can be utilized for fertility preservation and family building in the transgender and gender-nonconforming population.

Methods: This is a retrospective case series from an academic tertiary care center.

Results: We present three couples with a transgender or gender-nonconforming member who pursued IVF to build their families. The first case involves a transgender man who suspends hormone therapy to undergo IVF. The second involves a transgender woman who uses her previously banked sperm to undergo IVF with her wife. The third involves a gender nonbinary patient and their cisgender wife who create and transfer embryos from both partners.

Conclusion: IVF can provide unique family-building opportunities to transgender and gender-nonconforming patients, and providers should seek to broaden their clinical experience with this population.     

Effectiveness of nursing counseling on coping and depression in women undergoing in vitro fertilization

The purpose of present study was to evaluate the effectiveness of counseling provided by nurses on depression and coping strategies of infertile women undergoing in vitro fertilization (N=67). Of the 84 women who were interviewed, 30 were accepted as a comparison group, and 37 were included in the study group. The study group women were given counseling in addition to routine nursing care services, including group education and individual interviews about treatment and coping strategies. The nurses also provided support by accompanying the women during the invasive procedures. The Beck Depression Inventory and Jalowiec's Coping Strategies Form were used for measurements. All the women were using emotional coping and had moderate depression prior to the study. There was no statistically significant difference between the comparison and study groups before or after the counseling with respect to depression and coping strategies. Parameters to evaluate the efficacy of counseling are discussed.     

Abortion and Ownership

I explore two thought-experiments in Judith Jarvis Thomson’s important article, “A Defense of Abortion”: the violinist example and the people-seeds example. I argue (contra Thomson) that you have a moral duty not to unplug yourself from the violinist and also a moral duty not to destroy a people-seed that has landed in your sofa. Nevertheless, I also argue that there are crucial differences between the thought-experiments and the contexts of pregnancy due to rape or to contraceptive failure. In virtue of these differences, it would not follow from my conclusions about the violinist and people-seeds cases that abortion would not be permissible in a case of rape or in a case of voluntary intercourse with contraceptive failure.     

Abortion and self-defense

Davis examines a view held in common by those she classifies as "restrictives," "moderates," and "permissives," that the right of self-defense justifies a pregnant woman's seeking an abortion when her life is at risk. While maintaining that abortion to preserve a woman's life is morally defensible, she argues that the doctrine of self-defense has been misapplied because the entitlement to self-defense has been misunderstood, and because the woman-fetus relationship precludes regarding the problem of abortion as simply a balancing of rights. She concludes that the defense of therapeutic abortion is neither straightforward nor unproblematic.     

Abortion in adolescence

Sexual attitudes and behavior of adolescent females have been the topic of much interest over the past decade. Feelings about contraception, conception, and abortion have been described in relation to the adolescents' beliefs about the possibility of becoming pregnant, who will or will not "protect" them, and the influence of significant others on their decision making. This study explores differences in 35 women who had abortions during their teenage years with 36 women whose abortions occurred after the age of twenty. A demographic questionnaire, the Millon Clinical Multiaxial Inventory, and the Beck Depression Inventory were completed by women who were members of a patient-led support group. Premorbid psychiatric histories, the decision-making process itself, and distressing symptoms postabortion are reported. Specific differences in perceptions of coercion, preabortion suicidal ideation, and nightmares post-abortion were found in the adolescent group. Antisocial and paranoid personality disorders as well as drug abuse and psychotic delusions were found to be significantly higher in the group who aborted as teenagers. Hypotheses regarding the influences of adolescent development on mother/child relationships, power struggles, and the use of fantasy as a coping device are explored.     

Abortion and victimisability

ABSTRACT This paper begins with a review of major difficulties with both extreme conservative and extreme liberal views on foetal moral status and the morality of abortion. There follows an outline and defence of a moderate position on abortion which is centred in an account of emergent foetal victimisability in being killed. Lastly, various perplexities about this view are explored, particularly the question whether, once victimisable at all, the victimisability of a foetus should reasonably be thought to increase proportionately with further biological development.