Reproductive justice and support for young fathers

The current article addresses the interests and contributions of fathers to child development and well-being within a reproductive and social justice framework. We present an overview of research on the role of fathers in the lives of children from the prenatal period through early childhood, with an emphasis on fathers as partners and caregivers in promoting the reproductive health and safety of women and the healthy development of young children. We explore especially the challenges of young, at-risk fathers as well as system and practice opportunities that support their contributions as partners and parents. Our goal of the article is to extend the discourse on reproductive and social justice to include the shared responsibility of all parents and facilitate circumstances whereby children experience the support needed to become nurturing caregivers for the next generation.     

Reflective Capacity: An Antidote to Structural Racism Cultivated Through Mental Health Consultation

Effecting a paradigm shift from “reproductive health” to “reproductive justice” within the perinatal field requires changes simultaneously at the levels of the individual healthcare provider and the system of care. The Infant-Parent Program at the University of California, San Francisco (UCSF) has extended its pioneering infant and early childhood mental health consultation to perinatal service systems applying an infant mental health approach to programs caring for expecting and new parents. In partnership with two nursing programs, UCSF consultants direct their efforts at supporting reflective practice capacities and use-of-self in patient–provider relationships. Both nursing programs serve vulnerable groups of expectant and new parents who grapple with challenges to health and well-being stemming from structural racism. As reflective capacities are supported within the consultation case conferences, providers spontaneously identify the need for tools to effectively address issues of race, class, and culture and to combat structural racism throughout the healthcare system. Policies and procedures that uphold structural racism cease to be tolerable to providers who bring their full selves to the work that they are trained to do. Using these nurse consultation partnerships as organizational case studies, this article describes a range of challenges that arise for providers and delineates steps to effective engagement toward reproductive justice.     

Reconceiving the field: Infant mental health,intersectionality, and reproductive justice

The field of infant mental health is conventionally comprised of professional discourses including developmental science, psychology, and psychiatry, among others, and involves spheres of practice as wide-ranging as pediatrics, maternal/child health, early intervention, early care and education, and child welfare. The World Association of Infant Mental Health [WAIMH] put out its position paper on the rights of infants in 2014 (amended in March 2016) in recognition of the human rights implications of professional understanding of infants’ unique, yet universal, developmental capacities and needs. This article links the policy issues outlined in the WAIMH position paper with critical issues in the field of reproductive justice, extending the reach of WAIMH's call to action on behalf of infants’ rights, and pointing the way toward potent alliances among interconnected movements. Connecting the dots among economic injustice, race-based health disparities, and gender inequities, the article demonstrates that it is not possible to safeguard infant mental health unless we make reproductive justice a reality.     

人类干细胞研究的伦理学争论

关于干细胞研究的伦理学争论越来越成为热门话题。2000年8月23日,美国卫生研究所颁布了涉及人类多能胚胎干细胞研究的指南。指南允许联邦政府资助的研究者进行干细胞研究,但是按照布什总统2001年8月9日的决定,政府只资助有限制的干细胞研究。而在英国、法国、日本、澳洲、以及其他国家,干细胞研究不仅在私人的实验室里而且也在政府的实验室里进行着。无论如何,人类干细胞研究应该按照一定规范谨慎进行。     

The experience of counselling for UK egg providers

Objective

The aim of this study was to address current gaps in knowledge regarding the appropriateness and quality of counselling provided to egg donors in the UK.

Methods

The present study used a cross-sectional, qualitative design. Semi-structured interviews were carried out with 29 UK egg donors to explore their experiences of egg donation and the counselling received.

Results

Of the 29 participants, 24 had received counselling. The remaining five did not receive counselling because they were either not accepted as a donor (n = 4) or were offered, but chose not to take up the session (n = 1). The findings are presented in relation to five themes: feeling supported via counselling; feeling well-informed; welcoming an individualised approach; the counselling setting; and thinking about the future.

Conclusion

Egg donors in this study had varying experiences of counselling offered to them as part of the egg donation process in the UK.

Implications

The findings indicate that there are some aspects of counselling in the UK that could be improved, including the routine offering of counselling throughout the egg donation process and the tailoring of counselling to meet egg donors' individual needs.     

The Rights of Man: Libertarian Concern for Men's,But Not Women's,Reproductive Autonomy

Libertarianism enshrines individual autonomy as its central political principle, but it has been criticized for applying this principle selectively. Reproductive decisions can stress the concept of individual autonomy by placing into conflict the claimed rights of each biological parent to choose. Two studies (N₁ = 296; N₂ = 580) show that among U.S. participants, libertarianism is associated with opposition to women's reproductive autonomy and support for men's. Libertarianism was associated with opposition to abortion rights and support for men's right both to prevent women from having abortions (male veto) and to withdraw financial support for a child when women refuse to terminate the pregnancy (financial abortion). Adjusting for the association between libertarianism and conservatism, only the relationship with opposition to abortion rights was rendered nonsignificant. Mediation analyses suggest that hostile sexism may account for libertarians' selective support for men's and not women's reproductive autonomy.     

CREATED CO-CREATOR AND THE PRACTICE OF MEDICINE

Abstract There is a crisis of interpretation experienced by those making critical‐care decisions and creating health‐care policies and by the patients and families who make life‐and‐death decisions. For example, at both the beginning and end of life, new technologies are changing the way we define life and death. We can prolong life or hasten death in ways that we could not earlier have imagined. This crisis of interpretation demands new ways of thinking and doing. My task is to explicate how the created co‐creator can be used as a springboard to help link theological concepts with feminist concerns about two issues: interpreting the culture and practice of medicine in a new way, and explicating the ambiguity of decision making when considering issues of life and death.     

ART临床应用伦理调控的特点

解决ART应用中引发的伦理问题、难题的基本对策之一是加强医学伦理调控 ,推进医学伦理精神对医学过程的渗入 ,ART医疗机构伦理委员会是医学伦理调控体制化的表现和实现这种调控的重要途径 ,它以特定的主体形式和审查、咨询、教育、督查、建议等活动方式 ,形成对调控对象某种监督的客观效果。     

关于人类克隆的哲学思考

总结了8年来人们反对生殖性克隆人的主要理由,分析了反对人类生殖性克隆及支持治疗性克隆的理由的合理性,揭示了克隆人争论给我们的启示.     

进化观点下的幸福研究

人类社会生活的一项重要目标是追求幸福(happiness), 影响幸福体验的因素有食物、财富、婚姻及友谊等。寻求幸福与避免痛苦能让人们的幸福需求得到满足。幸福和痛苦不是人类通过进化获得的一种最终机能, 然而幸福和痛苦对人类远古祖先的影响在于调节行为活动以增加生存与繁衍可能。为什么有些环境刺激比其他刺激更能让人体验幸福？为什么回避痛苦与追求幸福同样重要？为什么幸福体验有相对性、过度性与目标性的特点？这些问题可以在进化观点中得到较好回答。人们的幸福感可以在认识基因与环境关系的基础上得到加强, 如加强亲属联系、强化社会合作、重视婚姻承诺以及满足本能欲望等。