Feminism: Reproduction

Analyses of gender-based violence are typically deployed from an ideal theoretical position that privileges the life histories and struggles of white settler populations. An example is the growing US feminist coverage of reproductive violence in Latin America that draws attention to the criminalization of miscarriages, stillbirths, and adverse pregnancy outcomes, yet remains silent on causal and contributory mechanisms that implicate intra-hemispheric structures of white supremacy and foreign economic interests in the region. The result is often award-winning US journalism of human (...) rights abuses in low-income countries that, whether intended or not, pathologizes at-risk populations through whitewashed and culturally essentialist innocence narratives of administrative violence. We argue that this is consequential on two accounts. First, it produces an epistemically exculpatory mechanism to avoid meaningful engagement with the global structure of settler-capitalism and its institutional vehicles, from which global North feminists often benefit. Second, it enables the continuation of gender-based administrative surveillance and other structural harms that help uphold settler colonial infrastructural power at a global scale, including in the United States and Canada. (shrink)

Sex, Love, and Gender is the first volume to present a comprehensive philosophical theory that brings together all of Kant's practical philosophy — found across his works on ethics, justice, anthropology, history, and religion — and provide a critique of emotionally healthy and morally permissible sexual, loving, gendered being. By rethinking Kant's work on human nature and making space for sex, love, and gender within his moral accounts of freedom, the book shows how, despite his austere and even anti-sex, cisist, (...) sexist, and heterosexist reputation, Kant's writings on happiness and virtue (Part I) and right (Part II) in fact yield fertile philosophical ground on which we can explore specific contemporary issues such as abortion, sexual orientation, sexual or gendered identity, marriage, trade in sexual services, and sex- or gender-based oppression. Indeed, Kant's philosophy provides us with resources to appreciate and value the diversity of human ways of loving and the existential importance of our embodied, social selves. Structured on a thematic basis, with introductions to assist those new to Kant's philosophy, this book will be a valuable resource for anyone who cares about these issues and wants to make sense of them. (shrink)

This essay frames systemic patterns of mental abuse against women of color and Indigenous women on Turtle Island (North America) in terms of larger design-of-distribution strategies in settler colonial societies, as these societies use various forms of social power to distribute, reproduce, and automate social inequalities (including public health precarities and mortality disadvantages) that skew socio-economic gain continuously toward white settler populations and their descendants. It departs from traditional studies in gender-based violence research that frame mental abuses such as gaslighting--commonly (...) understood as mental manipulation through lying or deceit--stochastically, as chance-driven interpersonal phenomena. Building on structural analyses of knowledge in political epistemology (Dotson 2012, Berenstain 2016), political theory (Davis and Ernst 2017), and Indigenous social theory (Tuck and Yang 2012), I develop the notion of cultural gaslighting to refer to the social and historical infrastructural support mechanisms that disproportionately produce abusive mental ambients in settler colonial cultures in order to further the ends of cultural genocide and dispossession. I conclude by proposing a social epidemiological account of gaslighting that a) highlights the public health harms of abusive ambients for minority populations, b) illuminates the hidden rules of social structure in settler colonial societies, and c) amplifies the corresponding need for structural reparations. (shrink)

Collection of essays and interviews on property in the body, published to mark the award to Donna Dickenson of the International Spinoza Lens award, Amsterdam, April 2006.

Review of Margrit Shildrick, Leaky Bodies and Boundaries.

Critical examination of the concept of property in the body, with particular relevance to Stephen Munzer's work on umbilical cord blood.

Review of Mary Mahowald, Genes, Women, Equality.

The role of motherhood was attenuated over the second half of the twentieth century, by literal and metaphorical factors: Privileged women gained control over their reproduction and developed non-mothering life priorities; government and society became less nurturing in public ideals; projects of spontaneous speciation began in biology; the environment became unsustaining. In addition, feminist criticism resulted in greater individuation between the persons of mothers and their children. With these changes, the role of motherhood lacks a positive identity, culturally and psychically. (...) Extending a literary character, I suggest that mothers consider an attenuated internal identity, based on their unique biological relationships to their children. This would afford a more positive self-identity, as well as a pragmatic solution to demands made by present “middleman” roles for mothers to procure expert child enculturation care, in addition to their “second shifts.”. (shrink)

As of 2008, surrogacy is legal and openly practised in various places; Japan, however, has no regulations or laws regarding surrogacy. This paper reports the situation of surrogacy in Japan and in five other regions to clarify the pros and cons of prohibiting surrogacy, along with the problems and issues relating to surrogacy compensation.Not only in a country such as France that completely prohibits surrogacy within the country, but also in a country such as the UK that allows non-commercial surrogacy, (...) infertile couples travel overseas for the purpose of surrogacy. In addition, some couples might seek underground surrogacy if the government prohibits surrogacy. If an intended parent couple and a surrogate make an agreement among themselves and then a problem occurs, they cannot ask for support from professionals or bring a case to court, as can be observed in South Korea and Taiwan.We also conclude that there is little difference between commercial surrogacy and non-commercial surrogacy in the absence of a clear definition of ‘reasonable expenses.’ In the UK, the law does not allow surrogates to receive compensation. However, in reality, there may be little difference between the amounts paid to surrogates for profit in the US and those paid to surrogates for reasonable expenses in the UK. We conclude that the issue of surrogacy demands further discussion in Japan. (shrink)

Fertility travel is a global and emergent topic. Italians, Swedes, and Norwegians travel to Denmark for anonymous sperm donation, while Danes, Norwegians, and Germans travel to Spain, Greece, the Ukraine, or the Czech Republic for anonymous egg donation.1 Legal differences in European countries on the availability of reproductive procedures, cryopreservation technology, accessibility, and donor compensation, together with transnational clinical exchanges in expertise and technology, have made assisted reproduction an increasingly transnational affair .This article discusses how Danish infertile couples negotiate traveling (...) to Spain for egg donation. The focus is on Spanish fertility clinics because .. (shrink)

Transnational reproductive travel is a largely unfettered multibillion-dollar global industry that flourishes, in part, by capitalizing on differences in legal regimes, wages and standards of living, and cultural and ethical norms. Indeed, as Scott Carney explains with respect to the commercialization of human eggs for third-party reproduction, “internationalization has made oversight laughable. … [R]egulators are dogs with no teeth” . While professional organizations can introduce guidelines and nation-states can introduce laws, the fact is that patients can travel to places where (...) there are no restrictions on .. (shrink)

In 2006, and again in 2007, I suffered the miscarriages of two wanted and painstakingly planned pregnancies. In the aftermath of each, I found myself unprepared, as do many women who miscarry, for the devastation I would feel. In my attempts to cope, I sought solace in the written testimony of other women who had miscarried, in the medical statistics that reassured me I still had a strong chance of carrying another pregnancy to term, in the experiences of friends and (...) colleagues who had dealt with miscarriage and other reproductive difficulties, and in the expertise of counselors who helped me process my thoughts and feelings. While each of these avenues was helpful in its own right, I still found myself struggling .. (shrink)

In the United States, roughly 1 out of 4 births takes place at a hospital certified as Baby-Friendly. This paper offers a multi-disciplinary perspective on the Baby-Friendly Hospital Initiative (BFHI), including empirical, normative, and historical perspectives. Our analysis is novel in that we trace how medical practices of “quality improvement,” which initially appear to have little to do with breastfeeding, may have shaped the BFHI. Ultimately, we demonstrate that a rich understanding of the BFHI can be obtained by tracing how (...) norms of gender/motherhood interact with, and are supplemented by, other normative, historical, and institutional realities. We conclude with suggestions for practical revisions to the BFHI. (shrink)

In a recent paper – Lesbian motherhood and mitochondrial replacement techniques: reproductive freedom and genetic kinship – we argued that lesbian couples who wish to have children who are genetically related to both of them should be allowed access to mitochondrial replacement techniques. Françoise Baylis wrote a reply to our paper –‘No’ to lesbian motherhood using human nuclear genome transfer– where she challenges our arguments on the use of MRTs by lesbian couples, and on MRTs more generally. In this reply (...) we respond to her claims and further clarify our position. (shrink)

In this paper, we argue that lesbian couples who wish to have children who are genetically related to both of them should be allowed access to mitochondrial replacement techniques. First, we provide a brief explanation of mitochondrial diseases and MRTs. We then present the reasons why MRTs are not, by nature, therapeutic. The upshot of the view that MRTs are non-therapeutic techniques is that their therapeutic potential cannot be invoked for restricting their use only to those cases where a mitochondrial (...) DNA disease could be ‘cured’. We then argue that a positive case for MRTs is justified by an appeal to reproductive freedom, and that the criteria to access these techniques should hence be extended to include lesbian couples who wish to share genetic parenthood. Finally, we consider a potential objection to our argument: that the desire to have genetically related kin is not a morally sufficient reason to allow lesbian couples to access MRTs. (shrink)

Mitochondrial replacement techniques are intended to avoid the transmission of mitochondrial diseases from mother to child. MRT represent a potentially powerful new biomedical technology with ethical, policy, economic and social implications. Among other ethical questions raised are concerns about the possible effects on the identity of children born from MRT, their families, and the providers or donors of mitochondria. It has been suggested that MRT can influence identity directly, through altering the genetic makeup and physical characteristics of the child, or (...) indirectly through changing the child's experience of disease, and by generating novel intrafamilial relationships that shape the sense of self. In this article I consider the plausibility and ethical implications of these proposed identity effects, but I focus instead on a third way in which identity may be affected, through the mediating influence of the wider social world on MRT effects on identity. By taking a narrative approach, and examining the nature and availability of identity narratives, I conclude that while neither direct genetic nor indirect experiential effects can be excluded, social responses to MRT are more likely to have a significant and potentially damaging influence on the generation of MRT children's narratives of identity. This conclusion carries some implications for the collective moral responsibility we hold to ensure that MRT, if implemented, are practised in ethically justifiable ways. (shrink)

In February 2015 the UK became the first country to legalise high-profile mitochondrial replacement techniques, which involve the creation of offspring using genetic material from three individuals. The aim of these new cell reconstruction techniques is to prevent the transmission of maternally inherited mitochondrial disorders to biological offspring. During the UK debates, MRTs were often positioned as a straightforward and unique solution for the ‘eradication’ of mitochondrial disorders, enabling hundreds of women to have a healthy, biologically-related child. However, many questions (...) regarding future applications and potential users remain. Drawing on a current qualitative study on reproductive choices in the context of mitochondrial disorders, this article illustrates how the potential limitations of MRTs have been obscured in public debates by contrasting the claims made about the future beneficiaries with insights from families affected by mitochondrial disorders and medical experts. The analysis illuminates the complex choices with which families and individuals affected by mitochondrial disorders are faced, which have thus far remained invisible. An argument is presented for improved information for the public as well as an intensification of critical empirical research around the complex and specific needs of future beneficiaries of new reproductive biotechnologies. (shrink)

After the commercialisation of induced pluripotent stem cells (IPSCs) in 2007, the pressure to commercialise women's eggs for stem cell research could have been expected to lessen. However, the pressure to harvest human eggs in large quantities for research has not diminished; rather, it has taken different directions, for example, in germline mitochondrial research. Yet there has been little acknowledgement of these technologies' need for human eggs, the possible risks to women and the ethical issues concerning potential exploitation. Rather, there (...) has been a renewed campaign to legalise payment for eggs in research, although the actual scientific advances are at best modest. This article shows why a market in women's eggs is ethically problematic in terms of the doctor's duty to do no harm and the limitations of informed consent. (shrink)

It seems interesting to find out how the situation of the Polish ART practice is reflected in the medical students’ opinions. To answer this question we carried out a two-stage research adopting a data-driven methodology based upon the grounded theory, in which we collected a mixture of quantitative and qualitative data. Our study has revealed students’ high acceptance of IVF and most of the additional procedures, except for IVF in the case of women over 40 and postmenopausal ones. The students’ (...) main concerns were to be compatible with what is presented in medical literature and commonly accepted in medical practice, so the core categories they focused on in their argumentation were medical evidence and medical standards. Whereas the students were consistently trying to ground their reasoning on medical knowledge, their opinions reflected not only statements based on hard data, but also some gender stereotypes hidden in medical literature. (shrink)

This paper focuses on how surrogacy is to be valued in the transnational context, and what it means for surrogacy to be considered a form of paid, social reproductive labor. By social reproduction, we refer to the social processes and activities, such as child rearing and caring for dependents, that are necessary to uphold a productive society. Since these are complex and nuanced questions, and ones that are likely to need different answers in different countries and social contexts, this paper (...) will not attempt to provide a neat answer. Rather, it analyzes these questions using a set of intellectual tools from philosophical bioethics, economics, and materialist feminism. We base our analysis on these literatures .. (shrink)

A feminist viewpoint on globalized commercial surrogacy questions what best serves women’s needs/ends and whether the practice is good for women . My interest in this paper is to consider how a feminist account might address the practice of surrogacy in Japan, both domestically and in the transnational context. Japanese culture emphasizes traditional values, family heritage, and communitarian concerns over individual rights. Women’s equality, while formally recognized by the Japanese Constitution, is undercut by actual practices and recent court decisions . (...) In the context of assisted reproduction, Japan’s approach to the legal and moral issues raised by .. (shrink)

In this text book Rosalind Hursthouse examines the complex questions surrounding the morality of abortion. Beginning by discussing the moral status of the foetus, she outlines and criticizes the main philosophical liberal positions on abortion, discussing alsl their bearing on the related issues of ifanticide, foetal research, surrogacy, murder and our treatment of animals. In place of the currently prevailing positions, the author offers a novel approach to these issues based on the recently revived theory of neo–Aristotelianism which emphasizes moral (...) virtues and vices. A central element of Beginning Lives is its emphasis on the special nature of abortion: its unique relation to the facts of women?s pregnancies and hence to our attitudes to childbearing, motherhood, maturity and sexual relations. (shrink)

With an increasing number of ways to ‘assist’ reproduction, some bioethicists have started to wonder what it takes to become a genetic parent. It is widely agreed that sharing genes is not enough to substantiate the parent–offspring relation, but what is? Without a better understanding of the concept of reproduction, our thinking about parent–offspring relations and the ethical issues surrounding them risk being unprincipled. Here, I address that problem by offering a principled account of reproduction—the Overlap, Development and Persistence account—which (...) I believe best captures the meaning of ‘genetic parenthood’. (shrink)

In the Examining Committee‘s external report proposing the basic prohibition of surrogate conception, Issues in assisted reproductiveIn the Examining Committee‘s external report proposing the basic prohibition of surrogate conception, Issues in assisted reproductive technology with a focus on surrogate conception—Moving toward a social consensus , the Committee indicated the following problems with surrogate conception: Surrogate conception should be prohibited by law. The practice, solicitation, or mediation of surrogate conception for the purpose of profit, including that done in other countries, should (...) be a punishable act for the parties involved, with the exception of the surrogate mother. After the conditions and procedures for implementation have been legally determined, conducting surrogate conception trials may be considered. In cases when surrogate conception is conducted, the woman who gives birth shall be the mother. Formation of a parent-child relationship by adoption or a special adoptive relation may be recognized. (shrink)

Recent advances in biology hold out the real possibility of significant progress in the treatment of disease. At the same time however these technological discoveries have posed serious challenges to policy makers, the decision by the UK Court of Appeal in Zain Hashmi being a case in point. Judges and legislators have traditionally tried to apply principles of justice in the matters that lie before them. Future issues that involve genetic technology have the potential to involve more than this since (...) they imply an imperative to redefine ethical perimeters. However the new genetics goes beyond this and necessitates redefining human perimeters as well. This paper considers a position broadly known as consequentialism – in which outcomes are to be as good as possible - and argues instead on behalf of an approach to bioethical issues which demands consideration of the fairness of the procedures employed. (shrink)

Abstract It is common practice to regard participants in assisted and collaborative reproduction (gamete donors, embryologists, fertility doctors, etc.) as simply providing a desired biological product or medical service. These agents are not procreators in the ordinary sense, nor do they stand in any kind of meaningful parental relation to the resulting offspring. This paper challenges the common view by defending a principle of procreative responsibility and then demonstrating that this standard applies as much to those who provide reproductive assistance (...) in the form of medical services or gametes, as it does to coital reproducers or intending parents. Drawing on vocabulary from the common law tradition, I suggest that it may be helpful to refer to the various participants in assisted and collaborative reproduction (ACR) as accessories to procreation. Referring to the participants in ACR as accessories to procreation highlights the fact that these agents are not just providing medical services or products. They are participating in a supply chain designed to bring about new persons. I conclude by arguing that regulative standards in the fertility industry should be structured such that they permit, facilitate, and encourage agents to satisfy the requirements of procreative responsibility. Content Type Journal Article Pages 1-16 DOI 10.1007/s10677-011-9330-7 Authors Melissa Seymour Fahmy, Department of Philosophy, University of Georgia, 107 Peabody Hall, Athens, GA 30602, USA Journal Ethical Theory and Moral Practice Online ISSN 1572-8447 Print ISSN 1386-2820. (shrink)

This essay sets human reproductive technologies in the context of biological research exploiting the discovery of the structure of the DNA molecule in the early 1950s. By setting these technological developments in this research context and then setting the research in the framework of a philosophical analysis of the role of social values in scientific inquiry, it is possible to develop a perspective on these technologies and the aspirations they represent that is relevant to the concerns of their social critics.