22
+ Reproductive Technologies

+ Reproductive Technologies. Reproductive Ethics You’re the Counselor!!—Case 6.1 How would you counsel a couple who had come to you for advice on

Embed Size (px)

Citation preview

Page 1: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

+

Reproductive Technologies

Page 2: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on
Page 3: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Reproductive EthicsReproductive Ethics

You’re the Counselor!!—Case 6.1

How would you counsel a couple who had come to you for advice on dealing with infertility?

Emotional Factors Moral Issues

You’re the Counselor!!—Case 6.1

How would you counsel a couple who had come to you for advice on dealing with infertility?

Emotional Factors Moral Issues

Page 4: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Different Technologies to Make a Baby

Different Technologies to Make a Baby

Inter-Uterine Insemination By Husband By Donor (also egg donation)

In Vitro Fertilization Family GIFT (Gamete Intrafallopian Transfer), Z(zygote)IFT, IVF

Surrogate Motherhood ICSI (Sperm Injection)

Inter-Uterine Insemination By Husband By Donor (also egg donation)

In Vitro Fertilization Family GIFT (Gamete Intrafallopian Transfer), Z(zygote)IFT, IVF

Surrogate Motherhood ICSI (Sperm Injection)

Page 5: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Types of Surrogate Motherhood

Types of Surrogate Motherhood

Genetic--surrogate provides egg and womb

Gestational--surrogate only provides womb

Commercial--done for a $10,000-50,000 fee plus expenses

Altruistic--done for expenses only

Genetic--surrogate provides egg and womb

Gestational--surrogate only provides womb

Commercial--done for a $10,000-50,000 fee plus expenses

Altruistic--done for expenses only

Page 6: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Theological FoundationsTheological Foundations

Medical Technology in Theological Perspective Dominion Mandate (Gen. 1-2) Impact of the Entrance of Sin Stewardship over Creation Place of General Revelation and Common Grace

Must Evaluate the Uses of Technology

Medical Technology in Theological Perspective Dominion Mandate (Gen. 1-2) Impact of the Entrance of Sin Stewardship over Creation Place of General Revelation and Common Grace

Must Evaluate the Uses of Technology

Page 7: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Theological FoundationsTheological Foundations

Genesis 1-2--The Context for Procreation Permanent, monogamous, heterosexual marriage

Novel ways of procreation in the OT Surrogacy Levirate Marriage Polygamy

Other “violations” of the norm in Genesis 1-2 Divorce

Genesis 1-2--The Context for Procreation Permanent, monogamous, heterosexual marriage

Novel ways of procreation in the OT Surrogacy Levirate Marriage Polygamy

Other “violations” of the norm in Genesis 1-2 Divorce

Page 8: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Theological FoundationsTheological Foundations

Use of Gen. 1-2 by NT Authors Romans 1 I Timothy 2 I Cor. 11 Matt. 19

Conclusion---Genesis account of creation carries great weight with NT authors.

Use of Gen. 1-2 by NT Authors Romans 1 I Timothy 2 I Cor. 11 Matt. 19

Conclusion---Genesis account of creation carries great weight with NT authors.

Page 9: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Theological FoundationsTheological Foundations

Sacredness of Human Life--Being in the Image of God

Continuity of Personal Identity from Earliest Points of one’s life Psalm 139, Psalm 51 (Exodus 21: 22-25)

Doctrine of the Incarnation Embryos and Biblical Teaching

Sacredness of Human Life--Being in the Image of God

Continuity of Personal Identity from Earliest Points of one’s life Psalm 139, Psalm 51 (Exodus 21: 22-25)

Doctrine of the Incarnation Embryos and Biblical Teaching

Page 10: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Moral Status of Fetuses and Embryos

Moral Status of Fetuses and Embryos

Thesis: Personhood begins at conception

Common views of a person assume a continuity of personal identity from the earliest points of pregnancy

Personhood is a matter of essence, not function. Personhood is not a degreed property.

The difference between an embryo in the lab and and fetus in the womb is one of location

Thesis: Personhood begins at conception

Common views of a person assume a continuity of personal identity from the earliest points of pregnancy

Personhood is a matter of essence, not function. Personhood is not a degreed property.

The difference between an embryo in the lab and and fetus in the womb is one of location

Page 11: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Moral Status of Fetuses and Embryos

Moral Status of Fetuses and Embryos

All adult persons are the result of a continuous process of development that begins at conception.

There is no ontologically or morally relevant break in the process from conception to birth.

Thus, one is a person from conception forward.

All adult persons are the result of a continuous process of development that begins at conception.

There is no ontologically or morally relevant break in the process from conception to birth.

Thus, one is a person from conception forward.

Page 12: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Theological Parameters--Summary

Theological Parameters--Summary

Sanctity of Marriage Sacredness of life from conception onward

“Be fruitful and multiply” Rescuing the vulnerable Adoption as the metaphor for our relationship with God

Technology a qualified good

Sanctity of Marriage Sacredness of life from conception onward

“Be fruitful and multiply” Rescuing the vulnerable Adoption as the metaphor for our relationship with God

Technology a qualified good

Page 13: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Catholic Reproductive Ethics

Catholic Reproductive Ethics

Key distinction: assisting vs. replacing normal sex in marriage

Inseparable connection between the “unitive” and “procreative” aspects of sex

“it is never permitted to separate these different aspects so such a degree as positively to exclude either the procreative intention or the conjugal relation.”

Key distinction: assisting vs. replacing normal sex in marriage

Inseparable connection between the “unitive” and “procreative” aspects of sex

“it is never permitted to separate these different aspects so such a degree as positively to exclude either the procreative intention or the conjugal relation.”

Page 14: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Catholic Reproductive Ethics

Catholic Reproductive Ethics

Menopause?? Scripture treats the unitive element of sex as a sufficient end (I Corinthians 7, Song of Solomon)

Rhythm Method of birth control could compromise this separation.

Genesis 1-2 require procreation in the sphere of marriage, not sexual relations.

Menopause?? Scripture treats the unitive element of sex as a sufficient end (I Corinthians 7, Song of Solomon)

Rhythm Method of birth control could compromise this separation.

Genesis 1-2 require procreation in the sphere of marriage, not sexual relations.

Page 15: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on
Page 16: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on
Page 17: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Case 6.2--for Discussion

Case 6.2--for Discussion

Couple married 4 years. Man infertile due to untreated mumps as a kid.

Wife wants a sperm donor so she can “have her own child.”

Husband is uneasy about having a procreative “pinch hitter.”

Couple married 4 years. Man infertile due to untreated mumps as a kid.

Wife wants a sperm donor so she can “have her own child.”

Husband is uneasy about having a procreative “pinch hitter.”

Page 18: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Cases for DiscussionCases for Discussion

Couple married for 6 years. Married when older so started trying to conceive immediately

Trying for 4 years. Physician recommends an egg donor since wife is in her early 40’s.

Couple married for 6 years. Married when older so started trying to conceive immediately

Trying for 4 years. Physician recommends an egg donor since wife is in her early 40’s.

Page 19: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Questions About Specific Technologies

Questions About Specific Technologies Problems with the IVF Family

Disposition of Leftover Embryos Selective Termination of Pregnancies

Problems with Surrogate Motherhood Is it the sale of children? In gestational surrogacy, who is the mother?

Potential legal problems Contested Custody Genetic Abnormality

Problems with the IVF Family Disposition of Leftover Embryos Selective Termination of Pregnancies

Problems with Surrogate Motherhood Is it the sale of children? In gestational surrogacy, who is the mother?

Potential legal problems Contested Custody Genetic Abnormality

Page 20: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

Surrogacy Case-Case 6.3

Surrogacy Case-Case 6.3

Couple married for 10 years, trying for 6 years

Conceived through IVF--triplets. Miscarried the triplets and had massive uterine hemorrhage.

Underwent emergency hysterectomy They have 5 embryos left in storage from IVF

They want to hire a surrogate to carry them

Couple married for 10 years, trying for 6 years

Conceived through IVF--triplets. Miscarried the triplets and had massive uterine hemorrhage.

Underwent emergency hysterectomy They have 5 embryos left in storage from IVF

They want to hire a surrogate to carry them

Page 21: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on
Page 22: + Reproductive Technologies. Reproductive Ethics  You’re the Counselor!!—Case 6.1  How would you counsel a couple who had come to you for advice on

The Brave New WorldThe Brave New World

Human Procreative Cloning Artificial Wombs Fetal Egg Donors Gender Selection Designer Embryos Postmenopausal Pregnancies Brain Death and Pregnancy Posthumous Procreation

Human Procreative Cloning Artificial Wombs Fetal Egg Donors Gender Selection Designer Embryos Postmenopausal Pregnancies Brain Death and Pregnancy Posthumous Procreation