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In
February 1998 Walter Merricks addressed a British Fertility Society
meeting on the ethics of gamete donation. Here is an extract from
his talk:
Is
it ethical deliberately to bring into the world a child who will
be unable to know half of his or her genetic provenance? The HFE
Act requires clinics to consider the welfare of the child before
proceeding with assisted conception treatment. Is it right deliberately
to separate genetic and social parenthood? Our answer is that responsible
parenthood - using that phrase to comprehend the range of duties
one generation can owe to the next - is composed of a variety of
activities and obligations, and that caring for, nurturing and nourishing
a child in the context of a loving relationship is at least if not
more important than physically begetting a child, however ineradicable
the fact of its biological origins. The welfare of child therefore
should be addressed by considering whether the potential parent
or parents seem capable of offering it responsible parenthood.
Most
DI parents apparently still say to clinics that they don't intend
to tell their children about their origins. Some argue that the
absence of evidence about the effects of secrecy gives parents a
free hand to choose what to do. But there is already a powerful
and persuasive store of psychological evidence that lying, misleading,
and deceit are corrosive within families, and can have dramatic
and damaging effects when the lies and secrets are discovered. Can
people really keep the secret, through the whole of their lives,
throughout the child's life, through adolescence, despite death,
divorce, family rows? At 18 a child who suspects something will
be able to check on the HFEA's register whether he or she was born
following assisted conception treatment. A legal analysis of the
situation would centre on the issue of the rights of the child not
to be deceived.
There
are few adults who were conceived by DI who know the fact and have
had a chance to reflect on it. Very few of those I know were told
early in life, and most learned of it in circumstances which were
less than ideal, and some in circumstances almost guaranteed to
be disastrous. So we see being honest with our children about the
facts of their conception as an element in responsible parenthood.
Big secrets are unhealthy in intimate relationships. Their existence
is nearly always felt on a subconscious level. They are usually
based in and caused by feelings of shame, and shame about the method
of family creation will inevitably colour the parent/child relationship.
A method of family building about which people feel ashamed is not
going to be right for them. One could argue that it is incompatible
with responsible parenthood.
What
will our children think of us - we who have children who will never
know one half of their genetic inheritance? We do not and cannot
know that they will not blame us for bringing them into the world
this way - along with all the other ills children usually blame
their parents for. Telling our children about their origins may
be a necessary but not sufficient preparation for life as a DI offspring.
We believe a strong emotional bond developed through good quality
parenting can offer at least some protection against future despair
and "genetic bewilderment". We must anticipate that our children
may blame, argue, resent or revolt. But the deed is done and cannot
be undone or reversed, and its consequences will perpetuate themselves
through the next and the next and the next generation. The evidence
however suggests that those who as children have experienced satisfactory
parenting absorb the capacity to cope with adversity, even trauma,
gaining a resilience which enables them to learn from and move on
from these life events. Crucially they learn the capacity to cope
with mixed feelings - itself a skill we as DI parents need to exercise
and to pass on. Our children need to develop the ability to 'hold'
conflicting feelings of loss and sadness together with an optimism
and enthusiasm at the world and its potential. Our belief is that
if we are honest with our children; share with them, as they grow
up, our feelings and thoughts; offer them some strength and confidence;
and try to prepare them for life as best we can, we may thus try
to live up to the ideal of responsible parenthood.
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