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I'd
like to start by saying that we want to dispense with the word 'children'.
Adults conceived by DI are fed up with being referred to in this
way and our teenagers don't like it either. We prefer to use the
term 'people'. You may like to consider if this gives an opportunity
to think about people conceived as a result of gamete donation in
a different way.
Why people need to know about the
fact of their donor assisted conception
I'd
like to start by asking you, how you would feel if you were deprived
by others, who you trusted, of information you later thought would
have been important to you, particularly if, in order not to tell
you, they were obliged not merely to fail to pass on some interesting
news, but positively to mislead you. Having found out, you would
need to understand the reasons why they felt justified in withholding
if you were not to be resentful and even angry. You would probably
need to accept that they had done this in the honest belief that
the truth was something so potentially damaging that it was in your
best interests that you should be protected from it, and also that
you not merely sympathised and understood their dilemma but agreed
with the decision they had taken. In contrast, our 17 year old son
said the other night, as part of a discussion on these issues, that
the information about his origins is not important to him because
he knows about it - it would be very important if we hadn't told
him (and by inference, he were to find out by accident).
Lack
of respect for individual autonomy
But not giving information manipulates and limits the choices open
to the deceived person. In our view it represents a lack of respect
for the autonomy, and ultimately the rights of the individual. Historically
- "We know what is best for you", a 'welfarist' approach has been
adopted by governments, doctors and other in authority, but in the
western world greater value is now given to individual human rights
- the right to decide what is in one's own interest - as opposed
to state, community or parental control. The 1989 Children Act asserts
the position of children as individuals with rights and emphasises
parents responsibilities towards their children. The Network mirrors
this position, believing that sharing of information about origins
with our children is part of responsible parenthood.
Dr
Phil Fennell the human rights specialist from Cardiff Law School
who spoke at the recent HFEA conference noted that parents' rights
to secrecy would not be considered as weighty as the rights of a
child.
Why
genetic information is important
Of course in order for the information to matter, it must be significant.
The fundamental position of the Network on the question of the significance
of information about origins is as follows. We believe that our
children have a right to the information that the genetic connections
in their family are not as they would otherwise assume. We also
believe that being a 'dad' or a 'mum' is a social and not a genetic
role. In holding these apparently paradoxical positions, we choose
to put the everyday emphasis on social roles but without denying
the importance of genetic make-up.
This
brings us to the good old Nature/Nurture debate. No doubt the arguments
on this will rage for a long time yet but the most widely accepted
position, as I understand it now, is that we all come with a kind
of genetic blueprint which gives us predispositions for certain
character traits, temperament and talents. These are then constantly
being modified by the environment and upbringing we have, so that
an adult of about 25 is the result of a complex interplay between
genetic endowment and the nutrition, surroundings, care, stimulation
and teaching that have been provided or withheld during the formative
years. The perspective taken by the Network on openness mirrors
this position. We acknowledge the role of the donor in giving our
children a genetic blueprint which may well predispose them in ways
which are different from either parent. However, in common with
any other parents we also take responsibility for the nurturing
of our children, guiding them in taking advantage of their attributes
and helping them curb their less favourable traits. We believe that
the genetic component cannot and should not be ignored. It is significant
information, but at the same time we put great emphasis on the the
importance of warmth and honesty in strong family relationships
in protecting children from what has been referred to as 'genealogical
bewilderment'. In this way physical looks or interests which seem
very different from parents can be accounted for by children and
hopefully they will not have to go through the experience of feeling
'odd' or 'different' because the fact of their genetic origins will
have been known and integrated into their lives. They know they
'belong' despite their genetic difference. And in the 21st Century
when family connections are becoming increasingly fragmented, social
belonging is what we all need.
Another
reason for sharing information with our children is the potential
Damaging
effects of shock disclosure
The recently published research by Turner and Coyle in Vol 15 of
Human Reproduction gives evidence about the damaging effects of
the disclosure on individuals who found out in their late teens
or later that they had been conceived through donor insemination.
They report that the individuals experienced profound negative feelings
of shock of disclosure and feelings of deceit and mistrust. They
reported feelings of discontinuity within the family and a lowering
of self esteem; for them the lack of disclosure undermined the principles
of honesty and trust within families, and it is suggested that this
lack of trust might be replicated in their own relationships
So
what are the risks of disclosure? From a strictly utilitarian perspective,
let's think for a moment how likely is it that this risk will occur?
First, the individuals conceived after August 1991will have the
right to consult the HFEA register at any time in their lives if
they have any suspicions about their origins. And we'll have a look
in a minute at how these suspicions might arise. Parents concealing
information about their children's origins will have to practise
a lifelong act of deception. They will also have to ensure that
no one else that they have told the truth to ever discloses it -
and the evidence suggests that most of those who intend not to tell
have actually told at least one other person. In order to be sure
their secret pact stays secure they will have to ensure that their
marriage or relationship remains stable until the day they both
die (or at least that the secret survives a break-up), and who can
guarantee either of those?
A
caller to our Helpline last year was frantic because her clinic
(deliberately chosen to be 100 miles from her home) was determined
to keep the records of her two DI conceptions for 50 years. The
caller would have liked them to be destroyed. She was resolute that
her two children, now older teenagers, should not discover the truth
of their origins. Almost as a, by the way, she told me that she
had twice had cancer over the years since her children were born
and she was sure this was due to the strain of keeping the secret,
but as far as she was concerned it was all worth it!
This
takes us beyond mere risk analysis to the Effect on quality of parent/child
relationship We have learned from Clare Murray's research that the
children of non-telling parents in their study seemed normal in
every measure of development and psychological adjustment; and that
their families seemed warmer and more involved with the children
than those families where children were conceived in the conventional
fashion. But this is a small study of self-selected parents and
their children are only just entering adolescence. As a parent of
media conscious teenagers I cannot imagine how I would handle the
constant presence of issues to do with genes and inherited diseases
in the press and on TV, or biology homework about reproduction,
assisted conception and genetic traits in families, if the knowledge
of our children's DI conception was not an everyday fact in our
house. I cannot imagine lying to two young people , who at this
crucial time of seeking their own individual identities, need parents
they can trust to be straight and honest with them, providing a
solid backdrop to their questioning and experimentation with life.
Undoubtedly the children in the City University study will have
gained resilience through strong attachments and high quality relationships
with their parents. Providing the circumstances are good, they may
well be able to accommodate the facts of their conception explained
later rather than earlier, without serious psychological damage.
But why risk a rift in relationships at a vulnerable time when early
sharing of information could lead to children growing up never knowing
a time when they 'didn't know'. The other issue is the impact of
keeping secrets over time: the silences or glances between parents
when anything to do with inherited characteristics comes up. The
lack of comment, or the lack of response to remarks made by others
(common in most families, particularly at times of family gatherings)
about a child looking or behaving 'just like Auntie Jean'. What
is a young person to make of this? Psychological literature going
back many years suggests that big secrets felt as an atmosphere
or 'presence' in families do not provide an emotionally healthy
climate in which to bring up children. It may be easy to 'forget'
a child's origins when they are young and provide a relaxed, loving
presence in the home, but keeping this up under the alert and critical
eyes and ears of teenagers must be a palpable strain which is bound
to be felt by all at some level, even if it does not give everyone
cancer!
So
Is disclosure of an untraceable connection also (or equally) damaging?
It is sometimes suggested that people would be even more damaged
and confused by the inability to trace an anonymous donor (if they
were told) than they would by the risk (or actuality) of keeping
the conception a secret. But it is clear from the increasing number
of adult offspring who were told or found out from late teenage
years onwards that it was the deception about their origins that
hurt and disturbed them, not the fact of their DI conception.
In
a recent interview with a journalist, our daughter Susannah age
14 was scathing about families where they keep the reality of their
children's conception secret. "I can't imagine a parent carrying
that around with them. It seems so immature. People want to be normal
- whatever that is - but we are a perfectly normal family". She
went on to say about us, "If they'd kept it (her DI conception)
secret, I think I would have despised them. They've always been
honest with me, even with the tiniest things. And with something
that big - I would have hated it if they'd kept it a secret and
then I'd found out".
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