Crawshaw Marilyn
Department of Social Policy and Social Work, University of York, York, UK.
Hum Fertil (Camb). 2008 Jun;11(2):95-100. doi: 10.1080/14647270701694282.
This short survey of UK infertility counsellors was designed to determine whether the removal of donor anonymity resulted in noticeable changes in prospective parents' stated intentions regarding disclosure of their origins to any children conceived through donor conception. Members of the British Infertility Counselling Association working in Human Fertilisation and Embryology Authority (HFEA) -- licensed centres, before and after the legal changes, were sent a short questionnaire that included space for free comments (take-up: 62%). Three-quarters reported changes. Of these, two-thirds said prospective parents were more likely to say they would disclose, while less than a tenth said prospective parents were less likely do so. Where no changes were noted, this was primarily because the majority of prospective parents had stated their intention to be open even prior to the legal changes. Possible influences on intentions included: the culture within the centre, moves towards openness within the wider society, and parents' lack of confidence regarding how to go about disclosure. Follow-up studies are needed to improve understanding of whether influences on decision making carry through to patterns of actual disclosure; whether involvement in counselling affects outcomes; and whether access to professional assistance at the time of planned disclosure is helpful.
这项针对英国不孕不育咨询师的简短调查旨在确定取消捐赠者匿名制是否会使准父母们在向通过捐赠受孕所生子女透露其身世这一问题上的既定意愿发生显著变化。在法律变更前后，向英国不孕不育咨询协会中在人类受精与胚胎学管理局（HFEA）许可中心工作的成员发放了一份简短问卷，问卷留有自由评论空间（回收率：62%）。四分之三的人报告有变化。其中，三分之二的人表示准父母更有可能透露，而不到十分之一的人表示准父母不太可能这样做。在未发现变化的地方，主要原因是大多数准父母甚至在法律变更之前就已表明他们愿意公开。对准父母意愿可能产生影响的因素包括：中心内部的文化、更广泛社会中对公开的倡导，以及父母对如何进行透露缺乏信心。需要开展后续研究，以更好地理解对准父母决策的影响是否会转化为实际透露的模式；咨询参与是否会影响结果；以及在计划透露时获得专业帮助是否有益。
