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公开身份的精子捐赠:提供捐赠者身份信息与通过捐赠者受孕的后代的愿望和需求有何关联?

Open-Identity Sperm Donation: How Does Offering Donor-Identifying Information Relate to Donor-Conceived Offspring's Wishes and Needs?

作者信息

Ravelingien An, Provoost Veerle, Pennings Guido

机构信息

Bioethics Institute Ghent, Department of Philosophy and Moral Sciences, Ghent University, Blandijnberg 2, 9000, Ghent, Belgium.

出版信息

J Bioeth Inq. 2015 Sep;12(3):503-9. doi: 10.1007/s11673-014-9550-3. Epub 2014 Jul 5.

Abstract

Over the past years, a growing number of countries have legislated open-identity donation, in which donor-conceived offspring are given access to the donor's identity once the child has reached maturity. It is held that donor anonymity creates identity problems for such children similar to the "genealogical bewilderment" described within the adoption context. The study of the social and psychological effects of open-identity donation is still very much in its infancy, but what has been left unquestioned is whether (and to what extent) offering access to the donor's name and address is an adequate response to such effects. This study has two goals: First, we aim to provide a systematic review of the reasons why donor-conceived (DC) offspring want to know the identity of their sperm donor. Second, we examine to what extent the provision of donor-identifying information can satisfy the reasons mentioned. The most important motivations appear to be: (1) to avoid medical risks and consanguineous relationships; (2) to satisfy curiosity; (3) to learn more about the self or to complete one's identity; (4) to learn more about what kind of person the donor is (biographical information, why he donated, etc.); (5) to form a relationship with the donor and/or his family; and (6) to learn about one's ancestry/genealogy. Our analysis shows that for nearly all of these reasons access to the donor's identity is not necessary. In those cases where it is, moreover, donor identification is not sufficient. What is really needed is (extended) contact with the donor, rather than the mere provision of his name.

摘要

在过去几年里,越来越多的国家通过了公开身份捐赠的立法,即捐赠者所生子女成年后可以获取捐赠者的身份信息。有人认为,捐赠者匿名会给这些孩子带来身份认同问题,类似于收养背景下所描述的“谱系困惑”。对公开身份捐赠的社会和心理影响的研究仍处于起步阶段,但一直没有受到质疑的是,提供捐赠者的姓名和地址是否(以及在多大程度上)足以应对这些影响。本研究有两个目标:第一,我们旨在系统回顾捐赠者所生子女想要了解其精子捐赠者身份的原因。第二,我们考察提供捐赠者身份识别信息能在多大程度上满足上述原因。最重要的动机似乎是:(1)避免医疗风险和近亲关系;(2)满足好奇心;(3)更多地了解自己或完善自我身份;(4)更多地了解捐赠者是怎样的人(个人信息、捐赠原因等);(5)与捐赠者和/或其家人建立关系;(6)了解自己的祖先/谱系。我们的分析表明,几乎出于所有这些原因,获取捐赠者的身份信息并非必要。而且,在那些有必要获取身份信息的情况下,仅提供捐赠者身份识别还不够。真正需要的是(进一步)与捐赠者接触,而不仅仅是提供其姓名。

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