Leichtentritt Ronit D, Leichtentritt Judy, Shamir Michal Mahat
Bob Shapell School of Social Work, Tel Aviv University.
Department of Education, Oranim College.
Am J Orthopsychiatry. 2016;86(6):704-712. doi: 10.1037/ort0000129. Epub 2016 Jan 28.
This qualitative research explores the justifications that Israeli women provided for their decision to end their late-stage pregnancies, or in other words to undergo feticide. A constructivist approach was used, as it recognizes the significance of sociocultural narratives in the construction of people's experiences. Data from in-depth interviews were analyzed using an adapted version of constant comparative analysis to identify and develop categories and thematic patterns. Three main themes were identified, which incorporated the various justifications women use in explaining their decision to undergo feticide: justifications related to the mother and her family; justifications related to the fetus; and justifications related to the views of medical professionals and society at large. The analysis process further revealed an overall conceptualization: wrongful life and a wrongful birth, which underlie the 3 themes. In the justification process, the women drew on a number of strategies to uphold their positions as moral caring human beings and good mothers, including denial of injury, appeal to higher loyalties, and defense of necessity. These justifications seem to have failed, as the women continued to struggle with the morality of their decision. Women's difficulties were grounded in contradicting social messages concerning feticide, as feticide is a relatively common yet socially unrecognized and undiscussed procedure in Israel. The findings highlight the interface between personal experience and social phenomena and call for an open social discourse on feticide. (PsycINFO Database Record
这项定性研究探讨了以色列女性为其终止晚期妊娠(即实施胎儿引产)的决定所提供的理由。研究采用了建构主义方法,因为它认识到社会文化叙事在构建人们经历中的重要性。对深度访谈的数据使用经过改编的持续比较分析法进行分析,以识别和形成类别及主题模式。确定了三个主要主题,其中包含了女性在解释其实施胎儿引产决定时所使用的各种理由:与母亲及其家庭相关的理由;与胎儿相关的理由;以及与医疗专业人员和整个社会观点相关的理由。分析过程进一步揭示了一个总体概念:错误生命和错误出生,它们构成了这三个主题的基础。在阐述理由的过程中,女性运用了一些策略来维护自己作为有道德关怀的人及好母亲的立场,包括否认伤害、诉诸更高的忠诚以及为必要性进行辩护。这些理由似乎并未奏效,因为女性仍在纠结其决定的道德性。女性的困境源于关于胎儿引产相互矛盾的社会信息(在以色列,胎儿引产是一种相对常见但社会未认可且未讨论的程序)。研究结果凸显了个人经历与社会现象之间的联系,并呼吁就胎儿引产展开公开的社会讨论。(PsycINFO数据库记录)