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(不想)做出选择:辅助生殖技术中起作用的外部机构

(Not) wanting to choose: outside agencies at work in assisted reproductive technology.

作者信息

Giraud Anne-Sophie

机构信息

CNRS, Toulouse Cedex 9, France.

出版信息

Reprod Biomed Soc Online. 2020 Nov 19;11:89-95. doi: 10.1016/j.rbms.2020.09.008. eCollection 2020 Nov.

Abstract

Human choice and interventions that could seem to threaten the course of 'nature' or 'chance' are at the heart of controversies over assisted reproductive technology across Western countries. These debates focus predominately on so-called 'selective reproductive technology'. While today, the technique of in-vitro fertilization (IVF) raises few political and bioethical debates in France and other Western countries, concerns remain that human intervention might replace 'natural' processes, threatening human procreation. These polemics focus on situations that require a decision, notably embryo selection and the fate of spare frozen embryos. The choices involved are induced by the technology and organized by the law. In the French legal system, IVF patients and professionals have the opportunity and, to a certain extent, the responsibility to decide on the status of in-vitro embryos. This article shows that, in these situations, both IVF patients and professionals invoke outside agencies ('instances tierces'), both to avoid making decisions and to recover a world order in which procreation is not entirely subject to human decision. In short, there is a need to feel that procreation is not entirely dependent on human intervention; that individuals do not decide everything. It appears that the choices that are made, their nature and the type of outside agency that is invoked are highly situated.

摘要

在西方国家,那些看似可能威胁“自然”或“偶然”进程的人类选择与干预,正是围绕辅助生殖技术展开的争议的核心所在。这些争论主要聚焦于所谓的“选择性生殖技术”。如今,在法国及其他西方国家,体外受精(IVF)技术引发的政治和生物伦理争议较少,但人们仍担心人类干预可能会取代“自然”过程,从而威胁到人类繁衍。这些争论集中在需要做出决策的情形上,尤其是胚胎选择和冷冻备用胚胎的命运。所涉及的选择由技术引发并由法律进行规范。在法国法律体系中,体外受精患者和专业人员有机会,并且在一定程度上有责任决定体外胚胎的状态。本文表明,在这些情形下,体外受精患者和专业人员都会援引外部机构(“第三方机构”)来既避免做出决策,又恢复一种生育不完全受人类决策左右的世界秩序。简而言之,人们需要感觉到生育并非完全依赖于人类干预;个人并非能决定一切。似乎所做出的选择、其性质以及所援引外部机构的类型都高度取决于具体情形。

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