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体外隐喻:葡萄牙体外受精背景下辅助生殖技术受益者对人类胚胎的意义建构

In-vitro metaphors: ART beneficiaries' meaning-making about human embryos in the context of IVF in Portugal.

作者信息

Delaunay Catarina, Santos Mário J D S, Gouveia Luís

机构信息

Centro Interdisciplinar de Ciências Sociais, Universidade NOVA de Lisboa, Lisbon, Portugal.

Comprehensive Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal.

出版信息

Reprod Biomed Soc Online. 2021 Jun 29;13:62-74. doi: 10.1016/j.rbms.2021.05.003. eCollection 2021 Aug.

DOI:10.1016/j.rbms.2021.05.003
PMID:34355073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8322126/
Abstract

This article proposes a metaphorical approach to the meaning-making of Portuguese assisted reproductive technology (ART) beneficiaries about human embryos created , based on the analysis of 30 in-depth interviews. This article draws from an ongoing research project on expert and lay definitions of human embryos developed , both in ART and scientific research. Four metaphors were identified in patients' utterances about the embryo's status and attributes: embryos are possibilities of success of treatment; utilities that can be the object of ownership and dispositional control; potential offspring with whom there are family and emotional ties; and a counter-gift to science or to other beneficiaries, in response to the generosity of professionals or gamete donors. These rhetorical devices seem to ease the tensions inherent in the technical procedures of medically assisted reproduction. Examining the meaning of attributive metaphors used by patients undergoing in-vitro fertilization about their embryos is thus essential to understanding their personal experiences, so that healthcare professionals can direct their actions/interventions towards their specific needs and concerns, which are not always spoken.

摘要

本文基于对30次深度访谈的分析,提出了一种隐喻方法,用于探讨葡萄牙辅助生殖技术(ART)受益者对所创造人类胚胎的意义建构。本文取材于一个正在进行的研究项目,该项目涉及在辅助生殖技术和科学研究中对人类胚胎的专家定义和外行定义。在患者关于胚胎状态和属性的表述中,识别出了四种隐喻:胚胎是治疗成功的可能性;是可以成为所有权和处置控制对象的实用物;是与患者有家庭和情感联系的潜在后代;以及作为对科学或其他受益者的回礼,以回应专业人员或配子捐赠者的慷慨。这些修辞手法似乎缓解了医学辅助生殖技术程序中固有的紧张关系。因此,研究接受体外受精的患者对其胚胎使用的定语隐喻的含义,对于理解他们的个人经历至关重要,这样医疗保健专业人员就可以针对他们未言明的特定需求和担忧来指导自己的行动/干预措施。

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本文引用的文献

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'Our family picture is a little hint of heaven': race, religion and selective reproduction in US 'embryo adoption'.“我们的家庭照片是天堂的一丝暗示”:美国“胚胎收养”中的种族、宗教与选择性生育
Reprod Biomed Soc Online. 2020 Aug 30;11:9-17. doi: 10.1016/j.rbms.2020.08.002. eCollection 2020 Nov.
2
Making matter matter: Meanings accorded to genetic material among Australian gay men.让物质变得重要:澳大利亚男同性恋者赋予遗传物质的意义。
Reprod Biomed Soc Online. 2018 Jul 24;7:150-157. doi: 10.1016/j.rbms.2018.06.002. eCollection 2018 Nov.
3
The Fate of Unused Embryos: Discourses, Action Possibilities, and Subject Positions.未使用胚胎的命运:话语、行动可能性与主体立场
Qual Health Res. 2017 Aug;27(10):1529-1540. doi: 10.1177/1049732316686759. Epub 2017 Jan 6.
4
Death in the clinic: women's perceptions and experiences of discarding supernumerary IVF embryos.临床中的死亡:女性对丢弃多余试管婴儿胚胎的认知与经历
Sociol Health Illn. 2017 Mar;39(3):397-411. doi: 10.1111/1467-9566.12497. Epub 2016 Oct 22.
5
ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction-a guide for fertility staff.欧洲人类生殖与胚胎学会指南:不孕不育及医学辅助生殖中的常规心理社会护理——生育工作人员指南
Hum Reprod. 2015 Nov;30(11):2476-85. doi: 10.1093/humrep/dev177. Epub 2015 Sep 7.
6
Dancing around infertility: the use of metaphors in a complex medical situation.围绕不孕症翩翩起舞:复杂医疗情境中隐喻的运用
Health Commun. 2015;30(6):612-23. doi: 10.1080/10410236.2014.888386. Epub 2014 Jul 25.
7
Factors associated with the donation and non-donation of embryos for research: a systematic review.与胚胎捐赠和非捐赠用于研究相关的因素:系统评价。
Hum Reprod Update. 2014 Sep-Oct;20(5):641-55. doi: 10.1093/humupd/dmu026. Epub 2014 Jun 6.
8
Reflections on human embryo research: the debate in Portuguese ethics organizations.关于人类胚胎研究的思考:葡萄牙伦理组织的辩论
Hist Cienc Saude Manguinhos. 2013 Nov 30;20 Suppl 1:1137-51. doi: 10.1590/S0104-59702013000400003.
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"So, what is an embryo?" A comparative study of the views of those asked to donate embryos for hESC research in the UK and Switzerland.那么,什么是胚胎?对英国和瑞士被要求为人类胚胎干细胞研究捐赠胚胎者观点的比较研究。
New Genet Soc. 2008 Jun;27(2):113-126. doi: 10.1080/14636770802077041. Epub 2008 Aug 24.
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