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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.

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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