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Published on: September 7, 2021
Prenatal diagnosis and selective abortion: a result of the cultural turn?
1Centre for Ethics in Medicine, 73 St Michael's Hill, Bristol, BS2 8BH, UK. danbromage@doctors.org.uk
Insights
Prenatal diagnosis leading to selective abortion is rising, partly due to societal views on disability and aesthetic perfection. This cultural shift
Area of Science:
- Obstetric Medicine
- Sociology
- Disability Studies
Background:
- Increasing trend of prenatal diagnosis and selective abortion of fetuses with disabilities.
- Commonly cited reasons include financial, familial, and quality-of-life considerations.
- This paper explores societal attitudes towards disability and aesthetic perfection as contributing factors.
Purpose of the Study:
- To investigate the influence of societal attitudes and the pursuit of aesthetic perfection on prenatal selective abortion.
- To examine the impact of the transition from modernity to postmodernity on the disabled community and attitudes towards disability.
- To propose further research into parental decision-making motivations in obstetric units.
Main Methods:
- Philosophical reflection on societal attitudes and cultural shifts.
- Analysis of art history to demonstrate synonymous developments.
- Hypothesis generation for future qualitative study.
Main Results:
- Suggests that societal attitudes towards disability and aesthetic perfection contribute to selective abortion trends.
- Posits that the cultural shift from modernity to postmodernity influences these attitudes.
- Indicates that this cultural turn may have had both positive and negative effects on people with disabilities.
Conclusions:
- Societal perceptions of disability and the drive for perfection may be significant, yet under-recognized, factors in prenatal selective abortion.
- The transition to postmodernity has complex implications for the disabled community.
- Further qualitative research is needed to understand parental decision-making in obstetric settings.
Abstract:
There is a growing trend in obstetric medicine of prenatal diagnosis and the selective abortion of foetuses that are likely to be born with a disability. Reasons commonly given to explain this trend include the financial implications of screening and testing policies, the disruption to families caused by the birth of a child with a disability, and the potential quality of life of the unborn child. This paper reflects upon another possible reason for this. It is argued that it is, in part, a consequence of our attitudes towards disability and a pursuit of aesthetic perfection. These attitudes arise from a social context that may be explained by considering the effect on the disabled community of the transition from modernity to postmodernity. This shift is demonstrated by inspecting some of the synonymous developments in art history. It is suggested that this "cultural turn" may have both helped and hindered people with disabilities, but the hypothesis requires further testing. This could best be achieved with a qualitative study of what motivates parental decision making in the obstetric unit.
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