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Donor Conception Disclosure: Directive or Non-Directive Counselling?

Inez Raes1, An Ravelingien2, Guido Pennings2

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Health professionals debate directive versus non-directive counseling for donor insemination disclosure. Ethical analysis indicates autonomy should prevail, meaning directive counseling is currently not justifiable.

Keywords:
CounsellingDisclosureDonor conceptionEthicsSecrecy

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Area of Science:

  • Reproductive Medicine
  • Bioethics
  • Psychology

Background:

  • Couples undergoing donor insemination require counseling on disclosure.
  • A debate exists regarding directive versus non-directive counseling approaches.
  • Ethical principles of autonomy and beneficence are central to this debate.

Purpose of the Study:

  • To ethically evaluate directive and non-directive counseling approaches for donor conception disclosure.
  • To determine which counseling approach is justifiable based on ethical principles.

Main Methods:

  • Ethical analysis balancing patient autonomy and beneficence.
  • Examination of conditions required to override one ethical principle in favor of another.
  • Argument analysis for the beneficence principle and a directive approach.

Main Results:

  • A directive counseling approach prioritizes beneficence.
  • Overriding autonomy requires specific conditions, which are not met in this context.
  • The principle of autonomy should not be overridden by beneficence.

Conclusions:

  • A directive counseling approach for donor conception disclosure is not ethically justifiable at this time.
  • The principle of autonomy supports a non-directive counseling approach.
  • Further ethical consideration is needed for counseling in donor insemination cases.