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将不孕不育视为一种缺失的能力,而不是一种疾病:一种能力方法.
Michelle Jessica Bayefsky1, Arthur Caplan2
1Obstetrics & Gynecology, NYU Langone Health, New York, New York, USA michelle.bayefsky@gmail.com.
不孕不育并不总是疾病,而是缺乏生殖能力. 能力方法提供了一个框架,以确保所有寻求建立家庭的人均平等获得生育治疗.
科学领域:
- 生物伦理学生物伦理学
- 生殖医学 生殖医学
- 社会科学 社会科学 社会科学
背景情况:
- 不孕症通常被视为一种疾病,以改善获得生育治疗的机会.
- 这种疾病分类可能会排除"社会"或"关系"不孕症的个体,例如单身个人或同性伴侣.
- 需要新的概念化来解决不孕不育的意义,并改善患者的生活.
研究的目的:
- 提出能力方法作为理解和解决不孕症的框架.
- 争辩一个概念转变,承认生育的重要性作为一个基本的人类能力.
- 倡导公平获得辅助生殖技术.
主要方法:
- 对能力方法的哲学分析.
- 关于不孕不育概念的伦理论证.
- 审查现有的生育治疗准入框架.
主要成果:
- 能力方法侧重于个人根据他们的价值观能够做和实现什么.
- 它将生育和组建家庭的能力作为自我实现的关键能力.
- 这种方法支持为那些无法自然怀孕的人提供辅助生殖的伦理要求.
结论:
- 仅将不孕不育归类为一种疾病可能是不充分和排斥性的.
- 能力方法为解决不孕症提供了一个更具包容性和伦理稳健的基础.
- 确保平等的能力,包括生殖能力,需要社会支持辅助生殖.
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