Israeli policy concerning PHR has been decided upon in an expertocratic manner, leaving the voice of the public unheard. Based on 26 semi-structured in-depth interviews with 13 Jewish-Israeli young couples, this preliminary study provides the first empirical data regarding lay attitudes toward PHR in Israel. Findings suggest major dissimilarities between the policy and lay people’s wishes and rationales. While policy is built on the “presumed wish” assumption, supposing all men living in a loving relationship wish to have their partner carry their child post-mortem, this was empirically unsupported. However, the findings suggest that many interviewees were willing to defer to their surviving spouse’s wishes to have their post-mortem child, sometimes even against their own wish, indicating a support for presumed consent. Respecting the wishes of the dead, a dominant argument in the bioethical discussion in Israel and beyond, was mainly irrelevant to informants, whereas interviewees considered the future child’s welfare, a concern overlooked by Israeli policy. Likewise, while posthumous grandparenthood is on the rise in Israel, it clearly contradicts the wishes of the majority of this study’s informants. Nonetheless, existing policy is not expected to raise any opposition, due to the extreme liberalism of the participants and their support of reproductive autonomy.
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Abama, J. C., & Martinez, G. M. (2006). Childlessness among older women in the United States: Trends and profiles. Journal of Marriage and the Family, 68, 1045-1056.
Ahluwalia, U., & Arora, M. (2011). Posthumous reproduction and its legal perspective. International Journal of Infertility and Fetal Medicine, 2(1), 914. doi:10.5005/jp-journals-10016-1010
Bahadur, G. (1996). Posthumous assisted reproduction (PAR): Cancer patients, potential cases, counselling and consent. Human Reproduction, 11(12), 2573-2575.
Bahadur, G. (2004). Ethical challenges in reproductive medicine: Posthumous reproduction. International Congress Series, 1266, 295-302.
Barton, S.E., K.F. Correia, S. Shalev, et al. 2012 Population-Based Study of Attitudes Toward Posthumous Reproduction. Fertility and Sterility 98(3): 735–740.e5.
Cohen, D. 2013a AG Approves Parents’ Use of Dead Son’s Sperm. New Family. http://www.newfamily.org.il/en/4989/ag-approves-parents-use-of-dead-sons-sperm-3 (accessed August 11, 2014).
Cohen, D. 2013b The Biological Will™: a New Paradigm in ART? New Family. http://www.newfamily.org.il/en/4905/the-biological-will%E2%84%A2-%E2%80%93-a-new-paradigm-in-art/ (accessed August 11, 2014).
Cohen-Friedman, N. 2014 Tomer Passed Away, and a Woman He Did Not Know Will Become the Mother Of His Child YNET http://www.ynet.co.il/articles/0,7340,L-4603097,00.html (Accesesd January, 8, 2015)
Dostal, J., Utrata, R., Loyka, S., Brezinova, J., Svobodova, M., & Shenfield, F. (2005). Post-mortem sperm retrieval in new European Union countries: Case report. Human Reproduction, 20(8), 2359-2361.
Dye, J.L. 2008 Fertility of American Women: 2006. Current Population Reports, pp. 20–558. Washington, DC: U.S. Census Bureau.
Ethics Committee of the American Society for Reproductive Medicine Posthumous collection and use of reproductive tissue: a committee opinion (2013) Fertility & Sterility 99:1842–1845.
Fogiel-Bijaoui, S. 2002 Familism, Postmodernity and the State: the Case of Israel. The Journal of Israeli History 21(1–2):38–62.
Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine.
Hans, J. D. (2014). Posthumous gamete retrieval and reproduction: Would the deceased spouse consent? Social Science and Medicine 119: 10-17.
Hans, J. D. (2008). Attitudes toward posthumous harvesting and reproduction. Death Studies, 32(9), 837-869.
Hans, J. D., & Frey, L. M. (2013). American attitudes in context: Posthumous use of cryopreserved gametes. Journal of Clinical Research & Bioethics. doi:10.4172/2155-9627.S1-006
Hans, J. D., & Yelland, E. (2013). American attitudes in context: Posthumous sperm retrieval and reproduction. Journal of Clinical Research & Bioethics, doi:10.4172/2155-9627.S1-008.
Harrison, C. (2014). Who is your mother? Who is your father? Assisted reproductive technologies in the light of Sunni and Shi’a law. Journal of Shi’a Islamic Studies, 7(1), 23-36.
IAG (Israel Attorney General). 2003 Retrieving Sperm Post-Mortem and Its Use. http://www.justice.gov.il/NR/rdonlyres/2DCE0B40-B4D6-441F-A792-342A33982AD6/0/12202.pdf (accessed August 11, 2014) (Hebrew).
Kass, L. 1997. The Wisdom of Repugnance. The New Republic, June 2, 17–26.
Landau, R. 1999 Planned Orphanhood. Social Science and Medicine 49:185–196.
Landau, R. (2004). Posthumous sperm retrieval for the purpose of later insemination or IVF in Israel: An ethical and psychosocial critique. Human Reproduction, 19, 1952-1956.
Landecker, H. 2005 Living Differently in Time: Plasticity, Temporality and Cellular Biotechnologies. Culture Machine 7. http://www.culturemachine.net/index.php/cm/article/viewArticle/26/33 (accessed September 16, 2014).
Lavi, S. forthcoming The Mourning After: Posthumous Sperm Retrieval and the New Laws of Mourning.
Mor-Yosef National Committee. 2012 Recommendations of the Public Commission Regarding Examination of Legislative Regulation: Theme of Fertility and Birth in Israel. http://www.health.gov.il/publicationsfiles/bap2012.pdf (accessed August 11, 2014) (Hebrew).
Nakhuda G. S., Wang, J. G., & Sauer, M. V. (2011). Posthumous assisted reproduction: A survey of attitudes of couples seeking fertility treatment and the degree of agreement between intimate partners. Fertility and Sterility, 96, 1463-1466.
Pennings G, de Wert G, Shenfield F, Cohen J, Devroey P, Tarlatzis B. (2006) ESHRE Task Force on Ethics and Law 11: posthumous assisted reproduction. Human Reproduction; 21: 3050–3.
Pastuszak, A. W., Lai, W. S., Hsieh, T. C., & Lipshultz L. I. (2013). Posthumous sperm utilization in men presenting for sperm banking: An analysis of patient choice. Andrology, 1(2), 251-255.
Ravitsky, V. (2004). Posthumous reproduction guidelines in Israel. The Hastings Center Report, 34(2), 6-7.
Rimon-Greenspan, H., and V. Ravitsky 2013 New Frontiers in Posthumous Reproduction. http://www.bionews.org.uk/page_313451.asp?hlight=Ravitsky (accessed September 16, 2014).
Samani, R. O., Ashrafi, M., Alizadeh, L., & Mozafari, M. (2008). Posthumous assisted reproduction from an Islamic perspective. International Journal of Fertility and Sterility, 2(2), 96-100.
Schicktanz, S., M. Schweda, and B. Wynne 2011 The Ethics of “Public Understanding of Ethics”: Why and How Bioethics Expertise Should Include Public and Patients’ Voices. Medicine, Health Care and Philosophy; Online first doi:10.1007/s11019-011-9321-4.
Scully, J. L., Shakespeare, T., & Banks, S. (2006). Gift not commodity? Lay people deliberating social sex selection. Sociology of Health & Illness, 28, 749-767.
Shalev, C. 2002 Posthumous Insemination: May He Rest in Peace. Medical Law 27:96–99 (Hebrew).
Sherwood, H. 2011 Israeli Couple Seek Right to Use Dead Son’s Sperm. The Guardian. http://www.theguardian.com/world/2011/feb/08/israeli-parents-dead-son-sperm (accessed September 16, 2014).
Shkedi, S., and Hashiloni-Dolev, Y. (2011). Egg freezing for non-medical uses: The lack of a relational approach to autonomy in the new Israeli policy and the scholarly discussion. Journal of Medical Ethics, 38, 154-157.
Simpson, B. (2001). Making “bad” deaths “good”: The kinship consequences of posthumous conception. Journal of the Royal Anthropological Institute, 7, 1-18.
I would like to thank my colleague and friend Dr. Dafna Hacker for her helpful remarks on early drafts of this manuscript, and Ms. Sharon Hagbi my research assistant, for her continuous contribution and excellent work on this study.
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Hashiloni-Dolev, Y. Posthumous Reproduction (PHR) in Israel: Policy Rationales Versus Lay People’s Concerns, a Preliminary Study. Cult Med Psychiatry 39, 634–650 (2015). https://doi.org/10.1007/s11013-015-9447-6
- Posthumous reproduction
- Informed wish/consent of the deceased
- Posthumous grandparenthood