Thesis (M.S.W.)--York University, 1998. Graduate Programme in Social Work. / Typescript. Includes bibliographical references (leaves 186-205). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pMQ39237

published_or_final_version / Sociology / Master / Master of Philosophy

The focus of this thesis is the current policy situation in relation to assisted reproductive technologies (ART) in Aotearoa/New Zealand. I explore how government policies (and lack of policy) have shaped access to ART. I also explore the policy initiatives of funding agencies, the National Ethics Committee on Assisted Human Reproduction (NECAHR), managers, healthcare professionals, and interest groups. My investigation into ART policy issues critically examines the various formal mechanisms and policies used to regulate and control ART in Aotearoa/New Zealand. Drawing on my analysis of policy-focused documents and material from in-depth interviews with key actors in the policy debate, I demonstrate how the ad hoc and contingent approach to ART developments, practices, funding, and access has contributed to inconsistent and inequitable access to ART services. I argue that the lack of an ART-specific policy organisation contributes to fragmented, and possibly discriminatory, policy decisions. I examine how the use of restrictive access criteria to manage the increasing demand for publicly funded ART services disadvantages certain groups wishing to use these services. By investigating the influence of rationing strategies on the allocation of resources and regulation of access, I provide some appreciation of the 'messy reality' of policy creation, interpretation, and implementation. I argue that the criteria used to limit access to public ART services obscure the use of social judgements and provider discretion. Likewise, they succeed in limiting publicly funded ART treatments to those who conform most effectively to the normative definition of family. My analysis of the ART policy discourse identifies silences and gaps in relation to specific ART practices, particularly the use of ART by Maori. I highlight the invisibility and marginalisation of Maori within the ART policy debate. After examining the broader issues concerning Maori access to health services, I explore how these may affect Maori using ART services to overcome infertility. I argue that the gathering of information about the utilisation of ART services is crucial for the accurate identification of the needs of Maori. It is also fundamental for effective monitoring of state health policy decisions and outcomes.

Within the latitude of a science-fictional elsewhere and elsewhen, women can establish their own social norms and accepted praxis. The modification encountered in alternate feminist spacetimes specifically incorporate many new ideologies concerning motherhood. Central to this discussion is the means by which feminist authors regard the influences of patriarchal institutions and the subsequent changes in society because of, or in spite of, these changes. The male-dominated fields of technological patriarchy (reproduction and fertility "specialists") and the military, for example, are areas upon which feminist authors speculate. Three feminist strategies for coping with a patriarchal social order, as seen in the works of science-fiction, are entrance into the male world and attempts to change it, competition in the patriarchal world on its own terms and total retreat from an oppressive society, accompanied by the creation of a feminist utopian otherworld. These feminist spacetimes share a number of convictions. Most important, conception is never an unwilled experience. The "maternal instinct", is redefined as a calling which, in some cases, extends to males and non-biological mothers. Traits that are salient in the childraisers are those which are mirrored by these alternate feminist spacetimes as a whole and which contribute to the definition of these societies as utopias. The treatment and/or possession of children as property is frowned upon in the novels. Some points of dissent amongst feminist SF authors include the existence of technology in an utopian or dystopian future for motherhood, and whether or not males are permitted and/or encouraged to participate in society as a whole and more precisely in the experience of mothering. The dystopia, for its part, can thus be regarded as a warning against the encroachment of rampant patriarchal enterprises through their representation of the extrapolation of male-centred value systems. (Abstract shortened by UMI.)

In the last three decades regulation as a public policy instrument has developed from a tool to manage markets to a means for government to offer protection or impose boundaries in areas associated with social and moral issues. Social regulatory mechanisms are broad, and have as their justification the public interest. It is one response by governments to the development of reproductive technologies. (For complete abstract open document)

What determines parenthood? The advent of IVF and the rapid growth of reproductive technologies have challenged the significance historically associated with biological relationships. It is now possible for a child to have many different people in the role of genetic, gestational, nurturing or legal parent and for the formation of many novel types of families. While frequently some or all of these roles are combined, it is now possible for someone to be a ‘parent’ in one sense, without necessarily taking on the obligations and rights associated with parenthood in a moral sense. Despite the expanded options for constructing families and the proliferation of novel arrangements for raising children, the essential feature of what it means to be a ‘real parent’ and to have a child of ‘one’s own’ is often grounded in the transmission of genes. This thesis examines the claim that genes define ‘moral’ parenthood. It investigates whether or not genetic relatedness is morally weighty in determining which individuals incur obligations for and rights over children. My thesis adopts a novel approach to address this question. It combines the analysis of both people’s views as captured through a qualitative study and those found in philosophical literature relating to the moral significance of genetic parenthood. I design and conduct a study to capture more directly the meanings that people attach to passing on their genes, which acts as a starting point for identifying and evaluating possible arguments about the moral relevance of genetic parenthood. I then analyse the principles imbedded in the participants’ views in light of the current philosophical literature.

Thesis (S.T.L.)--Catholic University of America, 1989. / Includes bibliographical references (leaves 124-132).

Thesis (M.A.)--Trinity International University, 1997. / Abstract. Includes bibliographical references (leaves 146-150).

Thesis (Ph. D.)--University of Washington, 2004. / Vita. Includes bibliographical references (leaves 203-218).

Thesis (M.S.W.)--University of Hong Kong, 2000. / Includes bibliographical references (leaves 120-126).