Maternity representations in the Romanian normative area. Communist reminiscences and postmodernity.
Teodorescu, Adriana
1 Introduction. Cultural-Semiotic Reading Proposal of Reality
Representation through Law
The legal area of a country is a propitious environment to study
the present socio-cultural representations of some important aspects of
social life. More precisely, this is an environment in which we may
observe some tendencies of configuring the social reality, fact that is
decided explicitly and also implicitly by a country regarding what is
desirable about one matter or another, about ideals concerning these
matters, as well as the strategies of controlling what could hinder the
performance of this legal standard. The first decision is contained in
the mere principle of stating the law and it refers to the political
passing from the private to public area. The mere entrance in the legal
sphere of one reality element supposes the assumption that that element
must be subject of entering a norm--a norm of comprehension,
interpretation and functioning, a norm that has validity (as being
mandatory to respect and as stipulated rights) in the entire country.
Actually, the law/norm contains two significant operations of
transforming the reality. Reality standardization--meaning being part of
a formula that may explain all occurrences in which the law project may
be, a formula that states the trust in repetitive social phenomena--and,
of course, based on the first operation, reality normalization--meaning
the institution of a reality model and, reciprocal, valorization of this
model as being reality and more the normality (defined by the
differentiation from pathologic, morbid, and other vectors of deviation)
(1). The hidden claim of any law consists in the fact that it may detect
reality, represent it and, last but not least, bring it into the
possibility of realizing the maximum (ideal of a well organized
reality). On the other hand, reality institution is motivated by the
fragility, the impulse of de-structuring a portion of reality that is
desirable to be part of a law. That is precisely why the law states the
sanctions for the cases where it is broken or, rephrasing, the body of
the law is known to being limited in the first place.
In its own way, the legal area functions as a matrix of
representation--the process of generating some image-representations,
product-representations (2). This is a trigger for representations
situated on other levels of reality--personal, artistic, social level
etc. Moving forward to our interest in this research, legal
representation of maternity influences other maternity representations:
social, personal, collective, artistic, favoring some propensities to
traditional maternity representations or representations that would be
rather part of (post)modernity and, reversely, disfavoring others. The
relative extensive circulation of these normative maternity
representations should determine a high research interest, as it is
supposed that they are to be instilled in many ways in the conception of
a people on maternity at a certain point and they are to act, generally
speaking, even weakly as an instrument of evaluation of other non-legal
representations. On the other hand, it is necessary to state that the
report of forces and influence is never directed only from the upper to
lower level, from political to personal, but also in the reversed order.
The first type of report--from upper to lower level is the one that may
be studied during the time of production (the researcher may detect the
mechanisms through which the report is activated), while the other type
is less detectable on the present axis and it is rather related to
cultural archaeology.
We are to analyze two elements that are related to the Romanian
normative area of maternity during the last several years, elements that
raised some controversies: assisted human reproduction and psychological
counseling in case of abortion. We are not concerned with the legal
environment from a pure political perspective but we are to approach
this matter from a sociological point of view, which finds in political
formulas a great occasion to meditate on the social articulations of
ideas and socio-cultural practices of maternity. Thus, we may say that
we approach the text of the law as if it were any other socio-cultural
product (press articles, TV shows), without pretending to bring into
discussion the real situation of abortions or of assisted human
reproduction. Therefore, we are not concerned too much with the area of
social politics. The law, in its two forms, is to be analyzed in a
non-exhaustive manner, as a means of coding maternity reality, as a form
of emphasizing some ideals and some socio-cultural fears concerning this
matter, and also of the possible conceptual implications on maternity.
We are going to investigate elements of the laws that concern
maternity, such as the explicit text (the used type of the text, beyond
the restraints of the legislative rigors, formulas, privileged
collocation, referring to maternity and which may betray the adherence
to some principles regarding the due relationship with maternity),
submerged social narratives--conceptions on reality of maternity that
are not actually present in the text but which constitute a background
on which laws are grafted and which are considered to be shared by all
citizens of the country (3), being instilled with judgments of value
(good/bad)--but also by the dynamics of the actors appointed by the law
as being responsible for its deployment (responsible, intermediate
organisms etc.). The relationship between the explicit discourse of the
law and the submerged social narratives is going to be useful for
examining law objectives and the manner of management (textually and as
a proposed solution) the tension series between visibility and
non-visibility, between objective-strategic assumption and context of
assumption, between the intended result of law adoption and the possible
impact (anticipative construction whom the interaction between the two
types of discourse, explicit and implicit, transforms into reading
strategy of the law).
We are to discover that both forms of rate-setting maternity
present structural incoherence from an insufficient cultural elaboration
of this social and personal-human dimension. We also observe that,
although being almost simultaneous and spatial-economical, the two forms
develop impossibilities of functioning together, contradicting each
other as prime discourse, and, moreover, as submerged discourse even in
their starting and legitimating points. This fact takes place, because
beyond each of the two legislative occurrences there are two different
cultural paradigms.
2. Psychological Counseling during the Pregnancy Crisis
The first law that requires our analysis--a legislative proposal
from spring 2012 to establish and organize functioning counseling
units/cabinets in what was called "pregnancy crisis"--is
nowadays a failed law. More precisely, it was rejected by the Romanian
Senate in September 17, 2012, and in March 2013 it was also rejected by
the Chamber of Deputies (4).
In a nutshell, the content of the law was referring to the women
obligation to receive psychological counseling in a medical environment
with certain credentials in case women desired to abort until the term
established by the law. Planning at least one session with a woman, the
psychologist should have presented the potential mother the medical and
psychological risks at which she is exposed in an abortion procedure,
presenting her photos or videos of the abortion procedure, and also
visualizing the eco with the embryo. The woman would have to wait (or,
more exactly, to meditate on the information) five days and if however
she would have wanted to give up her pregnancy, the psychologist would
have given her the certificate without which the abortion would have not
been possible either in private medical system or in the state medical
system.
Although the various feminist movements of female emancipation have
signaled the political sub-representation in politics and the negative
consequences of this fact concerning the accordingly approaching of
matters that regard mostly (housework, raising children) or exclusively
(pregnancy, birth, menopause etc.) women, here is a case of a law
co-initiator woman, law that, paradoxically, puts implicitly the blame
on women that would desire to abort and not to give birth to an unwanted
child. This is the case of the depute of the Democrat Liberal Party,
Sulfina Barbu. The other initiator, being part of the same party, is
Marian Dugulescu. They motivated their proposal by the great number of
abortions in Romania (over 22 billions between 1958-2008), by the fact
that a number of young women uses this procedure in case of their first
pregnancy (5) and by the fact that the abortion decision doesn't
reflect woman's desire to give up to their pregnancy but a form of
social restrain, pressure to which woman responds in this way, being
given the fact that she doesn't have enough time of thinking. The
negative consequences of abortion are stated (immediate--intense
bleeding, infection; later--sterility, following premature pregnancies,
risk of uterine cancer, and psychic consequences--guilt, post-partum
syndrome, emotional instability etc.). Some solutions are proposed as
alternatives to abortion--placing children in maternal houses
administrated by nongovernmental organizations and adoption (which is
said to be accomplished much easier). The fetus is almost everywhere
named child and embryo is considered a person with the same rights (of
donation, inheritance etc.) from the moment of conception (6).
2.1. Maternity Psychologization or between the Question Liberty and
Unique Response Requirement
The submerged social narrative is double here. Besides from the
fact that a child is always good, under all circumstances--on the
individual level the child is not socially corrupted, being pure, but
also on the inter-individual level the relationship of an adult with the
child is beneficent for both (7)--there is a second narrative, specific
Occidental, of the benefits of psychology in the everyday life either we
talk about serious problems or about managing normal feelings. A
theoretician of the social reality Gilles Lipovetsky showed in 2006 that
nowadays Occidental society endures a psychologization process (8),
supposing the temptation of signifying reality through a psychological
grid, the growth of specialist's authority in the psychological
area and especially mass culture contamination with notions and reflexes
of psychological interpretation. Indeed, the postmodern man manages to
cope with the stressful life with difficulty, being in need of a therapy
named everything's gonna be all right, it will all sort out, a
therapy served as warm bread by the psychologist (person or set of
strategies of more or less calming, diminishing existential anxiety). It
is clear that the person of psychologist acquires power in the
contemporary socio-cultural imaginary and, consequently in the relation
with a woman who desires abortion--psychologist who rather counsels her
to maintain the pregnancy, power being on the side of the latter. We
realize this fact especially when analyzing that the report, induced by
the state institutions, is between someone in a crisis, defined by the
mere motivations of this law proposal as being susceptible of being
under exterior pressure (thus, a weak, vulnerable person) and a
representative of state structures--psychologist assigned by the state
to bring light in the situation of a woman who doesn't desire to
become mother. The law project mentions in vain that the decision would
be woman's exclusively, as it is evident that she deals with a
priori lack of trust on the behalf of the state. The mere idea of the
law project has as a starting point the fact that the woman's first
decision to abort is not the best and it is not according to the social
desiderates seen as such by the state. Thus the first woman's
perception and judgment towards herself, her body, her life and status
of mother is considered wrong ("the pregnant woman must be aware of
the fact that the unborn has the right to live").
Indeed, if we judge only from the strict perspective of the
relationship between what the woman desires and what she decides
(relationship that is beyond the sphere of good and bad, respectively of
correct/incorrect), it may happen that the decision would be incorrect.
Meaning that for the woman to decide to abort not thinking to what she
actually wants, not acceding a certain authenticity of personal
feelings. But it may also happen that a woman would decide to maintain
the pregnancy and this decision would not be according to her desire. If
we may speak about the social pressures in order to give up having a
child, there are also real pressures, although less accepted and
conscious, to have a child. The ideological basis of the law project is
revealed.
Another way of undermining and despising woman's will is the
content of the process of counseling--watching videos with fetus
abortion etc.--a brutal process oriented towards the desirable direction
of the state of keeping the pregnancy. This requirement of informing
regarding the medical procedure through which the giving up of the fetus
is performed is a violation of woman's right (of every man) to
know, which also involves what and how much a person desires to know.
For instance, in no medical facility the individual is not required to
watch images or films with appendicitis surgery, slipped disc,
transplant, dental extraction etc. There is a serious confusion between
the notion of information (the general knowledge of some aspects that
are of interest or affect the individual) and the specialization
(detailed and quasi-professional knowledge). Even when not taking into
account this confusion there is still the idea that if the state would
have desired through this psychological counseling that women would
actually be aware of the consequences of their choice, it would have
been necessary that they watch images and movies with abandoned children
in orphanages--the viable alternative to abortion, as the initiators of
the law project pretend. Respecting an objective and neutral demarche
oriented towards the woman become patient, the physical and
psychological risks of the intervention stated in the law project that
should be known should be correlated at least with the birth risks
(maternal mortality remains a difficult matter of contemporaneity (9))
if not with the psychological risks of becoming less happy. These are
the risks not merely mentioned (10) but they are well-known to
researchers (11).
All these happen because the medical and social background of
abortion (which--we are going to see--doesn't happen in case of
assisted human reproduction where medicalization is raised to the level
of primal dimension) are almost completely eluded, persisting only the
psychological aspect. The brief referrals to uterine and breast cancer
as abortion effects, extremely disputable (12), are inconclusive and
peripheral in the argumentative environment of motivating the law
proposal. Actually, the psychological counseling, as it is perceived by
the state is hypocrite, as it has to act the dialogue woman-counselor
(as a negotiation, play of perspective plurality) and not to perform it,
considering the woman in a true inferiority of knowledge compared to the
counselor. Thus, there is an opposition between the specific questions
of a dialogue and the plurality of meanings that may appear and the
unique and violent answer: the woman must choose to become mother. It is
true that there is not a total obligation, but at least a moral one. We
understand from the way of proposing the law that the psychological
counseling is identified with an accentuated ideological and
propagandistc source: any child is better than no child. It is in the
sense of a law to generalize, to standardize, as we mentioned above, but
this shouldn't determine limits of liberty, even if it is the case
of liberties gained recently by the female part of the citizens.
2.2. The Sublimed Body. "Yes" to the Child,
"No" to the Embryo
Psychologization is not the only characteristic of the law project.
Another trait, in close connection with psychologization is the
sublimation of the body in soul. First of all, this is the case of the
fetus' body. Among all the words used in the text of the law (the
child, the unborn one), whose idea is the same, as it is said in the
counseling bulletin ("fetus is a live human being even from the
beginning of its conception") results a true transformation process
from body to soul. Fetus and embryo (corporal structures) is considered
a baby. The debates on the subject when a fetus starts to become a human
person are endless, merely common place, but this fact doesn't
serve as an excuse, but accuses the easiness with which rigid
significance is granted to this sort of matters by the Romanian law
makers. The only method through which women could be convinced to have
the children they don't want--a purpose vaguely declared and partly
recognized in the text and motivations of the law project--is to
consider them a human and spiritual form. The transformation of body
into soul is a symbolic process, but which brings into play a
manipulation potential. The relationship established between the woman
and fetus is not anymore one between the woman and her body, nor between
the woman and another body that may become a soul, but this is a
relationship between soul and soul. And the woman is not only woman, but
mother--woman being named preponderantly mother in the law proposal so
that soul requirement is doubled--as self assumption and the
other's assumption. Under these circumstances, aborting is
equivalent to committing a murder (abortion means ceasing a life and
considering those 22 billions abortions human loss), except for the fact
that its sanction is not that harsh.
In the imaginary that supports the discourse of this law the body
belongs to a classical conceptual paradigm of Christian inspiration. The
antagonism between body and soul exists, placing us in dualism and
schism between the two, while the body is subordinated from the valuable
perspective to the soul, being the vehicle for the soul, a simple
instrument that doesn't affect the quality of who is using it. From
this point of view, we a far away from the postmodern paradigm of the
strong body that corporates the human being (13) and that becomes
extreme (14), but, at the same time, machinized, functionalized at its
best (15). A paradigm that instills in the submerged social narrative is
the law of the assisted human reproduction.
2.3. In the Name of the Father or About Another Female
Commodification
The desire of manipulation is pretty clear in expressions such as
"a reflection time might change the initial decision to abort,
reducing the number of abortions and thus giving the chance to a child
to come to this world" (16). It is to be seen that the state
objective--reducing the number of abortions--is situated in the sentence
before the individual chance for life, not a random aspect at all.
We said that the appeal to psychology and counseling is a mise en
scene, a masquerade. We are to reveal more on this matter. After
unveiling the masks we discover the figure of the father-State. He is
the true counselor, the force that is in action, for the own benefit,
through the postmodern cultural formula of necessity of psychology. And
this father-State can't be unstuck from its communist history when
(using Goya's imagistic metaphor) is was a reversed Saturnian
father, as it devoured its sons, throwing them in the world and forcing
them to throw other sons in the world. The well-known decree 77 from
1966 that had imposed a forced maternity, along with the entire
propagandistic convoy of communist discourses had made history (17). As
it seems, that wasn't enough, as the two initiators of the law of
psychological counseling reactivate a paternal perspective of the
approach of maternity typical for those times (18). If during communism
woman was perceived as a being that had the duty to give birth for the
patrie, in the Christian religion maternity was and is considered, as
Petrina Brown shows in her book (19), a means of exorcizing evil done to
the world by the one that had thrown the world into sin--Eva.
In this exaltation of the idea of self sacrifice for the other, for
the baby, the communist ideology meets the Christian tradition,
highlighting the lack of equality of chances between the woman and the
man. Taking into account the alliance between politics and Church (as
institution) it has to be noticed that the initiators of the legislative
proposal come from the Orthodox background, except for the politicians
(Federation of the Orthodox Organizations Pro-vita from Romania, Centre
Noua Speranta, Foundation Arsenie Boca etc.) (20). Politicians trust in
the expertise of the Orthodox organizations Pro-vita and they extract
their arguments to support the necessity of a counseling before the
abortion from the cases of the Foundation Pro-vita Medica, Timisoara.
The cultural and religious unilaterality of those who signed the law
proposal is obvious. They opposed to sign an open letter to Crin
Antonescu, president of the National Liberal Party from Romania (21),
naming themselves apolitical and democratic organizations in order to
suggest the bias of the others. Among the organizations there is
ECPI--Euro regional Centre for Public Initiatives, IPP--Institute for
Public Policies, CPE--Centre Partnership for Equality, SECS--Society of
Sexual and Contraceptive Education, Foundation Pro Women etc. These
plead for respecting the women's rights and emphasize the other
attempts of pro-Christian organizations to annul the women's right
of therapeutic abortion or to determine the legal interdiction of each
form of abortion (22).
There is another dimension present in the law proposal that
differentiates the political vision as it is revealed by this project,
by the Christian traditional vision on maternity without placing them in
total contradiction. This dimension, functioning as an intermediate
nuance between political and religious and dealing more with the
political aspect is commodification (23). The women are treated as goods
or, moreover, as generators of social goods--children, on the basis of
such a social contract more or less explicit. The cultural-economic
paradigm responsible of this status of the woman is, of course, the late
capitalism and hyper consumerism, but the social phantasm of continuing
the national identity through successive generations of human beings is
lost in the darkness of times and it is bound to the mechanism of
species survival (24). Nevertheless, the specific rhetoric of our times
is that of saving the state (often acquiring nationalist nuances; for
instance, the problem is not that the number of people is diminishing on
the entire Earth, but the fact that Romanian birth rate is weaker than
in the case of Gipsy population), and, by extension, of Terra through
children and treating the idea of human reproduction in statistical and
economic terms (25). Commodified or not, the etatist perspective on
maternity enters frequently in opposition with the individual
perspective or group perspective of the same subject, exactly as it is
going on with the problem of death attitude (26).
For the Christian religion and especially for the most conservative
Orthodox, frightened (27) by feminism, regarded a derived from the
natural femininity (28), left by God, maternity may be a form of
commodification while we think of a woman become not a capitalist
resource, but, forcing the expression, an essentialist resource. In
other words, an instrument, which, well used--meaning learned to accept
pregnancy, birth as mandatory elements of personal life--is a clear
demonstration of the fact that the social aspect is natural at the end
of the day and there is an intrinsic order of things that must be
respected. Religiously instrumented maternity helps the Orthodox Church
to show that reality isn't socially constructed, but divinely. And,
last but not least, maternity commodification is useful to Church so
that it may reaffirm its power, even if it is the case of a power
functioning in vain, unconsciously or inertial.
In a socio-cultural background as it is the Romanian case, the
general perception of the Orthodox Church on woman comes to emphasize
the political commodification of women and--important to notice--it
diminishes the risk of political commodification of the father, man
through reactivating, practically and textually, the traditional
structures of the family. It is worth lingering a bit over this aspect
and observing the fact that the analyzed law is constructed on a true
paradox: the fetus has human rights, it is considered a soul (as we have
already mentioned) that doesn't belong to the woman, but that, on
the other hand, the woman has responsibilities for this soul from the
conception moment, while the man, the partner, has no responsibility at
all, not being called to participate at the so-called cell of crisis, he
isn't taken into account at all. But, if having children is a duty
of the citizen for the state, men have to be more present in law
projects.
2.4. Brief Conclusions
It may be said, briefly, that the law project concerning
establishment of counseling units destined for women that desire to
abort contribute to women representation in an outdated, traditional
manner and it risks to deepen the inequality of chances between men and
women persistent in the Romanian society, through the interpretative
abuse of what may be considered the human being and the quality of life
(privileging adoption compared to non-life), through diminishing the
feminine authority concerning her life and her status (mother,
non-mother), through eluding the masculine responsibility and through
the political and religious handling of women who should assume their
maternity as a duty towards the state and morals. The mere idea of
counseling, of giving time to think could be welcome, but not in the
context of this law project that establishes an extremely vicious
protocol of the dialogue, which hiddens the desire of persuasion in
order to keep the child and which has as a side effect de-ontologizing,
at the same representation level, the idea of having children, of giving
birth to children.
Although this is not the objective of our research, we can't
ignore the fact that such a law project may cause more problems than
solutions. We may admit, beyond the critics for the pro-giving birth
etatist politics of which we have discussed above, that the Romanian
state needs politics of enhancing birth rate. But, as Victoria Stoiciu
observes in the quoted article, it is tricky how the state would handle
the Romanian citizens wanted at all costs, while it doesn't cope
well with taking care of the existent citizens (it is significant to
analyze the number of emigrants) and it has serious problems in ensuring
the necessary infrastructure of growing the number of its citizens (the
publicized problem of the diminishing number of kinder gardens and
schools, reducing the period of the maternal leave and of the allocated
quantum).
3. The Medically Assisted Human Reproduction
In Romania the normative background of medically assisted human
reproduction is characterized by indetermination and by multiple
searching, in 2003 being in course of clarification. The first
legislative proposal, entitled Law project regarding the health of
reproduction and medically assisted human reproduction dates back from
2004 and its author is the senator of the Social Democrat Party, Ovidiu
Barzoi, which after a long series of examination and re-examination,
ways from Senate to the Chamber of Deputies, with waiting periods while
being analyzed by evaluating commissions after some intimations at the
Constitutional Court, is rejected two years later, in February 9, 2006.
In 2009 the second legislative proposal, initiated this time by more
senators of the Liberal Democrat Party, is adopted by the Senate, but
rejected by the Chamber of Deputies in October 19 2010. In 2011, depute
PDL, Sandru Mihaela-loana, proposes a new law on the same subject of
medically assisted reproduction. On the 2nd of May 2011 the law is sent
to require a point of view of the Government that expresses its reserve
towards it (lack of constitutionalization of some articles, the complex
of bio-ethical elements, health and educational elements that should be
subject of some more ample debates). The initiator withdraws the law
project on April 11 2011.
Another law project regarding medically assisted human reproduction
with a third donator is registered at the Senate on October 11 2011,
Romanian Government being the initiator (approved by the Government) and
being debated at the Chamber of Deputies after being adopted by the
Senate in 13 March 2012. It is interesting to mention that even in such
an unstable legal environment in Romania had taken place programs of
fertilization in vitro as in 2011 The national program of fertilization
in vitro and embryo transfer (29), realized in order to enhance the
reproductive health of which could and continue benefiting infertile
couples, married for at least 2 years, without donating oocytes or sperm
and with no surrogate mother. The act afferent functioning of the
National Program was emitted by the Ministry of Health and published in
the Official Monitor on May 31 2011, and for this to be possible the
Association SOS Infertility had been fighting (30). Coordination on the
national level of the sub-program FIV/ET was ensured by the Institute
for Mother and Child Protection "Prof. Dr. Alfred Rusescu".
For the accepted couples in the program, the Health Ministry supports
part of the necessary costs of a single procedure of medically assisted
human reproduction. Another rather interesting aspect is that
Mihaela-loana Sandru, who had initiated the law project in 2011 was
supported in research work by the Association SOS Infertility that had
also the initiative of the subprogram FIV/ET.
Among the principles of the 2011 project and of the national
program FIV/ET is that of guaranteeing the human individual and family
dignity and it is about respecting the superior interest of the child.
Other rights considered to be guaranteed are the information concerning
the medical procedures, protection against eugenics, cloning etc. It is
to be noticed here that this law is described as being a protective
instrument of women rights, exactly as the law examined above. Among the
initiators' motivations we find, as in the case of the already
analyzed law, the diminishing of birth rate in Romania in the last
decades and stating that infertility is an illness that tends to affect
more and more the population of the country (1 out of 5 couples are
infertile, and there is an yearly growth of 20% in the last five years
of couples declared infertile that appeal to techniques of medically
assisted human reproduction). In a nutshell, medically assisted human
reproduction has two main components: artificial insemination (the
embryo is introduced in woman's body through inserting sperm from
the partner or donator) and in vitro fertilization (the embryo is
produced exogenous woman's body and then introduced in her uterus).
Both procedures are preceded by a stage of ovarian stimulation (for
producing more ovule), and the second is based on a process of embryo
selection so that the embryos that are not introduced in the uterus are
cryogenized for another usage or destroyed. Egg cells may belong to the
mother or, according to the law from October 2011 and the national
programs that are already developed, from a donator (voluntary with no
remuneration). There is a real glossary of terms (surrogate, post-mortem
reproduction, bearing mother, pre-embryo etc.) in case on the 2011 law
and in case of the methodological norms of the mentioned program. Unlike
the first case when a single term was used in order to designate
different realities (embryo, fetus, child), here the maternity and
conception realities seem to be fragmented and to each fragment
correspond one or more terms.
3.1. Medical Nemesis. Towards a Post-Medicalization of Maternity?
If in the case of counseling in the cell of crisis psychologization
was hidden (as we have seen incomplete and formal) in this case we deal
with the submerged narrative of medicalization. At the same time, a
solution for maternity issues is found, as the law puts it, through
medicine. The etatist imaginary of the necessity of the young
generations as numerous as possible but probably also some cultural
anxieties specific to postmodernity of extinction of the human species
through inhibiting reproductive capacity are the basis of this submerged
narrative of medicalized maternity. Fear of the human extinction is
often captured by the movies of the popular culture, as it is often
illustrated the saving potential of children (31). Nevertheless, the
global population is in continuous growth. If in 1950 there were
approximate 2,5 milliards people, in 1999, according to ONU, the
population has overcome 6 milliards inhabitants, and the estimations are
that in 2100 there are going to be 11 milliards people (32). On the
other hand, the benefits of medicine over maternity, undeniable in some
sectors and contexts, become questionable when they force a baby to come
into the world. Especially, as numerous Christian organizations that
contest the law of the medically assisted human reproduction reclaim, in
vitro fertilization and other similar techniques don't manage by
far to solve the problem of diminishing birth rate in Romania or
elsewhere.
Being started in modernity, medicalization is a social process that
reaches its maximum development in late capitalism. In the specialized
socio-cultural literature medicalization was associated with
implementing some practices through which there is an attempt to control
individuals (33). Among the most significant works there is Ivan
Illitch's work written in 197534. Without rejecting the
accomplishments of medicine, he crashes a number of myths of the medical
sciences and he observes grimly the losses of society and individuals in
this process of medicalization. The lack of responsibility towards the
individual's health, passivity and adoption of the patient status
is one of the fieriest critiques. In a recent article, in 199935,
Illitch restates his older concepts, adding new nuances: health supposes
a continuous search, being a true mission for the individual of those
times and, severely, an obsession, which throws this search in the area
of pathology. Besides, health becomes more and more difficult to
achieve, as society and medical sciences seem determined to find new and
new illnesses, while the engine of this mechanism is the commercial
interest.
Among the social processes of medicalization the most frequent ones
were medicalization of death (36), of agedness (37), of birth (as a
process of expulsion of the fetus). All three have been harshly
criticized and nowadays at least concerning birth there are numerous
movements that support a coming back to natural (38). Practice, all
three medicalizations were known in two stages--one of affirmation and
glory, and one as basis and critiques. Someway anachronistic from these
three types, reproduction medicalization, with an emphasis on the
conception moment, but containing the preparatory stage for conception
(preparation, medication etc.) continues to be in the first stage of
development. The critiques regarding the assisted human reproduction,
apart from the religious ones, on sociological or cultural premises are
few (39) and weakly represented in the media, as they are more part of
theoretical research. Less are critiques in what concerns the
functioning of the assisted human reproduction in the capitalist
context, critiques that deal with, possibly, the leeway of medicine
towards the financial interests, as, at least in Romania, the majority,
if not all the fertilization and in vitro insemination procedures are
performed in private medical clinics, being extremely expensive and with
a rate of success that doesn't overcome 35%. Cases similar to Sabyc
clinic, accused of ovule traffic, were not that loud in the media and
left the Romanian public opinion indifferent (40).
For now, the Occident feels the fascination for what the assisted
reproductive medicine manages to achieve: nature subjection, reigning
over its caprices, while other states are involved in elaborating some
national programs of in vitro fertilization and it crystallizes its
legislative directions concerning the assisted human reproduction.
Medicine is called to fight against infertility and it is accomplished
with the help of the state, as infertility is medicalized and, more
precisely, pathologized (41). Infertility is considered an illness. By
extension, not being able to have children becomes an illness, and this
supposes, as we may see from the law project regarding the assisted
human reproduction with a third donator that non-birth, female inability
to give birth to children, hers or others', could be related to
illness and the reverse is possible: a woman, who gives birth, even if
it's not her biological child, may redeem her status as ill. And
this due to the fact that they consider that a couple may choose to have
a child (the woman to be more specific) even using genetic material from
the woman of the couple and sperm of a donator, sperm of the man of the
couple and oocytes of a donator or, an extreme case, both genetic
materials donated. And here, at this point, the sociocultural
implications are difficult to evaluate, but they shouldn't be
neglected. A bizarre fact that confirms an excessive pathologization of
infertility are cases of unknown origin--those that medicine can't
figure out, being like a pathological code, treated consequently (see
the law recommendations).
Infertility medicalization and enlarging the perspective, as we are
going to notice right away, maternity medicalization under the sight of
the vigilant and standardized eye of assisted human reproduction could
be put under the sign of Nemesis, as the risks for the woman are
countless (cancer after administrating medicines for ovarian
stimulation, hyper-stimulation ovarian syndrome, multiple pregnancies,
abortion, pre-eclampsia etc.), and the fetus isn't spared the high
risks of genetic malformations (42), useless risks, as not all such
interventions end up having the desired child. Then, the role assumed by
medicine is one of force and rupture with tradition, a role of
redefining the human values, of fragile lines between health and
pathology and it would be a case of postmedicalization, of course. And
this is not only because, unlike death medicalization, reproductive
medicalization starts and especially reaches its highest point in
postmodernism, but also because the mere medicalization substance
isn't nowadays unitary, often contradictory, integrand multiple
stories, as the one of alternative, allopathic or naturist medicine.
3.2. The Extremely Functionalized Body. Egg Cell, Embryo, Child
An important characteristic of the mentioned above series--egg
cell, embryo, child--is that the elements are not of the same
ontological nature from the assisted human reproduction perspective. The
last term is the most powerfully ontologized, being the product of the
first two elements. There are also some other elements of organic nature
(sperm etc.), but not yet animated, invalidated in a human paradigm,
elements over which the medical power is exercised. We are far away from
that expression in the bulletin signed by the counselor and by the woman
who wants to abort ("fetus is a human being from the very moment of
its conception"), document necessary for the doctor to intervene in
case of his patient. We are in another socio-cultural paradigm of the
body towards the counseling case in pregnancy crisis. This is the case
of the body described (and criticized) by theoreticians of social
sciences as Patrick Baudry (43), Alain Corbin, Georges Vigatello (44) or
Glennys Howarth (45) and which is defined as over-investing semantically
and pragmatically the body so that "the body became more important
than our soul, it became more important than our life" (46). And
this becoming of the body supposes a transcendence of the usual body, a
getting out of its natural limits (47) and its de-spiritualization (48).
The Occidental medical practice continues being accused of treating the
body through a rupture from the soul. Indeed, in such a cultural
paradigm, which, without being the single one, is, most probably, the
dominant paradigm, the medical practice only contributes to this
emphasis of falling movement, of reducing the soul to the body (49)--a
contested movement by some towards the psycho-somatic medicine (50).
The extremely functionalized body goes hand in hand with
medicalization of the human reproduction and with the emergence and
imposition of the assisted human reproduction as its extreme point (as
we have said sharp point). And this is happening, because medicalization
empowers towards its maximum the natural possibilities of the body by
restoring the lost, vanished functions of a not so good and functioning
nature. And since we have reached nature, it must be said that in case
of the assisted human reproduction law the imaginary of nature is
different from that in case of the counseling law in case of pregnancy
crisis. In the first case, woman didn't want children but was
pregnant and the state intervened in their decision to give up her
pregnancy, considering that, no matter how prepared felt the woman to
become mother, the child is precious for the state and it is a gift from
nature, from God. In the second analyzed case, the woman can't be
with child, and the state decides she should be, taking into account
that, no matter what the risks are, the child is precious for the state
and since it is not given by the nature, it must be convinced to
surrender. The strong nature from the cultural background of the first
law is opposed to the weak nature from the second (on which people can
intervene). It must be stated that this mechanism of imaginary is
overwritten so that it wouldn't be ostentatious and wouldn't
reveal too much from a possible structure of manipulation, of individual
valorization, even in a sense of woman empowerment. The motivation of
organizations that militate for assisted human reproduction programs is
the right (not obligation) of the couples to have a child and especially
in European countries in which such procedures are well represented
legislatively. The child becomes goods, and if we may talk about
commodification in this area of imaginary that irrigates, underground,
the reasoning for assisted human reproduction, the future child is most
affected by commodification. In order to obtain a viable child and to
raise this possibility there are products in case of fertilization in
vitro, ovarian stimulation, more ovule, more embryos are obtained out of
the feminine body, from which only several are implanted in the uterus,
from which only one or two would probably develop. The rest of the
embryos are residual and treated consequently.
The sub-investing of embryo from the medically assisted human
reproduction differs flagrantly from the over-investing the embryo in
the same Romanian normative area from the law project for counseling
women to obtain more children or less biological (less, as the idea of
donator is accepted, which raises multiple ethical problems) and the
involved risks (the law doesn't state what is the woman's
informed consent), and, on the other hand, discouraging women that, at a
certain point, don't desire a child. Both of them may seem
reasonable according to the premises, but both carry ethical and
conceptual difficulties.
3.3. Brief Conclusions
Apart from those conclusions stated in the previous section, there
is a fact that imposes itself as a conclusion and which results from the
law analysis regarding the assisted human reproduction, beyond its
nuances from various proposals and beyond the lack of actual clearance,
is that the law of the medically assisted human reproduction favors some
types of maternity and despising other types. The preferred and
supported maternity is the desirable maternity, the one that associates
a capitalist imaginary regime of desire and ambition, of effort in order
to obtain a result--in this case--the child. On the other hand, the
biological maternity is devalued, reduced to a function of the organism
that may be used according to the wish of the one who detains the body.
The woman that donates its ovule becomes mother for a child she
isn't going to meet and for which she is required, opposed to the
case of psychological counseling not to have the curiosity or right to
know who that child is. On a collateral plan, as Sabyc case proves,
ovule donation may transform in an ovule business, in the trap of which
may fall women with low income, with a weak financial situation or low
educational level. At the same time, the situation of the surrogate
mother is not that free of dangers. In 2011 law it is said that
"The voluntary interruption of the pregnancy may be done according
to the law by the carrying mother or by anyone of the beneficiary
couple, bearing the caused prejudices". This being said, it may not
be exaggerated to present a game of pregnancy concerning the assisted
human reproduction. First of all, a game of giving birth (even if the
child isn't the biological child of the couple), when the donator
woman or/and man is biologized (considered only from the aspect of
biological possibilities), then a game of the inheriting child of
genetic material, when it is biologized the function of giving birth
(case in which we deal with the surrogate mother).
However, the discursive, conceptual and paradigmatic discrepancy
between the two analyzed laws is not just obvious, but huge. It
demonstrates that maternity continues to be subject of different
cultural codes in the context of the same culture, indicating,
underground, the women difficulty of conforming to a code or another and
the pressure to which they are submitted in assuming the maternal role
and in its politicization.
Acknowledgement
This work was possible with the financial support of the Sectoral
Operational Programme for Human Resources Development 2007-2013,
co-financed by the European Social Fund, under the project number
POSDRU/86/1.2/S/64088 with the title "Research & professional
training/development programme for the postgraduates in social
sciences".
Adriana TEODORESCU, University of "1 Decembrie 1918" Alba
Iulia, Center for Historical and Political Research "Iuliu
Maniu"
E-mail: adriana.teodorescu@gmail.com
(1) Peter L. Berger, Thomas Luckmann, The Social Construction of
Reality. A Treatise in the Sociology of Knowledge, Anchor, 1966.
(2) See for the difference between representation as process and
representation as product, Paul Ricoeur, La memoire, lhstoire,
'oubli, Editions du Seuil, Paris, 2000.
(3) Social submerged narratives would be those common conceptions
about maternity reality (or what is considered to be generally accepted)
that are beyond the significances popularized by the law. For example,
briefly; having a child is a right (for the law of the assisted human
reproduction) and, moreover, a desirable social thing (here all the
myths of social continuity through children come into action) or
abortion is a way of questioning human dignity and of jeopardizing the
psychical state of the pregnant woman etc.
(4) http://www.senat.ro/Legis/Lista.aspx?cod=16636&%20pos=0&NR=b118&AN=2012, last consulted on 09.04.2013.
(5) See the document entitled Exposing the Motives of the
Legislative Initiative on the website of the Romanian Senate above.
(6) Exposing the Motives of the Legslative Initiative, p. 4.
(7) Cf.: Paul van Tongeren, The Paradox of our Desire for Children,
in Ethical Perspectives 2 (1995) 1, pp. 55-62.
(8) Gilles Lipovetsky, Le bonheur paradoxal. Essa sur la societe
d'hyperconsommation, Gallimard, Paris, 2006.
(9) Petrastefan, Mortaltatea materna in contextul social
contemporan (Maternal Mortality in the Contemporary Social Context), in
Calitatea vietii, year 11, no. 1 -4/2000, pp. 109-121.
(10) Bonnie Rochman, Why Having Kids Is Bad for Your Health, in
Time(Health and Family), 11 April 2011, Parentaltate =
fercire?(Parenthood=Happiness?) in Psychologies Magazine, no. 58 April
2013.
(11) Cf. Roy F. Baumeister, Meanings of Life, Guilford Press, 1991,
Ranae J. Evenson, Robert W. Simon, Clarifying the Relationship between
Parenthood and Depression, in Journal of Health and Social Behavior,
December 2005 vol. 46 no. 4 341-358.
(12) Cf.: http://www.sfatulmedicului.ro/dictionar-^edical/sindromul-de-hiperstimulare-ovariana-ohss_7199, last consulted on 12.04.2013.
(13) Alain Corbin, Jean-Jacques Courtine, Georges Vigarello
(coord.), Hstoire du cops: Tome 3, Les mutations du regard, Le XXe
siecle, Editions du Seuil, Paris, 2006.
(14) Patrick Baudry, Le corps extreme. Approche sociologique des
conduits a risque, L'Harmattan, Paris, 1991.
(15) Glennys Howarth, Death & Dying. A Sociologcal
Introduction, Polity Press, Cambridge, 2007
(16) Exposing the motives of the legislative initiative, p. 4.
(17) Cf.: Ramona Paunescu, Evolutii politice ale matemitatii
(Social Evolutions of Matherhood), Polirom, Iasi, 2012, pp. 117-155.
(18) A recent article that approaches again the subject of the
negative consequences of the 1966 Decree:
http://adevarul.ro/news/societate/video-decretul-mortii-10000-femei-ucise-numele-meternitatii-povestile-
tulburatoarefemeilor-obligate-bata-devina-mame-epoca-aur-1_51654bd300f5182b85a327fb/index.html, last consulted on 11.04.2013.
(19) Petrina Brown, Eve. Sex, childbirth and Motherhood through The
Ages, Summersdale West Sussex, 2004. Brown talks about the suffering
canon through birth imposed by Christianity to the woman, mentioning her
diminished identity at birth. See especially p. 60, p. 64, p. 70.
(20) Exposing the motives of the legislative initiative, p. 11.
(21) http://www.centrulfiliaio/images/PDF/scrisoare_deschisa_adresata_domnului_crin_antonescu.pdf, 25 April 2012.
(22) We don't expose all arguments raised against this law
project, as we are interested at this point of our research in maternity
representation of this legislative proposal. There could be done an
entire research only on the impact of this law on public opinion. There
are lots of comments on the online media to newspaper articles that were
mostly negative, but it is still difficult to state the opinion of the
majority, as there are segments of population that don't have
access to internet.
(23) Term is taken from the Anglo-Saxon language, designating, in a
capitalist paradigm those attitudes and behaviors through which people
are considered objects of consumption.
(24) Zygmunt Bauman, Mortality, Immortality, and Other Life
Strategies, Polity Press, Cambridge, 1992, p. 90.
(25) Cf. Victoria Stoiciu, Poltici de naalfate: despre clasa, rasa
si biopoltca (Politics of Nativity: on Class, Race and BioPoiitics), in
CriticAtac, 29 January, 2013.
(26) Cf. Roy F. Baumeister, Op. cit., p. 362. The
socio-psychologist says that the social problem of death contradicts the
individual problem of death. Society wants to replace as soon as
possible people who are not useful anymore, while the individual needs
to feel unique and irreplaceable.
(27) There are many examples, starting with the priests'
religious discourse during their religious services to the content of
the Christian articles and Christian mass culture, pop Orthodoxism if
such an expression is permitted. Cf.
http://www.razbointrucuvant.ro/2011/05/10/feminismul-si-pervertirea-feminitatii-cu-parintii-epifanie-teodoropulos-si-
nicolaetanase-intr-un-stil-putin-mai-nonconformist/, last consulted on
11.04.2013.
(28) For a detailed presentation of considering woman from the
natural perspective, see Elisabeth Badinter, Le conflt: la femme et la
mere, Flammarion, 2010.
(29) http://www.legex.ro/Norma-Nr.0-din-27.05.2011 -112692.aspx,
Act Published in Monitorul Oficial Nr. 378-31 May 2011, last consulted
on 13.04.2013, http://www.ms.ro/?pag=62&id=9008, last consulted on
13.04.2013.
(30) See www.infertilitate.com (last consulted on 13.04.2013).
(31) Cf. Chlldren of Men (2006, Alfonso Cuaron).
(32) Cf.: Frederick F. Cartwright, Michael Biddiss, Dsease and
History, Diane Pub Co, 2000.
(33) The fact that the medical discourse is a power discourse was
emphasized in 1954, referring to the psychic illness: Michel Foucault,
Malade mentale et personnalte, 1954. Cf.: Bryan S. Turner, Medcal Power
and Social Knowledge, Sage, London, 1987.
(34) Ivan Illitch, Nemess medicale, Editions du Seuil, Paris, 1975.
(35) Ivan Illitch, Un facteur pathogene predominant.
L'obsession de la sante parate, in Le monde diplomatique, mars
1999, p. 28.
(36) The critique of classical thanatology against
de-personalization of dying and estranging the dying person from the
family. Cf. Louis-Vincent Thomas, Mort et pouvoir, Editions Payot &
Rivages, Paris, 1999, Philippe Aries, LHomme devant la mori, Editions du
Seuil, Paris, 1977
(37) Cf.: Elias, Norbert, La soltude de mourants (traduit de
l'allemand par Sibylle Muller) suivi de Veillir et mourir, queques
problemes sociologiques (traduit de l'anglais par Claire Nancy).
Christian Bourgois Editeur, 1998.
(38) Parenting philosophies such as attachement parenting, which
discourages medical interventions during birth, considering that they
could bring the affective rupture between mother and baby. Cf.: Judith
Warner, Perfect Madness. Motherhood in the Age of Anxety, Riverhead
Trade, New York, 2006.
(39) Cf.: David le Breton, Anthropologe du corps et modernte,
Presses Universitaires de France, 1990. According to Breton, the model
of the machinized body is the one that explains mostly the proliferation
of assisted human reproduction.
(40) For more information:
http://www.realitatea.net/idosarul-sabyc-inchisoare-cu-executare-pentru-medicii-vinovati-de- trafic-deovule_1052704.html, last consulted on
31.01.2013, http://www.evz.ro/detalii/stiri/sentinte-fara-precedent-medici- condamnatipentru-trafic-de-ovule-1011047.html, last consulted on
31.01.2013, http://www.evz.ro/detalii/stiri/israelieni-
suspectati-de-traficcu-ovule-fara-pasaport-860058.html, last consulted
on 31.01.2013, http://www.evz.ro/detalii/stiri/sefii-de-la-sabyc-ca-laauschwitz-860030.html, last consulted on 31.01.2013,
http://stirileprotv.ro/stiri/eveniment/clientii-clinicii-sabyc-isi-vor-primiinapoi-ovulele- si-spermatozoizii.html, last consulted on
31.01.2013.
(41) See also the campaigns of the SOS Infertility Association,
"Infertility is an Illness",
http://infertilitate.com/category/campaniainfertilitatea-este-o-boala-sezonul-trei/, last consulted on 13.04.2013.
(42) http://www.sfatulmedicului.ro/Reproducerea-umana-asistata/complicatiile-tehnicilor-de-
reproducereasistata_1170#Riscuri_pentru_viitoarea_mama, last consulted
on 12.04.2013, http://www.csidio/famiry/fertilizarea-in-vitrorisc-de-malformatii-genetice-la-bebelusi-5121246/, last consulted on 12.04.2013.
http://www.sfatulmedicului.ro/Reproducereaumana-asistata/transferul-embrionar-a- fertilizarea-in-vitro_1080, last consulted on 31.01.2013.
(43) Patrick Baudry, Op. cit.
(44) Alain Corbin, Jean-Jacques Courtine, Georges Vigarello
(coord.), Op.cit.
(45) Glennys Howarth, Op. cit.
(46) Alain Corbin (et all), Op. ct.
(47) Some signs of this overcoming: tattoos, practice of extreme
sports, aesthetic surgery.
(48) See organ donation. Becoming useless, the body is nothing,
existing only through the social function that it manages to accomplish.
Cf.: Glennys Howarth, Op.cit.
(49) We attempt to describe the deep reasoning of a cultural
paradigm and the presented aspects are not to be understood as an
apocalypse of the general things, of the exclusiveness. The idea is to
capture a functioning principle that, of course, in the complex ensemble
of the human culture, from non-theoretical perspectives, may be seen as
a tendency.
(50) Darian Leader, David Corfield, Why do people get ill?, Hamish
Hamilton, 2007.