Self-gift:TheHeartofHumanaeVitae 1.Introduction TheCatholicChurch’steachingonsexualityisbasedonthedignityofthehuman personasbeingmadeintheimageandlikenessofalovingGod.Thegiftoflifeisagreat giftnotonlybecauseitenablesustoenjoythemarvelousgoodsofthisworld;even moreimportantly,itenablesustoanticipateandstriveforeternallifewheretherewill beaneverlastingenjoymentofallgoods,madepossiblebyunionwithourLoving Father.HumanaeVitaebeginsbyreferencingthe“extremelyimportantmissionof transmittinghumanlife”thatGodhasentrustedtospouses.1Itspeaksofparentsas thosewhorenderGodagreatservice.Afterall,GodwantstoshareHislimitless goodnesswithsouls;thatiswhyHecreatedtheuniverse.Havingandraisingchildrenis anactofimmensegenerosityanddignity;itenableshumanpersonstoparticipateinan actofinestimablevalue:theactofassistingGodinbringinganewimmortalsoulinto existence. TheWijngaardsStatementmakestheerroneousclaimthatHumanaeVitaeis basedprimarilyon“biologicallaws.”AstheopeningsentencesofHumanaeVitae indicate,thatisveryfarfromthetruth.Thebiologicalrealitythatsexualintercoursecan leadtotheconceptionofnewlifeisundeniablyrelevanttoanyconsiderationof contraception,butbiologyinnosenseprovidestheprimarybasisfortheChurch’s teaching.Tostartthereistostartinthewrongplace. 1.1GodisLove Again,theChurchbeginswithanunderstandingofGodasLove,andan understandingofloveasapowerthatoverflowsintonewloveandnewlife.Thehuman personsHecreateshaveanimmortaldestiny.Hehasbestoweduponspousesthe tremendousgiftofbeingparticipatorswithHiminthecreationofnewpersons,agift thatrequirescompleteself-giving. Thestatementbelowmakesthisclear,andshowsthatmanycompellingreasons thathavebeenputforthtojustifytheclaimsofHumanaeVitae.Thesereasonsmaybe basedonScripture,ontheCatholicTradition,onseveraltheoriesofnaturallaw,andon thereal-lifeconsequencesofcontraceptiononwomen’sbodies,onnon-maritaland maritalsexualrelationships,andonsociety.Noneofthesereasonshavebeenaddressed bytheWijngaardsStatement.Ourintenthereisnottoprovideafull-scaledefenseof HumanaeVitae.Itis,rather,togiveasketchofsomepowerfuldefensesofthedoctrine foundintheencyclicalandtoshowthatlove,ratherthanbiology,animatesallofthem. Theendnotes(wehavetriedtokeepthesetoaminimum)andlistofresourcesoffer additionalin-depthsupportforthesedefenses. 1 1.2MultipleDefenses Itispossibletoexplainthewrongnessofmanymoralissuesbyavarietyof defenses.Adultery,forinstance,canbearguedtobewrongformanyreasons:1)itis againstGod’swill;2)itviolatesoneoftheTenCommandments;3)itisagainstthe natureofmarriage;4)itisincompatiblewiththevirtuesoffidelityandself-mastery;5)it violatesavalidpromise;6)itviolatestherightsofaspouse;7)virtuallyallcivilizationsat alltimesandallplaceshaveconsideredittobewrongandhavehadlawsagainstit;and 8)itcanbeharmfultoone’sself,one’sspouse,one’schildren,one’sotherrelationships, one’sfinancialstatus,andsociety,too.Someoftheselinesofargumentationleadtothe conclusionthatadulteryisalwayswrongandsometotheconclusionthatisalmost alwayswrong.Thustheydonotallhavethesamestrength,butallcarrystrongweight againstadultery.Itmustbenotedthattherearealsoweakargumentsagainstadultery (e.g.,thatitisunpleasanttobeknownasanadulterer)butjustbecauseanargumentis weakdoesnotmeanthattheclaimitismeanttosupportisfalse.Norisittruethatan argument(e.g.,thatitisunpleasanttobeknownasanadulterer)isnecessarilyvalidor strongsimplybecauseitleadstoatrueconclusion. 1.3FundamentalTruths Noteveryonewhohasauthoredorcollaboratedwithcomposingthisdocument acceptsalltheargumentsputforwardhereinorseesthemasequallyvalid;buteach signatorydoesaccepttheChurch’steachingthatcontraceptionisneverinaccordwith God’splanforsexuality,andholdsthatoneormoreoftheargumentspresented,rightly understood,establishesthatcontraceptiveintercourseisanactionthatisalways incompatiblewiththegoodsofmarriage.Ourstatementattemptstoprovidethe“big picture”oftheChurch’steachingratherthanofferingapoint-by-pointrebuttalofthe claimsoftheWijngaardsStatement,althoughresponsestothoseclaimsareembedded inourstatement.(AspecificandthroughrebuttaltotheWijngaardsStatementwillbe postedatalaterdate.) TheAffirmation(alsopublishedonthiswebpage)providesalistoffundamental truthsacceptedbyallsignatories.Theyprovidethefoundationforthisdocument.We restatethemhere. 1.3.1 GodisLove:TheGodwhomadeourbeautifulandorderedworldisaloving andgoodGod.AllofHiscreationisalovinggifttohumankind.Evenafterthe Fall,GodcontinuedtoreachouttoHispeople,graduallyrevealingHimself andthedepthsofhisloveandmercy.GodtheFather’sgiftofHisSonJesus, whoselifewaspouredoutontheCross,wastheultimateandcompleteselfgift.ThisgreatandradicalloveisborneoutinScripturewherethebiblical authorsintheOldTestamentoftenspeakofGodintheimageofhusband andHispeopleasHiswife,andintheNewTestamentwhereChristis describedasthebridegroomandtheChurchasHisbride.Throughoutthe historyoftheChurch,manyhaveseenthisspousalimageryasakeyto understandingGod’srelationshiptoeveryhumansoul. 2 1.3.2 MadeinGod’sImage:BecauseGodisLove–acommunionofDivinePersons –HemademenandwomeninHisimage:abletoreasonandtochoose freely,withthecapacitytoloveandtobeinlovingrelationships. 1.3.3 CompleteGiftofSelf:GodinvitesallpeopletoshareinHislove.Every person,therefore,isbelovedbyGodandmadetobeinlovingrelationships; everypersoniscreatedtomakeagiftofselftoGodandtoothers.Thegiftof selfneednotincludeanysexualdimensions;itmeanslivinginawaythat promotesthegoodofeveryone,especiallythosewithwhomoneisinclose relationship. 1.3.4 Marriage:AUniqueCommunionofPersons:MarriagewasdesignedbyGod toenableamanandawomantoliveouthumanity’scoreidentityaslovers andgiversoflife,toenablethetwotobecome“oneflesh”(Gen.2:24)and forthatonefleshto“befruitfulandmultiplyandfilltheearth”(Gen.1:28). HumansexualrelationsfulfillGod’sintentonlywhentheyrespectthe procreativemeaningofthesexualactandinvolveacompletegiftofself betweenmarriedpartners. 1.3.5 God’sLaw,NotMan’s:“ThedoctrinethattheMagisteriumoftheChurchhas oftenexplainedisthis:thereisanunbreakableconnectionbetweenthe unitivemeaningandtheprocreativemeaning[ofthemaritalact],andboth areinherentinthemaritalact.ThisconnectionwasestablishedbyGodand humanbeingsarenotpermittedtobreakitthroughtheirownvolition”(HV 12).TheteachingthatcontraceptionisalwaysagainstGod’splanfor sexuality,marriage,andhappinessisnotbasedonhumanlaw:“Theteaching oftheChurchabouttheproperspacingofchildrenisapromulgationofthe divinelawitself”(HV20). 1.3.6 FaithandReason:Godhasrevealedthetruthsaboutsexualitytohuman beingsthroughthebiblicalvisionofthehumanpersonandhasalsomadeit accessibletoourreason.Severalwell-arguedversionsof“naturallaw” defensessupporttheChurch’steachingthatcontraceptionisnotinaccord withGod’splanforsexualityandmarriage.Eachbeginswithdifferentbasic truthsandthuseachconstructsitsargumentsdifferently. 1.3.7 TheTheologyoftheBody:SaintJohnPaulII’sContribution:SaintJohnPaul II’sManandWomanHeCreatedThem:ATheologyoftheBody(virtually ignoredbytheWijngaardsStatement)providesapowerfuldefenseofthe viewthatcontraceptionisnotinaccordwiththeunderstandingofthe humanpersonasconveyedbyScriptureandsacredCatholicTradition.He speaksofthe“languageofthebody”andhasshownthattoviolatethe procreativemeaningofthemaritalactisalsotoviolatetheunitive(the 3 “commitment-expressing”)meaningofthemaritalact.Therehe demonstratesthatourverybodieshavealanguageanda“spousalmeaning” –thattheyexpressthetruththatwearetobeinlovingandfruitful relationshipswithothers. 1.3.8 HumanaeVitaeasProphetic:HumanaeVitaespeaksagainstthedistorted viewofhumansexualityandintimaterelationshipsthatmanyinthemodern worldpromote.HumanaeVitaewaspropheticwhenitlistedsomeofthe harmsthatwouldresultfromthewidespreaduseofcontraception. Abundantstudiesshowthatcontraception,suchashormonalcontraceptives andintrauterinedevices,cancauseserioushealthproblemsforwomen.The widespreaduseofcontraceptionappearstohavecontributedgreatlytothe increaseofsexoutsideofmarriage,toanincreaseofnonmarital pregnancies,abortion,singleparenthood,cohabitation,divorce,poverty,and theexploitationofwomen.Ithasalsocontributedtodecliningmarriagerates aswellastodecliningpopulationgrowthinmanypartsoftheworld.Thereis evengrowingevidencethatchemicalcontraceptivesharmtheenvironment. 1.3.9 APracticalHelptoHusbandsandWives–FABMs:InordertoliveGod’s designformarriedlove,husbandandwifeneedmoralfamilyplanning methods.FertilityAwarenessBasedMethodsofFamilyPlanning(orFABMs, i.e.,themanyformsofNaturalFamilyPlanning)respecttheGod-given spousalunionandthepotentialtoprocreate.FABMsarefullyconsistentwith theChurch’steachingonmaritalchastity.Couplesusingthesemethodsmake noattempttothwartthepowerofactsthatcouldresultintheprocreationof newhumanpersons.TheyrespectGod’sdesignforsexuality;theyhelp individualsgrowinself-mastery;theyhavethepotentialtostrengthen marriagesandrespectthephysicalandpsychologicalhealthofwomen. Moreover,sciencedemonstratesthattheyarehighlyeffectivebothin helpingcoupleslimittheirfamilysizewhennecessaryandconceivewhen appropriate. 1.3.10 RespectforCulturalValuesandFreedom:Internationalorganizationsand governmentsshouldrespectthevaluesandbeliefsoffamiliesandcultures thatseechildrenasagift,andthereforeshouldnotimpose–onindividuals, families,orcultures–practicesantitheticaltotheirvaluesandbeliefsabout childrenandfamilyplanning.Governmentsandinternationalorganizations shouldmakeinstructioninFertilityAwarenessBasedMethods(FABMs)of familyplanningapriority.FABMsarebasedonsolidscientificunderstanding ofawoman’sfertilitycycle,areeasilylearnedbywomenindeveloping countries,arevirtuallywithoutcost,andpromoterespectforwomen. 1.3.11 ChristProvidesGrace:Becauseoforiginalsin,menandwomenbecame subjecttotemptationsthatsometimesseeminsuperable.Christcamenot 4 justtorestoreourOriginalGoodnessbuttoenableustoachieveholiness. TheCatholicChurchinvitesmarriedcouplestoparticipateinthelifeofChrist, andtoparticipateinthesacraments,especiallyinReconciliationandHoly Eucharist.TheChurchasksthefaithfultodeepentheirrelationshipwiththe LordGodtheFather,tobeopentoreceivingthedirectionoftheHolySpirit, andtoaskChristtoprovidethegracesneededtoliveinaccordwithGod’s willfortheirmarriedlives,evenwhendoingsorequireslivingthedifficult moraltruths. 1.4TheologyoftheBody The“bigpicture”andthesefundamentaltruthsencompassmuchmorethan whatwasaddressedintheWijngaardsStatement.Itincludestheviewthattheteaching onloveandmarriageinHolyScriptureshowsthatcontraceptionisincompatiblewith God’splanforsexualityandthedignityofthehumanperson.TheWijngaardsStatement nevermentionsJohnPaulII’sTheologyoftheBody(presentedinhismagisterialMan andWomanHeCreatedThem:ATheologyoftheBody);indeed,itshowsnoawareness ofitnorofthefactthatconferenceshavebeenheldandinstituteshavesprungupin placesallovertheworld(largelyfoundedbymarriedlaity)2toinstructpeopleabout SaintJohnPaulII’sprofoundmeditationsonScripture,orhisexpositionofthespousal meaningofthebody.NordoestheWijngaardsStatementacknowledgethatJohnPaul II’sinsightshaveleadthecountlesscouplesawayfromtheuseofcontraceptiontoan appreciationofthegreatjoyfoundinembracingGod’splanforsexuality.Neverclaiming thatScriptureexplicitlycondemnscontraceptionbutclaimingthatitarisesfromthe logicofthetest,SaintJohnPaulIIshowsthewaysinwhichcontraceptionis incompatiblewithScripture’sclearteachingaboutloveandmarriage.Focusedasitison promotingsterilesex,itisperhapsunsurprisingthattheWijngaardsStatementbarely evenmentionsloveormarriage. 1.5NaturalMoralLaw TheChurchhaslongreferencednaturalmorallawargumentsinitsteachingon contraception.Herelettheclarificationbemadefromtheoutsetthat“naturallaw” doesnotreferprimarilytothelawsofnature;ratheritreferstotheessenceor“nature” ofthehumanpersonandtheessenceornatureofsexualityandofallothergoods.The “lawsofnature”arenotinthemselvessacrosanct:itisonlythosethatarepartofthe goodsbasictohumanbeingsthathavethisstatus.Althoughthepersonisprimary,the biologicallawsthatgovernthehumanbodymustbetakenintoaccount,sincethebody isanintegralpartofthehumanperson.Thehumanperson’sbiologyisthoroughly human;theyareorientedtowardshumangoods,nottowardspurelyanimalgoods. InhisearlierworkLoveandResponsibility,SaintJohnPaulII(thenBishopKarol Wojtyła),basinghisthinkingonbothThomism(especiallyThomas’teleologyandviewof thehumanperson)andpersonalism,heldthatcontraceptiondoesnotcoherewitha properunderstandingofsexuality.Hisisthephilosophicaldefensethatweexpound here,butweshallalsosketchthemainlinesofotherunderstandingsofnaturallaw argumentsrelevanttothisissue. 5 1.6FertilityAwarenessBasedMethods(NaturalFamilyPlanning) WealsobrieflypresentsomeoftheexplanationswhytheuseofFertility AwarenessBasedMethodsofNaturalFamilyPlanningfostersvirtueandstrengthens marriages,donotviolateGod’splanforsexuality,andthusdifferradicallyfromtheuse ofcontraception. 1.7Medical,Relationship,andEnvironmentalDangers Wewilldrawattentiontothegrowingevidenceofcancers,strokesandother healthrisksassociatedwiththeuseofchemicalcontraceptives.Webrieflynotethe damagethatchemicalcontraceptivestoawoman’sphysicalhealth,thedamagethat contraceptiondoestomale/femalerelationshipsbothoutsideofmarriageandwithin marriage,thedireconsequencestochildrenbecauseofthatdamage,andthelegal consequencesofawidespreadacceptanceofcontraception,amongthem,the multiplicationoffiercethreatstoreligiousliberty.Wewilldrawattentiontothegrowing evidencethatsuggeststhatthehormonesthatareinthechemicalcontraceptivesare damagingtotheenvironment.Wewillalsocommentonthecrossofinfertilityandwhat lightitshedsoncontraception. 1.8AuthorityofHumanaeVitae OneofthewelcomefeaturesoftheCatholicChurchisthatisprovidessure guidanceonmoralmattersandthusCatholicscanhaveconfidencethattheyare followingGod’swill.ThereisnodoubtthattheteachingsinHumaneVitaearetobe acceptedasanauthoritativeteachingoftheCatholicChurchbindingonallbelievers. SomescholarsbelievefurtherthattheChurch’steachingoncontraceptionhasbeen proclaimedinfallibly,andsowealsoprovideasketchoftheclaimthattheChurch’s understandingoftheincompatibilityofcontraceptionwithGod’splanforsexualityis taughtinfalliblybytheCatholicChurch.AllChristianchurchesupuntil1930sharedthis viewandincreasinglyindividualsofvariousfaithsarecomingtoembraceit. TheChurchhasnomoreauthoritytoalterherteachingoncontraceptionany morethanithasauthoritytochangeitsteachingsonadultery,murder,andtheft. 1.9CondomsandHIV Wewillbrieflytreatthequestionofthemoralityoftheuseofcondomsto reducethetransmissionofHIV. AveryimportantsectionspeaksoftherealityofthecrossineveryChristian’s life.Themorallawitselfisdemandinganditcanbeacross,thougharedeemingand healingcross,ineveryChristian’slife.Spousesoftenfinditdifficulttorespectthegoods thatGodhasembeddedinsexuality.ButthosewhoturntoJesustoaskforthegraces hesofreelygivesgenerallydiscovertheprofoundjoyandsatisfactionthatcomeswhen thehumangoodsGodhasprovidedarehonoredandembraced. 1.10RecommendationsforPromotingtheTruthaboutHumanSexuality 6 Finally,thisdocumentwillmakeafewrecommendationsabouthowtheChurch andsocietycanhelpadvancehappymarriagesandstrongsocietiesbypromotingthe truthaboutsexuality.Prosperousnationsshouldnotbethreatenedbythelovethat parentsinmanydevelopingcountriessoevidentlyhaveforchildren,andshoulduse theirresourcestohelpthosechildrenliveandprosper,asPopesBenedictXVIand Francishaveemphasizedintheirteaching. 2.SaintJohnPaulII’sPhilosophicalDefense oftheChurch’sTeachingonSexuality TheTheologyoftheBody(laidoutinManandWomanHeCreatedThem:A TheologyoftheBody)isadefenseoftheChurch’steachingonmarriagebasedon Scripture,particularlyonascripturalviewofthehumanperson.TheChurchhas, however,usednotonlyscripturaldefensesofChurchteachingbutalsonaturallaw defenses.Asmentionedintheintroduction,thereareseveralvarietiesofnaturallaw theory,allofthembasedontheunderstandingthatthehumanperson,byvirtueofthe abilitytoreason,hasaccesstoimportantfundamentalmoraltruthswithouttheaidof revelation.Forinstance,somenaturallawtheoriesarebasedonThomisticteleological metaphysicsandtheunderstandingthathumandignityrequireshumanpersonstolive inaccordwiththetruthaboutsexuality;othersarebasedontheunderstandingthatfor humanpersonstoactmorallytheymusthaverightintentionsinaccordwithbasic goods.Spaceandtimeconsiderationsdonotpermitanythingmorethanbrief descriptionsofsomeofthebetter-knownunderstandingsofnaturallaw(theywillbe providedbelow). ThissectionwillbrieflylayoutaphilosophicaldefenseoftheChurch’steaching oncontraceptiondevelopedbySaintJohnPaulII,primarilypresentedinLoveand Responsibility(writtenwhenhewasBishopKarolWojtyła).Thepurposeofthatbookis toexplainhowtotransformtheself-seekingsexualurgeintoanimpetusforself-giving loveinmarriage. 2.1ThePersonalisticNorm Thefirstprincipleheestablishesisthathumanpersonsarenevertobeused, becausehumanpersonsarefreeandthushaveaninnatedignitythatmustbe respected.Indeed,heenunciateswhathecallsthe“personalisticnorm,”whichstates thattheonlyjustresponsetoapersonislove;andbylovehemeans“seekingwhatis goodforanother.”Inspousallove,eachspouseseeksthegoodoftheotherinacontext oftotalmutualself-giving. 2.2MutualAffirmationandConsciousParenthood Wojtyłaspeaksoftwogoodsthatthemaritalactconveys:adeepunionthrough atotalmutualself-givingandreceiving,andthecommongoodofconceivingandraising achild.Indeed,hespeaksofanendofthesexualactas“parenthood,”inwhichthe parentsbringforthandeducatenotjustanewmemberofthehumanspecies,buta newhumanperson:twopeoplecommittedtoeachothertakepartinco-creatinganew 7 humanpersonwhoneedsnearlyalifetimeofcare.Centraltohissexualethicsisthe claimthatthedignityofhumanpersonsresidesintheabilitytoknowthetruthandto choosefreelytoliveinaccordwithit. Wojtyłaholdsthatintheorderofnature,thesexualactcanleadtothecomingto-beofanewmemberofthehumanspecies,whereasintheorderoftheperson,the sexualactleadstotwopersonsbecomingparentsofanewhumanperson.Thegoodof fertilitybelongstobothordersandthustorejectone’sownoranother’sfertilityisto rejecttheperson,andistoallowone’sselftobeusedortouseanother.Thatis,tohave sexualintercoursewithanother,andnotbeingwillingtobeaparentwiththeotherand toacceptachildasagreatgift,istotheuseanotherpersonand/ortoallowone’sselfto beused. Wojtyłamaintainsthatbeingawarethesetruthsandmakingdecisionsinaccord withthemisthefoundationofmoralchoicesaboutsexualmatters.ThisWojtyłarefers toas“consciousparenthood.”Moreover,sincelovebyitsinnerlogicislife-giving, blockingthecreativedimensionoftheactoflovebetweenthespousesposesathreat totheloveitself.Thosewho,whentheyengageinsexualintercourse,andwhoare intendingtoexpressalifetimeunionwitheachother,andwhobelievetheywillbegood parentswitheachotherandwhowouldwelcomeachildasagift,engageinanaction whichbyitsverynatureexpressesprofoundandcommittedlovefortheother. 2.3JusticetotheCreator LoveandResponsibilityhasachapterentitled“JusticetotheCreator.”Inthat chapter,KarolWojtyłaspeaksofeachpersonasGod’sownandexplainsthatusing anotherpersonisanoffenseagainstGod.Wojtyłashowshowinconjugalrelations,the bodyservesasameansforanewanddeeperunionbetweenspousesnototherwise opentothem.Thatis,withhumanbeings,Godhasmadethe“orderofnature”notto beseparatefrombuttoparticipateinthe“orderofpersons”,whichexplainswhythe bodilyactofunion–nolongeramerely“biological”reality–canbeincorporatedinto theactoflove.Wojtyłashowsthatbyadivinely-establishedorder,thebodyalsoserves thefruitfulnessintegraltospousallovebygivingitanew,awe-inspiringscope:the possibilityofthecreationofnewhumanlife.Onthebasisofthisintegrationofthe bodilyactintotheorderofpersonandlove,Wojtyłamakesitclearthatbyrejectingthe possibilityofparenthoodinanyindividualactthespousesrejecttheauthorityofthe Creator,actagainsttheinnerlogicoflove,andtakeupanattitudeofuse. ElsewhereSaintJohnPaulIIspeaksofsexualityandtheabilitytoparticipatein theactofcreationofanewhumanpersonasagreatgiftfromGod:humanpersons engageinthephysicalactthatprovidesGodwiththeopportunitytocreateanew immortalsoul.Themaleprovidesthesperm,thefemaleprovidestheovum,andGod providesthesoul.Godactsoutoflove;so,too,shouldthespouses.Justicetothe creatorrequiresthatwedonothingtothwartthepossibilityofthecreationofanew humansoul.SaintJohnPaulIIexplainsthatconfiningone’ssexualactstotheinfertile periodforthepurposesofresponsibleparenthooddoesnotthwartthepossible creationofanewhumansoulandpermitsthespousestoaffirmeachotherasintegral wholesthroughthemaritalact. 8 2.4ThomismandPersonalism Theabovesketch,whichprovidesthemainlinesofSaintJohnPaulII’s philosophicaldefenseofthepositionthatcontraceptionconflictswiththedignityofthe humanperson,isbasedbothonThomisticprinciplesandpersonalistprinciples.From ThomismhetakestheobjectivetruththatwhatGodcreatedisgoodandthatitisgood thatweliveinaccordwiththenatures/essencesofwhatGodhascreated.From personalism,hetakestheviewthattheabilityofeachpersontochooseinaccordwith thetruthandtherebyshapehischaracteristhesourceofhumandignity:suchcreatures deservetobeloved.Theseprinciples,alongwiththeprinciplesoftheTheologyofthe Body,arebeingutilizedmoreandmoreinmagisterialdocumentsandinstatements producedbyepiscopalconferencesanddiocesesthroughouttheworld.TheWijngaards Statementevincesnoknowledgeofthem. 3.SeveralApproachestoNaturalMoralLaw 3.1.1TheRoleofNaturalMoralLawintheChurch’steachingoncontraception SincethecloseoftheSecondVaticanCouncil,anditscallto“renew”moral theology,theChurchhaswitnessedseveralapproachestonaturalmorallawoverthe pastfivedecades.Thosescholarsandschoolsofthoughtthathaveworkedbroadlyin theThomistictradition,forexample,andwhomaintainfidelitytotheMagisterium,have developedvarioustheoriestounderstandthelawthatSt.Paultaughtis“writtenonour hearts”(seeRom.2:15).Theproponentsofthesetheoriesdonotallsee“eye-to-eye” onhowtoproperlyunderstandnaturalmorallaw.Butallagreethatthenaturalmoral lawisrootedinthecreatedorder,thatthereisanobjectivemoralorder,andthat certainacts,suchascontraceptionfreelyengagedin,arenotcompatiblewithGod’s planforhiscreatedorderandwithsexualityinparticular.Thus,althoughthesetheories ofmorallawarenotineveryrespectharmonious,allschoolsofthoughtareonein affirmingabsolutemoralnorms–includingthatcontraceptioniscontrarytothenatural morallaw. 3.1.2Biologicallaws Itisessentialtonotethatnoneofthetheoriesofnaturalmorallawholdthat biologicallawsaresufficienttogroundacondemnationofcontraception.TheChurch hasnoobjectiontoviolatingbiologicallawsinrespecttosexforanimals:animals neitherachievepersonalunion,nordotheyprocreate.Animalsachievebodilyunion; humansseekintimatepersonalunion;animalsreproduce;personsprocreate.Human biologyisnotdirectedmerelytothecontinuationofthespeciesbuttothecreationof newhumanpersonswhohaveaneternaldestinywithGod.Interferingwithaprocess thatsimplyblocksanothermemberofaspeciesfromcomingintobeingisverydifferent frompreventingthecomingtobeofanewimmortalsoul,fromrefusingtorespect God’splanforhumanmarriageandsexuality. Thisteachingofnaturalmorallaw–onethatisalso“illuminatedandenrichedby divineRevelation”(HV4)–isgroundedinthenatureofthehumanpersonasabody 9 soulunityandinwhattheChurchteachesaboutthenatureofmarriageasa“oneflesh” reality(seeGen.2:24;Mt.19:5,etc.)whichisopentobothunionandprocreation.This “openness”isnotonlyamoraltruthtoguideconscience,butatruthaboutthehuman personandthemeaningofhumansexualityaswell(seeJohnPaulII,Familiaris Consortio,32).Therefore,theviewthatwefindintheWijngaardsstatement,which wouldcaricaturetheChurch’steachingagainstcontraceptionasbeingbasedona “physicalist”or“biologistic”understandingofnaturallaw,isgreatlymistaken. 3.2AThomisticTheoryofNaturalMoralLaw Thomisticmetaphysicsforcenturieshasprovidedthefoundationforthe Church’smoralteachings.Thomisticmetaphysicsentailsateleologicalunderstandingof nature.Itholdsthatnaturalthingshavepurposes;thatthosepurposesaregood;and thatforthingstoflourish,theirnaturesmustberespected.Themain-streamThomistic naturalmorallawisnotbasedonbiologicallawsbutonthefactthatthingshave essencesornatures. Thenaturesofmanythingsareinstrumental.Indeed,allofcreation,exceptfor humanpersons,wascreatedforthegoodofhumanpersons:thuswecanusethose thingsforourpurposes.Wood,forinstance,canbeusedformanyhumangoods. Humanpersons,however,areagoodinthemselvesandshouldneverbeusedasthings fortheadvantageofothers. Whatisgoodforallotherthingsmaynotbegoodforhumanpersons.Marriage, forinstance,isnotaninstitutionneededbyanimals,sinceanimalsdonothaveaneed tobeinintimaterelationship,becausetheydonothaveimmortalsoulsanddonotneed thewiseguidanceofparentstohelpthemdevelopvirtueandholiness.Animaland humansexualityhave,atbase,radicallydifferentpurposes.Animalsexualityhasasits purposethereproductionofthespecieswhosedestinyisonlytemporal.Human sexualityhasthepurposeofprovidingawayformaleandfemaletojoininaspecialkind oflove/friendshipthatenablesthemtobringforthnewhumanbeingswhohavean eternaldestiny.Sincehumanbeingshaveanintrinsicvalue,theveryprocessesthat bringaboutanewhumanbeingshareinthatintrinsicvalue.Toviolatethepurposesof thesexualactistoviolatethepurposesthatGodhasembeddedinthesexualact. Therefore,contraceptionisalwayswrong. SomescholarsarguethatthepersonalismofSaintJohnPaulIIdrawsoutof Thomismsomethingthatisalreadytherebutthatneededtobeexpandedand expressedinmoremodernterms. 3.3ContraceptionisContralife HumanaeVitaedefinesandexcludesasmorallywrong“anyactionwhicheither before,atthemomentof,oraftermaritalintercourse,isspecificallyintendedto preventprocreation–whetherasanendorasameans.”3Theencyclical’sdefinitionof contraceptionthusmakesitclearthatwhatisrelevantisnotthebehaviorinvolvedbut theintentiontoimpede,nomatterhowthatintentioniscarriedout. Althoughcontraceptionpresupposesanactofintercourse,itisnotitselfasexual act,foritinvolvesadistinctchoice.Acouplechoosescontraceptionwhentheyhave 10 alreadydecidedtohaveintercourseandfearthattheircomingtogetherwillresultinthe conceptionofachild.Theirdecisiontousecontraceptionisaimedpreciselyat preventingthechildtheyfearwillcomeintoexistencefromactuallydoingso. Contraception,then,isacontra-lifeact. Inrejectingcontraceptionascontra-life,theChurchmakesitclearthat,like otherchoices,thechoicetocontracepthasanintrinsicmeaning.Acouplecannot reasonablydefinetheactpurelyintermsoftheendtheyhaveinviewanddiscountthe significanceoftheirchosenmeans.Amarriedcouplemaywellhaveinviewthegood endofenjoyingintercoursewithoutriskingconceptionwhentheirotherresponsibilities wouldmakeitirresponsibleforthemtoconceive.If,however,contraceptionistheir chosenmeans,thenoneofthereasonsforitswrongnessisthatitisacontra-life choice.4 Thisproblembecomesespeciallyclearwhenoneconsiderstherelationofthe coupletothechildwhencontraceptionfails:sincetheytriedtopreventthatchildfrom existing,theyalmostinvariablytosomeextentregretthefactthatthechildhascometo exist.Giventhatconceptionisseenasafailure,itisnotdifficulttoseehow contraceptioncanleadtoabortion,foritisalltooeasyforthecoupletofollowthefatal logicoftakingthelifeofthechildtheyfailedtoprevent. Whiletheywilllikelycometoacceptandlovetheirchild,thefactisthattheir choiceshavecausedthemtosomeextenttohaveacontra-lifewill. It’sworthnotingthatcoupleswhopracticenaturalfamilyplanningnevermake suchachoice.Sincetheymakethesacrificeofabstainingwhenevertheythink conceptionispossible,theynevermakethedistinctcontra-lifechoiceoftryingto preventachildtheyfearwillcomeintoexistencefromdoingso.Ifachildnevertheless isconceived,theymayinitiallybeemotionallydistraught,buttheyaremorallysecure. Nochangeofheartisnecessary. Inshort,HumanaeVitae’sdefinitionofcontraceptionperfectlycapturestheidea thatitiscontra-life–wrongpreciselybecauseitisintendedtopreventanewperson fromcomingtobe. 4.TheDifferencesBetweenNaturalFamilyPlanningandContraception 4.1TheDifferentMethods FertilityAwarenessBasedMethodsorNaturalFamilyPlanningmethods(NFP) arethegeneraltitleforthescientific,natural,andmoralmethodsoffamilyplanning thatcanhelpmarriedcoupleseitherachieveorpostponepregnancies.Mostwomen andtoomanyphysicianshavelittleknowledgeofawoman’spatternsoffertilityandof thevarioussignsthatindicatewhensheisfertileandwhensheisnot. Themajorityofthesemethodsprovideathorougheducationinthecombined fertilityofamanandawoman.MostNFPmethodsarebasedonthedailyobservation ofthenaturallyoccurringsignsandsymptomsofthefertileandinfertilephasesofa woman’smenstrualcycle,suchasavariationinthemucusshesecretes,arisein temperatureaftersheovulates,andachangeinhercervix.Thesemethodstreateach womanandeachcycleasunique;thereforeallwomen,despitevaryinglengthsof 11 menstrualcycles,canusemostNFPmethods.Inaddition,duetothevarietyofNFP methods,womenofdifferentculturesandeducationcanfindamethodofNFPthatis effectiveforthem.5Finally,womenwholearnto“chart”ordiscerntheirownpatterns offertilitycanoftendiscovervarioushormonalimbalancesthatmaybecausing infertilityorotherhealthissues.6 4.1.1Effectiveness NFPresearchdemonstratesthatNFPmethodscanbeupto99% successfulinpostponingoravoidingpregnancywhencouplesunderstandthe methods;aremotivatedtousethemethodaccordingtotheirfamilyplanning intentions(i.e.,spacingorlimitingbirths);andfollowthemethodguidelines consistently. 4.1.2NFPandtheCoupleRelationship ResearchsupportsthebenefitsofNFP,demonstratingthatcoupleswho switchfromacontraceptivetoanNFPmethodimprovetheirrelationships,feel morerespectedbytheirpartners,andmoreincontroloftheirfertility.7Infact, someevidenceexiststhatsuggestsapositivecorrelationbetweenNFPuseand lowerdivorcerates.Anecdotalstudiesandnon-populationcomparisonstudies, forexample,consistentlyshowlowlevelsofdivorceamongcoupleswhouse NFP. 4.2TheMoralDifferences TheChurchteachesthatcouplesaretodiscernprayerfullywhenitisrightto limittheirfamilysize.TheChurchpraisescoupleswhogenerouslyandprudentlydecide tohavealargefamilyandalsopraisesthosewhoresponsiblylimittheirfamilysizewhen health,financial,psychological,orsociologicalreasonsindicatethattheyshoulddoso. Theyareprotectingthegoodoffertilityratherthanviolatingit. Manyfailtoseeanymoraldifferencebetweencontraceptionandmethodsof NaturalFamilyPlanning.TheythinkthatsinceacontraceptingcoupleandoneusingNFP bothdonotwanttohaveachildandintendtohavesexualintercoursethatdoesnot issueinachild,whattheyaredoingamountstothesamething.Inshort,bothwantto havesex,butnotbabies. AsuccinctjustificationfortheuseofNFPcanbemadethisway.Thereisnothing wrongwithdeciding,forgoodreasons,thatitisnotagoodtimetohaveanotherchild. Thereisnothingwrongwithabstainingfromsexatanytime,andthatincludesthe fertiletime.Thereisnothingwrongwithhavingmaritalintercourseduringtheinfertile time.Ergo,thereisnothingwrongwithusingNFP,whichsimplyinvolvesnothaving maritalintercourseduringthefertiletimeandhavingitduringtheinfertiletimewhen thespouses,forgoodreasons,havemadethedecisionnottohaveanotherchildata giventime. Still,thereismorethatcanbesaid.Thedistinctionbetweenmeansandendis certainlyoperativehere.Althoughbothcouplesmayhaveequallygoodreasonsfor wantingtolimittheirfamilysize,onecouplechoosesthemeansofthwartingtheir 12 fertility,ofengaginginpotentiallyfertileactsandsimultaneouslyworkingtodestroy thatfertility.Theyengageinanactwhichgivesonlypartiallyofthemselves;theygive andrefusetogiveatthesametime.Theothercouplerespectstheirfertilityandwhen notpreparedtoacceptachild,theyrefrainfromfertileacts.Theydonotdiminishthe giftofself;rather,theygivealltheyhaveatthatmoment. Astandardexampledemonstratingthedifferencebetweencontraceptionand naturalfamilyplanningistheroughanalogywithbulimia.Someindividualswhowishto avoidweightgaineatandthenforcethemselvestovomit.Theywishtohavethe pleasureofeatingbutnottoaccepttheconsequences.Otherswhowishtoavoida weightgaindonoteatfatteningfoods.Theyabstainfromrichfoodsandonlyeatthem whenpreparedfortheconsequences.TheparallelswithcontraceptivesexandNFPare clear. Thedifferencesbetweenthetwomeansofbirthcontrolaremuchgreaterthan theabovetoo-quickargumentportrays.Contraceptiontreatsfertilityasthoughitwere adefecttobecorrectedratherthanagifttobecherished.Moreover,thereis somethingradicallyanti-femaleincontraceptives–theysuggestthatitisbettertohave amalebodythatcanengageinsexualintercourseandnotgetpregnant.Manywomen resentcontraceptivesfortheunpleasantside-effectsandalsoresentthemalewho wantsthemtousecontraceptives.WomenwhouseNFP,ontheotherhand,are generallyverypositiveaboutit,becauseitdoesnotinanywaythreatentheirhealth. NFPrespectstheirfertilitywhereascontraception,asnotedabove,treatstheirfertility asaliability.Theyhaveconfidenceintheloveoftheirhusbandswhoreveretheir fertilitytotheextentthattheydonotwishtointerferewithit.Theyunderstand abstainingtobeanotherformoflove.Afterall,manysavethegiftofselfuntilmarriage, preciselyoutoflovefortheirbeloved. ThereisnodenyingthattheabstinencerequiredforNFPcanbedifficult,more forsomethanforothers;thosewhohaveabstainedbeforemarriageusuallybringselfmasteryintothemarriagewhereasthosewhoindulgeinsexbeforemarriage(whichis nearlyeveryoneinthecurrentculture)havetolearnnewhabitstouseNFP. Nonetheless,spouseswhouseNFPnearlyalwaysfindthatinspiteofthe difficulties(which,likethoseofdieting,canbeconsiderable),therearegreatbenefits realizedovertimebothfortheirrelationshipwitheachotherandfortheirrelationship withGod.NFPenablesacoupletounderstandandtocooperatewiththeplanofGod theirCreator,whilecontraceptivestemptthemintothinkingthattheycancontroltheir destinieswithoutanyreferencetotheorderofcreation.Finally,NFPinvitesamarried coupletobuildagreaterintimacygroundedincommunicationandmutualself-mastery, whilecontraceptiveslullthemintothinkingthattechnologycanreplacepatienceand virtue. 5.Authority,InfallibilityandtheSensusFidelium 5.1CriteriaforInfallibleTeachings Whileanencyclicalisaparticularlysolemnexpressionofpapalauthority,the significanceofHumanaeVitaeisnottobefoundprimarilyinthestatusofthedocument 13 butintheteachingitcontains.Thecoreofthatteaching–contraceptionisalways wrong–“isbasedonthenaturallawasilluminatedandenrichedbydivineRevelation” (HV4).Indeed,asSaintJohnPaulIIshowedatlengthinhisTheologyoftheBody,8when theteachingissetagainstthefullercontextofbiblicalanthropology,oneseesthatit “belongsnotonlytothenaturalmorallaw,butalsotothemoralorderrevealedby God.”9 ItisclearthatCatholicsareboundtofollowtheteachingoftheChurchon contraceptionbecauseofitsteachingauthority. SomearguethattheChurch’steachingoncontraceptionisinfallibleinvirtueof heruniversalordinarymagisterium.10VaticanIIclearlysetsouttheconditionsthatmust bemetforbishopsdispersedthroughouttheworldtoproclaimChrist’steaching infallibly.Theymust“maintaincommunionwithoneanotherandwithPeter’s successor,authoritativelyteachonamatteroffaithandmorals,andagreeinone judgmentassomethingtobehelddefinitively.”11Therequireduniversalitycannotbe undoneevenbyalaterlackofconsensus.12 Thehistoricalevidencemakesitabundantlyclearthatalloftheseconditions havebeenmet.13Alistofhighlightsmustsufficehere: • CertainFathersoftheChurchcondemnedcontraceptionandnoneever approvedit. • Throughouttheages,manybishopshavetaughtthatactsintendedto preventconceptionarealwayswrong,ashavenon-bishopswhoare canonizedsaintsandsomewhoarealsodoctorsoftheChurch.Butnosaint orChurchdoctoreverapprovedcontraception.Andthereisnoevidenceofa Catholicbishopteachingotherwiseuntilatleast1962. • Fromthethirteenthcenturyuntil1917,theChurch’scanonlawincludeda canonseverelycondemningcontraception.Needlesstosay,canonlawhas neversuggestedthatitislicit. • Inmoderntimesuntil1962therewasaconstantconsensusoftheologiansin supportofthereceivedteachingoncontraception,andbishopsauthorized theuseofthesetheologians’worksinseminaries. • WhenPiusXIreaffirmedtheteachinginhis1930encyclicalCastiConnubii, bishopsdidnotobjectbutreadilyacceptedit,andmanysupporteditwith theirownstatementsandprograms. • Noevidencehasshownthatbishopshandedontheteachingasjustaprivate opinion,probablejudgment,oridealthatneednotberealized.Itwasalways authoritativelyproposedasagravemoralobligation. • Theteachingwasoftenproposedasadivinelyrevealedmoralnorm,which bydefinitionmustbehelddefinitively. Theteachingthatcontraceptionisalwayswronghasnotbeenformallydefined bytheChurch.Nevertheless,theologianshaveneverrefuted–indeed,havelargely ignored–theclaimthattheteachingisinfalliblebecauseCatholicbishopsin communionwitheachotherandthepopehaveauthoritativelyproposeditinone judgmenttobehelddefinitively. 14 5.2SensusFidelium Some,ofcourse,claimthatwidespreaddissentfromtheChurch’steachingon contraceptionmanifestsa“sensusfidelium”or“senseofthefaithful.”Butthisbegsthe questionofwhatcountsasbeingfaithful.Thatsenseisnotauthenticifitcontradicts revelation,tradition,andthemagisterium.Moreover,toaffirmthatclaimonemust denythatthosewhoaccepttheteachingoncontraception–includingalmostall Catholicsbeforethe1960sandthegreatmajorityofotherChristiansuntilseveral decadesearlier–hadasenseofthefaithful.Reasonablepeoplewillrejectsuch culturallymyopicchauvinism. 6.TheUseofCondomstoPreventTransmissionofHIV TherehasbeenadebateintheCatholicChurchonthemoralityoftheuseof condomstopreventthetransmissionofHIV.Sometheologiansmaintainthattheuseof acondomisintrinsicallycontraceptiveandthatevenifone’sprimaryintentionisto avoidthetransmissionofHIV,sinceitisnevermorallypermissibletodoamoralwrong toachieveagood,theuseofacondomwouldbemorallywrong.Theargumentisalso madethattheuseofacondomisimmoralbecauseitisimmoraltoengagein incompletesexualacts,andhavingsexwithacondommakesthesexualactincomplete: whilethereispenetration,theunionofbodiesdoesnottrulytakeplacebecausethe maledoesnotdeposithissemeninafemale’svaginabutinacondom. ThosewhoarguethatonemayuseacondomtopreventthetransmissionofHIV withoutviolatingtheChurch’steaching,maintainthatthemoralevaluationoftheact mustbedeterminedbytheintentionalityoftheagent.Sincetheintentionistoavoid transmissionofHIVandsincethe“structure”oftheactremainsthesame,theuseis goodandthefactthatconceptioncannottakeplaceisnotthedefiningfeature. Themagisteriumhasnotmadeadeterminationonthismatter. Itisveryimportanttokeepinmindthatthedistributionanduseofcondomsin thirdworldcountrieshasprovenveryineffectiveinreducingtherateoftransmissionof HIV;abstinence-basedprogramsaretheonlyonesthathavesucceeded.14 7.TheMedical,Social,Legal,andEnvironmentalConsequencesofContraception 7.1Medical Althoughmuchofthepublicbelievesthatcontraceptivesprovidesubstantial healthbenefits,ithaslongbeenestablishedintheprofessionalmedicalandscientific literaturethatcontraceptivescarrysubstantialriskstolifeandhealth,aswellasbeing relativelyineffectiveinpreventingdiseasetransmission.AttheveryoutsetoftheirFact SheetforPublicHealthPersonneloncondomeffectiveness,theCentersforDisease ControlandPreventionstateemphaticallyinboldtype: 15 Themostreliablewaystoavoidtransmissionofsexuallytransmitteddiseases (STDs),includinghumanimmunodeficiencyvirus(HIV),aretoabstainfrom sexualactivityortobeinalong-termmutuallymonogamousrelationshipwith anuninfectedpartner.15 Inotherwords,theCDChasrecapitulatedtraditionalChristianmoralteaching: virginityfollowedbyfidelity.ThiscorecomponentofGod’sdesignforhumansexuality carriestheveryhealthbenefitsthatCDCandthemedicalestablishmenthavefailedto securewithcondoms.NoticehowCDCdoesnotincludethecondomintheirfactsheet asbeingamongthemostreliablewaystoavoiddiseasetransmission.Infact,theygoon inthedocumenttosay(againinboldtype): GenitalulcerdiseasesandHPVinfectionscanoccurinbothmaleandfemale genitalareasthatarecoveredorprotectedbyalatexcondom,aswellasin areasthatarenotcovered…CondomusemayreducetheriskforHPV infectionandHPV-associateddiseases(e.g.,genitalwartsandcervicalcancer). Beyondthethreatstolifeandhealthfromtheirfailures,condomshavenotlived uptotheirpromiseinpreventingunintendedpregnancies.Accordingtothetext ContraceptiveTechnology,whichiswidelyrespectedinthefield,themalelatexcondom isonlyslightlymoreeffectivethanthewithdrawalmethod,18%and22%,respectively.16 Consideringthenarrowwindowoffertilityinthemonthlycycle,andthefactthat ContraceptiveTechnologydefinesafailureasresultantpregnancy,itmustbededuced thattheabsolutemechanicalfailurerateofcondomsismuchhigherthanthe18%of thetimetheiruseresultsinpregnancy. Ifthediseasepreventionandpregnancydataoncondomsislessthanreassuring, theinherentrisksfromhormonalcontraceptiveuseareevenmorealarming.Inaddition tothewell-knownroleoforalcontraceptives(OCs)incausingthemostcommonforms ofbreastcancer,OCuseraisestheriskofthedeadliestandmostdifficulttotreatform ofcancer,premenopausalTripleNegativeBreastCancer.Ina2009study17theelevated risksrangedfrom250%forwomenwhostartOCsatage22orolder,to540%for womenwhostartedOCusebelowtheageof18.Thisshouldn’tcomeasasurprise.The InternationalAgencyonResearchofCancer,whichisapartoftheU.N.'sWorldHealth Organization,hasclassifiedestrogen-progestinhormonalcontraceptivesasGroup1 carcinogensforbreast,cervicalandlivercancer.18Oralcontraceptivesincreasea woman'sriskofpossiblylethalandalwaysdisablingpulmonaryembolism,myocardial infarctionandcerebralvascularaccidentsaswellasincreasedsusceptibilitytoHIVand HPVvirusesandtheirattendantmorbidity. Boththeestrogen-progestincombinedpillandtheprogestin-onlypillhave contributedgreatlytotheincidenceofectopicpregnancieswherebabiesimplant outsideoftheuterus,afataleventforthebabyandlife-threateningeventforthe mother.19Apartfromectopicpregnancy,OCswithtypicalusehavefailureratesofclose to10%.20 16 Inallofthesefailurerateswhatbecomesclearisthatthemorepeopleengage thesecontraceptivetechnologiesthathavenotliveduptotheirbilling,themore unintendedpregnanciesandthehigherabsolutenumbersofdiseaseincidenceresult. Noneofthesedataexistedfiftyyearsagointherun-uptoHumanaeVitae,and manywhowerenotawareoftherationalebehindtheChurch’sclearandconsistent teachingbelievedinallgoodwillthatcontraceptivesmightbeamodernandhumane wayofaddressingallmannerofsocialills.Thatwasthen.Intheensuinghalf-centurythe worldhashadtheclearteachingoftheChurchexplicatedinthesimplestlanguage,and nowthatwiseteachinghasbeentragicallyunderscoredbythetsunamiofvictims producedbythefailuresinherentinthecontraceptiveculture.God’swisedesignisnot a“No”tohappiness,butaprotectionoflifeandhealth.Thenumberstellthestory. 7.2HormonesandRelationships Althoughthepsychologicalandbehavioralimpactofhormonalcontraceptives (HCs)hasbeenalargelyunderstudiedareauntilrecently,areviewofscholarlyresearch todatefoundsignificantcauseforconcern.21Theauthorstates,"WomenwhouseHCs reporthigherratesofdepression,reducedsexualfunctioning,andhigherinterestin short-termsexualrelationshipscomparedtotheirnaturally-cyclingcounterparts.Also, hormonalcontraceptivesusemayalterwomen’sabilitytoattractamate,aswellasthe materetentionbehaviorsinbothusersandtheirromanticpartners.Someevidence evensuggeststhathormonalcontraceptiveusealtersmatechoiceandmaynegatively affectsexualsatisfactioninparouswomen,withpotentialeffectsonfutureoffspring."22 Regardingtheissueofmateattractionandretention,asubsequentstudy supportedthefindingsreportedabove.23Again,itfoundthatwomenareattractedto differenttypesofmendependinguponwhethertheyareonoroffhormonal contraceptivesandthatmaritalstabilitycanbenegativelyimpactedwhenawomanwho wasonHCsatthebeginningoftheirrelationshipsubsequentlydiscontinuesHCuse.24 7.3ChemicalContraceptionandtheEnvironment Itisaninconvenienttruththatchemicalcontraceptiveuseiswreakinghavocon theenvironment.Thechemicalethinylestradiol(EE2)inhormonalcontraceptivesis transferreddirectlytothewatersupplythroughurination.Thereisnopracticalor economicwaytoremovethesetoxinsfromthewatersupplyusingcurrent,standard watertreatmentmethods.25Becauseofthis,artificialreproductivehormonesare accumulatinginboththenaturalanddrinkingwatersuppliesandarehavinga significantnegativeenvironmentalimpact,especiallyonfishpopulationslivingininland estuariesand,inparticular,nearwatertreatmentplants.26Malefisharefeminizedand havelessreproductivesuccess,tothepointwherepopulationcollapsehasoccurred amongsomespeciesincertainlocations.27Vertebrates,includingmaleamphibiansand rats,appeartobesimilarlyaffectedaswell.28 Theevidenceofintersexandotherfertility-relateddisordersinhigher-order malevertebratescontributestothegrowingconcernsthatenvironmentalEE2toxicity 17 maybeasignificantcontributortothedecades-long,globalincreaseintheratesofpoor reproductivehealthinhumanmalesincludingincreasesintheratesofhypospadias, undescendedtesticles,testicularcancer,andlowspermcounts.29 7.4Social(andPersonal)ConsequencesofContraception Fordecadesindependentscholarshavedoneempiricalresearchthatdocuments theharmfulsocialeffectsofcontraception.30 Oneofthemostharmfuleffectsofcontraceptionisthatithasfosteredan astronomicalincreaseinsexoutsideofmarriageand,whenitfails–anditoftendoes– itleadsalltoooftentosingleparenthood.Andthatleadstothesadnessofcountless childrenbeingraisedinlargelyfatherlesshouseholds.Socialsciencehasrepeatedly demonstratedthebenefitstochildrenofanintacthome,andconverselyhasshownthat growingupinasingle-parenthomeincreasestherisksofsexualabuse,criminality, truancy,emotionaldisorders,andotherchildhoodandadolescentharm. Moreover,thewidespreaduseofcontraceptionhasinfactledtoariseinboth illegitimacyandabortion.InEvangeliumVitae13,SaintJohnPaulIIspokeof contraceptionandabortionasfruitsofthesametree.Itisaneasilyobservablefactthat trendlinesforbothcontraceptionandabortionriseinparallel.Tosaythattherelationis onlyacorrelationandnotasignofcausationistorefusetoseewhatisobvious.Itis hardtodenythatcontraceptionisamajorcauseofabortion,inpartbecauseit contributestotheperceptionthatpregnancyisa“failure”oran“accident”tobe remediedbykillinganunbornchildasthebackupplan. Thosewhoadvocateforincreaseduseofcontraceptionshouldrealizethatnot onlyisincreasedabortionaresult,butalsototheformofabortionthatisgender-cide. Acrosstheplanetmillionsmoreunborngirlsarekilledbyabortionthanboys.Insome culturesthishappensbecauseparentswantboystocarryonthefamilylegacy;inothers itisaresultoftheconsumermentality(wewantwhatwewant,whenwewantit) instilledbywidespreadcontraceptionthatextendstokillingachildwhosesexdoesnot matchone’spreference. Inmanywaystheharmfuleffectsofcontraceptionarecloselyconnectedtoa consumermentalityoneveryone'spart,perhapsespeciallyamongmen.Itleadstothe treatmentofwomenasinterchangeablepartnersforrecreationalsex,ratherthanas potentiallifelongpartnerscommittedtooneanotherandtothecommoncauseof childrearing.HumanaeVitae(17)predictedthatthesexualrevolutionwouldlessen respectforwomenamongmen.Theaccumulateddataof“happinessstudies”suggests thatfemaleunhappinesshasincreasedsincethesexualrevolutiontookhold.Onestudy foundthatduringthepast35years,women’sself-reportedfeelingsofwell-beinghad declinedbothabsolutelyandrelativelycomparedtomen’s. Theenthusiasmforcontraceptionarosewhenpeoplethoughttheworldwould soonbeoverpopulatedtothepointofannihilation.Today,incontrast,moreandmore scholarsandleadersarerealizingthedamagedonetoaneconomyandculturewhen birthratesfallbelowreplacement.Indeed,someportionsoftheglobefearthatthe wealthiernationskeeptryingtoimposetheircontraceptivelife-stylesondeveloping nationsbecausethewealthiernationsfearcompetition. 18 Theerroneousviewthatcontraceptionisnecessarytohappinesshasledtothe attemptofmanytoforcesocietiestoprovidecontraceptionforfree,which,asisbeing experiencedinmanycultures,leadstoviolationsofreligiousliberty. Themultiplewaysthatcontraceptioncontributestosocialdecayhavebeen cataloguedelsewhere;heresufficeittosaythatitisverynaïvefortheWijngaards Statementtospeakof“provenbenefits”whilenotatallacknowledgingtheharms. Certainlytherearegreatbenefitstospousesbeingabletoshapetheirfamilysize,but thatcanbedoneusingmethodsofNaturalFamilyPlanning,whichareveryeffective, withoutbadhealthconsequences,virtuallyfreetouse,andcontributetomarital stabilityandhappiness. 7.5LegalConsequences PopePaulVIspokepropheticallyinHumaneVitaewhenhewarnedthatwith widespreadcontraceptiongovernmentswouldbeginviolatinghumanrights: Let[reasonableindividuals]alsocarefullyconsiderthatadangerouspowerwill beputintothehandsofrulerswhocarelittleaboutthemorallaw…Whowill preventpublicauthoritiesfromfavoringwhattheybelievetobethemost effectivecontraceptivemethodsandfrommandatingthateveryonemustuse them,whenevertheyconsideritnecessary?Andclearlyitwillcomeaboutthat peoplewhodesiretoavoidthedifficultiesthatarepartofthedivinelaw, difficultiesthatindividuals,families,orsocietymayexperience,willhandoverto thewillofthepublicauthoritiesthepowerofinterferinginthemostexclusive andintimateresponsibilityofspouses.(HV17) Oncealargesegmentofsocietyacceptscontraceptionasasocialgood,ittakes butafewshortstepsforgovernmentstobegintoforcethis“good”uponothers.These stepsbeginwitheliminatingorreducingalllegalimpedimentstocontraceptiveaccess, followedbyheavystatesubsidizationofcontraceptivedrugsanddevices,andtheactive governmentsuppressionofreligious,familial,andculturaloppositiontocontraception. Thissuppressiontakestheformofmandatorysexualeducationinpublicschools (whichmayalsobemandatedforprivateorreligiousschools)thatindoctrinates childrenanderodesparentalauthorityasschooladministrators,counselors,and teachersassumetheprimaryroleofparentsinthesematters.Manyyoungchildrenwill returnhomefromschoolhavingreceivedcondomsandinstructionsonthemannerof theiruse,withnopossibilityofopting-out,whileatthesametimeschoolofficials disingenuouslyclaimthattheywillleavethemoralquestionastotheirusetofamilies. Butoncethestatedecidestopromotecontraceptiveuse,takingapositiononthemoral questionisunavoidable.Thestate,havingacceptedcontraceptionasasocietalgood, willtreatitassuch. Whenconcentratedgovernmentpowercombineswithanideologyofradical sexualautonomy,thereligiousfreedomofallwillalsocomeunderassault.Inthe UnitedStates,thegovernmentactualizedthisthreatbymandatingnear-universal coverageofcontraceptivesandabortion-inducingdrugsanddevicesbyemployersand 19 insurancecompanies.Objectingprivatebusinessownersandreligiousnonprofits, includingareligiousorderthatservesthepoorestofthepoor,werethreatenedwith millionsofdollarsinfinesiftheyfollowedtheirfaithandrefusedtocollaboratewiththe provisionofcontraceptives.Althoughnarrowly-decidedcourtdecisionshavesofar protectedsuchgroupsfromsuchgovernmentcoercion,thedurabilityofthosedecisions remainstobeseen. Inanyevent,itisclearthatgovernmenthascometoseereligiousauthorityasan obstacletogovernment-endorsednormsregardingcontraceptionandthusanobstacle toprogressitself.Religiousinstitutionswillthusbetargetedbythestateforexclusion fromthepublicsquareandpublicprogramsiftheydonotadoptorendorsethe government’sviewsonhumansexuality. Asseeninotherpartsoftheworld,itisthevulnerablepopulationsservedby religiousinstitutions–betheywomen,racialandethnicminorities,thepoor,orthe undereducated–thatwillbeinducedandultimatelycoercedbygovernmentinto acceptingcontraceptivepractices.Oneneedonlylookatforcedsterilizationpracticesin IndiaandAfricaorforcedabortionsinChinatoseethisthisdynamicinpractice. AsstatedbyPopePaulVIinHumanaeVitae,peopleunderindividualorsocietal pressure“maygiveintothehandsofpublicauthoritiesthepowertointerveneinthe mostpersonalandintimateresponsibilityofhusbandandwife”(HV17).Oncethis authorityisceded,itwillnoteasilyberestored. 7.6CulturalConsequences ManyAfricannationshavebeenunderenormouspressurefordecadesto distributecontraceptives.SincetheCatholicChurchprovidesnearly50%ofthe healthcareinmostAfricannations,therehavealsobeenattemptstocoerceandforce CatholicInstitutionstodistributecontraceptives.Thisisaseriousviolationofreligious liberty.HumanaeVitaeprovidesasolidlineofdefenseforbishops,religious,andlaity whoarecommittedtotheChurch’steachingandcommittedtonotbeingusedby governmentsandinternationalagenciesfortheiragendas.Catholicleaders,ecclesial andlay,haveseentheharms(ifnotdevastation)towhichwidespreaduseof contraceptiveshascontributedindevelopedcountries.Theyareconvincedthatthe valueshonoredbyFertilityAwarenessBasedMethodsaremorecompatiblewiththe familyvaluesoftheircultures.Itisscandalousthatinternationalagenciesattimes refusetoprovidefoodandhealthcareunlessagovernmentinstitutespopulationcontrol measuresbasedonwidespreaddistributionofcontraceptionandaccesstoabortion. Africanslovetheirchildren:theydonotsomuchwantfewerofthemaswantfoodand healthcareforthem.Themoneyspentprovidingcontraceptionandpromotingabortion couldeasilyfunduniversalinstructiononFertilityAwarenessBasedMethods,withlarge amountsremainingforprovidingfood,cleanwater,andhealthcare. 20 8.TheCostofDiscipleship 8.1TheRealityofGrace LivingbytheChurch’steachingthatitisgoodforeachandeveryactof maritalsexualintercoursetoretainitsopennesstolifecanpresentmanychallenges, challengesthatcanseeminsuperable.ButtheGospelor“GoodNews”isgoodnews. Wearenotonourown.OurSaviorJesusChristcametomakeavailabletousthe gracesthatenableustoliveuptothedemandsandgreatnessofournature.Heis eagertotakeourburdensontohimselfandhasprovidedmanysourcesofgrace, suchasprayer,theEucharist,andthesacramentofreconciliation.Attimes,wemust allpracticewhatcanseemafrighteningradicalrelianceupontheLord,butwemust haveconfidencethatHeistheretohelpus:“Castallyourworriesuponhimbecause hecaresforyou”(Peter1:7).Thetimewespendworryingwouldbetterbespentin prayer,fortherewecanhearthevoiceoftheLordandwecanlearnhisplanforus,a planhewillhelpusachieve. 8.2TheChallengeofInfertilityandContraception Justasthelanguageofmaritalloverequiresspousestoaccepteachotherinall oftheirdimensions,richness,andwholeness(herefertility),sospousesmustwelcome eachotherintheirweaknesses,limitations,andlackofwholeness(hereinfertility).In thecaseofspousessufferingfrominfertility,thetemptationcanbestrongtoseek anotherpartnertofulfillthenatural(butsometimesobsessive)desireforchildren.The absenceofchildren(muchlikethefailuretofindagoodspouse)canbeexperiencedas aninsuperablebarriertohappiness,avoidthatcannotbefilled,leadingsometimesto permanentheartbreak.Yetabandoningone’sspouseforthisreasonisagravebreachof love,abetrayal,andamountstousingthenewpartnerwithwhomoneseekstohave children.Thosewhohaveexperiencedtheheavycrossofinfertilitycantestifytowhata greatgiftfertilityis. Hence,infertilitycanyieldanimportantperspectiveonthequestionof contraception,highlightingitscontradictiontolove:stayingtruetotheother.Lovingthe fertilitythatspousesoffereachotherisjustasnecessaryaslovingeachotherwhen infertilityisapartoftherelationship.Rejectingthegiftoffertilitybyuseof contraceptionamountstotellingone’sspousethatheorsheisnotlovedininall respects.Spouseswhousecontraceptionarerejectingakeyelementoftheirmarital pledgeandaretherebywoundingtheirloveinitsverycore. 9:Recommendations 9.1ToCatholics,especiallyhusbandsandwives WeurgeCatholics,especiallyhusbandsandwives,toconsiderthatGod’soriginal intentionformenandwomen.Theirgiftofsexuality,fertility,and(ifcalledtomarriage) the“onefleshunion”areagiftandaninvitationtoshareinHislife.Andweurgeyouto considerthatCatholicteachingsonhumansexuality,marriage,andprocreationcome 21 fromtheLordGodofallcreationasrevealedtotheChurch–theyarenotinventedby academictheologiansortheclergy.TheseteachingsexpressGod’struthandloveforus. WerecommendthatallCatholicsprayerfullyreadHumanaeVitaeandbecome familiarwiththemanybenefitsofNFP.Ifquestionsarise,itmaybehelpfultocontacta CatholicpriestoranNFPteacherforcounsel,andtovisitthewebsitesandreadthe booksandarticleslistedintheresourcesectiononthiswebsite. 9.2Tohealthcareprofessionals Weaskhealthcareprofessionalstoconsiderwhatknowledgeofthemethodsof NaturalFamilyPlanningandNaProtechnologycouldcontributetoyourserviceofyour patients.Weurgeyoufamiliarizeyourselfwiththevariousmethodsandthescience behindthemsothatyoumighthelpyourcolleaguesandpatientsappreciatethebeauty ofGod’sgiftoffertility.31 9.3ToInstitutionsofHigherLearning: WeaskleadersandfacultyinCatholicCollegesandUniversitiestohirefacultywho supportChurchteachingonCatholicmorality.Weaskthemtoprovideprogramsthat willeducateyoungpeopleonhowtoremainchasteintheircollegeyearsandbeyond; thateducateyoungpeopleonhowbesttofindasuitablespouseandhowtobuilda relationshipbasedontheloveofJesusandrespectforhisChurch. 9.4ToCatholiclayecclesialleaders,consecratedreligious,andordainedclergy, especiallybishops ThosewholeadintheCatholicChurchhaveaspecialresponsibilityto authenticallyrepresentChurchteachingtothefaithful.Therefore,weurgeyouto: 9.4.1Undertakeastrengtheningandevenreformofallcatecheticalprograms underyoursupervision. Ensurethatcatecheticalprogramsandcurriculaprovidesubstantive educationonChurchteachingsthattreatChristiananthropology(howGodmade menandwomeninHisimage);thenatureofhumansexuality(including dispellingthemythsofgenderideology);thenatureofmarriage(naturaland sacramental);thevirtueofchastity;themoralprohibitionofcontraception;the moralityofnaturalmethodsoffamilyplanning(includingitsbasicscienceand methodology);thevalueofwaitinguntilmarriagetohavesex,thevalueof marryingintheChurch;andthevalueofhavingchildreninmarriageand providingthemwithastrongandlovingfamilylife. NB:Areviewofcatecheticalprogramsoughttobeundertakenwiththe goalofsurfacingweakness,correctingproblems,andstrengthening content.Today,therearemanyresourcesthatcanfacilitatethisprocess (seeResources). 22 9.4.2Providetheabovecatecheticaleducationtoallthefaithful. Sinceloveandsexualityaffectallpeople,pastoraleducationoughttobe providedforallagegroups,includingage-appropriatecurriculaforchildrenand adolescents.Fromveryearlyon,youngpeopleshouldbepreparingfor marriage,preparingtohavethevirtuesneededtobeagoodspouseandtoknow howtolookforagoodspouse.Parentsandeducatorsshouldbeintentionalin helpingyoungpeoplebeconsciousofhowbesttoprepareformarriedlifeand parenthood. NB:Specialmentionshouldbemadeaboutyoungadults,whooftenfall awayfromtheChurchatthistimeintheirlives.Asmentioned,education intheCatholicfaithshouldbeofferedinuniversitysettings.Butsince some70%ofyoungadultsdonotattendcollege,itisalsocriticaltoreach outtoyoungadultsthroughcreativevenues(suchas“TheologyonTap” programs)andsocialmedia(Facebook,websites,Twitter,pilgrimages etc.). 9.4.3EnsurethatChurchteachingisprovidedbywell-formedandbelieving clergy,religious,andlaity. Itbearsmentioningthatnooneshouldteachthefaithfulwhodoesnot believeandstrivetoliveCatholicteachingintheirlives.Everyeffortoughttobe madetoensurethatChurchleaderswhoteach–fromtheparishreligious educationvolunteer,tothefacultyinaCatholicuniversity’sdepartmentof theology–shouldhavethe“mindoftheChurch.” Weespeciallyrecommendthatcontinuingeducationandformation programsberequiredofallChurchleadersonthesubjectsofChristian anthropology,humansexuality,chastity,marriage,andplanningone’sfamily size. 9.5Aspecialwordtodiocesanbishops Werecommendthatbishops,becauseoftheirsacredteachingauthority: 9.5.1Createorstrengthendiocesanmarriageandfamilylifeministry. Diocesanmarriageministryisconcernedwithallaspectsofthepastoral preparationofcouplesformarriageaswellassupportingmarriedcouplesand theirfamilies.Centraltothisactivityshouldbecatecheticaleducationand formationinGod’sdesignformarriedlove,whichshouldinclude: 1) SubstantivecontentandevenwitnesstotheChurch’steachingson conjugalloveandresponsibleparenthood,theimmoralityof contraception,andthemoralityofNFP. 2) Remotemarriageeducationforyouthandyoungadults,withaspecial focusonthevirtueofchastityandanintroductiontothescienceand methodsofNFP. 23 3) Continuingeducationofferedtodiocesanclergy,religious,andlay ecclesialleaders. 9.5.2CreateorstrengthenordiocesanNFPministry. PartofdiocesanNFPeducationshouldincludecreatingorstrengthening diocesanNFPministrysincethisparticularministryiscomplexandinvolves educationinhumanfertilityinadditiontoChurchmoralteaching.32When developingdiocesanNFPministry,itisimportantto: 1) IncludeprogrammingforthepastoralsupportofNFPusers,especially thosestrugglingwiththemethods. 2) Includeprogrammingforclergyeducationonthescienceand methodsofNFP(includingwheretofindreputableresources). NB:ItisespeciallyimportanttoencourageclergytogiveSunday homiliesonChurchteachingregardingchastity,conjugalloveand responsibleparenthoodandthemoralmethodsofNFP. 3) Includeavarietyofeducationalandwitnessformatssuchasuseof thediocesanwebsite,e-learns,andsocialmedia. 4) IncludelocalNFP-onlyhealthcareprofessionals,includingCatholic marriagecounselors(orthosewhowillsupportCatholicteaching). 9.5.3ProvidepastoralsupporttotheNFPresearch/educationalcommunity. SincethesecularscientificcommunitydoesnotcommonlysupportNFP research,Churchleadersoughttostepintohelp.Amongtheactivitieswe recommendare: 1) AssistancewithidentifyingbenefactorsforthefundingofNFP research. 2) Assistancewithfundingofdiocesanrepresentatives(e.g.,NFP teachers,physicians,etc.)toNFPeducationalconferences. 3) PromotionofthemedicalpracticesofNFP-onlydoctorsinthe diocese. 9.6Toallpeopleofgoodwill Theevidencefrombothsociologicalresearchandcommonsenseseemsto challengethepopularbeliefthataccesstocontraceptionwillprovideakindoffreedom andhelppeopleattain,ifnotlonglastinglove,atleastsomedegreeofhappiness. Peopleshouldaskwhethertheyarehealthierorhappierfromcontraceptiveuseandthe sexualbehaviorwhichaccompaniesit. Wedon’tpresumetotellpeoplewhattobelieve,butwedourgeallpeopleof goodwilltobegintoquestionthestatusquo–especiallythehealthinessof contraceptiveusebothwithregardtotheirpersonallivesandtosocietyingeneral. 24 WealsoinviteallpeopletoreadHumanaeVitaetotestclaimsmadeagainstit andtoappreciateitswisdom.Finally,weinviteyoutodiscoverthemethodsofNatural FamilyPlanning(seeFactsAboutFertility.org). 9.7TointernationalAgencies Weurgeinternationalagenciestolistentothevoicesofwomenandmenwho sharetheunderstandingthatcontraceptionisharmfulforwomen,relationships, children,andsocietyandwhowouldbenefitfromknowledgeofmethodsofNatural FamilyPlanning.Weasktheseagenciestorespectthereligiouslibertyoforganizations andindividuals.Indeed,weaskthemtobecomefullyfamiliarwiththesciencebehind NaturalFamilyPlanningandtotakeanhonestlookatthedamagecontraceptiveusehas donetomanycultures.WeaskthemtopromotemethodsofNaturalFamilyPlanning sincethemethodsaremoral,ecologicallysound,effective,inexpensive,andconducive tostrongmarriages.TheCatholicChurchandthosewhoseetheharmsthat contraceptionhasdonedeserveahearing.Individuals,marriages,andsocietieswill benefitgreatlyifthetruthisrecognizedandfollowed. Leadauthor: JanetE.Smith,Ph.D. FatherMichaelJ.McGivneyChairofLifeIssues SacredHeartSeminary Co-authors: JohnS.Grabowski,Ph.D. AssociateProfessorandDirectorofMoralTheology/Ethics SchoolofTheologyandReligiousStudies,TheCatholicUniversityofAmerica J.Budziszewski,Ph.D. ProfessorofGovernmentandPhilosophy UniversityofTexasatAustin MariaFedoryka,Ph.D. AssociateProfessorofPhilosophy AveMariaUniversity Contributors: RichardJ.Fehring,Ph.D.,RN,FAAN ProfessorEmeritusandDirector InstituteforNaturalFamilyPlanning,MarquetteUniversity GerardM.Nadal,Ph.D. President,CoalitiononAbortion/BreastCancer 25 Dr.GregoryK.Popcak ExecutiveDirector:PastoralSolutionsInstitute 1 Thereareseveraltranslationsavailable.Wehavelinkedtotheonepostedonthe Vaticanwebsite.TheoneusedinthisdocumentisthatdonebyJanetE.Smith: https://marriageresourcecentre.org/2012/10/31/a-rich-new-translation-of-humanaevitae/(accessed9/20/2016). 2 ConsiderforinstancethatfacttheJPIIInstitutesforMarriageandtheFamilyexiston allsevenofcontinents;thattherearemanylayrunapostolatespromotingchastitythat arebasedontheTheologyoftheBodyandthatmostseminariesandmanyuniversities nowteachtheTheologyoftheBodyasthepreferredexplanationoftheChurch’s teachingonsexuality. 3 HumanaeVitae14. 4 Foradetailedtreatment,seeGermainGrisez,TheWayoftheLordJesus,Vol.2,Living aChristianLife(Quincy,Ill.:FranciscanPress,1993),506-519. 5 See,VandeVusseL.,HansonL.,FehringR.J.,NewmanA.,andFoxJ.“Couples’viewsof theeffectsofnaturalfamilyplanningonmaritaldynamics,”JournalofNursing Scholarship35,no.2(2003):171-176. 6 ToreadmoreaboutNFPmethods,see“NFP,MythandReality”at, http://www.usccb.org/issues-and-action/marriage-and-family/natural-familyplanning/what-is-nfp/frequently-asked-questions.cfm. 7 See,VandeVusseL.,HansonL.,FehringR.J.,NewmanA.,andFoxJ.“Couples’viewsof theeffectsofnaturalfamilyplanningonmaritaldynamics.”JournalofNursing Scholarship35,no.2(2003):171-176. 8 SeePopeJohnPaulII,ManandWomanHeCreatedThem:ATheologyoftheBody, trans.MichaelWaldstein(Boston:PaulineBooksandMedia,2006). 9 PopeJohnPaulII,GeneralAudience(18July1984),InsegnamentidiGiovanniPaoloII, vol.7.2(VaticanCity:LibreriaEditriceVaticana,1985)103. 10 Foradefenseofthisclaim,seeJohnC.Ford,S.J.andGermainGrisez,“Contraception andtheInfallibilityoftheOrdinaryMagisterium,”TheologicalStudies39(1978)258– 312. 11 Lumengentium(November21,1964)no.25,trans.PeterRyan,S.J.,andGermain Grisez,“IndissolubleMarriage:AReplytoKennethHimesandJamesCoriden,” TheologicalStudies72(2011)369–415,at410.Foraconsiderationofthemeaningof theseconditions,see410-11. 12 SeeRyanandGrisez,411–12. 13 SeeFordandGrisez,277-86. 14 MatthewHanleyandJokindeIlara,AffirmingLove,AvoidingAIDS:WhatAfricaCan TeachtheWest(NationalCatholicBioethicsCenter,2009). 26 15 NationalCenterforHIV/AIDS,ViralHepatitis,STD,andTBPrevention,Centersfor DiseaseControlandPrevention,August12,2016, https://www.cdc.gov/condomeffectiveness/docs/condoms_and_stds.pdf. 16 ThebookContraceptiveTechnology(R.A.Hatcher,J.Trussell,A.L.Nelson,W.Cates,D. Kowal,M.Policar,etal.,NewYork:ArdentMedia,2011)isconsideredthemost authoritativetextinthefieldofcontraceptivetechnologiesandlistscontraceptive efficaciesinatablelinkedhere:http://www.contraceptivetechnology.org/wpcontent/uploads/2013/09/CTFailureTable.pdf. 17 JessicaDolleetal.,attherenownedFredHutchinsonCancerCenterinWashington (CancerEpidemiolBiomarkersPrev2009;18(4).) 18 WorldHealthOrganization,InternationalAgencyforResearchonCancer (http://monographs.iarc.fr/ENG/Classification/index.php).ThelistofGroup1Agents includestheknowncarcinogens,andincludesTobacco,Radium,Plutonium,andall typesofIonizingRadiation.Theactuallistmaybefoundhere: http://monographs.iarc.fr/ENG/Classification/ClassificationsGroupOrder.pdf. 19 LarrimoreandStanford(BMJ2000,August12;321(7258):450. 20 http://www.contraceptivetechnology.org/wpcontent/uploads/2013/09/CTFailureTable.pdf. 21 Welling,L.(2013).Psychobehavioraleffectsofhormonalcontraceptiveuse. EvolutionaryPsychology,11(3):718-742 22 Welling,L.(2013).Psychobehavioraleffectsofhormonalcontraceptiveuse. EvolutionaryPsychology,11(3):718-742,p.718) 23 Russel,V.M.,McNulty,J.,Baker,L.etal.(2014).Theassociationbetween discontinuinghormonalcontraceptivesandwives’maritalsatisfactiondependson husbands’facialattractiveness.ProceedingsoftheNationalAcademyofSciencesofthe UnitedStatesofAmerica.vol.111no.48.17081–17086RetrievedSeptember11,2016 athttp://www.pnas.org/content/111/48/17081.full. 24 Ibid. 25 Parry,W.(2012).Waterpollutioncausedbybirthcontrolposesdilemma.LiveScience. RetrievedSeptember11,2016fromhttp://www.livescience.com/20532-birth-controlwater-pollution.html. 26 LundUniversity.(2016,March4).Estrogeninbirthcontrolpillshasanegativeimpact onfish.ScienceDaily.RetrievedSeptember11,2016from www.sciencedaily.com/releases/2016/03/160304092230.htm;Schwindt,A., Winkelman,D.Keteles,K.etal.(2014).Anenvironmentaloestrogrendisruptsfish populationdynamicsthroughdirectandtransgenerationaleffectsonsurvivaland fecundity.J.ofAppliedEcology,51pp.582-591. 27 Mills,M.,Arias-Salazar,K.,Baynes,A.,etal.(2015).Removalofecotoxicityof17α- ethinylestradiolusingTAML/peroxidewatertreatment.ScientificReports5,10511. doi:10.1038/srep10511 28 Tamschick,S.,Rozenblut-Koscisty,B.,Ogielska,M.(2015).Sexreversalassessments revealdifferentvulnerabilitytoendocrinedisruptionbetweendeeplydivergedanuran 27 lineages. ScientificReports6,Articlenumber:23825.doi:10.1038/srep23825;Vrooman,L., Oatley,J.,Griswold,J.etal.(2015).Estrogenicexposurealtersthespermatogonialstem cellsinthedevelopingtestis,permanentlyreducingcrossoverlevelsintheadult.PLOS Genet.Jan;11(1). 29 EPA(2010),Theeffectsofethinylestradiolonspermatogenesisintheadultmalerat. EPAScienceInventory.RetrievedSeptember11,2016at https://cfpub.epa.gov/si/si_public_record_report.cfm?dirEntryId=218968;Vrooman, op.cit. 30 SeeLionelTiger,TheDeclineofMales(St.Martin’sPress:2000);FrancisFukyama,The GreatDisruption,HumanNatureandtheReconstitutionofSocialOrder(FreePress, 2000);MaryEberstadt,AdamandEveAfterthePill:ParadoxesoftheSexualRevolution (IgnatiusPress,2013). 31 ForalistingofNFPprovidersthatofferon-lineandon-siteeducation,see http://www.usccb.org/issues-and-action/marriage-and-family/natural-familyplanning/what-is-nfp/science/nfp-education-for-healthcare-professionals.cfm. 32 AusefulinstrumenttoaccomplishthiscanbefoundintheU.S.bishops’Standardsfor DiocesanNFPMinistry(seehttp://www.usccb.org/issues-and-action/marriage-andfamily/natural-family-planning/diocesan-ministry/standards.cfm). (9/23/2016version:Therewillbeupdates) 28
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