ARTICLE IN PRESS Social Science & Medicine 66 (2008) 301–314 www.elsevier.com/locate/socscimed The donor, the father, and the imaginary constitution of the family: Parents’ constructions in the case of donor insemination Victoria M. Gracea,, Ken R. Danielsa, Wayne Gillettb a University of Canterbury, New Zealand b University of Otago, New Zealand Available online 24 October 2007 Abstract Current international policy trends in the field of medically assisted conception are moving towards increased openness of information regarding the nature of conception where donated gametes are involved. In the case of donor insemination this means that the donor is no longer anonymous, offspring have the right to access information about the donor’s identity, and parents are encouraged to tell children the nature of their donor-assisted conception. Until recently, however, the practice of donor insemination has tended to create the conditions for ignoring, or erasing, the existence of the donor as the provider of the gametes. Changing policy creates numerous challenges to this erasure, and to traditional conceptualisations of the father. This research is based on analysis of the narratives of a group of 41 New Zealand couples who conceived children with the assistance of donor insemination 15–18 years prior. This article focuses on their talk about the donor. The parents’ negation of the donor supports the normative formation of ‘family’, and is in turn supported by an instrumental and de-personalising discourse in relation to the donor. A tension is created within the parents’ talk whereby donors are negated and yet simultaneously appear as persons. We explore this discursive construction, suggesting that a new framework for thinking about donated gametes and the role of the donor is influencing parents’ narrations and understandings of family. We discuss these influences and examine their implications, particularly with respect to a separation of the bio-genetic from the social-environmental. r 2007 Elsevier Ltd. All rights reserved. Keywords: New Zealand; Donor insemination; Parents’ perceptions; Donors; Fatherhood; Family Introduction Current international policy trends in the field of medically assisted conception are moving towards increased openness of information regarding the nature of conception where donated gametes are Corresponding author. Tel.: +64 3 364 2692; fax: +64 3 364 2977. E-mail addresses: [email protected] (V.M. Grace), [email protected] (K.R. Daniels), [email protected] (W. Gillett). 0277-9536/$ - see front matter r 2007 Elsevier Ltd. All rights reserved. doi:10.1016/j.socscimed.2007.08.029 involved. In the case of donor insemination this means that the donor is no longer anonymous that offspring have the right to access information about the donor’s identity, and that parents are encouraged to tell children the nature of their donorassisted conception. In most countries, however, secrecy remains the norm and this means that the practice of donor insemination tends to create the conditions for ignoring, if not erasing, the existence of the donor as the provider of the gametes, or as a ‘father’ in any sense with a relationship to the resulting child. Although some claim that the ARTICLE IN PRESS 302 V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 medical profession still supports secrecy in many jurisdictions (Rushbrooke, 2004), there is a changing policy environment in an increasing number of countries including New Zealand. This change creates numerous challenges to this erasure of the donor, and to traditional Western conceptualisations of the father whereby the biogenetic contribution and the nurturing parenting role are combined in the one person. This research is concerned to explore how the role of sperm donor and the act of donation is perceived by parents of offspring conceived with the use of donor insemination. It is based on analysis of the narratives of a group of 41 New Zealand couples who conceived children with the assistance of donor insemination 15–18 years prior. This paper focuses on their talk about the donor; what is said, and unsaid. We argue that the negation of the donor by the parents reflects a medicalising process, and supports the normative formation of ‘family’. This negation is supported by an instrumental and depersonalising discourse evident in relation to the donor. Regardless of efforts to erase the donor, he keeps appearing; he transpires. These competing constructions create numerous ambiguities with respect to a separation of the bio-genetic from the socio-environmental. Through an exploration of the discursive construction of these ambiguities, we suggest that an entirely new framework for thinking about donated gametes and the role of the donor is influencing parents’ narrations and understandings of family. We discuss these influences and examine their implications. The invisible, silent, anonymous donor As Daniels (1998) has recounted, in the medical context sperm donors have traditionally been kept in obscurity. In 1964, Finegold is on record for saying ‘it is generally agreed the donor’s identity should be veiled in absolute obscurity’ (Finegold, 1964, p. 35), and in 1981, Glezerman wrote that semen collected from donors should be regarded as ‘material from an anonymous testis’, the donor being a ‘non-person’ (Glezerman, 1981, p. 185). These statements appear to characterise a medical profession committed to playing whatever role they could to create the family that heterosexual couples could not attain without medical assistance because of male infertility or sub-fertility. What was of profound importance was the supreme value of the family relationships created through the conception and gestation of a child born to two preferably married opposite sex partners. In a fiercely pronatalist social context, the anguish of the couple unable to conceive and have a child, was matched, we can assume, by the desire of the medical specialist to break through this impasse. Medically assisted conception through insemination with sperm donated from an anonymous donor had every outward appearance of ‘normal’ reproduction, possible in a context where the psychosocial facets of parenting and the building of family relationships was considered to far outweigh the physicality of connectedness to the male through his contribution to the offspring’s genetic complement—as one man referred to it in Edwards and Strathern’s study, a mere ‘microscopic blip’ (Edwards & Strathern, 2000). This emphasis and its concurrent irrelevance and dismissal of the provider of the gametes is reflected in Glezerman’s (1981) comment that ‘the myth of blood and flesh has to be uprooted and a state of consciousness achieved in which the donor, from the psychologic point of view, does not exist’ (Glezerman, 1981, p. 185). This view was premised on the possibility of a conceptual separation of the bio-genetic from the socioenvironmental facets of reproduction and family formation. Daniels (1998) highlights the ‘medical paternalism’ of the time that also reinforced the obscurity of the donor, whereby doctors involved in infertility medicine were concerned to protect those providing semen, so that they could walk away with no threat of any paternal responsibility. He notes that perhaps they were also protecting themselves, as many donors were in fact medical students. Additional reasons for secrecy include the legal implications of a situation where the male partner’s name was entered onto the birth certificate as the father of the child. This was justified presumably by the practice then of doctors encouraging couples where the male was sub-fertile to have intercourse the night of the donor insemination treatment, creating the chance that the offspring could perhaps be the biological progeny of the male partner and not the donor. A shift away from this radical elimination of the donor, the removal or exclusion of his personhood from the donor insemination process started gradually in the mid-1970s, as reflected in the literature. ‘Donors’ started to appear even if tangential references did little more than mention ‘him’ in passing. But ‘he’ started to appear as a person, and ARTICLE IN PRESS V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 thus with the potential to have a view (thoughts and feelings) of his own as a provider of gametes (see Daniels, 1998 for a discussion of this early literature). For example, researchers in the US reported that the main reason given by university students for not being willing to donate sperm was ‘the knowledge that it might produce children that I may never meet’ (Emond & Scheib, 1998, p. 316). The donor also started to appear as a person of possible relevance to donor-conceived offspring. For example, the Sperm Bank of California has had an ‘open-identity’ option since 1983, whereby donors agree to release of their identity and contact information to interested offspring once they reach 18 years (Scheib, Riordan, & Rubin, 2003). This shift towards greater focus on the role of the donor coincided with an increasing emphasis within the biomedical sciences, and through the popular science press and media, on the significance of genetic inheritance. As the genetic sciences have expanded exponentially over the last few decades, and as the claimed understanding of the role of genes in human development has developed apace, the significance of the donor has taken on an entirely new and evolving profile. The shift towards greater focus on the donor also accompanied significant recent changes in the form of the contemporary Western family. As Bornat, Dimmock, Jones, and Peace (1999) note, figures showing cohabitation and fertility rates, births outside marriage and divorce are all indexed to the ‘remarkable transformation in assumptions about family formation that has taken place over the last 50 years’ (p. 117). Judith Stacey’s (1990) ethnography of ‘post-modern families’ focussed on the way that rigid formulations of the 1950s nuclear family with its breadwinner father and full-time home-maker mother, were being challenged and in many ways replaced in the 1970s and 1980s by newly invented forms of family relating. These new post-modern, reconstituted families were more inclusive following an increasing rate of separation, divorce and remarriage. According to Stacey, the latter half of the twentieth century has seen women and men ‘creatively remaking’ American family life whereby complex, divorce-extended families respond to the imperatives of sociological changes with the shift to a post-industrial society. The context of political transformations in gender and ethnic minority roles, identities and relationships, work and employment patterns as well as marriage and divorce all impacted on the family. The rigidity 303 of the normative, modern, conjugal family form (albeit ephemeral, as Stacey points out) was displaced by an increasing fluidity of the ‘recombinant family’ (see also Allen, Hawker, & Crow, 2001). The diversity of contemporary family practices has been the subject of a new sociology of family, family policy and relations of intimacy (see Beck & Beck-Gernheim, 1995; Beck-Gernheim, 2002; Eichler, 1997; Giddens, 1992; Jagger & Wright, 1999; Nelson, 1997; Scott, Treas, & Richards, 2004; Silva & Smart, 1999). This increasing diversity of family forms is paralleled in the New Zealand context (see Dharmalingam, Pool, Sceats, & Mackay, 2004; Ministry of Social Development, 2004). The parents in our study received their donor insemination treatment in a very different policy milieu from that of today. In the early 1980s, in New Zealand, the process was secretive, they were not expected to tell the child of the nature of his or her conception, and, as indicated above, in many cases they were advised to ‘go home and make love’ so that they could create an enduring narrative in their own imaginary constitution of their family that the child might well be the father’s biological offspring anyway. The donor was anonymous, and the parents were led to understand that no information would be kept and no future connection with the donor, or donor with the offspring, could be made. Nearly two decades later, they are now living through a time when fundamental assumptions about the role of the donor are in the process of undergoing radical change, both in relation to the donor insemination-created family, and particularly to the offspring themselves. Understanding how parents perceive the donor is important at this point in time as policy developments internationally are poised to intervene in this delicate and sensitive domain. Before considering the empirical research, we turn to a brief discussion of the relevant literature to date that has considered perceptions of the donor. Contemporary ambivalence Many researchers have studied the question of how parents create ordinary families through the use of donor insemination, and more broadly, gamete-donation. We do not review this extensive literature here, but rather focus specifically on literature pertaining to parents’ perceptions of the donor of sperm. Maggie Kirkman’s research on ARTICLE IN PRESS 304 V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 narratives of gamete donors, recipients and offspring in Australia is the only study to date we are aware of that takes the question of recipients’ perceptions and interpretations of sperm donation as a central focus in an in-depth qualitative study (see Kirkman, 2004). The narrative representations of sperm donors across this mixed group reflect considerable ambivalence, which at the extremes Kirkman refers to as donors being simultaneously ‘saviours and satyrs’. Her findings present a ‘public narrative’ where, when the topic is not avoided, it is infused with a jokey attitude, with references to wanking, insinuations of adultery, and general ribaldry associated with the husband’s role being superseded by a donor. Kirkman notes how perceptions of the process of sperm donation need to be understood in the context of a cultural history of masturbation with its inherent ambiguities of both erotic gratification, and forms of social control and surveillance. Because of the scope of Kirkman’s study (including donors and offspring as well as recipients), her commentary specifically on the narratives of recipients of sperm donation is interspersed by the views of providers and offspring on a number of themes arising from this complex mix of narrative perspectives. The recipients in her study were not only recipients of sperm donation, but some were recipients of eggs and embryos; most of her participants were in female–male partnerships, some single or separated, and a few were in female–female or male–male partnerships. We learn that recipients (of sperm, eggs or embryos) tended to view sperm donation as of less significance to the donor than egg donation, particularly given it is ‘easier’. Recipients of sperm in Kirkman’s study wanted to view the provider as altruistic, hoping that he was not just doing it for money or ‘to populate the earth with his genes’ (p. 327). Kirkman characterises recipients’ representations of the sperm donor as that of ‘gratitude mitigated by resentment, embarrassment, anxiety’ (p. 327). This mixture of reactions meant that comments related to the donor were traversed by dilemmas reflecting a number of tensions: a desire to thank the donor, the hope never to encounter him, the fear that offspring would consider the donor to be the ‘real’ father, concern that he would not provide information if the offspring wanted it, a sense of him as a generous and noble person on the one hand, and yet as a constant reminder of sexual inadequacy and the shame associated with it, on the other. Kirkman found that her participants considered that the father’s attitudes to his need for a donor would be significant in the view he would form of the donor, and that shame would play a role. Among recipient parents (of specifically sperm donation), she notes that ambivalence and complexity are always apparent in their assessment of the donor in relation to any notion of ‘fatherhood’. The provider could appear anywhere on a continuum of having no parental relationship with an offspring, to being almost, at least potentially, a competing father figure. Kirkman’s research provides insight into recipients’ views of sperm donation as these views interact with those of offspring and donors. The majority of her participants were supporting the view that offspring should at least be told of the nature of their donor-assisted conception. The research presented in our study takes these insights as a starting point. It pursues in a more singular, focussed and hence in-depth way how sperm donation is perceived by a cohort of heterosexual couples who received donor insemination treatment at approximately the same time. Methodology and method We used thematic analysis as the qualitative methodology for this inqury (see Braun & Clarke, 2006 for a discussion of thematic analysis). The epistemological approach taken is not a naı̈ve realist one, but rather a constructionist methodology which is described by Braun and Clarke (2006) as one that ‘examines the ways in which events, realities, meanings, experiences and so on are the effects of a range of discourses operating within society’ (p. 81). Our method involved generating narratives from parents who had conceived at least one offspring through the use of donor insemination. Our aim was to interview them about their experiences of forming their families with this medically assisted procedure. This group of families was a part of a study conducted in 1990 with 58 heterosexual married couples who received donor insemination through an infertility clinic in New Zealand between 1983 and 1987. At the time of the first study, all but one couple agreed to being contacted at a later date for further research into their experiences, views and reflections. Of 57 couples, we were successful in tracing 46 (either as couples, or as individuals where couples had separated). Of these, 43 were inter- ARTICLE IN PRESS V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 viewed. One additional couple from the original cohort was also interviewed, although they did not participate in the first study. Thus, 44 couples were interviewed resulting in usable transcripts from 41 couples (three had serious taping problems and were not usable). Of these 41 families represented in the study, 23 were interviewed together (in one instance the couple had in fact separated), in three instances the man and the woman were interviewed separately (had separated, or divorced, or in one instance the spouse had died), and in 11 instances for women and four for men, they were interviewed alone (and again, had separated or divorced with the ex-partner not being available or willing to participate in an interview). The participants were New Zealanders of European (predominantly English) descent except for one woman who described herself as ‘part Maori’, and one man who was born in England and raised by English parents but now is a New Zealand citizen and describes his ethnicity as Maori. The mean age of women interviewed was 47 years (range 37–56), and the mean age of men was 51 (range 41–68). Women were grouped mainly in clerical, service and professional occupations, while the majority of men were grouped in service and professional occupations and a smaller number were self-employed. Most of the participants had one child through donor insemination (23 couples), many had two children (16 couples), and two couples had three children. Eight couples had a child(ren) subsequently without the assistance of donor insemination (one became pregnant but miscarried twice). Ethics approval was obtained from the National Ethics Committee on Assisted Human Reproduction. The interviews were conducted in 2004 by either V.G. (9 interviews) or K.D. (remainder). The two interviewers designed the interview protocol together, discussed the process, conducted a pilot interview together, and listened to early interviews as a means of ensuring consistency of approach. Interviews with couples differed in some ways from those with individuals. Couple interviews of course allowed for interaction between the pair. This led to generally shorter excerpts of text without shift in turn-taking by comparison to those interviewed alone. It is to be expected that narrative in the presence of a spouse would be moderated differently from a solo narrative. For the purposes of the analysis performed and reported on in this paper, the discursive characteristics identified could not be 305 differentiated on the basis of whether the interview was conducted with a couple or an individual parent; the narrative features were present in similar words, phrases, concepts and themes across these interview forms. We used an open-ended approach to interviewing, beginning with a broad non-leading question, asking participants to ‘begin by telling me what’s it been like for you building your family with donor insemination?’ As we wished to generate their stories framed in their language and conceptualisations, the interviewer prompted further talk using keywords used by the interviewees, enabling a process whereby the interviewees set the topics and foci for their stories about their families. This approach aimed to provide the opportunity for a spontaneous and reciprocal exchange between interviewer and interviewee, giving participants the scope to reflect on their experiences from their own perspective (Levesque-Lopman, 2000). The interviewer’s probes were designed to elicit deeper reflection on the topics and issues raised by the interviewees. We were not concerned to generate an accurate recall of historical events, but rather to prompt a contemporary narrative that would encapsulate their current views on the process of building their family relationships over time. Once this process had run its course, if certain key issues had not been raised and discussed, the interviewer asked more specific questions. These included questions designed to elicit their constructs related to meanings of ‘genetics’ and the process of genetic inheritance; we were interested in how they viewed the significance of genetic or biological linkages in their family building and how this impacted on their formation of family relationships, or otherwise; issues surrounding the donor included how they viewed the act of donation, how they viewed the donor, whether they thought about the donor and if so, in what ways, and whether the existence of the donor affected the formation of their family narrative; we were also concerned to explore their understandings of the perspective of the offspring on the issues discussed; and most importantly, decisions related to information sharing—how (and why) they made the decision they had to this point, what influenced their decision, how they perceived their decision had affected their family building, to what extent there was agreement between the parents, and if they had told their offspring, how this occurred and how it had affected their families. In almost all interviews, however, ARTICLE IN PRESS V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 306 these topics were discussed by the interviewees in the course of the conversational interaction (see Levesque-Lopman, 2000, for further description of this method of interviewing). The interviews were tape-recorded and transcribed. To analyse this material, we read and reread the transcripts to identify the main thematic areas, an identification shaped by an interaction between our research questions, our reading of the literature, and the themes that were evident within the narrative texts. Consistent with a thematic analytic approach, we searched for themes or patterns across the entire data set (Braun & Clarke, 2006). Prior to the interviewing, we had established an area that seemed to us to be of obvious importance: how participants talked about the donor and his role in their formation of their family. We identified all the sections of text across the transcripts that related in any way to the donor. Using the software package NVivo to assemble and organise this data into a node we called ‘Donor’, nine sub-nodes, or categories were then generated. Decisions about these categories were driven by the content of the Donor node, as we identified sub-themes that were consistent across the transcripts. These categories of text were printed off, read and analysed in terms of the meanings within, and relationships between, the categories. Firstly, we discuss below how the family form was constructed through an erasure of the donor and then we explore how the stability of this imaginary constitution of the normative family would be disrupted by what seemed to be an inevitability that the donor’s personhood would keep appearing. The implications of the ambiguities generated by the interweaving of these turns in the narratives are then discussed. In the presentation of interview data below, [F] stands for the name of the woman interviewed, or the mother of the offspring where the father only was interviewed; [M] stands for the name of the father. [O] stands for the name of offspring to whom reference is being made, where offspring were conceived through donor assistance. In each case the number, (for example, M.23), is the interview number (the numbers relate to the original study). [y] marks varying lengths of pauses within the text. Erasure of the donor I just saw him as a collection of sperm (M.1) The talk of the parents in this study was traversed by many statements indicating that donors did not exist as persons for the parents in their narrative construction of their family. This orientation was supported by an instrumental discourse regarding the process of donation, which was reinforced by a distancing effected through the medical process of screening, testing and sanitising the sperm. This erasure played a role in facilitating a view of the offspring as the father’s daughter or son, enabling a portrayal of the family in normative nuclear family terms. The donor’s non-existence The fact that the donor was not foregrounded in the parents’ narration of how it has been for them in building their family with the use of donor insemination is underlined by the observation that any talk about the donor tended only to emerge in response to interviewer questions directly about the donor (asked in a variety of ways depending on context, for example, ‘do you think about the donor at all?’, ‘what role has the donor had in building your family relationships?’, ‘are there any issues for you surrounding the donor?’). Characteristic responses would begin with the claim that they never think about the donor, that the donor has not had any role at all, or that there are no issues related to the donor. For example, in response to the question ‘do you think about the donor at all?’ M.21 said ‘Never’; when F.28 was asked ‘what part the donor plays’ in terms of her thinking and her family she replied ‘Nothing really. Nothing.’; and when asked ‘how do you view the donor?’ M.9’s response was ‘Dunno, hadn’t thought about it really [laughs].’ Beyond this there was a number of elaborations on how this absence was marked by a claim that for them the donor’s very existence was marginal to them, for example, ‘As far as I’m concerned they hardly exist’ (F.1); ‘They’re not y they’re irrelevant’ (M.23); ‘He’s donated sperm, end of connection’ (M.1); F.50 explained that ‘He just helped us get what we wanted at that time and then he was out of the picture, basically, for us. We’ve never thought about it in that respect again.’ Some parents went further and actively removed the presence of the donor as a person from the life of their family. While M.23 said ‘Yeah, no idea, no, don’t want to know him basically [laughs]’, F.51 said ‘you can [..] think, you can programme yourself ARTICLE IN PRESS V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 to thinking that it is your husband’s. He is the father of your child.’ Here, we can see the possible success of the strategy advocated by Glezerman in the early 1980s, discussed earlier. The donor could be deemed by parents to not exist as a person, explicitly negated from their consciousness. There is an active refusal of any thought that the donor would have any connectedness to the family in any sense. The family’s narrative of the singularity of its nuclear form (mum, dad and the kids) is afforded through the negation of the donor. Distancing through medical provision F.4 had ‘never really given him a face, or personality or person. Um. It’s just a someone out there, yeah.’ For F.4 the donor can be depersonalised through the absence of connection between any individual person as provider and her specific insemination. The medical intervention of creating a sperm ‘bank’ enables the possibility of this distancing in which there is no relationship whatsoever between the act of provision and the act of receiving. While the intention of the parents to conceive is amplified, the intentionality of the provider is depersonalised. M.25 makes this clear in the following statement: ‘And because the donor is out there, is out there, could have been, you know, any of thousands of [..] thousands of people. So, yeah, never sort of honed into the particular donor.’ This disconnection is at the heart of Strathern’s analysis of the problems associated with conceptualising gamete donation as a gift. The gift is symbolic, passing between friends and kin ‘precisely to indicate the non-transactable part of their relationship’ (Strathern, 1992, pp. 37–38). The unknown act of donation is alienated from social practices of gift-exchange and, as Strathern added, ‘[i]f the idea of a gift sounds hollow or off-key in reference to gamete transfer, it is because the Enterprise Culture provides many more and readier ways of thinking about a calculating self’ (p. 38). For M.42 the absence of any personhood associated with the donor is linked to this distance and anonymity: ‘Um, there is no, there is no face, there is no personality that goes along with the donor.’ F.53’s approach is to literally depersonalise the donor through her use of language—the donor becomes an ‘it’: 307 Don’t think so, no I don’t think I had any thought about him, um, [..] actually we don’t even call him a him, we call him donor, don’t even like to personalize it, um [..]. Later she adds: I do try to depersonalize it, think it’s not a person, it’s just a [..] um, [..] it was just a person donating something, it was a thing, they, we call it the donor, um, if I talk to the children I call them, oh, don’t even say him, I try to say ‘the donor’. Um, because I really didn’t want the children to think of that person as their father. F.53 plays a role in managing the children’s perception of her male partner as the sole father. The gendered nature of the responses of parents to this question of their views on the role of the donor emerge throughout the interviews. Clearly, the male and female in a heterosexual couple as recipients of donor insemination occupy very different positions in relation to in/subfertility, the act of insemination, and the presence or absence of a genetic contribution to the resulting offspring. Frequently the woman’s concern is to ensure that her contribution to the collective family narrative is one that will endorse and reinforce the man’s position as the father, which is echoed in his desire to achieve the same construction. Women in this study tended to respond to what is arguably the man’s vulnerability with a determination to assist and reinforce this mutual construction. Because the vulnerability is the man’s, the woman possibly is the more powerful or at least influential in the success or otherwise of this imaginary constitution of the normative family. The distancing achieved through the medical provision of sperm is evident also through an instrumental discourse evident in some of the quotations above. As M.1 said, ‘I just saw him as a collection of sperm’, and later ‘then you needed to get that genetic seed from somewhere and that’s as far as it went.’ M.1 emphasised that ‘the donor was just a means’, a sentiment reiterated by F.50 ‘but that’s still all as I see him as, as just a contribution only.’ The utility of the objectified and isolated sperm was the primary focus, and is underlined by the fact that sperm can be ‘stored away’ and ‘frozen.’ The sperm was understood by many parents as a means to the desired end of creating a child, their child. To achieve this instrumental perspective, the donor needed to be erased as a person, and concordant ARTICLE IN PRESS V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 308 The genes in the sperm were understood to contain these ‘ingredients’ which can be ‘used’, and ‘used up.’ The imagery in F.24’s statement possibly invokes the agricultural notion of ‘harvesting’ associated with the extraction of gametes when she said ‘and then we went back to [place-2] cause there was still another load of sperm off the same donor [..] there and there was enough for one more cycle I think.’ M.23’s comment, on the other hand, that they should ‘limit them to six kids or something’ implies a perception of donors avidly wanting to spread their seed around. The medicalised nature of the procedure also served to accentuate this distancing and objectification or even commodification of the ‘ingredients’. F.20 said she ‘just thought of it more as [..] um, a clinical thing I guess,’ and M.9 said ‘I certainly appreciate that we’re lucky to have the, the service.’ The conceptual isolation of semen from the donor as a support for the demarcation of its instrumental role needs to be situated in a broader context of the critique of the commodification of body parts through biomedicine and also through the media as an accompaniment to consumerist health discourse (Seale, Cavers, & Dixon-woods, 2006). ‘screened’? ‘He’ was a person with his own family history. Kirkman (2004) notes that the sperm provider today can appear as a dangerous figure who could lead to the inheritance of potential disease or disability. The emphasis of parents in this study was on their trust in the medical ‘service’ to ensure that the donors had been screened and tested, that all the appropriate checks had been done. The donor as a figure with a potential to be a source of harm by virtue of his inherited history is evident in the following: ‘obviously they must screen them, they must know that these people are healthy’ (F.21); ‘I would probably like to think well, if there was a um, a very serious ah, [y] um [..] or major illness within the donor’s family that they perhaps wouldn’t use him as a donor’ (M.21); ‘You assume that they do screen them for, like you say, ah, if there’s a [..] a family history [laughing] of um [..] of ah, cancer of some description ory’ (M.33). The negation of the donor as a person, the reduction of personhood to the utility of ‘its’ product, and the medicalised procedure of professional intervention mediating and obscuring any relationship between donor and recipient all served to reinforce the discourse of family that legitimated the father in his role as parent, normalising the priority of intimacy within the exclusivity of relationships that form ‘family’. This negation, however, was consistently challenged by, or in tension with, another imperative within the parents’ talk. We have seen how the donor emerged as person with a family history in the context of medical ‘screening’ for the parents despite themselves. There were more compelling ways in which the donor appeared, like a shadowy figure refusing this negation, transpiring through the apparently seamless discourse of erasure authorised by the medicalisation of donor insemination at the time of treatment. The importance of screening The donor as person with this erasure, the ‘seed’ isolated from the person. There was explicit talk about the ‘use’ of the donor and the sperm: ‘I don’t know how many times they used the donor’ (F.21); ‘and they used it all so we just finished there’ (F.24). The utility of the sperm as the necessary ‘ingredient’ to be selected for matching characteristics was evident in M.25’s comment that y I think did we have, we had a donor, and I think [..] they run, we, they went on to another, another donor [..] I think or something. But the, I think basically it was just sort of eye colour and hair sort of colour [y] and basic stature and sort of things like that, yeah. A discourse of ‘service’ extended to the screening or testing of the product to ensure a sanitised stock was being ‘used.’ Yet at the same time, the notion of inherited diseases was a route via which the donor’s personhood tentatively reappeared in the parents’ accounts. The question of screening was not related so much to the sperm as a source of DNA, but to the phenomenon of the health of the donor as evident in his family history: had the donors been I wonder what he must think about, if ever y (F.4) Reports of occasional wonderings, confessions of a certain curiosity, were ambivalent and detoured by dismissive remarks. There were numerous ways in which the donor, as anonymous and unknown yet singular and embodied subject, would ‘appear’ in the parents’ narratives (those containing the greatest number of references); the most numerous ARTICLE IN PRESS V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 and significant themes concerned possible resemblances, and speculating on what might have been ‘passed on’. The donor appeared and yet could never materialise as a person due to the absence of any knowledge about the donor. Hesitance and ambivalence In contrast to the adamant and reiterated insistence that the donor was never thought about, there were also references to times when ‘occasionally, you know, I, it, it goes through my mind’ (F.14); or ‘it would go through your mind sort of every now and then, that [..] well, you know, I wonder if y’ (F.27). The talk about any thoughts related to the donor was consistently hesitant, revealing an ambivalence at the heart of this discourse that ran counter to the more assured and dominant theme that the donor was irrelevant to their lives and family. I don’t know. It, it’s not often. But it’s just, I just sort of some, well, you know, earlier on I sort of thought, mm, yeah, okay, I wonder whaty but anyway okay—just get on with life and we’ll get on with it, so yeah, not much we can do now (F.14). Her tentative exploration of possible wonderings is abruptly pushed aside with the pragmatics of getting on with life in the face of an apparent pointlessness in dwelling on such things. This pattern of a tentative wondering deflected by a down-playing of its importance was also the case in M.25’s admission that Well I guess, I guess sometimes, I think ‘‘Well I wonder what he—was he, yeah, was the person into sport or was he sort of a biggish person or was he y’’, I some, I mean yeah, but it wasn’t a serious ‘‘I really would like to know’’. The ambivalence and uncertainty surrounding their desire to ‘know’ arguably reflects the tenuous nature of the challenge the parents’ gesture makes to the ideology that links genetic connection with parenthood. As Becker (2000) notes, Western views of reproduction through the form of family ‘are so focussed on biology that many people find other ways of seeing reproduction implausible’ (p. 64). For example, the fact that ICSI (intracytoplasmic sperm injection) is preferred to donor insemination is, in Becker’s view, upholding the patriarchal ideologies of fatherhood by ensuring the use of the 309 father’s own genetic material. The more quickly the parents can forget about the donor assistance, the better, and yet somehow the ‘knowledge’ and hence the ‘person’ persists in its shadowy manifestation in the parents’ talk. When parents referred to the gratitude they felt towards the donor, sometimes this would be expressed in a way that clearly implied their specific donor (for example, F.9 said ‘Well I, I just see the donor as, as a special person’). F.20 wanted to be assured that the ‘medical side’ had let the donors know how grateful recipients have been for their donation, indicating a wish for a communication or link to be made with their donor, even by means of a generalised exchange. Imagining the intention of the donor in donating sperm, M.20 had some curiosity about the donor: And I often think that [..] I’d actually like to [..] meet the bloke from afar, without him actually knowing y [F.20 laughs] just to see what he’s actually like. And to see if he’s like [..] um, either of the girls. Cause I think that would be quite interesting. The significance of resemblance The question of resemblance to the offspring and the possibility of inherited characteristics being passed on was the major theme via which the donor would become a presence in the parents’ constructions. F.22 said ‘Um, [..] I mean during the whole process, naturally [.] had these bizarre thoughts, like I hope the donor’s not bald or [..] you know, just silly [.] silly thoughts y’ Again, hesitancy and dismissal are evident in this portrayal of thoughts on the donor who most importantly appears as an unknown. The wondering about the donor’s physical characteristics was about likenesses. In a context where reproduction tends to be understood to include the reproduction of family resemblances in some form, no matter how minor, the unspoken absence of resemblance with the father was matched by some comments about the possibility of physical likenesses with the donor. This was most pronounced for F.29, who related how she encountered a man in a social family setting whom she was convinced must be her son’s ‘Dad’. She couldn’t help but ‘stare’; it ‘haunted’ her; then she realised he would have been too young. But for her it was ‘really scary’, ‘real weird’. The question of physical ARTICLE IN PRESS 310 V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 resemblance, whether actually seen in this case, or imagined in the main, brings the donor as an embodied person with his own persona fully into the scene of the family. Some parents wanted to ensure they had the same donor for a subsequent conception to maximise the possibility of likenesses between the siblings. F.56 said ‘I mean that keeps them- like, I mean keeps their likeness, I mean they can see their likeness in me [text missing] mother and then they’d have donor.’ It is noteworthy that ‘donor’ here functions less as a noun and more as a name in this reference. ‘Donor’ appears as a point of continuity between siblings, arguably appearing in the sentence as a person rather than a batch of semen in the freezer. Such matching of likenesses between siblings facilitates the presentation of a ‘normal’ family to the world and reduces the possibility of stigmatising comment being made by the children’s peers. Resemblance talk underlines the centrality of genetic linkages in the construction of meanings of family. As Becker, Butler, and Nachtigall (2005) found in their research on issues for families in which children were conceived with the assistance of donor gametes, ‘resemblance talk is everyday talk’. Family resemblances are a talking point in social intercourse as well as a means to sediment that ‘realness’ of family. The participants in the current study both express the wish to normalise their possibilities for resemblance talk, and yet at the same time rupture the assumption of the appearance of the normative nuclear family by acknowledging the possibility or likelihood of resemblances with the donor. Wondering what he passed on Yet equally significant were those queries about the donor’s interests, his personality, his work, whether he was an active sporty person, and so on. These wonderings were prompted by a range of influences, but the focus was invariably on what might have been ‘passed on’ or what creates a ‘link’. As F.43 said: [O]’s a great one for collecting rocks and, and piles of fossil things under his bed. And his donor was um, a geology student [..] and we sort of think, when he started collecting these rocks, we said, ‘‘Oh well, you know, there’s a link there.’’ There were numerous such references, with F.51 wondering if the donor might have been a vet or a farmer as her daughter loves animals, wondering also if the fact that [O] is ‘quite a bright girl’ might have come from the donor’s ‘side’: ‘I just think oh well, that didn’t come from me [laughs] and my side. It must have come from the other side and um, [..] you know, that was all.’ Here there appear to be two ‘sides’, one and the other, which is some distance from the contribution of sperm being referred to as the ‘microscopic blip’ of complete insignificance in the talk about how the donor hardly exists. ‘Well I thought, I was, I mean when he first ever said he wanted to go to medical school, I thought, ‘‘Good God, perhaps his father’s a doctor.’’ [Laughs]’ (F.52). The donor becomes present in characteristics of the offspring that cannot be explained through the mother’s ‘side’. More generalised reference to what is ‘passed on’ opens up the possibility of wondering about the man himself as F.58 explicitly stated: Sometimes it’s passing through my mind you know, I wonder what were their strengths, or what were they like. Not physically really like, but just as a person, I guess [text missing]. It’s interesting because two of the children are, are probably similar in nature and the third one is quite different. [laughs] So I’d probably attribute her, I wonder now, what sort of guy was this, yeahy The plural ‘their’ becomes ‘a person’, then a ‘guy’ in a sense that potentially encompasses his whole personality, or ‘sort’. F.27 was prompted to think about the donor when her son had a particular problem (or she had a problem with the child) and then: it would go through your mind sort of every now and then, that [..] well, you know, I wonder if y the donor had this sort of problem when he was a kid, you know, or [laughs]y’ and ‘whether anybody in his family was sort of like it you know [laughs]. Like talk about family resemblances, discussions about inheritance of characteristics other than physical appearance form part of family culture (Emslie, Hunt, & Watt, 2003). The parents of offspring conceived with the assistance of donor insemination appear to invoke this talk to imagine possible points of connection with the donor when they do not and cannot know whether there is any reality to these projected likenesses. There is an appeal to a ‘link’ that might obliquely anticipate the ARTICLE IN PRESS V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 donor’s interest in this link. Kirkman (2004) refers to the experience of Edgar, a sperm donor participating in her research, who had donated anonymously years before. He ‘thinks that those who know of their conception will have, like him [as donor], ‘some wonder, almost wistful or romanticised, about what holes we might fill in each other’s souls, or what questions we might answer for each other’’’ (p. 14). The sense of the donor appearing through an absence was pronounced; the parents simply did not know. F.5, whose daughter knows the nature of her conception, put the significance of this in her view into words: I’m still an advocate of children born by donor really have to have some input from the donor be it, albeit written, verbal, anything, rather than nothing because the nothing is nothing. So how do you evolve and develop in yourself without knowing who you are and where you come from. And what’s genetically inherited, yeah, because [O] starts looking at people thinking do I look like them; she’s actually told me that. Here, we see a fully developed emphasis on the significance that can be placed on the ‘other side’ of the discourse of erasure. Erasure of the donor takes place primarily because it ‘doesn’t matter’; here the question of the genetic history matters fundamentally to ‘who you are’ (see Landau, 1998, for a discussion of the ethics of anonymity). Tensions in competing perspectives Not all, but the majority of the narratives contained the tension evident in these two competing perspectives. Of 41 couples, 12 had told the child(ren) of the nature of their conception, two had partially told (for example told the child s/he was conceived with artificial insemination, but not conveyed that a donor was involved), and thus 27 had not told. Of these 27, 7 were considering telling their adult offspring. At time of writing 5 of these 7 have told their offspring. Those who had told their offspring about the nature of their conception were less adamant about the irrelevance of the donor to their family building, but most still emphasised that they hardly ever thought about the donor, and this was accompanied by a discourse of the child being ‘ours’ and the father being the sole male parent. As we have seen from the quotations above, in some instances the parents’ talk contained direct 311 juxtaposition of an interest in the donor on the one hand, and yet dismissal of the donor having any importance on the other. F.22 made this tension explicit when she said ‘you probably tend to slide the fact that it is a donor [..] a mysterious person, you tend to put that aside for the more welcome feelings of [..] you know, we’re going to get pregnant, you know.’ F.51 was stating how she would like to have ‘more sort of history there’ so she could ‘just get a general idea of what [..] what, um, yeah’ [M.51 said ‘what his lifestyle was’] and F.51 continued, ‘what his lifestyle was sort of thing’ which was immediately followed with ‘I didn’t, it didn’t worry me, he didn’t have a name as far as I was concerned, he was just a donor and that didn’t affect me at all.’ Then F.53 related her experience of ‘slipping’ when she said to her daughter (who had been told) ‘Oh, your dad’s a doctor.’ F.53 reflected that ‘I remember saying that once, and feeling awful about it because he wasn’t her dad at all, he was just her donor and [M] was her dad. Yeah. Yeah, that did slip out once so, I probably do subconsciously just push it back and not like to think about it.’ The vulnerability parents felt regarding any tentative interest they might have in the donor was evident in their invariable qualification of this interest by their assumption that the donors would not want contact anyway. In this way, the practice of anonymity at the time of conception created a view of the donor for the parents as a non-interested party highly protective of his anonymity and not receptive to any possible contact. This practice thus influences the view of the donor that recipient parents develop over time. As discussed above, male and female parents are differently positioned in relation to donor insemination. Women featured more prominently in the talk reflecting interest in the donor, and men in that reflecting the irrelevance of the donor. Women made more frequent statements that could be interpreted as expressing an empathy with the donor (for example, F.56: ‘they’ve gone to the trouble of donating sperm and then knowing that they’ll never know how many—or do they know how many they’ve actually fathered?’). The tension between the erasure of the donor and interest in the donor might be understood to reflect tension at the societal level between parental gender roles in relation to donor insemination-conceived children. In the main, the discourse conveying the irrelevance of the donor in the life of their family formed the genesis of the participants’ family narrative, ARTICLE IN PRESS 312 V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 framing its origin and hence its future. In the interim there has been a reversal in policy, partly instigated by concerns regarding the problems surrounding family secrets or ‘lies’ (Baran & Pannor, 1993; Bonney, 2002; Daniels, 2004; Haimes, 1998; Imber-Black, 1998; Pettle, 2003), facilitated by the increasing acceptance of recombinant families, but possibly more importantly by the shifting emphasis onto the significance of genetics. It is not possible today to imagine any contemporary salience for the sentiments articulated by Finegold and Glezerman, cited at the beginning of this paper. Today biology and specifically genetics takes a supreme role in scientific and popular, mediatised discourse on the nature of personhood, and of health and disease. Conclusion As the ascendancy of genetics in the popular cultural imaginary has taken root, as increasing openness is encouraged, and as family forms become more inclusive, the interest of parents of donor insemination offspring in the person of the donor becomes stimulated and legitimised. Alternative questions, images and wonderings emerge and compete with the more established discourse that discounts the donor, instrumentalises his contribution, and reduces ‘him’ to virtual nonexistence. The policy of anonymity at the time of conception has implications for the parents today. Although there are many factors involved with the decision whether or not to tell their now adult offspring about the nature of their conception, the policy of anonymity means that a lack of knowledge about the identity of the donor forestalls and constrains not only their wonderings, but also hinders and complicates their decision. As reconstituted families become increasingly ‘normalised’, the complexity of relationships reflecting biological connectedness and social parenting are possibly escalating. It is important to acknowledge that the evidence on this question of increasing diversity of family form is mixed (see Noble, 1998). Furthermore, as the significance of biological ancestry and connectedness takes a place alongside that of social parenting, the entire question of paternity will be important for the considerable proportion of offspring whose ‘father’ is not their biological ‘father’. In these cases, it is sometimes only the mother who is aware of this fact, or possibly no party is aware of it until a paternity test reveals that no genetic connection is found with the father. The quest for DNA-based knowledge of paternity of course also has major social and legal implications for sexuality and pregnancy, for both women and men (Turney, 2004). Currently offspring are encouraged to bifurcate the meaning of fatherhood (in the case of donor insemination) into two: the biogenetic donor and the social father are two separate men. This separation is not necessarily unprecedented and certainly in some non-western cultures children may have a father who is known as the progenitor, and be raised, for example, by an uncle who has the status of father. In the current Western context, however, we are possibly seeing the development of something quite different from that of two men with different roles. To further complicate this picture of two (or more) ‘fathers’ (or ‘mothers’) in the context of gamete donation, the entire conundrum of the separation of the biogenetic from the psychosocial, or the separation of genes and environment (nature/ nurture) in dichotomous terms has been critiqued so uncompromisingly that it is no longer viable in theoretical or empirical terms within the biological sciences. Even the interactionist thesis (that genes and environment ‘interact’) has been superseded by the most critical and rigorous thinkers who propose an understanding that embraces the notions of emergence within developmental systems (see Oyama, 2000). Such a formulation has the potential to induce a re-thinking of the meanings of fatherhood; a re-thinking of the dualistic separation of fatherhood into genetic contribution or social parenting. If we accept this critique, we have to ask, is it really possible for the offspring to conceptualise a genetic donor who is considered significant in terms of biological inheritance, and yet is not a ‘social’ ‘father’ in any sense? And equally, can it be said that the ‘social’ father’s role in the offspring’s life is solely psychosocial and not involving any element of biology? If the answer is no to these questions, the conclusion follows that the child has two men in his or her life, each of whom represents facets of the paternal figure. As the policy changes promoting increased openness play a role in reconstituting how donor insemination conceptions affect the process of forming and building families, it seems inevitable that donors will take on a presence as unknown, yet potentially knowable, persons in family narratives. This paper has identified a potential tension ARTICLE IN PRESS V.M. Grace et al. / Social Science & Medicine 66 (2008) 301–314 between this presence and the desire to erase the person of the donor for the very purpose of constructing the father as the sole male parent. How this tension transpires, evolves, or resolves and how it affects decisions to share information with offspring should be the subject of further research as these policy changes are implemented. Acknowledgement We are grateful to the Health Research Council of New Zealand for funding this research. We are indebted to the work of Dr. Maria Perez-y-Perez for her analytically informed collection of literature for this study. 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