“Begotten Not Made”: Reflections on Laboratory Production of Human Life (1983)

St. John Paul II Bioethics Lecture Series

William May

Introduction Delivered by Archbishop John F. Whealon

The past twenty years – the fascinating two decades since the start of the Second Vatican Council – have been the era of aggiornamento. During this period of the Church’s history, all teachings and traditions of the Catholic Church have been, as it were, taken out of their wrapping and inspected minutely to check their relevance in the modern world.

Aggiornamento makes sense for a Catholic only when a person knows that the divine element in the Church and its teachings cannot be changed. The human element – the accidentals, the style, the vocabulary – these are features in aggiornamento can and should be updated. This Conciliar program is to make the eternal, unchanging truths of the faith more intelligible and acceptable to the people of this age.

During the past twenty years the one area of Church doctrine that has fared worst under aggiornamento has been moral theology. In this one discipline the challenges have been most difficult. Those challenges have been to remain faithful to God’s Revelation, to our Catholic tradition, the magisterium so basic to Catholic Christianity – and at the same time to confront the new existential modes of thought as well as the ancient enemies of Christian ethics: the world, the flesh and the devil.

Our speaker this evening, Dr. William May, has been one of the few skillful enough to steer his craft carefully between Scylla and Charybdis during these past years. Dr. May, a Catholic layman, is Associate Professor of Moral Theology at the Catholic University of America. He has served as editor of the Newman Press and Bruce Publishing Company, has edited and authored articles and books almost past counting, and more basically has been an active layman in his parish and diocese.

I salute him especially for his valued work as chief consultant to the U.S. Bishops on their 1976 Pastoral Letter, To Live in Christ Jesus. This, one of the best if not the best moral teachings ever given by the U.S. Bishops, was quoted repeatedly by Pope John Paul II when he visited our nation in 1979.

Tonight we hear the second lecture in a series of lectures name for Pope John Paul II. To the host institution, St. Thomas Seminary, and to the sponsoring institution, Holy Apostles College, I voice the gratitude of the local Church for making possible this timely lecture in bioethics. These are new questions that now confront the Church in the modern world, relating to the meaning of life and origins of human life itself.

With pleasure, I introduce Dr. William May speaking on “Begotten Not Made”: Reflections on the Laboratory Generation of Human Life.


Lecture:

July 25, 1978, is a memorable date. First of all, it marked the tenth anniversary of Pope Paul VI’s encyclical on marriage, Humanae Vitae, in which he affirmed that there is an indissoluble union willed by God and not to be deliberately sundered by human choice between the unitive or love-giving and the procreative or life-giving meaning of human sexuality.1 The significance of Pope Paul’s claim for assessing the laboratory generation of human life will be a central concern. This date is further notable in that it is the birthday of Louise Brown, the “test tube” baby, the miracle child of modern technology. Louise was the first baby to be born after having been conceived outside her mother’s body by a process known as in vitro fertilization.

In vitro fertilization is the name given to the act of generating human life in the laboratory by fertilizing a human ovum, taken from the body of a woman by a procedure called laparoscopy, with human sperm provided by a male. The being brought into existence by this process is nurtured at first in the laboratory until it reaches the stage of development when it can be implanted in a human womb, where, it is hoped, it will undergo intrauterine development until normal birth.

In Louise Brown’s case the same woman provided the ovum and subsequently nurtured in her womb the developing human life and, after birth, continues to act as Louise’s mother. Moreover the sperm used to fertilize Mrs. Brown’s ovum was provided by her husband. Still, various permutations and combinations of in vitro fertilization are possible. Thus different women could (a) provide the ovum,(b) nurture the developing human life within the womb, and (c) act as the sociological mother of the child after birth; and the sperm could be provided by a male other than the spouse of the woman from whom the ovum was taken or the woman who would bear and/or raise the child. In order to focus attention on what I believe is the central issue raised by the laboratory generation of human life, however, I shall limit consideration to the use of in vitro fertilization by married couples, with the wife nurturing the child in her own womb, the husband providing the sperm, and both carrying out parental responsibilities to the child given existence by this process.

In vitro fertilization is not the only form of the laboratory generation of human life possible. One that is theoretically possible, although it has not thus far been successfully attempted with human life, is nuclear transplantation or cloning, a completely asexual mode of reproduction inasmuch as it does not require the union of male and female gametes. In cloning, the nucleus of an unfertilized ovum is destroyed by radiation and is then replaced by the nucleus of a somatic cell taken from some human person’s body. The ovum will then have a full set of chromosomes and will begin to develop, moreover, as an identical twin of the person whose somatic cell supplied the nucleus that was transplanted into the enucleated ovum.2 Although cloning is, therefore, a possible form of the laboratory generation of human life, I will in what follows prescind from a consideration of this procedure insofar as what I will have to say about in vitro fertilization will be applicable a fortiori to cloning.

In addition to in vitro fertilization and cloning, in which human life is generated in the laboratory and not within the body of a human female, there is another form of “artful child making” already widely employed in our culture, that separates the generation of human life from the act of marital coition and that involves the participation, in generating life, of a person or persons other than the married couple. This form of artful child making is artificial insemination, of which there are two principle modes. In the first, called heterologous or “vendor”3 insemination, the sperm that fertilizes the ovum within the body of the woman is provided by a male other than her husband. In the second, termed homologous insemination or artificial insemination by the husband, the sperm fertilizing the ovum is provided by the husband of the woman whose ovum is fertilized. Since artificial insemination of either modality is not, strictly speaking, a form of generating human life in the laboratory, I shall also prescind in what follows from a consideration of this form of artful child making, and in particular, from an explicit reflection on a very serious issue raised by heterologous or vendor insemination, namely, the choice by a married woman to share her power of generating human life with a person other than her husband. Nonetheless, as will become evident, reflective analysis of in vitro fertilization involving a married couple will force us to come to terms with the key moral issue raised not only by the laboratory generation of human life but by all forms of artful child making that include the choice to separate the generation of human life from the act of marital coition.

What I shall now do is the following: (1) present the purposes that in vitro fertilization may serve for married persons; (2) discuss the major arguments used to justify in vitro fertilization for these purposes and, in the course of presenting them, note one of the most serious objections that has been advanced to oppose the practice; and (3) develop what I believe is the definitive reason why in vitro fertilization and all other modes of generating human life outside of the marital act are not morally worthy of human choice.

1.     Purposes of In Vitro Fertilization for MarriedCouples

Richard A. McCormick, the eminent Jesuit theologian who is currently Rose F. Kennedy Professor of Christian Ethics at Georgetown University’s Kennedy Center for Bioethics, has noted that there are two generic purposes that “reproductive interventions” such as in vitro fertilization might serve. The first he calls individual or personal purposes, and by this he means that a reproductive intervention such as in vitro fertilization will enable a couple childless because of some physical anomaly to have a child of their own. Thus in the case of Louise Brown and in other subsequently recorded cases of children brought to birth after in vitro fertilization the purpose of in vitro fertilization was to alleviate the couple’s infertility caused by blocked fallopian tubes in the mother. The second generic purpose McCormick noted is eugenic, either positive or negative.4 Although a few scientists have championed the use of reproductive interventions including in vitro fertilization for positive eugenic purposes, McCormick pointed out that the majority of scientists reject this possibility as utterly unworkable and even dangerous.5He did not, however, comment at any length on the possible negative eugenic purposes that in vitro fertilization might serve. Therefore I would like to suggest some. Although these are not today technically feasible, I do not think that they are in principle unworkable and that they may, given sufficient technological advancement, be feasible in the future.

We know, for example, that a married couple, each of whom is the bearer of some recessive genetic defect such as Tay-Sachs disease, runs a twenty-five percent risk of having a child who will be crippled by this terrible disease should they chose to generate life through the marital act. It may perhaps be possible to remove ova, examine them in order to determine whether they bear the genes responsible for the disease in question or not, destroy those that that do bear these genes, and then fertilize in vitro an ovum that does not carry these genes with her husband’s sperm, implanting the developing fetus in her womb where it can then develop until birth. A child generated in this way would definitely not run the risk of being afflicted with the genetically induced disease, although he or she might, like his or her parents, be a carrier of the disease should the sperm used to fertilize the ovum bear the genes in question. Should it be possible to identify sperm as well as ova carrying the genes responsible for the disease and separate them from the sperm that are free of such genes, it would then be possible to generate a child not only free from the disease but not even the carrier of genes responsible for causing it. Although it is definitely not possible today to use in vitro fertilization for this purpose – to help a couple known to be carriers of a crippling genetic disorder have a child free of risk of being afflicted with it – this may be feasible in the future.Were it to become so, resort to in vitro fertilization would surely be a more appropriate and humane way of coping with the problem than are the proposals that are currently made, namely, to have such couples generate life through the marital act, perform an amniocentesis at an advanced stage of pregnancy, and then abort should this procedure show that the developing human life is in all likelihood afflicted with the genetic malady,6or else have the wife inseminated by sperm provided by a vendor who is not himself the carrier of the recessive genes in question.7

2.    Arguments to Justify the Use of In Vitro Fertilization for Married Couples

Here I will examine the major arguments advanced to support the use of in vitro fertilization, particularly as a way of helping married couples have a child of their own, couples who otherwise could not. There are two major sorts of arguments: one that in principle justifies not only in vitro fertilization as a way of alleviating the heartfelt desire of a married couple, otherwise childless, to have a child of their own, but also other types of artful child making, including in vitro fertilization by no married persons. Vendor insemination, and so forth; the second is more cautious and is intended in principle to justify exclusively the use of in vitro fertilization to help a married couple, otherwise childless, to have a child of their own.

The first sort of argument is advanced by such authors as Joseph Fletcher, Robert Francoeur, and Michael Hamilton.8The form in which this argument is cast by Joseph Fletcher merits attention, both because it summarizes briefly the type of reasoning employed by all who welcome the advent of the laboratory generation of human life and because in it we can discern the principal presuppositions behind the reasoning employed. Fletcher argues as follows:

Man is a maker and a selector and a designer, and the more rationally contrived and deliberate anything is, the more human it is. Any attempt to set up an antinomy between natural and biological reproduction, on the one hand, and artificial or designed reproduction, on the other, is absurd. The real difference is between accidental or random reproduction and rationally willed or chosen reproduction … If it [the latter] is “unnatural” it can only be so in the sense that all medicine is … It seems to me that laboratory reproduction is radically human compared to conception by ordinary heterosexual intercourse. It is willed, chosen, purposed, and controlled, and surely these are among the traits that distinguish homo sapiens from others in the animal genus … Genital reproduction is, therefore, less human than laboratory reproduction, more fun, to be sure, but without our separation of baby making from love making, both become more human because they are matters of choice, not chance.9

Man is a maker and a selector and a designer, and the more rationally contrived and deliberate anything is, the more human it is. Any attempt to set up an antinomy between natural and biological reproduction, on the one hand, and artificial or designed reproduction, on the other, is absurd. The real difference is between accidental or random reproduction and rationally willed or chosen reproduction … If it [the latter] is “unnatural” it can only be so in the sense that all medicine is … It seems to me that laboratory reproduction is radically human compared to conception by ordinary heterosexual intercourse. It is willed, chosen, purposed, and controlled, and surely these are among the traits that distinguish homo sapiens from others in the animal genus … Genital reproduction is, therefore, less human than laboratory reproduction, more fun, to be sure, but without our separation of baby making from love making, both become more human because they are matters of choice, not chance.9

Several features of Fletcher’s argument require careful scrutiny. Note first that he regards the generation of human life as an act of reproduction: babies are entities that we “make.” They are, as it were, products of our artistic creativity, and since these “products” can be deliberately “designed” and planned by the use of various techniques of artful child making than they can be by the “random” selection of what Fletcher elsewhere terms “reproductive roulette,”10it follows that it is more human to “make” them in a controlled and designed way than to “make” them haphazardly. The notion that a child is a product is one to which we shall return.

Note secondly Fletcher’s notion of human intelligence. He evidently considers human intelligence as primarily a “technical reason,” that is, the ability to plan and organize and arrange means efficiently to reach predetermined ends.11This indeed is one aspect of human intelligence; it is what enables us to make efficient use of our time, to “control” nature and to create the world of human art and culture. Yet our existence as intelligent creatures is by no means exhausted by this function of our minds. Fletcher here seems to equate human intelligence with but one of its functions, and to ignore other crucially significant intellectual operations, in particular its contemplative operation of discovering the truth about reality and its moral or ethical operation of putting order into our lives by directing choice according to objective norms of morality.12 It is surely possible that there are some things that we can “make” (e.g., thermonuclear bombs whose only possible purpose is to destroy entire peoples) that we will come to know we ought to make because the choice to so is contrary to normative principles of human action.13The issue before us is whether we ought to choose to “make” babies by laboratory techniques. Here I suggest that Fletcher and those who accept his argument simply fail to face this issue and beg the question by focusing one-sidedly upon one aspect of human intelligence.

Next note Fletcher’s contention – one that is, I fear, shared by many in our culture today – that there is nothing morally problematic about our ability to sever completely the bonds linking the unitive, amative, or “love-making” (I would prefer to say “love-giving”) meaning of our genital sexuality and its procreative or, as Fletcher describes it, its “reproductive” or “baby-making” aspect. Here Fletcher expresses agreement with all who would agree with Ashley Montagu in saying that “it is necessary to be unequivocally clear concerning the distinction between sexual behavior and reproductive behavior.”14 They are two radically different sorts of human activity, governed by radically different sorts of rules. Since in vitro fertilization and other forms of artful child making require the intentional choice to sever the connection between the unitive or amative and the propagative meaning of a human person’s genital sexuality, this is obviously a central issue, and to it I shallreturn.

In his comments on the position taken by Fletcher and others of similar mind, McCormick observed that it rests on three assumptions: (1) “a consequentialistic or teleological15 normative position,” according to which an act or practice is right or good “if, on balance, it does more good than harm and helps to minimize human suffering;” (2) a sharp distinction (one I have already noted) “between sexual love and the generation of human life;” and (3) a conception of parenthood “as a relationship essentially and principally defined by acts of nurturing, not by acts of begetting.”16

McCormick’s comments on the position taken by Fletcher are important for several reasons. First, they call to our attention two features in this position – its consequentialistic moral methodology and its understanding of parenthood – that were not explicitly brought out in the passage from Fletcher previously considered. And the features McCormick notes are quite central to the broad justification that this position provides not only for in vitro fertilization by married couples to alleviate infertility but also for all sorts of reproductiveinterventions.

Second, McCormick’s comments will help us understand the presuppositions behind another position, one more cautious and nuanced than that advocated by Fletcher and his colleagues, that is used to justify the practice of in vitro fertilization when this is strictly limited to helping married couples otherwise childless have a child of their own. I shall now turn to consider thisposition.

Its general contours are well described by McCormick. Thus it will be useful, to begin discussion of it, to see how McCormick describes its underlying assumptions. 

McCormick writes as follows concerning those who adopt this more cautious justification of in vitro fertilization for married couples:

First, they are not pure teleologists [by this he means consequentialistic, cf. note 15] in their moral thinking – that is, they argue that factors other than consequences need to be taken into account in offering a valid ethical evaluation of any human act, although many such writers do believe that a proportionately good enough end can justify the deliberate, direct intent to effect some kinds of disvalues and evils. Second, they maintain that a meaningful and reciprocal relationship between sexual love and the generation of human life exists and that it is no mere evolutionary accident that human life comes into existence through an act that is also capable of expressing love between a man and a woman. Third, while recognizing that acts of nurturing life are distinct from acts of generating life and that acts of nurturing are included within the meaning of parenthood, they also affirm that acts of generating life are parental in nature and carry with them responsibilities for nurturing the life procreated.17

I believe McCormick has well described the general presuppositions shared by several authors, including such Roman Catholic theologians as Johannes Gründel, Charles E. Curran, and McCormick himself,18 who have come to the conclusion that in vitro fertilization, when restricted to helping alleviate the problems of married persons and utilizing gametic material provided by the spouses, can be a morally good choice provided other conditions are met. These writers also, it can be noted incidentally, hold that husband artificial insemination can also be morally justifiable. First, I wish to call attention to some of the other conditions that must be met, in the judgment of these writers, for the practice to be morally acceptable. I shall than comment briefly on their assumptions.

One of the most important other conditions that must be met, according to these writers, in order to justify resorting to in vitro fertilization, is that serious harm to the child-to-be fromthe procedure itself must be reasonably excluded. In short, these writers recognize that in vitro fertilization constitutes a medical experimentation upon a human subject – in this case the child-to-be – and that it would be morally wrong to expose this subject to serious and unknown risks in order to satisfy the desires of other human subjects, e.g., their parents. Here they are thinking of the very serious objection to in vitro fertilization raised initially by Paul Ramsey and Leon Kass.19 Thus to understand the concern of these writers it is important to grasp the problem raised by Ramsey and Kass. I shall present the problem in the form given it by Ramsey. Tounderstand his argument it is first necessary to be clear about a crucial matter. The human subject with whose well being Ramsey is concerned, in posing his objection to in vitro fertilization, is the child-to-be in the sense of the child who will eventually be born as a result of the procedure. Thus in presenting his problem Ramsey prescinds from the question of the moral status of the living entity existing here and now in the laboratory petri dish after fertilization or of the developing unborn entity in utero after implantation. The subject upon whom Ramsey claims that an unethical experimentation is being done is thus not the living being existing in the laboratory after fertilization (and that may be “discarded” prior to implantation should any discernable abnormality develop) nor is it the living being in utero that may be aborted should amniocentesis (performed, it should be noted, late in pregnancy) disclose that it may possibly be afflicted with a serious malady.Rather the subject of the unethical experimentation in Ramsey’s argument is the child-to-be, the child who is not yet in being after fertilization and during the pregnancy but who will be in being after birth.

Ramsey argued that in vitro fertilization is an unethical experimentation on this subject “unless the possibility of irreparable damage to this child-to-be can be definitively excluded.” He then continued by saying, “this condition cannot be met, at least not by the first ‘successful cases.’ ”20 By this he meant that this condition has not even now, after the birth of Louise Brown and a few other children, apparently normal, as a result of in vitro fertilization, been met because we do not know yet whether some harm later to be suffered may have been induced by the procedure itself. Briefly, Ramsey claimed that researchers simply cannot “exclude the possibility that they will do irreparable damage to the child to be.”21 They cannot know, nor can they ever come to know, what possible harm they are doing to this possible future child without being willing to inflict damage in order to find out.22 And this Ramsey argued is an irresponsible and unwarranted injustice to this child to be.

Those defending the moral rightness of in vitro fertilization by married couples recognize the serious problem that Ramsey raised. They nonetheless claim that his position is too stringent. Were it true, they argue, then it would even be immoral for married couples to choose to have children through normal marital relations, inasmuch as they cannot absolutely exclude the possibility that the child they engender may be irrevocably and irreparably harmed in its coming- to-be because of unknown recessive genetic defects and mutations.23 They therefore hold that the moral issue raised by Ramsey can be better expressed in normative terms if we stipulate that one necessary condition that must be met prior to resorting t in vitro fertilization is the reasonable expectation that the risks to which the child-to-be will be subjected will be less than or equivalent to those that might reasonably be expected in normal generation through marital coition.24 Whether or not this prior condition can be met is a matter that can only be settled by scientific data, and on this, at present, authorities aredivided.25  Another condition that must be met, according to these authors, if in vitro fertilization is to be rightly used, is an unwillingness to abort a child conceived through this process and implanted in the mother’s womb, should some abnormality develop. At least this is a condition that several of the authors adopting this position require.26 Those who accept this position are likewise concerned about the problem of “discarding” fertilized ova prior to implantation. As originally practiced by Steptoe and Edwards, in vitro fertilization usually required the fertilization of several ova removed from the mother (who had been given onovulatory drugs) by her husband’s sperm, the monitoring of their development in the petri dish, and the implantation within the mother’s womb of that developing life judged most promising to continue development in utero and the “discarding” of those not chosen for implantation. Although most writers accepting the view now under consideration are of the mind that individual personal life is not present prior to implantation and that therefore the developing human lives in petri dishes prior to implantation are not personal subjects with a right to life in a strong sense, they are nonetheless very much concerned about the problem of “wastage” and of “discarded” zygotes. Thus many of them add as a further condition for the morally legitimate use of in vitro fertilization by married couples the stipulation that only one ovum from the mother be fertilized by her husband’s sperm and that there be the intention to implant the resultant human life within her womb.27

I will forego commentary on the issues raised by these conditions so that attention can focus on the basic underlying assumptions of the authors who propose that in vitro fertilization, once these conditions have been fulfilled, may be rightfully chosen by married couples as a way of fulfilling their desire for a child of their own so long as the wife’s ovum is fertilized by her husband’s sperm.

The third assumption of these authors that McCormick notes, namely that acts of generating life are parental and carry with them the responsibility to nurture the life generated, poses no problems in my opinion. Here these authors are quite correct. They simply remind us of the responsibilities that we freely take upon ourselves in freely choosing to exercise our procreative sexuality. Their further insistence that parenting is not exhausted by generating activities but requires nurturing activities is also eminently sound. Unlike Fletcher and his colleagues they refuse to see a dichotomy between generating and nurturing activities; they refuse to reduce the former to merely biological and nonparental behavior and to erect the latter alone to the level of parental behavior. So far, so good. But what can be said about their other two assumptions?

Note that these authors, in their first assumption listed by McCormick, reject the kind of consequentialistic thinking employed by Fletcher. Nonetheless, as McCormick himself observed, many of them “do believe that a proportionately good enough end can justify the deliberate, direct intent to affect some kinds of disvalues and evils.” I submit that these authors, while eschewing the simplistic consequentialism of Fletcher and his associates, are nonetheless consequentialistic teleologists in their normative ethical theory inasmuch as the justify “exceptions” to the moral norms they develop (whether in consequentialistic or nonconsequentialistic grounds) on the basis of a consequentialistic criterion, that namely of the alleged “greater good.” With McCormick they contend that it is morally right to choose to do a (premoral) evil for the sake of some greater (premoral) good to come. In this instance, they are willing to choose to sever the bond linking the intimate genital expression of marital love to the generation of human life – and they obviously believe that this bond is something very good so that the choice to sever it is indeed the choice to do an evil or disvalue – because the choice to do this evil is ordered to the accomplishing of something they regard as an even greater good, namely the generation of a child ardently desired by the couple. These authors thus subscribe to the consequentialistic proposition that it is morally right to choose to do (premoral) evil for the sake of a proportionately greater (premoral) good.

To enter into an exhaustive discussion of normative ethical theory and to show in detail why this presupposition of the authors under consideration is erroneous would take us too far afield. Still I can briefly pose the most devastating objection to this consequentialistic position. This normative position assumes that the various real goods of human activity – the “premoral” goods in question – can in some way be measured or weighed against each other prior to choice so that one can judge in an unambiguous and unequivocal way that some of these goods are measurably greater that others and that goods of lesser value can then be destroyed or case aside or impeded if their continued flourishing inhibits participation in the “higher” or “greater” goods of human existence. But this assumption is erroneous and is so because the goods in question are simply incalculable and incommensurable. The effort to weigh or measure them off against another or in terms of some common denominator is akin to the effort to compare the number 784 with the length of a rainbow. An abundant literature exists in this subject.28 Indeed, so fruitless have been the efforts of proportionalistic consequentialists to show that the commensuration they require is possible that one of their leading spokesmen, McCormick, has been compelled to admit that the goods are indeed incommensurate but to follow this admission with the assertion that nonetheless we must, “in fear and trembling,” commensurate them by waging prudent bets.29 What this show us, I submit, is that the consequentialistic proportionalist is ultimately forced to admit that the commensuration he requires is in fact impossible and then to attempt to settle the matter by arbitrarily declaring that his preferences for certain goods – those upon which he places his bets, i.e., those that he chooses to prefer to others – shows that these goods are greater than the ones he chooses to get rid of because they inhibit his participation in the ones he prefers. Thus rather than providing us with a principle whereby we can judge what ought to be done prior to choice, the proportionalist simply settles the matter by making a choice and then attempts to justify the choice.

A final assumption of these authors is that the procreative and unitive meanings of our genital sexuality go together and are meant to go together. As McCormick put it, “they maintain that a meaningful and reciprocal relationship between sexual love and the generation of human life exists and that it is no mere evolutionary accident that human life comes into existence through an act that is also capable of expressing love between a man and a woman.” (I think it would have been better put had McCormick written, ‘between a husband and his wife.’). They thus wish to keep the generation of human life within the marital covenant and to exclude the use of in vitro fertilization by nonmarried persons or linking it to such features as donor sperm and/or ova, surrogate or host mothers, etc. They see marriage, marital coition, and the generation of human life as inherently interrelated, and they regard this inherent interrelationship as something of great human value, one that must be respected.

Nonetheless, they conclude that the choice by married couples to resort to the laboratory generation of human life – specifically of a child they ardently wish to have – may be justified (under the conditions already noted) even though this choice does entail the severing of the bond uniting the unitive or love-giving and procreative or life-giving meanings of genital sexuality. They hold, in other words, that it is morally permissible to choose to generate human life by acts that are not those of marital coition but rather those of persons skilled in the employment of biological knowledge and technology. For them the laboratory generation of human life, even though it is itself an act of generating that life outside the marital act and of necessity entails the choice to separate the life-giving aspect of genital sexuality from its love-giving aspect, is morally good provided that the married couple provide the gametic cells to be used in the fertilization, that the mother nurture the life thus generated, and that the couple then nurture the child eventually born.

This more limited defense of in vitro fertilization, accepted by several contemporary authors, including a number of Roman Catholic theologians, thus recognizes that the generation of human life is inherently and intimately linked to marriage and that human life ought to be generated in the marital act, the act that communicates both love and life. But they believe that we can, under very limited conditions and after satisfying stringent requirements, rightly choose to generate human life outside of the marital act through the laboratory process of in vitro fertilization. As one of their exponents, McCormick, has put it, “it seems very difficult to reject in vitro fertilization with embryo transfer (to help a married couple otherwise childless achieve an ardently desired pregnancy) on the sole ground of artificiality or the separation of the unitive and the procreative … unless one accepts this physical inseparability as an inviolable norm.”30

Obviously these authors’ acceptance of the proportionalist criterion for justifying exceptions to moral norms plays a major role in their argument. They recognize as a genuine moral norm that human life ought to be given in and through the marital act and they acknowledge that the choice to generate a human life outside of this act includes a choice to do (premoral) evil, but they contend that the deliberate choice to do this evil is justified by the even greater (premoral) good that it will bring about. Thus their position can and ought to be challenged on the grounds that it rests upon the prior acceptance of a normative moral norm (the proportionalist criterion). Nonetheless, in the following section of this essay I will concentrate attention not so much on the moral methodology employed as on the profound human significance of the bond linking marriage, the marital act, and the generation of human life. In this way I hope to show that the basic objection to the laboratory generation of human life is not, as McCormick claims, the physical inseparability31 of the unitive and procreative meanings of the marital act but rather the deliberate choice to generate human life nonmaritally.

3.     The Basic Reason why it is Morally Wrong to Choose to Generate Human Life in the Laboratory

Perhaps a good way to begin is to review briefly pertinent Church teaching on the subject. In 1949 Pope Pius XII, in rejecting artificial insemination by a husband, had this to say:

We must never forget this: It is only the procreation of a new life according to the will and plan of the Creator which brings with it – to an astonishing degree of perfection – the realization of the desired ends. This is, at the same time, in harmony with the dignity of the marriage partners, with their bodily and spiritual natures, and with the normal and happy development of the child.32

Evidently Pius XII was of the mind that God wills that human life be begotten only in the marital act and that the choice to generate it outside of the marital act is a choice that goes against God’s will. In 1951 he returned to the subject, now asserting this:

The reduce the cohabitation of married persons and the conjugal act to a mere organic function for the transmission of the germs of life would be to convert the domestic hearth, sanctuary of the family,into nothing more than a biological laboratory … The conjugal act in its natural structure is a personal action, a simultaneous natural self-giving which, in the words of Holy Scripture, effects the union “in one flesh.” This is more than the mere union of two germs, which can be brought about artificially – i.e., without the natural action of the spouses. The conjugal act as it is planned and willed by nature implies a personal cooperation, the right to which parties have mutually conferred on each other in contracting marriage.33

Here Pius XII indicates that the reason why human life ought to be given onlyin and through the act of intimate conjugal love and ought not to be generated in the laboratory is that only in this way – one planned and willed by nature and by God – is it truly a personal act of the married couple, one to which they and they alone have a right. The assumption is that human life ought to be generated in a personal act of the married couple.

Although later pontiffs have not directly addressed the issue of the laboratory generation of human life, their teaching on marriage and its relationship to the giving of human life clearly shows that they are of the same mind as Pius XII. Thus Pope Paul VI insisted that the Church has always taught as inviolable

the inseparable connection, willed by God and unable to be broken by man on his own initiative, between the two meanings of the conjugal act: the unitive meaning and the procreative meaning. Indeed, by its intimate 

structure the conjugal act, while most closely uniting the husband and wife, capacitates them for the generation of new lives, according to laws inscribed in the very being of man and woman. By safeguarding both these essential aspects, the unitive and the procreative, the conjugal act preserves in its fullness the sense of true mutual love and its ordination towards man’s most high calling to parenthood.34

It is instructive, I believe, to note that Pope Paul here insists that the conjugal act – the act in which husband and wife share their own persons and their powers of genital sexuality with its love-giving and life-giving dimensions – capacitates the spouses to generate new human life. In speaking of the inviolable bond between the unitive and procreative meanings of the marital act, Paul VI was, of course, primarily intending to show why the choice to contracept in immoral; still his teaching on the inviolable bond between these two meanings of the conjugal act is obviously relevant to the question concerning the morality of the choice to sever this bond so that one can generate life in an act that is not also one in which the spouses share their persons in an intimacy of love.

Finally, Pope John Paul II, in his stirring homily to the great crowd assembled for Mass on the Capitol Mall of Washington D.C. on October 7, 1979, insisted that human life is precious not only because it is a gift from a loving God but also because “it is the expression and the fruit of love.” Continuing, he said. “This is why life should spring up within the setting of marriage.”35 Clearly he indicates here that the generation of human life ought only to be brought about within the covenant of marriage.

The Roman Catholic authors who justify in vitro fertilization for married couples under very stringent conditions are, of course, aware of these papal teachings. Still they believe that the insistence in these teachings that there is an inviolable bond between the unitive and the procreative meanings of the conjugal act cannot be sustained. McCormick suggests that the papal objection to the sundering of this bond, even when the choice to do so is made to help a married couple otherwise childless to have a child of their own, rests upon the belief that the choice to sunder the bond is dehumanizing and hence immoral. This belief, he suggests, is a kind of intuition. The problem with this, he then notes, is that “intuitions notoriously differ” and that other reasonable persons entertain different intuitions about the matter.36 He likewise suggests, as I have already noted, that the papal teaching seems to erect the physical inseparability of the procreative and the unitive meanings of the conjugal act into a moral norm.

I believe that these papal teachings are true and that they are an endeavor, on the part of the Church expressing its mind through their teachings, to remind some critically important truths about the meaning of human existence. I believe that these teachings can be shown to be true, and I propose to show them to be true by offering the following argument. I will first put it in the form of a syllogism and then seek to establish the truth of the major and minor premises. The argument can be formulated as follows:

Any act of generating human life that is nonmarital is irresponsible and violates the reverence due to human life in its generation.

But in vitro fertilization and other forms of laboratory generation of human life, including artificial insemination whether by vendor or husband, are nonmarital.

Therefore these modes of generating human life are irresponsible and violate the reverence due to human life in its generation.

In my opinion the minor premise does not require extensive discussion. Artificial insemination by a vendor is evidently nonmarital, and the same is obviously true of in vitro fertilization involving the use of ova and/or sperm from persons who are not married to each other. Moreover even artificial insemination by a husband and in vitro fertilization in which an ovum taken from the wife is fertilized by sperm provided by her husband are also nonmarital in nature, even though married persons or spouses have collaborated in the procedure. Such procedures are nonmarital because they are in principle procedures that may be affected by persons who are not spouses; in addition and more significantly, the spousal character of the man and woman participating in the procedure is not intrinsic to the procedures even though they may happen to be husband and wife. What makes husband and wife capable of participating in such activities is not their spousal union but the simple fact that they are beings who produce gametic cells, ova in the case of the woman and sperm in the case of the man.

The major premise in the one that in my judgment needs argument for its truth to become manifest. To show why it is true I think it is necessary first to reflect on the meaning of marriage, marital love, and the marital act and then to show why the choice to engender human life nonmaritally is so destructive of goods crucial to human existence.

Marriage does not derive from faith in Jesus and membership in His body, the Church. Nonetheless the human reality of marriage, which is in truth a loving gift of God to the human race,37 is a reality inherently capable of being integrated into God’s covenant of lave and grace.  In and through Christ it has indeed been so integrated for those who experience this reality “in the Lord,” that is, as living members of His spouse the Church.38 Moreover even the marriages of men and women who have not yet heard the gospel message “are included in a certain inchoative way in the marital love that unites Christ with his church.”39

The beautify reality of marriage comes into being through an act “of irrevocable personal consent … whereby the spouses mutually bestow and accept each other.”40 This act, which alone can bring marriage into being,41 is comparable to that irrevocable act whereby God has freely chosen us as beings with whom and for whom He wills to share His life and love and to that irrevocable act whereby His Only-begotten Son, become one with us in His humanity, has freely chosen to become indissolubly one with His bride, the Church. In and through this act a man and a woman give themselves a new identity: he becomes her husband and she becomes hiswife and together they become spouses. This act of mutual bestowal establishes the man and the woman as uniquely irreplaceable and non-substitutable spouses.42 In and through this act that brings marriage into being the man and the woman surrender to one another their person, including their sexuality with its procreative and unitive aspects, Moreover, in making themselves to be husband and wife a man and a woman promise conjugal or marital love to one another: in virtue of this act and of the marriage that brings it into being they have henceforth the right, the freedom, and the obligation to love each other with conjugal love.43 In addition, “marriage and marital love are ordered to the procreation and education of the offspring and it is in them that the marriage finds its crowning glory.”44

Marital or spousal love is a unique form of human love, and what makes it to be unique is the fact that it is an exclusive kind of love. Yet its exclusive character needs to be rightly understood. Husband and wife, through conjugal love, are not locked in an égoisme à deux, one cutting them off from other persons or excluding love of other persons.45 Quite to the contrary, they are enabled, precisely by virtue of their marriage and their exclusive spousal love, one “merging the human with the divine,”46 to realize “the goodness and loveableness of all people, in fact of all living things.”47 Nor is conjugal love exclusive in the sense that husband and wife are the “property” of each other. Such possessive language is totally foreign to and destructive of marriage and marital love.48 Rather conjugal love is exclusive in that it is rooted in the irrevocable choice, by the spouses, of each other as the one with whom and for whom each will henceforth share a common life in marriage, a life too in which they are dynamically inclined to share their person intimately with one another in the marital act and in that act to give life and love to new human persons.49

The exclusive character of marital love, the character that specifies it and distinguishes it from every other form of human friendship, can perhaps be best understood by reflecting on the significance of the act of which spouses, and spouses alone, are capable, namely the marital or conjugal act. Although the spouses may freely choose to never engage in this act,50 and although this act is not necessarily the greatest expression of conjugal love,51 it is certainly true that it is ordered to this act in a dynamic way52 and that it is the act in which exclusive marital love is “uniquely expressed and perfected.”53

The marital act is the act of marital coition. This act exhibits, symbolizes, manifests the exclusive nature of marital love, and it does so because it is both a communion in being (conjugal love as unitive) and is the sort or kind of act in and through which spouses are “open to the transmission of life,”54 in which, as Pope John Paul II has put it, they submit their beings to the blessing of fertility55 (conjugal love as procreative).

The marital act is unitive, i.e., a communion in being or an intimate, exclusive sharing of personal life because through it and in it husband and wife come to know one another in a unique way, revealing themselves to one another. In and through it they become one flesh, that is, humanly and personally one, renewing the covenant they have made with each other in the act that made them to be spouses.56 Moreover, in this cat husband and wife exhibit their sexual complimentarily as male and female; for this act is possible only because the male, who has a penis, is personally able to enter into the person of the female, and she is uniquely capable of receiving personally into her body, her person, the male: and her act of receiving in a giving sort of way is just as central to the meaning of this act as is the male’sact of giving his person to her in a receiving sort of way.57 The husband cannot, in this act, give himself to his wife (i.e., exercise the unitive power of his sexuality), unless she gives herself to him by receiving him, nor can the wife receive him in this self-giving way unless he gives himself to her by letting himself be received by her.

The marital act is procreative insofar as it is the kind or sort of act – and the kind or sort of act alone – that makes it possible for husband and wife to exercise martially their beautiful personal and sexual powers of procreation, of giving life to a new human person. It is, in short, the sort or kind of act that is “open to the transmission of life” in a marital, procreative way.

And finally, this act is marital because it is an act that only spouses can do. Unmarried persons may be able to engage in sexual coition, but since they have not made themselves to be non-substitutable and irreplaceable spouses through the act that brings marriage into being, such acts are in no way the manifestation of an exclusive sort of love.58 Unmarried persons may also be able to generate life through sexual coition, but such acts of generating human life are by no means acts of procreative love. Moreover, this act is marital not only because married persons alone can do it, but also because it is the only sort or kind that married persons can do that other persons cannot do. In addition, if married persons engage in genital sex and in so doing choose either to repudiate its exclusively unitive nature by having disregard for or even contempt for the feelings of each other or to repudiate its openness to the transmission of life, they are not choosing to engage in the marital act but are rather making the act they choose to engage in something other than the marital act.59

In light of these reflections on marriage, marital love, and the marital act, I believe that we can see why the deliberate choice to generate human life nonmaritally is irresponsible. It is irresponsible, first of all, because it is in essence a choice that attacks the great good of marriage itself. Marriage, exclusive marital love, and the procreation of new human life through the marital act are goods that go together. To attack one of these goods is to attack and do violence to the others. Our age sufficiently bears witness to the destruction done to the great human reality of marriage by denying the exclusive yet nonpossessive character of marital love, for we now have many who seriously propose mate-swapping and “creative” adultery, 60 and by denying the goodness of spousal procreativity, for many not only endorse contraceptive practices but claim that many married persons do not have a right to procreate.61 To choose to sever the bond joining marriage, the marital act, and the generation of human life is further to threaten the good of marriage itself and is thus irresponsible. Yet this is precisely what is done when one adopts by choice the proposal to generate human life in acts that are by their very nature nonmarital.

There is, in addition, a further matter that must be taken into account in thinking about the choice to separate the generation of human life from the procreative marital act. This is the truth that a human life, the life of a being that is the bearer of inviolable and inalienable rights, is not to be considered as a product inferior in nature and subordinate in value to its producers. Rather a human life is concretely an irreplaceable being of moral worth, a person. For a Christian, moreover, a human life is in truth a living word of God, a created word vicariously imaging God Himself. The Christian remembers, too, that God’s Uncreated Word became, for love of us, a created word. And the Uncreated Word who became and is still a created word, a fellow member of our species, is a Word that is, as we affirm in the Creed, “begotten, not made.” Thus we, the created words of God, brothers and sisters of the eternally begotten Word of the Father, are begotten, not made. Human life, therefore, is meant to be begotten in and through the marital act, which is as it were a word spoken by the husband and wife in which they affirm that they are open both to sharing life and love with each other and to sharing life and love with a new human life, a being who, like them, is irreplaceable and precious. It is therefore irresponsible to choose to produce this life through the nonmarital act of fertilizing ova with sperm. Such an act may “make” a baby, and the baby62 made by such an act is indeed a precious and irreplaceable human life worthy of the same respect and reverence due to all other human lives; yet such an act is not one of begetting human life in a procreative way.

To sum up, the choice to generate human life in the laboratory, insofar as it is a choice to reproduce human life nonmaritally, is irresponsible because it is a choice that threatens the good of marriage itself and by so doing endangers human life in its generation; it is likewise a choice that violates the reverence due to human life in its generation insofar as it transforms the act of generating human life from one of procreative marital love to one of artistic production, thereby treating human life as a good in incomparable and priceless value but rather as a product subordinate to its producers.

Some may perhaps think that the position taken here is heartless and unconcerned with the anguish experienced by married couples who ardently desire a child of their own and must suffer disappointment because of a pathological condition. I do not believe that it is. Theirdesire for a child of their own is a truly noble and generous one. But the moral question centers not on this desire but on the human deeds freely chosen in order to satisfy it. An authentically human ethics is one that is concerned with means as it is with ends, for we can choose to do some dreadful deeds with the best of intentions and with the noblest of ends in view.

Moreover, for married couples with the dilemma of those who cannot have a child because of blocked fallopian tubes there are alternative possibilities. Surgical reconstruction of the fallopian tubes is currently possible in approximately thirty percent of cases – a far higher success rate than the efforts to “produce” children through in vitro fertilization, and such reconstruction is truly therapeutic of a human pathology, whereas in vitro fertilization leaves the pathology untouched and simply helps fulfill desires. Moreover, it has been suggested that it may be possible to remove the ovum from the ovaries, implant it in the fallopian tube below the point where the tube is blocked, and then have husband and wife unite in the act of marital love.63 This procedure, should it prove workable, is in my judgment morally permissible, and offers great hope for those married couples for whom the laboratory generation of human life is now proposed.64

In concluding, I wish simply to suggest that the crucial issue posed by the laboratory generation of human life is the bond uniting marriage, the marital act, and the begetting of human life. I hold that human life, the life that the Wordeternally begotten by the Father united to His divinity, is a life meant to be begotten, not made. It is begotten in and through the marital act; it is made in the laboratory.

_________________

Endnotes

1 Pope Paul VI, Humanae Vitae, n. 12.

2 James Watson, “Moving Toward the Clonal Man: Is This What We Want?” The Atlantic (May, 1971) 50-53.

3 I use the term “vendor” advisedly. George J. Annas, a lawyer, has pointed out that the term “donor” is a misnomer and that those males who provide artificial insemination in women whom they do not even know are more truthfully described as “sperm vendors.” Annas wrote: “It is a contract in which the vendor is agreeing to do certain things for pay … The continued use of the term “donor” gives the impression that the sperm vendor is doing some service for the good of humanity.” “Artificial Insemination: Beyond the Best Interests of the Donor,” Hastings Center Report 9.4 (August, 1979) 14-15,43.

4 Richard A. McCormick, S.J., How Brave a New World: Dilemmas in Bioethics (Garden City, N.Y.: Doubleday, 1981), pp.308- 312.

Ibid, pp. 309-311.

6 One issue, largely ignored in considering amniocentesis followed by abortion in the event that a “defective” fetus is discovered, is the problem of falsely identifying as actually afflicted by a genetic malady a fetus that is not. For a superb study of this matter see Paul Ramsey, “Screening: An Ethicist’s View,” in Ethical Issues in Human Genetics, ed. Bruce Hilton et al. (New York: Plenum Press, 1973), pp. 150-155.

7 On the serious legal and social issues that this “solution” raises see Annas, “Artificial Insemination.”

8 Joseph F. Fletcher, “Ethical Aspects of Genetic Controls: Designed Genetic Changes in Man,” New England Journal of Medicine 285 (1971) 776-783; Robert Francoeur, Utopian Motherhood: New trends in Human Reproduction (Garden City, N.Y.: Doubleday, 1970); Michael Hamilton, “New Life for Old: Genetic Decision,” Christian Century 86 (1969) 743.

9 Fletcher, “Ethical Aspects of Genetic Controls,” 781-782.

10 This is the subtitle that Fletcher gave to his book, The Ethics of Genetic Control: Ending Reproductive Roulette (Garden City, N.Y.: Doubleday Anchor, 1974).

11 On this see Nicholas Crotty, “The Technological Imperative: Reflection on Reflections,” Theological Studies 33.3 (September, 1972) 441-447.

12 On this subject it is instructive to read Thomas Aquinas, In Decem Libros Ethicorum Aristotelis Expositio (Rome: Marietti, 1955), Liber I, lectio 1, n.2.

13 I am not claiming that making a thermonuclear bomb is in and of itself immoral, but making such bombs for the precise purpose of obliterating populations is and making bombs that could only be used for this purpose is immoral.

14 Ashley Montagu, Sex, Man and Culture (New York: Putnam, 1969), pp. 13-14. For a critique of this “separatist” view of human sexuality see my Sex, Marriage and Chastity: Reflections of a Catholic Layman, Spouse and Parent. (Chicago: Franciscan Herald Press, 1981), ch. 1.

15 McCormick confuses matters, I believe, by using “consequentialistic” and “teleological” as synonyms. A teleological ethical theory, as opposed to a formalistic, duty oriented deontological theory, need not be consequentialistic. For a good presentation of this matter see Germain G. Grisez and Joseph M. Boyle, Jr., Life and Death With Liberty and Justice: A Contribution to the Euthanasia Debate (Notre Dame, Ind.: University of Notre Dame Press, 1978), pp. 345-361. See also Frederick S. Carney, “On McCormick and Teleological Morality,” Journal of religious Ethics 6 (Spring, 1978) 81-107.

16 McCormick, How Brave a New World?, p. 311.

17 Ibid, p. 312.

18 Johannes Gründel, “Zeugung in der Retorte-unsittlich?” Stimmen der Zeit 103 (1978) 675-682; Charles E. Curran, Politics, Medicine and Christian Ethics (Philadelphia: Fortress, 1973). Pp. 200-219; McCormick, How Brave a New World? Pp. 306- 325.

19 Leon Kass, “Making Babies: The New Biology and the ‘Old’ Morality,” The Public Interest 26 (Winter, 1972) 28-56; Kass, “Babies by Means of In Vitro Fertilization: Unethical Experiments on the Unborn?” New England Journal of Medicine 285 (1971) 1174-1179; Paul Ramsey, “Shall We ‘Reproduce’? I. The Medical Ethics of In Vitro Fertilization,” Journal of the American Medical Association 220 (1972) 1346-1350; Ramsey, “Shall We ‘Reproduce’? II. Rejoinders and Future Forecast,” Journal of the American Medical Association 220 (1972) 1480-1485. Kass later returned to this subject in his “ ‘Making Babies’ revisited,” The Public Interest 54 (Winter, 1979) 32-59. In his more recent article Kass, while still arguing against in vitro fertilization, suggests that the risk of harm need not be positively excluded. It is sufficient if it is equivalent to or less than the risks to the child from normal procreation.

20 Ramsey, “Shall We ‘Reproduce’? I.,” 1347.

21 Ibid.

22 Ibid.

23 See, for instance, Curran, Politics, Medicine and Christian Ethics, p. 212.

24 McCormick, How Brave a New World? p. 331.

25 For an extensive survey of the pertinent literature on this see LeRoy Walters, “Human In Vitro Fertilization: A Review of the Literature,” Hastings Center Report 9.4 (August, 1979) 23-43, especially p. 27 for the scientific literature.

26 For instance, McCormick, How Brave a New World? p. 332.

27 Ibid.

28 The best essay on this subject is Germain G. Grisez, “Against Consequentialism,” American Journal of Jurisprudence 23 (1978) 21-72. The argument given there is well summarized by Grisez and Joseph M. Boyle, Life and Death with Liberty  and Justice, pp. 346-358. Other important literature showing he difficulties with consequentialism and proportionalism includes: Carney, “On McCormick and Teleological Morality”; Ramsey, “Incommensurability and Indeterminacy in Moral Choice” in Doing Evil to Achieve Good: Moral Choice in Conflict Situations, ed. Richard A. McCormick, S.J. and Paul Ramsey (Chicago: Loyola University Press, 1978), pp.69-144; John F. Connery, “Catholic Ethics: Has the Norm for Rule-Making Changed?”, Theological Studies 42.2 (June, 1981) 232-250; William E. May, Becoming Human: an Invitation to Christian Ethics (Dayton: Pflaum, 1974), ch. 4. The argument for consequentialism/proportionalism is found in the following: Richard A. McCormick, S.J., Ambiguity in Moral Choice (Milwaukee: Department of Theology Marquette University, 1973), reprinted in Doing Evil to Achieve Good, pp. 7-53; McCormick, “A Commentary on the Commentaries” in Doing Evil to Achieve Good, pp. 193-267; the essays by Bruno Schüller, Josef Fuchs, Peter Knauer, Franz Scholz, Louis Janssens, McCormick, Curran and others in Readings in Moral Theology. I. Moral Norms and the Catholic Tradition (New York: Paulist Press, 1979; this volume also includes essays by Paul Quay, S.J. and John Connery, S.J. in opposition to the consequentialistic position). See also the essays by Richard Roach, William E. May, John Finnis and Germain G. Grisez in Principles of Catholic Moral Life, ed. William E. May (Chicago: Franciscan Herald Press,1981).

29 McCormick, “Commentary on the Commentaries: pp. 227-230.

30 McCormick, How Brave a New World? pp. 328-329.

31 This raises the issue of physicalism, a charge frequently made by those theologians who oppose the teaching on contraception given in Humanae Vitae. McCormick here echoes this charge with respect to the teaching on in vitro fertilization. The claim of physicalism is pressed by many of the contributors (e.g., Daniel C. Maguire, Charles E. Curran and Bernard Häring) to Contraception: Authority and Dissent, ed. Charles E. Curran (New York: Herder and Herder, 1969). The charge has been critically assessed and refuted by many writers. See, for instance, William E. May, Sex, Love and Procreation (Chicago: Franciscan Herald Press Synthesis Series, 1976); Germain G. Grisez, “Dualism and the New Morality” Atti del Congresso Internazionale (Roma-Napoli-17/24 Aprile 1974) Tommaso d’Aquino nel suo Settimo Centenario, vol. 5, L’Agire Morale (Napoli: Edizioni Domenicane Italiane, 1977) pp. 323-330.

32 Pope Pius XII, “To Catholic Doctors: An Address by His Holiness to the Fourth International Convention of Catholic Doctors, Castelgondolfo, Italy, September 29, 1949: Catholic Mind 48 (1950) 250-253.

33 Pope Pius XII, “Apostolate of the Midwives: An Address by His Holiness to the Italian Catholic Union of Midwives, October 29, 1951, Catholic Mind 50 (1952)61.

34 Pope Paul VI, Humanae Vitae, n. 12.

35 Pope John Paul II, “Stand Up For Human Life”, Origins: NC Documentary Service 9.18 (October 18, 1979) 279.

36 McCormick, “How Brave a New World”, p. 328.

37 On this see the excellent treatment of the Genesis accounts given by Edward Schillebeeckx, Marriage: Human Reality and Saving Mystery, (New York: Sheed and Ward, 1965), vol. 1, ch. 1. See also the marvelous set of addresses given by Pope John Paul II from September 25, 1979 to April 8, 1980 probing these accounts. These addresses are printed in the English edition of Osservatore Romano.

38 Here see Schillebeeckx’s discussion of the New Testament teaching on Marriage, especially the teaching in 1 Corinthians 7, Marriage, vol. 2, chs. 1 and 2.

39 International Theological Commission, “Propositions on the Doctrine of Christian Marriage” 3.4, Origins: NC Documentary Service (September 22, 1978) 235-239.

40 Gaudium et Spes, n. 48.

41 On this see Council of Florence, Enchiridion Symbolorum, ed. Henricus Denzinger and Adolphus Schönmetzer (33 ed. Rome: Herder, 1963), n. 1327. See also Pope Pius XI, Casti Connubii, par. 6.

42 The protestant theologian Helmut Thielicke has put this quite well: “Not uniqueness establishes the marriage, but marriage establishes the uniqueness.” See his The Ethics of Sex (New York: Harper and Row, 1963), p. 95.

43 The act of matrimonial consent in=s not an act concerning property rights. As Aquinas put it, the act of matrimonial consent is precisely that, a consent to marriage and to all that marriage involves, and it involves a life of friendship between husband and wife, a friendship that is to be, next to the friendship between the individual and God, the most intimate of friendships (cf. In IV Sent. d. 26.2, on matrimonial consent and Summa Contra Gentiles 3, 123, on the greatness of conjugal friendship).

44 Gaudium et Spes, n. 48.

45 On this see Josef Pieper, About Love (Chicago: Franciscan Herald Press, 1974) pp. 50-52; Dietrich von Hildebrand, Man and Woman (Chicago: Franciscan Herald Press, 1968).

46 Gaudium et Spes, n. 49.

47 Piper, About Love, p. 51.

48 An interesting and important discussion of this subject is provided by George Gilder, Sexual Suicide (New York: Quadrangle Books, 1973), ch. 2.

49 Gaudium et Spes, nn. 48, 50.

50 Man and woman become husband and wife in and through the act of matrimonial consent; the marital act does not make them to be husband and wife; it is marital because they already are husband and wife. They can freely choose not to engage in marital acts, and some people do make this choice.

51 It is important to emphasize this matter. I believe that the marital act is indeed an act that perfects and uniquely manifests married love, but it is by no means exhaustive of that love nor is it necessarily its greatest expression. There is a time for embracing, and there is a time not to embrace, and at times husband and wife can show greater love for one another by choosing not to embrace coitally than by choosing to do so.

52 See St. Thomas Aquinas, Summa Theologiae, 3, Supplement, q. 48, a. 1.

53 Gaudium et Spes, n. 49.

54 Pope Paul VI, Humanae Vitae, n. 11.

55 Pope John Paul II, “Revelation and Discovery of the Nuptial Meaning of the Body: Address of January 9, 1980, in Osservatore Romano, English ed., N. 2 (615) (January 14, 1980)

56 On this see John Kippley, Birth Control and the Marriage Covenant (Collegeville, Minn.: The Liturgical Press, 1976), pp. 105-113; Dietrich von Hildebrand, In Defense of Purity (Chicago: Franciscan Herald Press, 1968), pp. 54-76; Mary Rosera Joyce, Love Responds to Life (Kenosha, WI.: Prow Press, 1970), pp. 8-26.

57 See Robert Joyce for a stimulating and provocative discussion of maleness as a mode of sexuality with a thrust toward giving in a receiving sort of way and femaleness as a mode of sexuality with a thrust toward receiving in a giving sort of way, in his Human Sexual Ecology (Washington: University Publications, 1980).

58 Here is important to stress again that what makes marriage to be marriage is the irrevocable act of free consent establishing the uniqueness of the spouses for one another. When persons who have not made themselves spouses by this free and irrevocable act of personal consent engage in coition, they cannot express marital love precisely because they have not made each other irreplaceable, nonsubstitutable persons; each remains in principle a replaceable and substitutable individual, and an irreplaceable and nonsubstitutableperson.

59 For a development for this see my Sex, Marriage and Chastity, ch. 3.

60 See, for instance, Robert and Anna Francoeur’s advocacy of such creative adultery in their “The Technology of Man-Made Sex” in The Future of Sexual Relations (Englewood Cliffs, N.J.: Prentice-Hall, 1973). See also the views set forth by Anthony Kosnik et al., Human Sexuality: New Directions in American Catholic Thought (New York: Paulist Press, 1977) pp. 148-149.

61 For instance, Joseph F. Fletcher in his The Ethics of Genetic Control.

62 Here is very important to call to mind the revealing, if inadvertent, remark made by Dr. Robert Edwards (one of the doctors involved in the laboratory generation of Louise Brown by in vitro fertilization): “The last time I saw her,she was just eight cells in a test tube. She was beautiful then, and she’s still beautiful now. (Science Digest, October, 1978, 9; emphasis added). Surely this is eloquent testimony that human life begins at fertilization.

63 I have been informed that this may be a very realistic possibility by Dr. Joseph Ricotta, an eminent Catholic gynecologist in Buffalo, New York.

64 I wish to observe here that should the procedure become possible, one would first have to meet conditions regarding risks to the child conceived. There would not, in this instance, be any “experimentation” being done on the human life in the laboratory; nevertheless, studies in animals should be carried out to see whether this procedure might itself cause any harm to progeny.


St. John Paul II Bioethics Lecture Series