2012年人工流產修法爭議之分析

成令方

doi:10.6288/TJPH201534103049

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P21 - 35

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6288/TJPH

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2012年人工流产修法争议之分析

An Analysis of the Controversy over Proposed Revisions to Taiwan's Abortion Legislation in 2012

成令方(Ling-Fang Cheng)

台湾公共卫生杂志； 34 卷 1 期 (2015 / 02 / 01) ， P21 - 35

繁体中文 DOI： 10.6288/TJPH201534103049

人工流产；强制辅导谘商；强制思考期；医师同意权；性别； abortion ； mandatory waiting periods ； mandatory counseling ； consent from doctors ； gender

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摘要 │ 参考文献 (44) │ 被引用文献 (1) │ 国际计量

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Objectives: Four revised versions of Taiwan's abortion legislation were proposed in 2012 and raised controversy. Legislators led by Li-huan Yang proposed a six-day 'mandatory waiting periods' coupled with 'mandatory counseling'. Legislators led by Shi-bao Lai proposed 'consent from two doctors'. Both of these aimed to reduce the abortion rate and increase the birth rate. The Administrative Yuan for its part proposed a 'mandatory waiting period' of three days plus 'mandatory counseling'. And finally, legislators led by Yi-chen Wu proposed that medical institutions should provide all kinds of information related to abortion', and that local government 'should provide birth counseling to citizens'. This paper aims at analyzing the controversy. Methods: Three methods are adopted. (1) Discourse analysis is applied on documents collected from legal and medical research papers, government data and news reports. (2) Descriptive statistics is applied on two surveys conducted in 2007 and 2008 on women and obgynecologists nationwide respectively. (3) Text analysis is applied to the written texts provided by women and ob-gynecologists on some open-ended questions in the survey. Results: The 'Mandatory waiting periods' as proposed by Yang and the Administrative Yuan is found to lack consideration of reality, as our survey shows that most women considering the terminating of an unplanned pregnancy have already been thinking much longer than the stipulated period, typically having already done this for periods ranging from over one week to a whole month. As regards 'mandatory counseling', this is found to be in violation of human rights and professional ethics. As to 'consent from two doctors', this is found to create difficulties for women, and is opposed by a majority of ob-gynecologists. Conclusions: Two types of discourse appear in the controversy, the 'restrictive and controlling discourse' receives little support from academic research, or in surveys of women and physicians, and also runs counter to the professional ethics of counseling. Many research findings have shown that 'Mandatory waiting periods' do not contribute to the reduction of the abortion rate. The 'women centered discourse' reflects the women's needs and practice on the matter, and the 'patient centered discourse' practiced by ob-gynecologists can give support to 'women centered discourse'. As for an effective reduction of abortion rate, the paper finds that policy makers would achieve greater success by promoting greater use of contraceptives, and improving economic and social welfare, thus enabling women to consider keeping unplanned fetuses.

参考文献 ( 44 ) 〈TOP〉

李玉婵(2011)。从人工流产医疗决策难题反思医病关系的影响力。应用伦理评论，50，91-105。
连结：
林幸妃、蔡慧贞：抗议堕胎考虑期3天三女权领袖怒辞。http://gsrat.net/news/newsclipDetail.php?ncdata_id=6585。引用2014/05/01。Lin XF, Tsai HC. Three feminist leaders resign after protesting against a 3-day consideration period for abortion. Available at: http://gsrat.net/news/newsclipDetail.php?ncdata_id=6585. Accessed May 1, 2014. [In Chinese]
行政院：优生保健法修正草案。http://www.ey.gov.tw/News_Content5.aspx?n=875F36DB32CAF3D8&sms=7BD79FE30FDFBEE5&s=07057BA6BFAE4CC1。引用2014/09/22。Executive Yuan, R.O.C. (Taiwan). Draft amendment of Genetic Health Law. Available at: http://www.ey.gov.tw/News_Content5.aspx?n=875F36DB32CAF3D8&sms=7BD79FE30FDFBEE5&s=07057BA6BFAE4CC1. Accessed September 22, 2014. [In Chinese]
吴宜臻、何欣纯、林淑芬：立法院议案关系文书院总第1140号，委员提案第13893号。台北：立法院，2012。Wu YC, Ho HC, Lin SF, et al. The Legislative Yuan Agenda Related Documents #1140; Proposed Bills by Members #13893. Taipei: The Legislative Yuan, R.O.C. (Taiwan), 2012. [In Chinese]
NHS Choices. Abortion. Available at: http://www.nhs.uk/conditions/Abortion/Pages/Introduction.aspx. Accessed May 1, 2014

被引用文献 ( 1 ) 〈TOP〉

赖红汝(2020)。成年未婚单亲母亲的生育抉择：依Beck个人化理论检视。社会政策与社会工作学刊，24(2)，1-42。

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