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Wednesday, March 18, 2020

Conscientious objection to abortion

From Wikipedia, the free encyclopedia
 
Conscientious objection to abortion is the right of medical staff to refuse participation in abortion for personal belief.

Because of conscientious objection in some countries, even if abortion is legal, it is difficult for women to find non-objecting gynaecologists and thus to access abortion.

By country

Americas

United States

Europe

Conscientious objection to abortion in selected European countries
  Allowed
  Not allowed

Conscientious objection is granted in 22 member states of the European Union plus the United Kingdom, Norway and Switzerland. It is not granted in Sweden, Finland, Bulgaria, the Czech Republic, and Iceland. The right of member states to enact legislation that limit the right to conscientious objection to abortion was upheld by the European Court of Human Rights in march 2020.

Croatia

Doctors and other medical personnel have the right to conscientious objection. Rada Borić (Women's Network Croatia) has argued that it is given more prominence than the women's right to abortion, thus making it difficult. On February 21, 2017 the Constitutional Court ordered the Parliament to enact new abortion law within two years, introducing educational and preventive measures to make abortion an exception and not a rule, and to regulate conscientious objection.

Hungary

In 2013 the Committee on the Elimination of Discrimination against Women of the United Nations expressed concern about "the increasing resort to conscientious objection by health professionals in the absence of an adequate regulatory framework."

Ireland

Under section 22 of the Health (Regulation of Termination of Pregnancy) Act 2018 medical practitioners, nurses and midwives have the right not to participate in abortions, except when there is a risk to life or health of the pregnant woman in emergency. They also have to make arrangements to enable the woman to get an abortion.

Italy

The law gives the option for health professionals to claim the right to refuse to perform abortion. If the health personnel demands to be conscientious objector, they have to declare it in advance (Art.9). However, conscientious objection may not be invoked by health professionals if the personal intervention is essential in order to save the life of a woman in imminent danger.

Italy keeps a record of the objecting doctors. According to data from the Ministry of Health, between 1997 and 2016 there was a 12.9% increase in the number of gynecologists who refuse to perform abortions on moral grounds, from 62.8% to 70.9%, the highest percentage ever recorded. As of 2016 the percentage is higher than the national average in Southern Italy (83.5%) and Sicily and Sardinia (77.7%), and lower in Central (70.1%) and Northern Italy (63.9%). The percentage is growing in all the macroregions except the North. As a result, voluntary abortion is performed only in 60% of the hospitals of the country. Also, non-objecting doctors suffers discrimination, and -in some provinces- needs to perform record-numbers of abortions, up to 15.8 per week in the province of Taranto (Apulia) or 12.2 in the province of Catania (Sicily).

A resolution by the Council of Europe has found several violations of the European Social Charter in the situation:

Poland

The Constitutional Tribunal "abolished a requirement that medical professionals who refuse to provide health services refer patients to an alternate medical provider".

Portugal

Abortion was legalised in Portugal in 2007. The law allows conscientious objection and many doctors refuse to perform abortion, making it difficult for women to access it.

United Kingdom

In England and Wales and Scotland medical staff has the right to refuse to participate in abortion because of conscientious objection. Section 4 of the Abortion Act 1967 (which does not extend in Northern Ireland, where abortion is prohibited under most circumstances) states:
(1) Subject to subsection (2) of this section, no person shall be under any duty, whether by contract or by any statutory or other legal requirement, to participate in any treatment authorised by this Act to which he has a conscientious objection:

Provided that in any legal proceedings the burden of proof of conscientious objection shall rest on the person claiming to rely on it.
(2) Nothing in subsection (1) of this section shall affect any duty to participate in treatment which is necessary to save the life or to prevent grave permanent injury to the physical or mental health of a pregnant woman.

(3) In any proceedings before a court in Scotland, a statement on oath by any person to the effect that he has a conscientious objection to participating in any treatment authorised by this Act shall be sufficient evidence for the purpose of discharging the burden of proof imposed upon him by subsection (1) of this section.

Stereotypes of Africans

From Wikipedia, the free encyclopedia

Stereotypes and generalizations about people of the African continent and their culture have evolved in the Western world since the years of colonial settlement.

Origin and media representation

The idea of Africa's negative stereotypes comes from historical and media interactions.

Asia

China

China views itself as a benevolent helper of Africans. In Chinese internet culture, unlucky or incompetent video game players are called 'Africans', a reference to the expression 'black face' to mean unluckiness.




India

Black skin in India is perceived negatively.






Japan

Japan views Africa as a continent in need of help.

Korea

Koreans view Africa as an undeveloped continent.

Europe

Many of the stereotypes of Africans originate from colonialism and media representation.

Belgium

Belgians viewed Africans as childlike as in Tintin in the Congo.

France

The French had a missionary ambition to civilize the continent.

Germany

The Germans viewed themselves as the master race in comparison with Africans.

Italy

Some Italians view Africans as illegal immigrants and beggars, which they in their experience often are, when they come to Italy.

Poland

Polish understanding of Africa is informed by media.

Portugal

Portuguese viewed ruling Africa as an act of charity.

United Kingdom

Charles Darwin helped promote the idea that Africans were no more complex than nonhuman apes.

North America

United States

In the United States, Africa is viewed as disease-ridden and backward.

Oceania

Australia

Australians view Africans as part of criminal gangs.

New Zealand

New Zealanders view Africans as uncultured.

Common stereotypes

One country

Africa is often mistaken for a single country instead of a continent with 54 independent countries, each of which has its own languages, cultures, traditions, and histories. This misrepresentation leads people to think that all Africans are the same and are without a unique history and culture.

One language

Similarly, the Western world often believes that Africans speak a language named "African" (usually imagined to be similar in sound to Swahili) and that African is an official language. No one African language exists; over 2,000 distinct languages are spoken throughout the African continent. The most common language used on the African continent is Swahili.

Harsh biome

The common perception is that much or all of Africa is inhospitable jungle or desert. Many tracts of jungle and desert occur in Africa, with many rivers and lakes.

Backwardness

Poverty

Africa is often believed to be the epicenter of primitive culture and of poverty. Some countries in Africa are impoverished, but many countries in Africa have thriving and prosperous economies, including South Africa, Nigeria, Kenya, Rwanda, and many others.

Technology

Throughout the developed world, Africans are often perceived to have "no access to modern technology"; however, this is inaccurate. A report in 2013 showed that 80 percent of Africans could access a mobile phone. Internet usage across Africa grew by 20% in 2018, with penetration rates across North Africa of 59%, West Africa of 39%, and Southern Africa of 51%.

Urbanization

Many people falsely believe that Africans live in "mud house[s] in the middle of nowhere." Urban areas in Africa account for 43% of the continent's population, though this is below the global average of 55 percent.

Crime

Fraud

A common stereotype is that Africans commit online fraud. The most well-known African scam is the advance-fee scam.

Wildlife

Another mistaken belief about Africa is that wild animals are commonplace and are perceived the way domestic animals are in Western countries. While many large wild animals are in Africa, and they are well known at safaris (especially the lion, leopard, rhinoceros, elephant, and buffalo), many citizens of African countries typically do not see them outside of zoos.

Tuesday, March 17, 2020

Catholic theology of the body

From Wikipedia, the free encyclopedia

The theology of the body is a broad term for Catholic teachings on the human body. The dogma of the Assumption of the Blessed Virgin Mary, defined in Pope Pius XII's 1950 apostolic constitution Munificentissimus Deus, is one of the most recent developments in the Catholic theology of the body.

History

The theology of the body has a long history and tradition within the Catholic Church. Early Church fathers wrote on the role of the body and its relation to the soul, often elevating soul over body. But like the soul, it is also created by God in his image. This is considered important even today, as the existence of a soul is the basis for much Church teachings on the human body, in areas such as abortion. Ambrose of Milan and Augustine of Hippo applied these views in their teachings on the human body, virginity and celibacy. Thomas Aquinas developed a systematic view, which dominated Church teachings and ecumenical councils including Vatican II. All recent popes contributed from different angles to the theology of the body. Current issues include the dignity of the body in light of its divine origin and destination, its eventual resurrection; virginity, the Christian sacrament of marriage, and derived issues such as faithfulness and contraception. Official Church teaching on the subject was stated in the encyclical Deus caritas est (On Christian Love) from Pope Benedict XVI, promulgated on Christmas, December 25, 2005.

Church fathers

Some early Church fathers, like Origen were preoccupied with the body and its impediments. The theology of early Church fathers focused on the body in terms of its origin, condition before the fall of man, and destination and relation to the soul. Questions were raised as to whether the body may impede the soul in its attempt to be the image of God. These questions, addressed by the ancient Church, are relevant to a modern theology of the body, because they relate to concerns and definitions on the beginning and nature of human life.

Clement of Alexandria

Clement of Alexandria (140?-220) viewed the body as the inferior partner in the body-soul relationship. The body tends to be sinful. The soul has three advantages over the body: it gives unity and life to the body; allows the body to reason; and is oriented towards God, while the body is oriented towards food and sex. The body is the grave of the soul, but also its residence, home and its vehicle. Clement believed that the first humans were innocent until they got trapped by the pleasures of the body. The first humans, by misusing their body, misused their free will and decided to sin.

Origen

Like Clement, Origen (185-254?) was an African. Also like Clement, Origen considers the human body a prison of the soul. Only the soul existed in paradise, according to Origen, the body was taken on by Adam and Eve; as they were cast out of paradise. The body tends to be oriented toward lust and sin, but it is also a creation of God. God created the body like a work of art in his image. This creation reflects God’s intelligence. The human body is (eikon) somehow similar to God. To be completed as a mirror of him, is the task for every Christian. Unlike the human body, the soul is an image of God. The body cannot be an image of God, otherwise God would look like a human being with a human body. Only the soul can see God, but it is caught between the flesh and spirit. It constantly has to make a choice between the two. Origen suggests, that Christians should free themselves from bodily restrictions as much as possible in this life. The body is important however, in the context of resurrection. Origen believes that only the resurrection of the body makes any sense. While he heeds Saint Paul, that the resurrection of the body will mean a new body, he insists, its identity must be recognizable. Yet, he states, our hope for resurrection is not one for worms, and our souls do not yearn for another decayable body.

Irenaeus

Irenaeus The body, formed in the image of God, and the soul, which has adopted the Spirit of the Father, in harmony, make up the perfect human being
 
The body, formed in the image of God, and the soul, which has adopted the Spirit of the Father, in harmony, make up the perfect human being, according to Irenaeus (died around 202). The Greek Gnosis and some Christians had looked down on the human body as inferior. Irenaeus defends the body because it is the creation of God and a negative view would cast shadows both over God and his creation. The story of creation in the book Genesis (later quoted by Pope John Paul in his lectures on the body) shows, that the first human being, Adam, was indeed an image of God. Adam had supernatural life, immortality, super-natural sanctity and a closeness to God. Since he was free of the human need to sleep, he could see God without interruption. By giving in to temptation, he lost all these attributes.

The importance of Christ for the human body is the restoration of the original status before the fall. Those who accept Christ are redeemed and become children of God, regaining eternal life. However those who live only by their body and its needs, will not share eternal life. The resurrected bodies will show beauty beyond human imagination. To show the way to this destination, the Son of God became human, and accepted the human body, thus helping human beings to recognize their destination in God. Only by subjugating one’s will to the will of God, can this destination be reached, according to Irenaeus.

Irenaeus believed that the first humans, Adam and Eve had a childlike relation to their body. They had no idea of evil, concupiscence and lust. They enjoyed a balanced sexuality, not ashamed as they kissed or hugged each other. According to Irenaeus, the fall was a result of a childish lack of discretion, which made Adam susceptible to the devil and led him into disobedience to God. The fall was a result of naïveté, not of bad intention, according to Irenaeus.

Didymus the Blind

Didymus the Blind (died around 398), who lived and taught in Alexandria, was blinded at the age of five. God, according to Didymus, created the human being with body and soul, both good, until the fall by Adam and Eve. Didymus believed that the soul continues to be an image of God, while the body does not. The unity of body and soul is therefore for Didymus a degradation for the soul. Limited by the body, it cannot develop. Whenever something higher mixes with something lower, an inferior mix is the consequence according to Didymus. He compares this with wine being mixed with water.

The body has some functions for the soul. The body informs the soul of the sensual world around them. Didymus called the body the outer person and the soul the inner person. The outer person is perishable. The inner person is eternal. The heart of the person leads the person as a whole towards good or bad deeds. Didymus maintains freedom of will, which is however weakened through the fall of Adam of Eve. A person who uses his free will to be a spiritual person, dominating all subordinate material instincts, becomes similar to God. This similarity must be goal of all human undertaking.

Gregory of Nazianzus

Gregory of Nazianzus (330-390) contemplated on the origin of the human body. Man was created by God with body and soul, a visible and invisible part, like the angels. He was created to praise God like they did. The body was given to man, so he may suffer and eventually die, and thus not consider himself to be God. The material essence of the body separates us from God, like a cloud, or, as Gregory stated, like the cloud between the Egyptians and the Israelites.

By giving man a perishable body, man was saved from the deep fall of Lucifer into eternal damnation. Gregory does not describe the human body before the fall, but he states that the bodily existence of man was free of any illness, needs or problems. The human body was related to God and free of sin towards him. The fall consisted in false pride, a revolt against God.

Regarding the relation between body and soul, Gregory states, the body is related to the soul, like the way in which the soul is related to God. To explain human existence, Gregory uses the concept of light: God is the most sublime light, He cannot be penetrated or defined. He is followed by the angels, and then by human beings. Man is the image of God but only in his soul, not in his body. He is therefore also a mixture of eternal and temporal. The grace of God created the soul of man. His body was created for suffering, to overcome his pride. The soul is destined to lead the body and be purified like gold in a fire. The soul is oriented towards God and yearns to communicate with him. The human body is the lower element of the human person. Through the body, man experiences his temporal existence. But Gregory also admired human beauty and the bodily abilities to dream, sleep and memorize. The body can be both a friend and enemy of a person, according to Gregory. The final goal is a unity of the soul with God, which is possible with Grace and the assistance of the Holy Spirit according to Gregory.

Gregory of Nyssa

Gregory of Nyssa (335-394) was a bishop who wrote, among others, about the creation of the human body. Unlike Irenaeus, Gregory states, that the soul does not need to acquire the vision of God; it has this vision from the beginning. The mixing with body and material things let the soul deviate from its divine vision and fall. Human efforts must therefore be oriented toward recreating this vision and thus participating in the Divine life. This can be done, so Gregory, by turning away from evil, and returning to God. A human being is defined not by his/her body but by his/her soul, with its spiritual and intellectual capacities. The soul alone is in the image of God. Gregory also has a positive image of man by stating his freedom and independence. God is truly free and the freedom of man, even if limited, is an image of God. Not only his freedom, but also his ability to love - God is love - and his immortality, make man an image of God.

Regarding the human body, Gregory opines that it is created for procreation. In that, humans are like animals; however, the human body also has the capacity for reasoning and perception. The body has three forms of life: the vegetative, sensual and intellectual. The human body derives its dignity from the fact that the Son of God had adopted it. But Gregory also considers the human body a heavy weight on the soul. The destination of man is to achieve similarity to God, through purification. Sin, passion and ambition must be renounced. The sacraments of the Church are a great help. Gregory argues that God’s grace, not man’s efforts, determines an individual's ability to see God. God draws man upwards towards him. He climbs step by step, without knowing where he is going. The soul is driven by its love for him, whom it has not found. The love of God, so Gregory, increases in the soul, the more it knows him.

Ambrose of Milan wrote that perpetual virginity is a noble gift which the Christian religion has bestowed on the world.

Ambrose of Milan

To Ambrose of Milan, the body lives in a duality with the soul and must be subjugated. Control of the body is essential for Christian life. Total control is virginity. Virginity and perfect chastity consecrated to the service of God allows the body to become the image of God. It is to Ambrose one of the most precious treasures which Christ has left as his heritage to the Church. He asserted that perpetual virginity is a noble gift which the Christian religion has bestowed on the world. Virginity is not new or even Christian. Pagans imposed this way of life on the Vestals for a certain time. Ambrose writes, "We read that also in the temple of Jerusalem there were virgins. But what does the Apostle say? 'Now all these things happened to them in figure', that this might be a foreshadowing of what was to come." "Mary is the model of virginity: No wonder that the Lord, wishing to rescue the world, began his work with Mary. Thus she, through whom salvation was being prepared for all people, would be the first to receive the promised fruit of salvation."
"To sow the seeds of perfect purity and to arouse a desire for virginity has always belonged to the function of the priesthood."

Augustine of Hippo

Augustine is the father of many contemporary theological views on the body. He dwelled at length on the condition of the human body before and after the fall. He was convinced that the heavenly state consisted in complete control of mind over body, especially in the area of sexuality. To illustrate this point, he notes, that some people can wiggle with their ears, nose or even hair, completely at their will. This condition of complete freedom and absence of lust existed for human sexuality too before the fall. The body must be controlled, and therefore Augustine like his teacher Ambrose considered virginity of the human body the superior way of Christ. He considered matrimony a triple blessing in light of its offspring, conjugal faith and being a sacrament: "In conjugal faith it is provided that there should be no carnal intercourse outside the marriage bond with another man or woman; with regard to offspring, that children should be begotten of love, tenderly cared for and educated in a religious atmosphere; finally, in its sacramental aspect that the marriage bond should not be broken and that a husband or wife, if separated, should not be joined to another even for the sake of offspring. This we regard as the law of marriage by which the fruitfulness of nature is adorned and the evil of incontinence is restrained."

He quoted St Paul saying that young girls should marry, arguing that they "should bear children to be mothers of families". Augustine was one of the first and most important Church fathers who wrote, that contraception is wrong: "Intercourse even with one's legitimate wife is unlawful and wicked where the conception of the offspring is prevented. Onan, the son of Juda, did this and the Lord killed him for it."

Thomas Aquinas

Thomas Aquinas: The image of God in man is in three ways

Man the image of God

Thomas Aquinas deals with a number of questions, most importantly, the question of man as image of God.
Since man is said to be the image of God by reason of his intellectual nature, he is the most perfectly like God according to that in which he can best imitate God in his intellectual nature. Now the intellectual nature imitates God chiefly in this, that God understands and loves Himself. Wherefore we see that the image of God is in man in three ways.
This means, according to Thomas, that man has a natural aptitude for recognizing, understanding and loving God. However, he requires His grace to do those things perfectly so he can finally attain "the likeness of glory".

Animals, the likeness of God

But are animals also created in the image of God? Thomas has a unique answer: in all creatures there is some kind of likeness to God, he argued. But in the thinking person, whom he called "the rational creature," there is a likeness of "image"; whereas in other creatures we find a likeness by way of a "trace." Thomas explains the difference between trace and image. "An 'image' represents something by likeness in species, ...; while a 'trace' represents something by way of an effect, which represents the cause in such a way as not to attain to the likeness of species."

Pope Pius XI

Catholic doctrine from early on and supported by the Council of Trent, considered virginity to be the holiest state for humans; however, marriage was allowed for those without the fortitude required to live an abstinent life. In Casti connubii, Pius XI repeatedly quotes Augustine, who teaches, that among the blessings of marriage, the child holds the first place. Pius XI also followed Augustine in upholding the indissolubility of marriage and the wrongfulness of sexual acts that impede conception:
Small wonder, therefore, if Holy Writ bears witness that the Divine Majesty regards with greatest detestation this horrible crime and at times has punished it with death. As St. Augustine notes, "Intercourse, even with one's legitimate wife, is unlawful and wicked where the conception of the offspring is prevented.
Following this argument, Pius XI repeats that the conjugal act is intrinsically tied with procreation, but also acknowledges the unitive aspect of intercourse as licit. The encyclical affirms the Church's opposition to adultery and divorce, and speaks out against the eugenics laws, popular at that time, that forbade those deemed "unfit" from marrying and having children.

Pope Pius XII

Pope Pius XII in the years 1939-1942 delivered a series of lectures to the newly married couples of Rome which for decades became the basis for marital instruction in the US. Like Popes before him, and following the teachings of the Council of Trent, Pope Pius explained in Sacra virginitas that virginity is superior to marriage. He also rejects the view that the human body needs fulfillment of the sexual instinct for the sake of one's mental or physical health, or for the harmony of one’s personality. In this context he criticized the cult of the body and disorderly love of oneself.

Ethics

In a 1951 speech to midwives, Pius XII stressed the inviolability of the human body as a creation of God and stated his opposition to all forms of genetic mercy killings. The right to life comes directly from God, not from the parents. He rejected any kind of sterilization as well. Like Pius XI, he extolled the sanctity of the sacrament of marriage, a place for peace and love, requiring often heroism by both partners. Parents have a role, not only to give physical love, but also to give spiritual life to their offspring. Pius criticized the traditional male role in marriage, stating that while the male member is head of the family, he should also participate in domestic chores. especially within families, where the mother is working full-time. Pius XII demands equal pay for equal work.

Family planning

Regarding natural family planning methods, Pope Pius XII distinguished between engaging in sexual intercourse during infertile days and the specific selection of these days for intercourse. He argued that, if a marital partner entered marriage with the intention to have intercourse only during infertile days in order to avoid having offspring, the marriage contract itself would be invalid. If, on the other hand, the marital partner has intercourse during infertile days only occasionally but not exclusively, then the marriage is legitimate. The intention, not the actual use of marital rights, is decisive. Pius XII illustrates this with the notion that marriage includes both rights and obligations.

Abstinence within marriage is also highlighted in his teachings. Pius took issue with the argument that abstinence is an impossibly heroic act. Citing Augustine, he argued that if natural union is not possible, abstinence is required. And, he added, in the time of World War II, so many acts of real heroism were required of men and women in so many countries, against which sexual abstinence paled in comparison. The human body and its needs should not be the centre of gratification but need to be sublimated to spiritual priorities that reflect the divine design and destiny. Marriage is not the highest value and human dignity must be preserved and applied in the marital act. The teachings of the Church reject a hedonistic view of the human body, while recognizing and valuing its divine origin and dignity. The Church thus protects the dignity of men against an over-emphasis on sensuality.

Body and soul

Early Church writers, while defining the position of the body within theology, had focused a great deal of attention on the creation of body and soul. "The body of man was created by God" (de fide) according to the teachings of two ecumenical councils Lateran IV and Vatican I.

Pope Pius XII taught that the question of the origin of man's body from pre-existing and living matter is a legitimate matter of inquiry for natural science. Catholics are free to form their own opinions, but they should do so cautiously; they should not confuse fact with conjecture, and they should respect the Church's right to define matters touching on Revelation. For these reasons, the Teaching Authority of the Church does not forbid that, in conformity with the present state of human sciences and sacred theology, research and discussions, on the part of men experienced in both fields, take place with regard to the doctrine of evolution, in as far as it inquires into the origin of the human body as coming from pre-existent and living matter - for the Catholic faith obliges us to hold that souls are immediately created by God. In an October 22, 1996, address to the Pontifical Academy of Sciences, Pope John Paul II repeated the position of Pius XII adding:
In his encyclical Humani generis (1950), my predecessor Pius XII has already affirmed that there is no conflict between evolution and the doctrine of the faith regarding man and his vocation, provided that we do not lose sight of certain fixed points....Today, more than a half-century after the appearance of that encyclical, some new findings lead us toward the recognition of evolution as more than an hypothesis.

Mary and the resurrection of the body

To the Catholic Church, Pius XII's 1950 dogma of the Assumption is proof for the resurrection of the body from the dead. Pius was confident that the solemn proclamation and definition of the Assumption would contribute in no small way to the advantage of human society and individuals. He hoped that those who meditate upon the Assumption of Mary will be better able to withstand the pressures of a material life style, and look instead at the true destination of their own bodies:
...in this magnificent way all may see clearly to what a lofty goal our bodies and souls are destined. Finally it is our hope that belief in Mary's bodily Assumption into heaven will make our belief in our own resurrection stronger and render it more effective.
...by the authority of our Lord Jesus Christ, of the Blessed Apostles Peter and Paul, and by our own authority, we pronounce, declare, and define it to be a divinely revealed dogma: that the Immaculate Mother of God, the ever Virgin Mary, having completed the course of her earthly life, was assumed body and soul into heavenly glory.
Hence if anyone, which God forbid, should dare willfully to deny or to call into doubt that which we have defined, let him know that he has fallen away completely from the divine and Catholic Faith.

Pope Paul VI

The central document of Pope Paul VI is Humanae vitae. The Pope begins with the statement that "the transmission of human life is a most serious role in which married people collaborate freely and responsibly with God the Creator." He claims that this is a source of great joy to them, although it means many difficulties and hardships. But there are global perspectives. A rapid increase in population has created the spectre of a world without food and other resources for all, and a temptation for State authorities to clamp down on population increase with drastic measures. The role of woman in society has been changing drastically; but most importantly, according to the encyclical, the advent of birth control devices requires a position on the part of the magisterium of the Church.

Limited rights over the body

The Pope points to some Catholic dogma. Human procreation, like all questions of life, is a part of God's loving design. Married life takes its origin from God, who "is love." Husband and wife cooperate with God in the generation and rearing of new lives. Married love must therefore be more than a question of natural instinct or emotional drive. It is faithful and exclusive until death. Parents are not free to act as they choose in the service of transmitting life, as if it were wholly up to them to decide what is the right course to follow. Observing the Natural Law means that each and every marital act must of necessity retain its intrinsic relationship to the procreation of human life.
Faithfulness to God's Design means to experience married love while respecting the laws of conception and to acknowledge that one is not the master of the sources of life but rather the minister of the design established by the Creator. All artificial birth control methods are unlawful as are all specifically intended to prevent procreation—whether as an end or as a means. Lawful Therapeutic Means are permitted if necessary to cure bodily diseases, even if a foreseeable impediment to procreation should result, provided such impediment is not directly intended for any motive whatsoever. Recourse to Infertile Periods applies to the spacing of births, arising from the physical or psychological condition of the husband or wife, or from external circumstances. The Church teaches that married people may then take advantage of the natural cycle. Scientists, as already requested by Pius XII, should study natural rhythms as a secure basis for the limitation of offspring.

Control of the body

Pope Paul fully realizes that Humanae vitae is not easy to follow. Some may argue that it teaches the impossible. He discusses the value of self-discipline of the body and self-denial of bodily pleasures as a source of family tranquility, peace, and personality development within the family. He recommends chastity within marriage and appeals to public authorities not to tolerate any legislation that would introduce into the family practices that are opposed to the natural law of God.

Social and economic development

The Pope is fully aware of the developmental implications of this teaching. Regarding worldwide development he quotes Pope John XXIII that no solution is acceptable which violates man's essential dignity by reducing him to a materialistic concept. The only possible solution is social and economic progress of individuals and society, which respects and promotes true human values. This excludes misguided governmental policies, a lack of social justice, a selfish accumulation of material goods, and a failure raise the standard of living of people and their children. The Pope sees a great potential for governments, national aid programs and especially for international aid organizations.

Christian compassion

Christian couples face great difficulties at times: husbands and wives should take up the burden appointed to them: married couples should communicate their own experience to others. Thus the lay vocation will be included a novel and outstanding form of the apostolate. Christian Compassion must be the guiding light. The Pope teaches that this doctrine of Christ on love and the uses of the body must always be joined with tolerance and charity:
As Christ Himself showed in His conversations and dealings with men. For when He came, not to judge, but to save the world, was He not bitterly severe toward sin, but patient and abounding in mercy toward sinners?

Pope John Paul II

John Paul II continued on the Catholic theology of the body of his predecessors with a series of lectures, entitled the Theology of the Body, in which he talked about an original unity between man and women, purity of heart (on the Sermon on the Mount), marriage and celibacy and reflections on Humane Vitae, focusing largely on responsible parenthood and marital chastity. He links "the original unity of man and women" with the book of Genesis, and raises in this context questions such as why Christ put so much emphasis on human beings as male and female. He argues, Man becomes the Image of God in the moment of holy communion.

Pope Benedict XVI

In 2005, Pope Benedict XVI took up the concerns of his predecessors in his first encyclical, Deus caritas est, where he raises some questions regarding Eros, body and the Church. (Did Christianity destroy Eros? Doesn't the Church, with all her commandments and prohibitions, turn to bitterness the most precious thing in life? Doesn't she blow the whistle just when the joy which is the Creator's gift offers us a happiness which is itself a certain foretaste of the Divine?)

Nature of love

Benedict accepts that events in real life often just happen, rather than being planned nor willed. What is imposed, is not voluntary. The encyclical does not mention the teachings of the Popes Pius XI through John Paul II on birth control and natural family planning. The late Pope, "my great predecessor" is, however, praised for his social teachings, on poverty and so on. The encyclical focuses on a broad concept of love and not on prohibitions and definitions, which may anger some segments of the public. Benedict distances himself from "my sinful body, my enemy" views, but goes further when he warns against radical distinctions of “good love”, Agape, and “bad” or “dirty” love, Eros and Sex. Benedict, while clearly recognizing degrading sexual misuses, complains that in the past these good-bad distinctions have often been radicalized within the Catholic Church. This is dangerous, because:
Were this... to be taken to extremes, the essence of Christianity would be detached from the vital relations fundamental to human existence, and would become a world apart, admirable perhaps, but decisively cut off from the complex fabric of human life.

40th anniversary of Humanae vitae

The principles of Catholic faith are old as the scriptures, Benedict states. The Pope intends to focus on these eternal principles of Catholic faith. On May 12, 2008, he accepted an invitation to talk participants in the International Congress organized by the Pontifical Lateran University on the 40th anniversary of Humanae vitae. He put the encyclical, which in his view, was very poorly understood, in the broader view of love in a global context, a topic, which he called – "so controversial, yet so crucial for humanity's future." Humanae vitae became "a sign of contradiction but also of continuity of the Church's doctrine and tradition... What was true yesterday is true also today". The Church continues to reflect "in an ever new and deeper way on the fundamental principles that concern marriage and procreation”. The key message of Humanae vitae is love. Benedict states, that the fullness of a person is achieved by a unity of soul and body, but neither spirit nor body alone can love, only the two together. If this unity is broken, if only the body is satisfied, love becomes a commodity. Ultimately, Benedict says, Christian love grows out the love of Christ.

Monday, March 16, 2020

Natural family planning

From Wikipedia, the free encyclopedia

Natural family planning
Background
TypeBehavioral
First useAncient: calendar, LAM
mid-1930s: BBT
1950s: mucus
Failure rates (First six months: LAM
Per year: symptoms- and calendar-based)
Perfect useLAM: 0.5%
Symptoms based: 1–3%
Calendar based: 5–9%
Typical useLAM: 2%
Symptoms based: 2–25%
Calendar based: 25%
Usage
ReversibilityYes
User remindersDependent upon strict user adherence to method
Advantages and disadvantages
STI protectionNo
Period advantagesPrediction
BenefitsPersonal self-awareness, no side effects, can aid pregnancy achievement, in accord with Catholic teachings, no blocks that affect intercourse
Natural family planning (NFP) comprises the family planning methods approved by the Catholic Church and some Protestant denominations for both achieving and postponing or avoiding pregnancy. In accordance with the Church's teachings regarding sexual behavior, NFP excludes the use of other methods of birth control, which it refers to as "artificial contraception."
 Periodic abstinence is now deemed moral by the Church for avoiding or postponing pregnancy for just reasons. When used to avoid pregnancy, couples may engage in sexual intercourse during a woman's naturally occurring infertile times such as during portions of her ovulatory cycle. Various methods may be used to identify whether a woman is likely to be fertile; this information may be used in attempts to either avoid or achieve pregnancy.

Effectiveness can vary widely, depending on the method used, whether the user was trained properly, and how carefully they followed the protocol. Pregnancy can result in anywhere from 1 to 25% of the user population per year for users of the symptoms based or calendar based methods, depending on the method used and how carefully it was practiced. If perfectly practised, pregnancy rates can be as low as 1% per year; if imperfectly practised, as high as 25%. (See sidebar.) The largest natural family planning study was of 19,843 women in Calcutta, India who were 52% Hindu, 27% Muslim and 21% Christian. The unexpected pregnancy rate was 0.2 pregnancies/100 women users yearly.

Natural family planning has shown very weak and contradictory results in pre-selecting the gender of a child, with the exception of a Nigerian study at odds with all other findings. Because of these remarkable results, an independent study needs to be repeated in other populations.

History

Pre-20th century

In ancient history, some Christian writers were against abstinence to prevent childbirth and some allowed it. Possibly the earliest Christian writing about periodic abstinence was by Clement of Alexandria. He wrote, "Let the Educator (Christ) put us to shame with the word of Ezekiel: 'Put away your fornications' [Eze. 43:9]. Why, even unreasoning beasts know enough not to mate at certain times. To indulge in intercourse without intending children is to outrage nature, whom we should take as our instructor."

In the year 388, St. Augustine wrote against the Manichaeans: "Is it not you who used to counsel us to observe as much as possible the time when a woman, after her purification, is most likely to conceive, and to abstain from cohabitation at that time...?" The Manichaeans (the group the early church father St. Augustine wrote of and considered to be heretics) believed that it was immoral to create any children, thus (by their belief system), trapping souls in mortal bodies. Augustine condemned them for their use of periodic abstinence during fertile periods: "From this it follows that you consider marriage is not to procreate children, but to satiate lust." About the year 401, St. Augustine wrote "Of the Good of Marriage" in which he affirmed married couples have the option of having sex without either of them intending procreation: "For, whereas that natural use, when it pass beyond the compact of marriage, that is, beyond the necessity of begetting, is pardonable in the case of a wife, damnable in the case of an harlot; that which is against nature is execrable when done in the case of an harlot, but more execrable in the case of a wife."

Saint Thomas Aquinas wrote in his Summa Contra Gentiles: "Hence it is clear that every emission of the semen is contrary to the good of man, which takes place in a way whereby generation is impossible; and if this is done on purpose, it must be a sin. I mean a way in which generation is impossible in itself as is the case in every emission of the semen without the natural union of male and female: wherefore such sins are called 'sins against nature.' But if it is by accident that generation cannot follow from the emission of the semen, the act is not against nature on that account, nor is it sinful; the case of the woman being barren would be a case in point."

In the Catholic Church, the Council of Trent, issued the following anathema: "If any one saith that the Church errs in that she declares that, for many causes, a separation may take place between husband and wife, in regard of bed, or in regard of cohabitation, for a determinate or for an indeterminate period; let him be anathema."

Protestant Reformers such as Martin Luther and John Calvin, were opposed to unnatural birth control. Centuries later, John Wesley, the leader of the Methodist movement said that unnatural birth control could destroy one's soul.

If the Manichaeans had an accurate idea of the fertile portion of the menstrual cycle, such knowledge died with them. Documented attempts to prevent pregnancy by practicing periodic abstinence do not appear again until the mid-19th century, when various calendar-based methods were developed "by a few secular thinkers." The Roman Catholic Church's first recorded official approval of periodic abstinence from 1853, where a ruling of the Church's Sacred Penitentiary addressed the topic. Distributed to confessors, the ruling stated that couples who had, on their own, begun the practice of periodic abstinence—if they had "grave reasons"—were not sinning by doing so.

In 1880, the Sacred Penitentiary reaffirmed the 1853 ruling, and went slightly further. It suggested that, in cases where the couple was already practicing artificial birth control and could not be dissuaded to cease attempting birth regulation, the confessor might morally teach them of periodic abstinence.

Early 20th century

In 1905, Theodoor Hendrik van de Velde, a Dutch gynecologist, showed that women only ovulate once per menstrual cycle. In the 1920s, Kyusaku Ogino, a Japanese gynecologist, and Hermann Knaus, from Austria, working independently, each made the discovery that ovulation occurs about fourteen days before the next menstrual period. Ogino used his discovery to develop a formula for use in aiding infertile women to time intercourse to achieve pregnancy.

In 1930, John Smulders, a Roman Catholic physician from the Netherlands, used Knaus and Ogino's discoveries to create the rhythm method. Smulders published his work with the Dutch Roman Catholic medical association, and this was the official rhythm method promoted over the next several decades. While maintaining procreation as the primary function of intercourse, the December 1930 encyclical Casti connubii by Pope Pius XI gave recognition to a secondary—unitive—purpose of sexual intercourse. This encyclical stated that there was no moral stain associated with having marital intercourse at times when "new life cannot be brought forth." This referred primarily to conditions such as current pregnancy and menopause. In 1932, a Catholic physician published a book titled The Rhythm of Sterility and Fertility in Women describing the method, and the 1930s also saw the first U.S. Rhythm Clinic (founded by John Rock) to teach the method to Catholic couples. It was during this decade that Rev. Wilhelm Hillebrand, a Catholic priest in Germany, developed a system for avoiding pregnancy based on basal body temperature.

Later 20th century to present

A minority of Catholic theologians continued to doubt the morality of periodic abstinence. Some historians consider two speeches delivered by Pope Pius XII in 1951 to be the first unequivocal acceptance of periodic abstinence by the Catholic Church. The 1950s also saw another major advance in fertility awareness knowledge: Dr. John Billings discovered the relationship between cervical mucus and fertility while working for the Melbourne Catholic Family Welfare Bureau. Dr. Billings and several other physicians studied this sign for a number of years, and by the late 1960s had performed clinical trials and begun to set up teaching centers around the world.

The Vatican II Constitution on the Church in the Modern World declared: "While not making the other purposes of matrimony of less account, the true practice of conjugal love, and the whole meaning of the family life which results from it, have this aim: that the couple be ready with stout hearts to cooperate with the love of the Creator and the Savior. Who through them will enlarge and enrich His own family day by day" (50). Beyond that the council of bishops was told to leave to the Pontifical Commission on Birth Control the task of advising Pope Paul VI on the issue. While a majority of the Commission (64 of 68 who voted) recommended allowing other means of contraception, Paul VI would determine otherwise.

Humanae Vitae, published in 1968 by Pope Paul VI, addressed a pastoral directive to scientists: "It is supremely desirable... that medical science should by the study of natural rhythms succeed in determining a sufficiently secure basis for the chaste limitation of offspring." This is interpreted as favoring the then-new, more reliable symptoms-based fertility awareness methods over the rhythm method. Just a few years later, in 1971, the first organization to teach a symptothermal method (one that used both mucus and temperature observations) was started. Now called Couple to Couple League International, this organization was founded by John and Sheila Kippley, lay Catholics, along with Dr. Konald Prem. During the following decade, other now-large Catholic organizations were formed: Family of the Americas(1977), and the Creighton Model as part of the Pope Paul VI Institute (1985), both mucus based systems of NFP. 

Today, use of the term natural family planning to describe calendar-based methods is considered 
incorrect by the United States Conference of Catholic Bishops: it considers such methods "inaccurate". Still, some organizations consider calendar-based methods to be forms of NFP. For example, in 1999 the Institute for Reproductive Health at Georgetown University developed the Standard Days Method (SDM), which is more effective than the rhythm method. SDM is promoted by Georgetown University as a form of natural family planning.

Prevalence

It is estimated that 2%–3% of the world's reproductive age population relies on periodic abstinence to avoid pregnancy. However, what portion of this population should be considered NFP users is unclear. Some Catholic sources consider couples that violate the religious restrictions associated with natural family planning to not be NFP users.

There is little data on the worldwide use of natural family planning. In Brazil, NFP is the third most popular family planning method. The "safe period" method of fertility awareness is the most common family planning method used in India, although condoms are used by some. Of all American women surveyed nationally in 2002, only 0.9% American women were using "periodic abstinence" (defined as "calendar rhythm" and "natural family planning") compared to 60.6% American women using other contraceptive methods. In Italy, where the vast majority of citizens claims to be Catholic, NFP methods are rarely taught.

In 2002, Sam and Bethany Torode, then a Protestant Christian couple, published a book advocating NFP use. (Five years after writing the book, the Torodes retracted their advocacy of pure NFP and also supported barrier methods as moral; the couple divorced in 2011 and both left from conservative Evangelicalism to join liberal churches.) Many NFP clinics and teaching organizations are associated with the Catholic Church, as well as The Church of Jesus Christ of Latter-day Saints (LDS Church) and some members of the Muslim faith.

Some fundamental Christians espouse Quiverfull theology, eschewing all forms of birth control, including natural family planning.

Contraception

Some proponents of NFP differentiate it from other forms of birth control by labeling them artificial birth control. Other NFP literature holds that natural family planning is distinct from contraception. Proponents justify this classification system by saying that NFP has unique characteristics not shared by any other method of birth regulation except for abstinence. Commonly cited traits are that NFP is "open to life," and that NFP alters neither the fertility of the woman nor the fecundity of a particular sex act. That NFP can be used to both avoid or achieve pregnancy may also be cited as a distinguishing characteristic.

Methods

There are three main types of NFP: the symptoms-based methods, the calendar-based methods, and the breastfeeding or lactational amenorrhea method. Symptoms-based methods rely on biological signs of fertility, while calendar-based methods estimate the likelihood of fertility based on the length of past menstrual cycles.

Clinical studies by the Guttmacher Institute found that periodic abstinence resulted in a 25.3 percent failure under typical conditions, though it did not differentiate between symptom-based and calendar-based methods.

Symptoms-based

Some methods of NFP track biological signs of fertility. When used outside of the Catholic concept of NFP, these methods are often referred to simply as fertility awareness-based methods rather than NFP. The three primary signs of a woman's fertility are her basal body temperature (BBT), her cervical mucus, and her cervical position. Computerized fertility monitors, such as Lady-Comp, may track basal body temperatures, hormonal levels in urine, changes in electrical resistance of a woman's saliva, or a mixture of these symptoms.

From these symptoms, a woman can learn to assess her fertility without use of a computerized device. Some systems use only cervical mucus to determine fertility. Two well-known mucus-only methods are the Billings ovulation method and the Creighton Model FertilityCare System. If two or more signs are tracked, the method is referred to as a symptothermal method. Two popular symptothermal systems are taught by the Couple to Couple League and the Fertility Awareness Method (FAM) with Toni Weschler. A study completed in Germany in 2007 found that tymptothermal method has a method effectiveness of 99.6%.

A study by the World Health Organization involving 869 fertile women from Australia, India, Ireland, the Philippines, and El Salvador found that 93% could accurately interpret their body's signals regardless of education and culture. In a 36-month study of 5,752 women, the method was 99.86% effective.

A symptohormonal method of NFP developed at Marquette University uses the ClearBlue Easy fertility monitor and cycle history to determine the fertile window. The monitor measures estrogen and LH to determine the peak day. This method is also applicable during postpartum, breastfeeding, and perimenopause, and requires less abstinence than other NFP methods. Some couples prefer this method because the monitor reading is objective and is not affected by sleep quality as BBT can be.

Calendar-based

Calendar-based methods determine fertility based on a record of the length of previous menstrual cycles. They include the Rhythm Method and the Standard Days Method. The Standard Days method was developed and proven by the researchers at the Institute for Reproductive Health of Georgetown University. CycleBeads, unaffiliated with religious teachings, is a visual tool based on the Standard Days method. According to the Institute of Reproductive Health, when used as birth control, CB has a 95% effectiveness rating. Computer programs are available to help track fertility on a calendar.

Lactational amenorrhea

The lactational amenorrhea method (LAM) is a method of avoiding pregnancy based on the natural postpartum infertility that occurs when a woman is amenorrheic and fully breastfeeding. The rules of the method help a woman identify and possibly lengthen her infertile period.

Debates

Roderick Hindery reported that a number of Western Catholics have voiced significant disagreement with the Church's stance on contraception. In 1968, the Canadian Conference of Catholic Bishops issued what many interpreted as a dissenting document, the Winnipeg Statement, in which the bishops recognized that a number of Canadian Catholics found it "either extremely difficult or even impossible to make their own all elements of this doctrine" (that of Humanae vitae). Additionally, in 1969, they reasserted the Catholic principle of primacy of conscience, a principle that they said should be properly interpreted. They insisted that "a Catholic Christian is not free to form his conscience without consideration of the teaching of the magisterium, in the particular instance exercised by the Holy Father in an encyclical letter." Catholics for a Free Choice claimed in 1998 that 96% of U.S. Catholic women had used contraceptives at some point in their lives and that 72% of U.S. Catholics believed that one could be a good Catholic without obeying the Church's teaching on birth control. According to a nationwide poll of 2,242 U.S. adults surveyed online in September 2005 by Harris Interactive (they stated that the magnitude of errors cannot be estimated due to sampling errors, non-response, etc.), 90% of U.S. Catholics supported the use of birth control/contraceptives. A survey conducted in 2015 by the Pew Research Center among 5,122 U.S. adults (including 1,016 self-identified Catholics) stated 76% of U.S. Catholics thought that the Church should allow Catholics to use birth control.

In 2003, the BBC's Panorama claimed that Church officials have taught that HIV can pass through the membrane of the latex rubber from which condoms were made. It was considered not true according to the World Health Organization, despite a 2000 report by the National Institutes of Health (NIH) stating that consistent use of latex condoms reduced the risk of HIV transmission by approximately 85% relative to risk when unprotected, not 100% safe.

In an interview on Dutch television in 2004, Belgian Cardinal Godfried Danneels argued that the use of condoms should be supported to prevent AIDS if sex with a person infected with HIV should take place, though it is to be avoided. According to Danneels, "the person must use a condom in order not to disobey the commandment condemning murder, in addition to breaking the commandment which forbids adultery. ... Protecting oneself against sickness or death is an act of prevention. Morally, it cannot be judged on the same level as when a condom is used to reduce the number of births." In 2009, Pope Benedict XVI asserted that handing out condoms is not the solution to combating AIDS and actually makes the problem worse. He proposed "spiritual and human awakening" and "friendship for those who suffer" as solutions.

Artificial family planning proponent Stephen D. Mumford claimed that the primary motivation behind the Church's continued opposition to contraceptive use is the impossibility to make changes without spoiling papal authority with regards to papal infallibility. Mumford gives as an example the citation made by dissident theologian August Bernhard Hasler of a minority report co-authored by Pope John Paul II prior to his papacy:
If it should be declared that contraception is not evil in itself, then we should have to concede frankly that the Holy Spirit had been on the side of the Protestant churches in 1930 (when the encyclical Casti connubii was promulgated), in 1951 (Pius XII's address to the midwives), and in 1958 (the address delivered before the Society of Hematologists in the year the pope died). It should likewise have to be admitted that for a half century the Spirit failed to protect Pius XI, Pius XII, and a large part of the Catholic hierarchy from a very serious error. This would mean that the leaders of the Church, acting with extreme imprudence, had condemned thousands of innocent human acts, forbidding, under pain of eternal damnation, a practice which would now be sanctioned. The fact can neither be denied nor ignored that these same acts would now be declared licit on the grounds of principles cited by the Protestants, which popes and bishops have either condemned or at least not approved.
It is said that none of the instances cited falls under the domain of papal infallibility; the Pope is not considered infallible except in the rare, solemn occasions when he is speaking ex cathedra. According to M. R. Gagnebet, though the encyclical Humanae vitae is considered by some to be a non-infallible document, "the doctrinal authority of the Pope and the Bishops is not limited to infallible teaching. The duty of obedience is not restricted to definitions of faith".

Theological opposition has come from some denominations of Protestant Christianity. The Reformed theologian John Piper's Desiring God ministry states of NFP, "There is no reason to conclude that natural family planning is appropriate but that 'artificial' (non-abortive) means are not." Eastern Orthodox couple Sam and Bethany Torode, former advocates of NFP-only, have redacted their position to include barrier methods and explain their current theology this way:
We also see honest congruity with the language of the body by saying "no" to conception with our bodies (via barrier methods or sensual massage) when our minds and hearts are also saying "no" to conception. We don’t believe this angers God, nor that it leads to the slippery slope of relativism or divorce. We strongly disagree with the idea that this is a mortal sin.... It’s a theological attack on women to always require that abstinence during the time of the wife’s peak sexual desire (ovulation) for the entire duration of her fertile life, except for the handful of times when she conceives.
Traditionalist Catholic priest Francis Ripley criticizes the concept:
The use of the term "Natural Family Planning" has come under sharp attack from traditional Catholic writers in recent years because it implies the right of the couple to "plan" their family; whereas the Catholic norm is to let God plan one's family and to accept the children when (and if) God gives them--as a blessing from Him on the marital union and on society.

Occupy movement

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