UP Catholic 04 01 2016 E Edition Page 4

4 April 1, 2016 THE U.P. CATHOLIC COMMENTARY www.upcatholic.org C ontraceptives include drugs and devices like condoms, the pill, and spermicides. It might come as a surprise to some to learn that the Catholic Church does not always oppose the use of con- traceptives. A couple of trivial ex- amples can help explain this point. The Church would not oppose the use of a con- traceptive spermicidal fel to lubricate the axle of a bicycle tire to improve its rotation, nor would it specifi- cally oppose the use of inflated condoms as party balloons. The particular context is im- portant. More serious exam- ples of acceptable contexts and uses for contraceptives would include using the pill medically to treat serious gy- necological problems, or using the pill to block the release of an egg from a womans ovary in a situation of rape to pro- tect her from becoming preg- nant from the attack. Contrary to popular confusion, as we can see, the Church does not always oppose the use of contraceptives. What the Church does always oppose, however, are acts of contraception. An act of contraception is a very particular type of disordered human action that involves the decision freely to engage in marital intercourse, while pursuing countermeasures in anticipation of, contempo- raneously with, or after the completion of the sexual act, to try intentionally to block it from achieving its proper inality, namely, the engender- ing of new human life. These countermeasures can include, to borrow the words of Pope Paul VI, any action which either before, at the moment of, or after sexual intercourse, is specifically intended to prevent procreationwhether as an end or as a means (Hu- manae Vitae, n. 14). Pope Francis, in a recent interview, pointed out that Pope Paul VI, in a difficult situation in Africa, permitted nuns to use contraceptives in cases of rape. This use of contraceptives by a group of nuns occurred during an exceptional wartime situa- tion in the Belgian Congo. Although no document has ever been found in the Vatican indicating that permission was actually given by the pope, these women were given the pill by their physicians because they appeared to be in imminent danger of sexual assault during the uprisings of 1960. The pill was provided to prevent their ovaries from re- leasing an egg, so that if they were raped during the chaos, the attackers sperm would not be able to fertilize any of their eggs, and a pregnancy would not occur. This use of contraceptives would clearly not be an act of contraception, because there would be no consensual sexual act, but only an act of violence and brutality forcibly directed against the women. Hence, this use of contraceptives constituted, in its essence, an act of self-defense, not an act of contraception. A rapist, of course, has absolutely no right to forced sexual intimacy with his victim, nor does he have any right to bring about her impregnation, and the woman has absolutely no moral duty to make her eggs available to an attackers sperm. Hence the use of contraceptives in an emergency situation like this would be morally permissible precisely because it would not constitute, morally speak- ing, an act of contraception, but would rather represent a defensive and self-protective maneuver in a situation of frave and imminent danger. The use of contraceptives can be morally acceptable in other contexts as well, again, because such uses do not constitute acts of contracep- tion. For example, when a woman has severe menstrual bleeding, or pain from ovarian cysts, the hormonal regimen contained in the pill may sometimes provide a directly therapeutic medical treatment for the bleeding or the pain. This use of contraceptives is an act of medical therapy to address a pathological situ- ation, not an act of contra- ception. The secondary effect from the treatment, namely, marital infertility, is only tolerated, and should not be willed, desired, or intended in any way by the couple. It is worth noting that it would not be acceptable to make use of contraceptives like the Pill for these medical cas- es if other pharmacological agents or treatments were available which would offer the same therapeutic benefits and effects without impeding fertility. In sum, while the Church has always taught that marital acts of contraception are mor- ally wrong, the use of contra- ceptives can sometimes be ac- ceptable within certain other contexts outside of consensual conjugal acts. Janet Smith has succinctly summarized the issue this way: The Church teaches that acts of contra- ception are always against the plan of God for human sexu- ality, since God intended that each and every act of spousal intercourse express both the intention to make a complete, unitive gift of ones self to ones spouse and the willing- ness to be a parent with ones spouse. These meanings of the spousal act are, as Humanae Vitae stated, inseparable. Rev. Tadeusz Pacholczyk, Ph.D. earned his doctorate in neuroscience from Yale and did post-doctoral work at Harvard. He is a priest of the diocese of Fall River, MA, and serves as the Director of Education at The National Catholic Bioethics Center in Philadelphia. See www.ncb- center.org. Catholics and acceptable uses of contraceptives MAKING SENSE OUT OF BIOETHICS Father Tad Pacholczyk, Ph. D THE USE OF CONTRACEPTIVES CAN BE MORALLY ACCEPTABLE IN OTHER CONTEXTS AS WELL, AGAIN, BECAUSE SUCH USES DO NOT CONSTITUTE ACTS OF CONTRACEPTION.

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