1 00:00:00,842 --> 00:00:03,004 What is a parent? 2 00:00:03,999 --> 00:00:05,606 What is a parent? 3 00:00:07,043 --> 00:00:09,151 It's not an easy question. 4 00:00:09,630 --> 00:00:12,004 Today we have adoption, 5 00:00:12,028 --> 00:00:13,604 stepfamilies, 6 00:00:13,628 --> 00:00:15,085 surrogate mothers. 7 00:00:15,846 --> 00:00:18,259 Many parents face tough questions 8 00:00:19,151 --> 00:00:20,680 and tough decisions. 9 00:00:21,888 --> 00:00:25,141 Shall we tell our child about the sperm donation? 10 00:00:27,322 --> 00:00:28,697 If so, when? 11 00:00:29,176 --> 00:00:30,776 What words to use? 12 00:00:31,522 --> 00:00:37,383 Sperm donors are often referred to as "biological fathers," 13 00:00:37,407 --> 00:00:40,406 but should we really be using the word "father?" 14 00:00:41,843 --> 00:00:44,248 As a philosopher and social scientist, 15 00:00:44,272 --> 00:00:48,494 I have been studying these questions about the concept of parenthood. 16 00:00:49,088 --> 00:00:52,116 But today, I will talk to you about what I learned 17 00:00:52,140 --> 00:00:54,280 from talking to parents and children. 18 00:00:55,377 --> 00:00:59,731 I will show you that they know what matters most in a family, 19 00:00:59,755 --> 00:01:02,286 even though their family looks a little different. 20 00:01:03,133 --> 00:01:08,134 I will show you their creative ways of dealing with tough questions. 21 00:01:09,287 --> 00:01:13,037 But I will also show you the parents' uncertainties. 22 00:01:15,284 --> 00:01:16,815 We interviewed couples 23 00:01:16,839 --> 00:01:20,241 who received fertility treatment at Ghent University Hospital, 24 00:01:21,075 --> 00:01:22,814 using sperm from a donor. 25 00:01:23,183 --> 00:01:24,750 In this treatment timeline, 26 00:01:24,774 --> 00:01:28,066 you can see two points at which we conducted interviews. 27 00:01:28,994 --> 00:01:31,427 We included heterosexual couples, 28 00:01:32,055 --> 00:01:35,927 where the man for some reason did not have good-quality sperm, 29 00:01:36,435 --> 00:01:41,553 and lesbian couples who obviously needed to find sperm elsewhere. 30 00:01:42,996 --> 00:01:45,194 We also included children. 31 00:01:46,878 --> 00:01:48,361 I wanted to know 32 00:01:48,385 --> 00:01:53,018 how those children define concepts like parenthood and family. 33 00:01:54,150 --> 00:01:56,951 In fact, that is what I asked them, 34 00:01:58,259 --> 00:01:59,698 only not in that way. 35 00:02:01,437 --> 00:02:04,096 I drew an apple tree instead. 36 00:02:05,056 --> 00:02:08,403 This way, I could ask abstract, philosophical questions 37 00:02:08,427 --> 00:02:11,700 in a way that did not make them run off. 38 00:02:13,332 --> 00:02:14,984 So as you can see, 39 00:02:15,008 --> 00:02:16,550 the apple tree is empty. 40 00:02:17,630 --> 00:02:20,243 And that illustrates my research approach. 41 00:02:20,659 --> 00:02:22,942 By designing techniques like this, 42 00:02:22,966 --> 00:02:27,739 I can bring as little meaning and content as possible to the interview, 43 00:02:28,533 --> 00:02:30,551 because I want to hear that from them. 44 00:02:32,362 --> 00:02:33,694 I asked them: 45 00:02:34,738 --> 00:02:37,828 What would your family look like if it were an apple tree? 46 00:02:38,739 --> 00:02:42,489 And they could take a paper apple for everyone who, in their view, 47 00:02:42,513 --> 00:02:44,120 was a member of the family, 48 00:02:44,144 --> 00:02:47,318 write a name on it and hang it wherever they wanted. 49 00:02:47,342 --> 00:02:48,912 And I would ask questions. 50 00:02:50,153 --> 00:02:53,278 Most children started with a parent or a sibling. 51 00:02:53,806 --> 00:02:55,970 One started with "Boxer," 52 00:02:56,667 --> 00:02:59,175 the dead dog of his grandparents. 53 00:02:59,830 --> 00:03:03,688 At this point, none of the children started mentioning the donor. 54 00:03:04,465 --> 00:03:08,803 So, I asked them about their birth story. 55 00:03:09,161 --> 00:03:11,183 I said, "Before you were born, 56 00:03:11,207 --> 00:03:13,570 it was just your mom and dad, 57 00:03:13,594 --> 00:03:14,872 or mom and mommy. 58 00:03:15,421 --> 00:03:18,478 Can you tell me how you came into the family?" 59 00:03:19,282 --> 00:03:20,721 And they explained. 60 00:03:21,602 --> 00:03:22,808 One said, 61 00:03:23,691 --> 00:03:26,164 "My parents did not have good seeds, 62 00:03:26,865 --> 00:03:30,887 but there are friendly men out there who have spare seeds. 63 00:03:31,386 --> 00:03:33,136 They bring them to the hospital, 64 00:03:33,160 --> 00:03:35,374 and they put them in a big jar. 65 00:03:36,249 --> 00:03:37,486 My mommy went there, 66 00:03:37,510 --> 00:03:40,081 and she took two from the jar, 67 00:03:40,786 --> 00:03:42,924 one for me and one for my sister. 68 00:03:43,725 --> 00:03:45,774 She put the seeds in her belly -- 69 00:03:46,161 --> 00:03:47,353 somehow -- 70 00:03:48,236 --> 00:03:50,543 and her belly grew really big, 71 00:03:50,567 --> 00:03:51,819 and there I was." 72 00:03:53,289 --> 00:03:54,439 Hmm. 73 00:03:56,123 --> 00:04:00,191 So only when they started mentioning the donor, 74 00:04:00,215 --> 00:04:03,440 I asked questions about him, using their own words. 75 00:04:03,926 --> 00:04:05,325 I said, 76 00:04:05,349 --> 00:04:09,815 "If this would be an apple for the friendly man with the seeds, 77 00:04:09,839 --> 00:04:11,172 what would you do with it?" 78 00:04:12,069 --> 00:04:14,427 And one boy was thinking out loud, 79 00:04:14,451 --> 00:04:15,819 holding the apple. 80 00:04:15,843 --> 00:04:17,088 And he said, 81 00:04:17,890 --> 00:04:20,584 "I won't put this one up there with the others. 82 00:04:21,239 --> 00:04:23,132 He's not part of my family. 83 00:04:24,191 --> 00:04:26,385 But I will not put him on the ground. 84 00:04:26,409 --> 00:04:28,319 That's too cold and too hard. 85 00:04:29,024 --> 00:04:31,325 I think he should be in the trunk, 86 00:04:32,207 --> 00:04:34,550 because he made my family possible. 87 00:04:35,264 --> 00:04:37,218 If he would not have done this, 88 00:04:37,242 --> 00:04:41,200 that would really be sad because my family would not be here, 89 00:04:41,224 --> 00:04:42,820 and I would not be here." 90 00:04:45,845 --> 00:04:49,373 So also, parents constructed family tales -- 91 00:04:49,397 --> 00:04:51,154 tales to tell their children. 92 00:04:52,660 --> 00:04:55,787 One couple explained their insemination 93 00:04:55,811 --> 00:04:58,334 by taking their children to a farm 94 00:04:59,291 --> 00:05:01,852 to watch a vet inseminate cows. 95 00:05:03,656 --> 00:05:05,027 And why not? 96 00:05:05,051 --> 00:05:07,491 It's their way of explaining; 97 00:05:07,515 --> 00:05:10,541 their do-it-yourself with family narratives. 98 00:05:10,981 --> 00:05:12,161 DIY. 99 00:05:12,533 --> 00:05:14,901 And we had another couple who made books -- 100 00:05:14,925 --> 00:05:16,380 a book for each child. 101 00:05:16,752 --> 00:05:18,274 They were really works of art 102 00:05:18,298 --> 00:05:21,774 containing their thoughts and feelings throughout the treatment. 103 00:05:22,192 --> 00:05:24,806 They even had the hospital parking tickets in there. 104 00:05:25,553 --> 00:05:27,174 So it is DIY: 105 00:05:27,198 --> 00:05:29,580 finding ways, words and images 106 00:05:29,604 --> 00:05:32,354 to tell your family story to your child. 107 00:05:33,717 --> 00:05:36,532 And these stories were highly diverse, 108 00:05:36,940 --> 00:05:39,876 but they all had one thing in common: 109 00:05:41,913 --> 00:05:45,134 it was a tale of longing for a child 110 00:05:45,885 --> 00:05:47,563 and a quest for that child. 111 00:05:48,370 --> 00:05:53,437 It was about how special and how deeply loved their child was. 112 00:05:55,142 --> 00:05:59,790 And research so far shows that these children are doing fine. 113 00:05:59,814 --> 00:06:02,408 They do not have more problems than other kids. 114 00:06:02,854 --> 00:06:07,275 Yet, these parents also wanted to justify their decisions 115 00:06:07,299 --> 00:06:08,961 through the tales they tell. 116 00:06:09,505 --> 00:06:12,639 They hoped that their children would understand their reasons 117 00:06:12,663 --> 00:06:14,498 for making the family in this way. 118 00:06:15,865 --> 00:06:19,819 Underlying was a fear that their children might disapprove 119 00:06:19,843 --> 00:06:22,085 and would reject the non-genetic parent. 120 00:06:22,511 --> 00:06:25,131 And that fear is understandable, 121 00:06:25,155 --> 00:06:28,196 because we live in a very heteronormative 122 00:06:28,220 --> 00:06:29,958 and geneticized society -- 123 00:06:30,438 --> 00:06:31,930 a world that still believes 124 00:06:31,954 --> 00:06:36,106 that true families consist of one mom, one dad 125 00:06:36,130 --> 00:06:38,467 and their genetically related children. 126 00:06:39,738 --> 00:06:40,893 Well. 127 00:06:42,165 --> 00:06:45,266 I want to tell you about a teenage boy. 128 00:06:45,290 --> 00:06:48,059 He was donor-conceived but not part of our study. 129 00:06:48,658 --> 00:06:51,276 One day, he had an argument with his father, 130 00:06:51,300 --> 00:06:52,592 and he yelled, 131 00:06:53,305 --> 00:06:55,402 "You're telling me what to do? 132 00:06:55,426 --> 00:06:57,307 You're not even my father!" 133 00:06:59,601 --> 00:07:02,983 That was exactly what the parents in our study feared. 134 00:07:03,984 --> 00:07:07,213 Now, the boy soon felt sorry, and they made up. 135 00:07:07,629 --> 00:07:11,400 But it is the reaction of his father that is most interesting. 136 00:07:12,169 --> 00:07:13,342 He said, 137 00:07:13,772 --> 00:07:19,134 "This outburst had nothing to do with the lack of a genetic link. 138 00:07:19,765 --> 00:07:22,642 It was about puberty -- 139 00:07:23,005 --> 00:07:24,446 being difficult. 140 00:07:24,470 --> 00:07:26,233 It's what they do at that age. 141 00:07:26,792 --> 00:07:28,066 It will pass." 142 00:07:29,462 --> 00:07:31,318 What this man shows us 143 00:07:31,342 --> 00:07:33,930 is that when something goes wrong, 144 00:07:34,564 --> 00:07:36,165 we should not immediately think 145 00:07:36,189 --> 00:07:38,596 it is because the family is a little different. 146 00:07:39,330 --> 00:07:42,416 These things happen in all families. 147 00:07:43,936 --> 00:07:45,426 And every now and then, 148 00:07:45,818 --> 00:07:47,495 all parents may wonder: 149 00:07:48,412 --> 00:07:50,441 Am I a good enough parent? 150 00:07:51,164 --> 00:07:52,488 These parents, too. 151 00:07:53,099 --> 00:07:57,192 They, above all, wanted to do what's best for their child. 152 00:07:57,748 --> 00:07:59,643 But they also sometimes wondered: 153 00:08:00,034 --> 00:08:01,810 Am I a real parent? 154 00:08:02,288 --> 00:08:06,257 And their uncertainties were present long before they even were parents. 155 00:08:06,281 --> 00:08:07,713 At the start of treatment, 156 00:08:07,737 --> 00:08:09,452 when they first saw the counselor, 157 00:08:10,146 --> 00:08:12,841 they paid close attention to the counselor, 158 00:08:12,865 --> 00:08:14,872 because they wanted to do it right. 159 00:08:15,853 --> 00:08:17,331 Even 10 years later, 160 00:08:18,053 --> 00:08:20,672 they still remember the advice they were given. 161 00:08:24,981 --> 00:08:27,882 So when they thought about the counselor 162 00:08:28,854 --> 00:08:30,653 and the advice they were given, 163 00:08:30,677 --> 00:08:31,840 we discussed that. 164 00:08:31,864 --> 00:08:35,428 And we saw one lesbian couple who said, 165 00:08:36,627 --> 00:08:38,231 "When our son asks us, 166 00:08:38,255 --> 00:08:40,304 'Do I have a dad?' 167 00:08:41,482 --> 00:08:44,294 we will say 'No, you do not have a dad.' 168 00:08:44,839 --> 00:08:47,907 But we will say nothing more, not unless he asks, 169 00:08:48,287 --> 00:08:50,315 because he might not be ready for that. 170 00:08:50,339 --> 00:08:51,839 The counselor said so." 171 00:08:53,350 --> 00:08:54,520 Well. 172 00:08:55,091 --> 00:08:56,993 I don't know; that's quite different 173 00:08:57,017 --> 00:08:59,710 from how we respond to children's questions. 174 00:09:00,473 --> 00:09:03,274 Like, "Milk -- is that made in a factory?" 175 00:09:03,783 --> 00:09:06,945 We will say, "No, it comes from cows," 176 00:09:06,969 --> 00:09:08,725 and we will talk about the farmer, 177 00:09:08,749 --> 00:09:10,972 and the way the milk ends up in the shop. 178 00:09:11,806 --> 00:09:13,353 We will not say, 179 00:09:14,102 --> 00:09:17,710 "No, milk is not made in a factory." 180 00:09:20,042 --> 00:09:22,472 So something strange happened here, 181 00:09:22,496 --> 00:09:24,854 and of course these children noticed that. 182 00:09:25,571 --> 00:09:26,856 One boy said, 183 00:09:27,445 --> 00:09:29,837 "I asked my parents loads of questions, 184 00:09:29,861 --> 00:09:31,670 but they acted really weird. 185 00:09:32,788 --> 00:09:36,732 So, you know, I have a friend at school, and she's made in the same way. 186 00:09:37,241 --> 00:09:40,241 When I have a question, I just go and ask her." 187 00:09:41,760 --> 00:09:42,968 Clever guy. 188 00:09:43,630 --> 00:09:44,927 Problem solved. 189 00:09:45,765 --> 00:09:48,349 But his parents did not notice, 190 00:09:48,875 --> 00:09:51,457 and it certainly was not what they had in mind, 191 00:09:51,481 --> 00:09:53,415 nor what the counselor had in mind 192 00:09:53,439 --> 00:09:58,636 when they were saying how important it is to be an open-communication family. 193 00:10:00,462 --> 00:10:02,716 And that's the strange thing about advice. 194 00:10:02,740 --> 00:10:06,036 When we offer people pills, we gather evidence first. 195 00:10:06,536 --> 00:10:07,792 We do tests, 196 00:10:07,816 --> 00:10:09,117 we do follow-up studies. 197 00:10:09,141 --> 00:10:13,068 We want to know, and rightly so, what this pill is doing 198 00:10:13,092 --> 00:10:15,588 and how it affects people's lives. 199 00:10:16,035 --> 00:10:17,356 And advice? 200 00:10:18,748 --> 00:10:20,594 It is not enough for advice, 201 00:10:20,618 --> 00:10:25,441 or for professionals to give advice that is theoretically sound, 202 00:10:25,465 --> 00:10:26,766 or well-meant. 203 00:10:27,447 --> 00:10:30,828 It should be advice that there is evidence for -- 204 00:10:30,852 --> 00:10:34,753 evidence that it actually improves patients' lives. 205 00:10:36,174 --> 00:10:40,737 So the philosopher in me would now like to offer you a paradox: 206 00:10:42,308 --> 00:10:46,392 I advise you to stop following advice. 207 00:10:47,897 --> 00:10:49,289 But, yes. 208 00:10:50,221 --> 00:10:53,138 (Applause) 209 00:10:54,591 --> 00:10:57,154 I will not end here with what went wrong; 210 00:10:57,178 --> 00:11:01,414 I would not be doing justice to the warmth we found in those families. 211 00:11:02,931 --> 00:11:05,561 Remember the books and the trip to the farmer? 212 00:11:05,585 --> 00:11:09,199 When parents do things that work for them, 213 00:11:09,572 --> 00:11:11,145 they do brilliant things. 214 00:11:12,391 --> 00:11:16,034 What I want you to remember as members of families, 215 00:11:16,058 --> 00:11:18,549 in no matter what form or shape, 216 00:11:18,930 --> 00:11:24,277 is that what families need are warm relationships. 217 00:11:25,409 --> 00:11:28,870 And we do not need to be professionals to create those. 218 00:11:29,644 --> 00:11:31,946 Most of us do just fine, 219 00:11:32,986 --> 00:11:34,695 although it may be hard work, 220 00:11:35,038 --> 00:11:37,908 and from time to time, we can do with some advice. 221 00:11:39,209 --> 00:11:40,480 In that case, 222 00:11:40,504 --> 00:11:42,527 bear in mind three things. 223 00:11:43,760 --> 00:11:47,047 Work with advice that works for your family. 224 00:11:48,008 --> 00:11:53,486 Remember -- you're the expert, because you live your family life. 225 00:11:54,681 --> 00:11:55,965 And finally, 226 00:11:56,478 --> 00:12:00,468 believe in your abilities and your creativity, 227 00:12:01,027 --> 00:12:04,372 because you can do it yourself. 228 00:12:05,259 --> 00:12:06,413 Thank you. 229 00:12:06,437 --> 00:12:12,915 (Applause)