CHAPTER 5 -‐ STUDY I 84
5.3 STUDY I RESULTS ‐ DISCLOSURE OF EMBRYO DONATION/DOUBLE DONATION
5.3.2 HOW ARE CHILDREN BEING TOLD? 134
5.3.2.1 HOW ARE CONVERSATIONS INITIATED?
Three themes identified how parent-‐child discussions relating to donor conception are instigated in disclosing families:
1. BY USING BOOKS
2. BY MAKING LINKS BETWEEN SIMILAR FAMILIES 3. BY CHILDREN ASKING QUESTIONS
I. Donors
II. Biology
THEME 1: BY USING BOOKS
Most disclosers used books as a tool to broach conversations, and particularly liked this method because it can form a part of everyday routines, without
specifically sitting down to discuss donor-‐conception. This was important for parents, and corresponds with the desire to have ‘natural’ conversations:
I will occasionally bring it up, if it, if it seems to fit in with something we’re talking about, but I don’t tend, I wouldn’t generally instigate it, out of the blue. D/SMC/twin sons-‐3 (AB/DD/A)
THEME 2: BY MAKING LINKS BETWEEN SIMILAR FAMILIES
Contact with other donor-‐conceived families facilitated discussions by enabling parents to point out the similarities between other families, and their own. This strategy was particularly common for SMCs who wanted their children to be clear that they do not have a dad:
If it does come up I'll say things like, you know so and so, and so and so… they don't have a daddy in their family. D/SMC/son-‐5 (AB/DD/A)
I’ll often say to him... we’re going to see, er, X, Y, and Z, do you remember they’ve also got families where they just live with their-‐they live with their mummy. D/SMC/son-‐7 (UK/DD/I)
THEME 3: BY CHILDREN ASKING QUESTIONS
Discussions were also stimulated by children’s questions, which tended to occur from around five years old. Two sub-‐themes identified the nature of questions:
Donors
First, almost all questions were based on clarifying information about donors, specifically who they are and their relevance:
‘So do they know who I am? Do they have my address?’ ... I said, ‘no darling, they don’t have your address either.’ So he said, ‘Good, ‘cause I want to live with you.’ D/SMC/son-‐7 (UK/DD/I)
‘Are they in our family’ and I said ‘No, they’re not in your family, your family is <sibling>, and <sibling> and me and you. But it’s not all those
other people they just happen to share some of the ingredients that went into making you. D/SMC/daughters-‐3 and 5 (AB/DD/IA)
The presence of questions appearing from around the age of five-‐years-‐old is in line with adoptive children who begin to question the relevance of their
connection between two different families around age six (Brodzinksy, 2011) and naturally conceived children who begin to understand biological
inheritance aged seven upwards (Gregg et al., 1996; Williams & Smith, 2010).
Biology
Second, questions centred on biological aspects of donor conception, specifically human anatomy.
‘So I grew inside you mom’. And I said ‘yes you did’. And that was very important to her. D/MC/daughter-‐7 (UK/ED/A)
They would ask ‘what are sperms? And what are eggs’? And we would have to explain a little bit human anatomy ... there’s no embarrassment telling a child, children, simple things so it helps. D/FC/daughter-‐7 (UK/ED/I)
Parents thought that it was important to answer questions truthfully to help their children to develop a fuller picture of their conception. The presence of conversations relating to biology have also been found in studies looking at donor sperm or egg (Blake et al., 2010; Mac Dougall et al., 2007).
5.3.2.2 FREQUENCY OF CONVERSATIONS
Disclosing parents did not view disclosure as a one-‐off event and placed value on revisiting conversations with their children to aid understanding. Two themes identified how conversations are regulated:
1) DON’T WANT IT TO DEFINE CHILDREN 2) KEEPING IT ON THE RADAR
I. So that children do not forget
II. Because children do not understand
Disclosers described the complexity of carefully managing the frequency of conversations to get the correct balance.
THEME 1: DON’T WANT IT TO DEFINE CHILDREN
First, parents did not want to talk about donor conception too often because they do not want it to be the most prominent characteristic:
I would say probably haven’t said anything about it for several months.. I don’t want to flog it to death you know I don’t wanna sort of be constantly talking about it because ..it’s part of how they came into this world but it’s not the thing that defines them. D/MC/daughters-‐6 and 4
(AB/DD/A)
THEME 2: KEEPING IT ON THE RADAR
Second, parents were equally concerned about initiating discussions often enough to keep it on the ‘radar’; this serves two purposes:
So that children do not forget
Regular conversations served to trigger memory to ensure that children do not forget that they are donor-‐conceived:
I think it’s important just to keep that open and not to forget to keep doing it because they don’t understand….Otherwise it kind of might be forgotten D/MC/son-‐4 and daughter-‐2 (AB/DD/A)
Because children do not understand
Parents were aware that their children did not understand all details relevant to their conception; so on-‐going conservations provide opportunities to add more detail to help their children’s comprehension flourish:
We started at an early time so it would never be a shock to them BUT it’s we have to sort of remind us to keep doing that because it’s obvious they don’t really understand. D/MC/son-‐4 and daughter-‐2 (AB/DD/A)
As <child> gets more understanding of reproduction ... It will make it easier. I’m just drip-‐feeding a wee bit you know, when the big conversation does come through that he understands it more. D/FC/son-‐8 (UK/ED/A)
Section summary and comparison with adopters
Parents were aware that their children did not understand the finer details of their conception, but planned to aid their understanding by speaking truthfully and drip-‐feeding information; a view also shared by adopters. Adopters and disclosing ED/DD parents thought that it was important to have ‘natural’ conversations; however, adopters placed more emphasis on this and generally assumed that their children were reluctant to discuss their adoption. Adopters used an abundance of resources to discuss key events and conceptions surrounding adoption, whereas ED/DD parents utilised fewer resources because children’s TV programmes and films do not contain child-‐friendly analogies relating to donor-‐conception. Instead, ED/DD parents tended to engage in discussions as a result of their children’s questions, or by pointing out the similarities between other donor-‐conceived families.
Both adopters and disclosing ED/DD parents accentuated the importance of keeping the conversation ‘alive’ because they were mindful that their young children could forget, and did not yet understand all details. They were, however, wary about raising the subject of adoption/conception too frequently. For ED/DD parents, this was because they did not want their children’s conception to be a ‘big deal’, or define their children. Adopters were more concerned about ‘forcing’ a conversation that they thought their children were reluctant to have, or anxious that raising conversations could lead to their children feeling rejected.