This is the sixth installment of my commentary on The Human Body: a sign of dignity and a gift by Fr. Richard M. Hogan. For publication details, see the blog for September 9, 2007.
The last published data (1995) on the use of sterilization by religious classification indicated that Catholics, with a sterilization rate of 40+ percent, were by a small margin the highest users of sexual sterilization as their method of birth control. That certainly reflects negatively on American Catholics especially in the light of the teaching of Humanae Vitae in which Pope Paul VI condemned sterilization right after his condemnation of abortion. “Equally to be excluded, as the teaching authority of the Church has frequently declared, is direct sterilization, whether perpetual or temporary, whether of the man or of the woman” (n.14).
There are two sins involved with using sterilization for birth control. The first is the sin of mutilation, the destruction of a perfectly healthy bodily organ. In his booklet, The Human Body, Father Richard Hogan rightly says that this violates the dignity of the human body. It has long been classified as a serious sin against the Commandment, “Thou shalt not kill.” The second sin or series of sins is engaging in sexually sterilized intercourse. This is the sin of contraception.
A problem arises when the spouses repent of these sins. As Father Hogan notes, these sins can be forgiven. The problem is this: What do repentance, sorrow for sin, and a firm purpose of amendment require? Is it sufficient to confess the sin, do the canonical penance, and then go on living as before, enjoying the fruits of their sins every time they engage in a contraceptively sterilized “marriage act.” Or does the sterilized person have to undergo reversal surgery or do something else? Father Hogan says, “the Church does not require such a person to undergo an operation to reverse the sterilization procedure.” That is a misleading statement. True, there is no formal teaching document that spells out what is necessary after sterilization, but it is incorrect to think that formal documents are the only way in which moral teaching is conveyed in the Catholic Church.
There is a long-standing tradition in Catholic moral theology that reversal surgery is required if it can be done without being an extraordinary burden on health or finances and has a reasonable chance of success. As I stated in my work, Sex and the Marriage Covenant (SMC), “If reversal surgery were as simple and inexpensive as vasectomies and tubal ligations, then it would be morally required for all as part of their repentance. This is the common teaching of respected moral theologians. However, it is also a principle of moral theology that extraordinary burdens are not normally required as part of repentance” (p. 221). And I went on to name some well known theologians of the 20th century who supported the reversal-requirement position—Arthur Vermeersch, S.J., Hieronymus Noldin, S.J., and Joseph Farraher, S.J. (SMC notes, p.377).
Reversal surgery is common today. On an interstate highway near Cincinnati, there is a full-sized billboard advertising a vasectomy reversal service in Texas. Such surgery isn’t cheap, but it does not constitute an extraordinary burden for many couples today. Many couples seek reversals simply for a practical reason having nothing to do with morality: they want to have more children. Thus, for many couples today, reversal surgery will be a normal moral requirement because it does not constitute any sort of extraordinary burden. Thus it is incorrect to infer that the Catholic moral tradition does not require reversal surgery. After reversal, such couples will observe the wife’s signs of fertility and will abstain from the marriage act during the fertile time if they still intend to avoid pregnancy.
The real question focuses on the couple for whom reversal surgery would constitute truly an extraordinary burden. The question then becomes, what constitutes repentance? Does repentance require me to say in my heart that I wish I had not done the sin and that if the occasion came up again I would not do it over again? I think so. Is a person repentant if he says in this heart that he’s glad he did it and would do it over again if the occasion occurred? How can that attitude be called “repentant”?
Now apply the first notion of repentance to sexual sterilization. If a sterilized person says, “I wish I had not been sterilized and would not do it again,” that means that he or she wishes he or she were still fertile. In turn that means that if the couple were still fertile and did not intend to seek pregnancy, they would abstain during the fertile time. Next, imagine that it would truly be an extraordinary burden for the sterilized person to undergo reversal surgery. The spouses can still live as if they would if they had not been sterilized. That is, they still can monitor the wife’s fertility and abstain during the fertile time. In my opinion, engaging in the marriage act during the naturally infertile time is moot because their sterilization is not acting contraceptively at such times.
Father Hogan offers a different solution. He says that after the sterilized person has “confessed the sin and received absolution” the couple can engage in the marriage act without any further qualifications. “Morally speaking, in this case, the sterilized person is comparable to a naturally infertile person.” I strongly disagree. A better comparison is that the sterilized person is like the person who is living in the state that Jesus calls adultery: a valid marriage, divorce, and then a second civil but invalid marriage. If that person goes to confession, he will not be told by an orthodox priest that after saying his penance, he can morally engage in the marriage act. The requirement for morally living together is marital celibacy.
He then concludes: “Of course, knowing that a sinful act can be forgiven can never justify doing it.” Well, I agree, but throwing in that little warning after such advice is like using a garden hose to try to extinguish the fire engulfing a whole house.
Unfortunately, Fr. Hogan is by no means alone in his thinking. This is probably the most common confessional practice today. In reality, what Catholics “hear” is that they can get sterilized, go to confession, say a few prayers as their canonical penance, and be home free, enjoying the fruits of their sins for the rest of their lives. This makes a sad mockery of the idea of true repentance and a firm purpose of amendment.
Reread the top paragraph again. Maybe this sort of confessional practice explains the sad statistics. I believe that this practice ignores the reality of the body of the sterilized person and will treat that next week.
Next week: Sterilization in the light of the Theology of the Body.
John F. Kippley
Sex and the Marriage Covenant: A Basis for Morality (Ignatius, 2005)
Natural Family Planning: The Question-Answer Book, a short, readable, and free e-book available for downloading at www.NFPandmore.org .