Adrienne Asch, an internationally known bioethicist who opposed the use of prenatal testing and
abortion to select children free of disabilities, a stance informed partly by her own experience of
blindness, died on Tuesday at her home in Manhattan. She was 67.
The cause was
cancer, said Randi Stein, a longtime friend.
At her death, Professor Asch was the director of the Center for Ethics
and the Edward and Robin Milstein professor of bioethics at Yeshiva
University in Manhattan. She also held professorships in epidemiology
and population health and in family and social medicine at Yeshiva’s
Albert Einstein College of Medicine.
“She certainly was one of the pioneers in disability studies,” Eva Feder
Kittay, a distinguished professor of philosophy at Stony Brook
University and a scholarly colleague of Professor Asch’s, said in an
interview. “She was a very strong voice, always bringing in the
disability perspective, trying to change the view of disability as some
tragedy that happens to someone, rather than just another feature and
fact about human existence.”
Professor Asch, who was trained as a philosopher, social worker, social
psychologist and clinical psychotherapist, produced scholarship that
stood at the nexus of bioethics, disability studies, reproductive rights
and feminist theory.
She maintained that the lives of disabled women should be as much a
feminist concern as those of able-bodied ones. Disabled women, she
argued, had long been doubly marginalized: first because of their sex,
and again because they failed to conform to a collective physical ideal —
an ideal to which at least some able-bodied feminists subscribed.
Professor Asch’s scholarship centered in particular on issues of
reproduction and the family. In an age of fast-moving reproductive
technologies, she found that those concerns dovetailed increasingly with
issues of disability rights.
She became widely known for opposing prenatal testing as a means of
detecting disabilities, and abortion as a means of selecting babies
without them.
Professor Asch supported a woman’s right to abortion. (She was a past
board member of the organization now known as Naral Pro-Choice America.)
But in her lectures, writings and television and radio appearances, she
argued against its use to pre-empt the birth of disabled children. She
argued likewise for prenatal testing.
For her, supporting abortion in general while opposing it in particular
circumstances posed little ideological conflict. The crux of the matter,
she argued, lay in the difference between a woman who seeks an abortion
because she does not want to be pregnant and one who seeks an abortion
because she does not want a disabled child.
In the first case, Professor Kittay explained, “you’re not seeking to
abort ‘this particular child.’ ” In the second, she said, “when you’re
seeking to abort because of disability, it’s not ‘any potential child,’
it’s this child, with these particular characteristics.”
Adrienne Valerie Asch was born in New York City on Sept. 17, 1946. A
premature baby, she lost her vision to retinopathy in her first weeks.
When she was a girl, her family moved to New Jersey, then one of the few
states that let blind children attend school with their sighted peers.
She attended public schools in Ramsey, in Bergen County.
On graduating from Swarthmore College with a bachelor’s degree in
philosophy in 1969, she found employers unwilling to hire her — an
experience, her associates said, that made her keenly aware of
disability as a civil rights issue.
After receiving a master’s degree in social work from Columbia in 1973,
she spent much of the ’70s and ’80s working for the New York State
Division of Human Rights, where she investigated employment
discrimination cases, including those involving disability.
Trained as a psychoanalytic psychotherapist in the 1980s, she maintained
a private psychotherapy practice throughout that decade. In 1992, she
received a Ph.D. in social psychology from Columbia.
Before joining the Yeshiva faculty, Professor Asch taught at the Boston
University School of Social Work and at Wellesley College, where she was
a professor of women’s studies and the Henry R. Luce Professor in
biology, ethics and the politics of human reproduction.
Her publications include two volumes of which she was a co-editor:
“Women With Disabilities: Essays in Psychology, Culture, and Politics”
(1988, with Michelle Fine) and “Prenatal Testing and Disability Rights”
(2000, with Erik Parens).
A resident of the Upper West Side of Manhattan, Professor Asch is
survived by a brother, Carl, and a sister, Susan Campbell.
In an article in The American Journal of Public Health in 1999,
Professor Asch laid out her philosophy in no uncertain terms.
“If public health espouses goals of social justice and equality for
people with disabilities — as it has worked to improve the status of
women, gays and lesbians, and members of racial and ethnic minorities —
it should reconsider whether it wishes to continue the technology of
prenatal diagnosis,” she wrote.
She added: “My moral opposition to prenatal testing and selective
abortion flows from the conviction that life with disability is
worthwhile and the belief that a just society must appreciate and
nurture the lives of all people, whatever the endowments they receive in
the natural lottery.”