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Philology Matters · Series: Doctoral Program · Volume D, Issue 4 · 2025

A Literary-Bioethical Analysis of Ethical Dilemmas in Reproductive Medicine Reflected in Handle with Care by Jodi Picoult

Share Cite This Article DOI DOI: 10.36078/987655405
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Copyright © 2026 by the author(s). This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Abstract

This article examines the intersection of literature, ethical dilemmas, and bioethics through an analysis of Jodi Picoult’s novel Handle with Care (2009). It highlights the novel’s significance in exploring complex issues in reproductive medicine and demonstrates how literary narrative serves as a platform for engaging with contemporary bioethical debates.
This study focuses on the ethical dilemmas in reproductive medicine as represented in J.Picoult’s novel Handle with Care through a literary bioethics approach. To achieve this aim, the article undertakes a close, context – sensitive reading of the novel, treating it as an ethical case narrative and interpreting its representations of prenatal diagnosis, wrongful birth litigation, clinical responsibility, and reproductive choice within the framework of literary bioethics and medical humanities.
The study employs a qualitative literary – bioethical methodology informed by the works of Z.M. Muhammedova, J.A. Rizaev, A.N. Maxmudova, T.L. Beauchamp, and J.F. Childress, alongside narrative ethics approaches developed by R.Charon and M.Montello. By combining close textual analysis with ethical interpretation, the research examines plot development, character perspectives, and ethically charged dialogues. Literary bioethics enables the moral questions raised in the novel to be situated within broader ethical discourse while preserving their inherent ambiguity and complexity.
The analysis demonstrates that Handle with Care portrays reproductive medicine as an ethically unstable space in which prenatal diagnosis, wrongful birth claims, and professional responsibility intersect in ways that resist definitive moral resolution. The novel reveals how these dilemmas generate competing interpretations of care, harm, and obligation.
In conclusion, by presenting ethical conflict through narrative tension rather than prescriptive ethical judgment, the novel exposes the limitations of principle – based decision – making in reproductive medicine and foregrounds the human consequences of medical choices that extend beyond clinical and legal frameworks.

Keywords:
Jodi Picoult
Handle with Care
bioethics
reproductive ethics
disability studies
narrative medicine
wrongful birth
ethical dilemmas
parental ethics

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