ArticleSexual and reproductive health matters2025
The "architecture of distancing": a mode of abortion governance illustrated by the Italian case.
Article in Sexual and reproductive health matters, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This commentary introduces the concept of an "architecture of distancing" to describe a mode of reproductive governance that preserves the legal recognition of abortion while constraining the conditions necessary for exercising this right. Using Italy as a paradigmatic case, it illustrates how the law has, from its inception, embedded mechanisms that maintain formal legality yet distance individuals from access - through strict procedural requirements, institutionalised conscientious objection, and the integration of anti-abortion groups into public services. The Italian case demonstrates that obstacles to abortion access are often not mere implementation failures, but features built within even ostensibly liberal legal frameworks, thereby helping illuminate contexts in which abortion is "legal but inaccessible". More broadly, the concept offers a lens for capturing contemporary forms of reproductive governance that restrict without prohibiting. As there is no architecture without architects, the architecture of distancing draws attention to the political, institutional, and social arrangements that sustain these dynamics and underscores the importance of prioritising the material realisation of reproductive rights over their symbolic recognition.
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