Literature DB >> 12672886

Balancing autonomy and responsibility: the ethics of generating and disclosing genetic information.

N Hallowell1, C Foster, R Eeles, A Ardern-Jones, V Murday, M Watson.   

Abstract

Using data obtained during a retrospective interview study of 30 women who had undergone genetic testing-BRCA1/2 mutation searching-this paper describes how women, previously diagnosed with breast/ovarian cancer, perceive their role in generating genetic information about themselves and their families. It observes that when describing their motivations for undergoing DNA testing and their experiences of disclosing genetic information within the family these women provide care based ethical justifications for their actions. Finally, it argues that generating genetic information and disclosing this information to kin raise different types of ethical issues. The implications of these findings for ethical debates about informed choice in the context of genetic testing are discussed.

Entities:  

Keywords:  Empirical Approach; Genetics and Reproduction

Mesh:

Year:  2003        PMID: 12672886      PMCID: PMC1733689          DOI: 10.1136/jme.29.2.74

Source DB:  PubMed          Journal:  J Med Ethics        ISSN: 0306-6800            Impact factor:   2.903


  12 in total

1.  Patients' rights or family responsibilities? Two approaches to genetic testing.

Authors:  Loane Skene
Journal:  Med Law Rev       Date:  1998       Impact factor: 1.267

2.  In defence of ignorance: genetic information and the right not to know.

Authors:  Graeme T Laurie
Journal:  Eur J Health Law       Date:  1999-06

3.  Genetic secrets and the family.

Authors:  D Bell; B Bennett
Journal:  Med Law Rev       Date:  2001       Impact factor: 1.267

4.  Prevalence and contribution of BRCA1 mutations in breast cancer and ovarian cancer: results from three U.S. population-based case-control studies of ovarian cancer.

Authors:  A S Whittemore; G Gong; J Itnyre
Journal:  Am J Hum Genet       Date:  1997-03       Impact factor: 11.025

Review 5.  Recommendations for follow-up care of individuals with an inherited predisposition to cancer. II. BRCA1 and BRCA2. Cancer Genetics Studies Consortium.

Authors:  W Burke; M Daly; J Garber; J Botkin; M J Kahn; P Lynch; A McTiernan; K Offit; J Perlman; G Petersen; E Thomson; C Varricchio
Journal:  JAMA       Date:  1997-03-26       Impact factor: 56.272

6.  Moral concerns of different types of patients in clinical BRCA1/2 gene mutation testing.

Authors:  G Goelen; A Rigo; M Bonduelle; J De Grève
Journal:  J Clin Oncol       Date:  1999-05       Impact factor: 44.544

7.  Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. The Breast Cancer Linkage Consortium.

Authors:  D Ford; D F Easton; M Stratton; S Narod; D Goldgar; P Devilee; D T Bishop; B Weber; G Lenoir; J Chang-Claude; H Sobol; M D Teare; J Struewing; A Arason; S Scherneck; J Peto; T R Rebbeck; P Tonin; S Neuhausen; R Barkardottir; J Eyfjord; H Lynch; B A Ponder; S A Gayther; M Zelada-Hedman
Journal:  Am J Hum Genet       Date:  1998-03       Impact factor: 11.025

8.  Experiences of genetic risk: disclosure and the gendering of responsibility.

Authors:  L d'Agincourt-Canning
Journal:  Bioethics       Date:  2001-06       Impact factor: 1.898

9.  Estimates of the gene frequency of BRCA1 and its contribution to breast and ovarian cancer incidence.

Authors:  D Ford; D F Easton; J Peto
Journal:  Am J Hum Genet       Date:  1995-12       Impact factor: 11.025

Review 10.  Future possibilities in the prevention of breast cancer: intervention strategies in BRCA1 and BRCA2 mutation carriers.

Authors:  R A Eeles
Journal:  Breast Cancer Res       Date:  2000-05-25       Impact factor: 6.466

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  54 in total

1.  Counseling adolescents and the challenges for genetic counselors.

Authors:  Alice Callard; Jessica Williams; Heather Skirton
Journal:  J Genet Couns       Date:  2011-12-03       Impact factor: 2.537

2.  Comparing family members' motivations and attitudes towards genetic testing for hereditary breast and ovarian cancer: a qualitative analysis.

Authors:  Caroline Dancyger; Jonathan A Smith; Chris Jacobs; Melissa Wallace; Susan Michie
Journal:  Eur J Hum Genet       Date:  2010-07-21       Impact factor: 4.246

3.  Disclosing cancer genetic information within families: perspectives of counselees and their at-risk relatives.

Authors:  Afsaneh Hayat Roshanai; Claudia Lampic; Richard Rosenquist; Karin Nordin
Journal:  Fam Cancer       Date:  2010-12       Impact factor: 2.375

Review 4.  How communication of genetic information within the family is addressed in genetic counselling: a systematic review of research evidence.

Authors:  Álvaro Mendes; Milena Paneque; Liliana Sousa; Angus Clarke; Jorge Sequeiros
Journal:  Eur J Hum Genet       Date:  2015-08-12       Impact factor: 4.246

5.  Predictive testing of eighteen year olds: counseling challenges.

Authors:  Clara L Gaff; Elly Lynch; Lesley Spencer
Journal:  J Genet Couns       Date:  2006-08       Impact factor: 2.537

6.  An exploration of the communication preferences regarding genetic testing in individuals from families with identified breast/ovarian cancer mutations.

Authors:  Paboda Ratnayake; Claire E Wakefield; Bettina Meiser; Graeme Suthers; Melanie A Price; Jessica Duffy; Kathy Tucker
Journal:  Fam Cancer       Date:  2011-03       Impact factor: 2.375

7.  Public perceptions of ethical issues regarding adult predictive genetic testing.

Authors:  Douglas K Martin; Heather L Greenwood; Jeff Nisker
Journal:  Health Care Anal       Date:  2009-03-14

8.  Decision-making about inherited cancer risk: exploring dimensions of genetic responsibility.

Authors:  Holly Etchegary; Fiona Miller; Sonya deLaat; Brenda Wilson; June Carroll; Mario Cappelli
Journal:  J Genet Couns       Date:  2009-03-18       Impact factor: 2.537

Review 9.  Factors influencing intrafamilial communication of hereditary breast and ovarian cancer genetic information.

Authors:  Gillian Nycum; Denise Avard; Bartha M Knoppers
Journal:  Eur J Hum Genet       Date:  2009-03-25       Impact factor: 4.246

10.  Patients' perceptions and experiences of familial hypercholesterolemia, cascade genetic screening and treatment.

Authors:  Sarah J Hardcastle; Ellen Legge; Chris S Laundy; Sarah J Egan; Rosemary French; Gerald F Watts; Martin S Hagger
Journal:  Int J Behav Med       Date:  2015-02
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