Literature DB >> 14567476

Can the four principles help in genetic screening decision-making?

Pierre Mallia1, Henk ten Have.   

Abstract

Although principles, as a framework to resolving moral dilemmas are still debated and seem to be in a philosophical quagmire, there are strong arguments that by specification one can resolve case-specific dilemmas in certain areas of bioethics. When it comes to genetic screening and testing however, the problem at the base is a moral disagreement on higher-order principles--such as the status of the embryo and parental issues. No amount of specification can resolve these issues without a dose of relativism. We explore a possibility of agreement on debatable areas specifically in regard to genetics--such as conferring status to the embryo solely for purposes of preventing genetic selection; but it is difficult to see how this can be incorporated into law without extrapolation to other areas. We conclude therefore that the four-principles approach, albeit valuable for expounding opposing views and discussing issues, cannot either alone or by specification, help resolve issues of genetic screening and testing without agreeing on higher order principle. This does not seem to be a possibility in the near future.

Keywords:  Genetics and Reproduction

Mesh:

Year:  2003        PMID: 14567476     DOI: 10.1023/a:1025601012761

Source DB:  PubMed          Journal:  Health Care Anal        ISSN: 1065-3058


  16 in total

1.  Specified principlism: what is it, and does it really resolve cases better than casuistry?

Authors:  C Strong
Journal:  J Med Philos       Date:  2000-06

2.  A sociological account of the growth of principlism.

Authors:  J H Evans
Journal:  Hastings Cent Rep       Date:  2000 Sep-Oct       Impact factor: 2.683

3.  Reply to Strong on principlism and casuistry.

Authors:  T L Beauchamp
Journal:  J Med Philos       Date:  2000-06

4.  Reading between the lines: direct-to-consumer advertising of genetic testing.

Authors:  S C Hull; K Prasad
Journal:  Hastings Cent Rep       Date:  2001 May-Jun       Impact factor: 2.683

5.  The principles of the Belmont report revisited. How have respect for persons, beneficence, and justice been applied to clinical medicine?

Authors:  E J Cassell
Journal:  Hastings Cent Rep       Date:  2000 Jul-Aug       Impact factor: 2.683

Review 6.  Which ills to bear?: reevaluating the "threat" of modern genetics.

Authors:  Alexander Morgan Capron
Journal:  Emory Law J       Date:  1990

7.  The case of the Maltese Siamese Twins--when moral arguments balance out should parental rights come into play.

Authors:  Pierre Mallia
Journal:  Med Health Care Philos       Date:  2002

8.  Between subway and spaceship: practical ethics at the outset of the twenty-first century.

Authors:  M Benjamin
Journal:  Hastings Cent Rep       Date:  2001 Jul-Aug       Impact factor: 2.683

9.  Practical principles & practical judgment.

Authors:  O O'Neill
Journal:  Hastings Cent Rep       Date:  2001 Jul-Aug       Impact factor: 2.683

10.  Geneticization: the Cyprus paradigm.

Authors:  R Hoedemaekers; H ten Have
Journal:  J Med Philos       Date:  1998-06
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