Experiences of genetic risk: disclosure and the gendering of responsibility.
The question of 'who owns genetic information' is increasingly a focus of ethical inquiry. Applied to predictive testing, several recent critiques suggest that persons with a genetic disorder have a moral duty to disclose that information to other family members. The justification for this obligation is that genetic information belongs to and may benefit not only a single individual, but also members of a biological kinship. This paper considers this issue from a different vantage point: How does gender intersect with the moral duty to disclose genetic information? Scholars have argued that gender is partly comprised of distinct assignments and assumptions of responsibility. Thus, there is a danger that gendered patterns of socialization will make women feel that they should take primary responsibility for disclosing genetic information to others. This article explores issues of responsibility and disclosure of risk information by drawing on an empirical study of women and men who have undergone genetic testing for hereditary breast/ovarian cancer. The research study suggests that disclosure of genetic information is a gendered activity, with both the benefits and burdens of this task falling primarily on women. It also illustrates that when disclosure is understood contextually, it is a far more complicated matter than when viewed through a theoretical lens. The article considers the relevance of these findings on ethical debate and genetic counselling practices.
d'Agincourt-Canning
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Centre for Applied Ethics, #235-6356 Agricultural Road, Vancouver, B.C., Canada V6T 1Z2. dagincou@interchange.ubc.ca
D001943:Breast Neoplasms / Q000235:genetics; D003142:Communication; D030881:Disclosure; D005190:Family; D005260:Female; D019513:Feminism; D005817:Genetic Counseling; D030342:Genetic Diseases, Inborn; D030661:Genetic Privacy; D005820:Genetic Testing / Q000523:psychology; D006801:Humans; D008297:Male; D028681:Moral Obligations; D012306:Risk; D012737:Sex Factors; D014930:Women