BRCA1 testing and informed consent in a woman with mild retardation.
Cancer predisposition testing can pose complex genetic counseling issues. This case report discusses whether it is appropriate to provide BRCA1 testing to a woman with limited intellectual capacity and documented psychological distress. This case is one of several cancer counseling cases presented to our Genetic Counseling Supervision Group over the past three and a half years. The Supervision Group provided valuable feedback and support to proceed with this challenging case.
Schneider
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Population Sciences, Dana Farber Cancer Institute, 44 Binney Street SM206, Boston, Massachusetts 02115, USA. Katherine_Schnieder@dfci.harvard.edu
Kieffer
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Patenaude
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D000328:Adult; D001291:Attitude of Health Personnel; D032882:Comprehension; D005260:Female; D019398:Genes, BRCA1; D005817:Genetic Counseling / Q000523:psychology*; D020022:Genetic Predisposition to Disease / Q000523:psychology*; D005820:Genetic Testing / Q000523:psychology*; D006801:Humans; D007258:Informed Consent; D008607:Intellectual Disability; D016743:Mental Competency; D011369:Professional-Patient Relations; D013315:Stress, Psychological