Reconsidering prenatal screening: an empirical-ethical approach to understand moral dilemmas as a question of personal preferences
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 35 (7):410-414 (2009)
In contrast to most Western countries, routine offer of prenatal screening is considered problematic in the Netherlands. The main argument against offering it to every pregnant woman is that women would be brought into a moral dilemma when deciding whether to use screening or not. This paper explores whether the active offer of a prenatal screening test indeed confronts women with a moral dilemma. A qualitative study was developed, based on a randomised controlled trial that aimed to assess the decision-making process of women when confronted with a test offer. A sample of 59 women was interviewed about the different factors balanced in decision-making. Participants felt themselves caught between a need for knowledge and their unwillingness to take on responsibility. Conflict was reported between wishes, preferences and ethical views regarding parenthood; however, women did not seem to be caught in a choice between two or more ethical principles. Participants balanced the interests of the family against that of the fetus in line with their values and their personal circumstances. Therefore, we conclude that they are not so much faced with an ethical dilemma as conflicting interests. We propose that caregivers should provide the opportunity for the woman to discuss her wishes and doubts to facilitate her decision. This approach would help women to assess the meaning of testing within their parental duties towards their unborn child and their current offspring
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Zuzana Deans & Ainsley J. Newson (2011). Should Non-Invasiveness Change Informed Consent Procedures for Prenatal Diagnosis? Health Care Analysis 19 (2):122-132.
Similar books and articles
E. Garcia, D. R. M. Timmermans & E. van Leeuwen (2011). Women's Views on the Moral Status of Nature in the Context of Prenatal Screening Decisions. Journal of Medical Ethics 37 (8):461-465.
Jennifer M. Jørgensen, Paula L. Hedley, Mickey Gjerris & Michael Christiansen (2014). Ethical Issues Related to Screening for Preeclampsia. Bioethics 28 (7):360-367.
Victoria Seavilleklein (2009). Challenging the Rhetoric of Choice in Prenatal Screening. Bioethics 23 (1):68-77.
Dagmar Schmitz (2013). A New Era in Prenatal Testing: Are We Prepared? [REVIEW] Medicine, Health Care and Philosophy 16 (3):357-364.
Hans-Martin Sass (1992). Right Not to Know or Duty to Know? Prenatal Screening for Polycystic Renal Disease. Journal of Medicine and Philosophy 17 (4):395-405.
W. Scott Dunbar (2005). Emotional Engagement in Professional Ethics. Science and Engineering Ethics 11 (4):535-551.
Jurriaan De Haan (2001). The Definition of Moral Dilemmas: A Logical Problem. [REVIEW] Ethical Theory and Moral Practice 4 (3):267-284.
Martin Lakin (1988). Ethical Issues in the Psychotherapies. Oxford University Press.
David J. Fritzsche (1995). Personal Values: Potential Keys to Ethical Decision Making. [REVIEW] Journal of Business Ethics 14 (11):909 - 922.
Martin Benjamin (2010). Ethics in Nursing: Cases, Principles, and Reasoning. Oxford University Press.
Edgar Morscher (2002). The Definition of Moral Dilemmas: A Logical Confusion and a Clarification. [REVIEW] Ethical Theory and Moral Practice 5 (4):485-491.
Raymond de Vries (2011). The Uses and Abuses of Moral Theory in Bioethics. Ethical Theory and Moral Practice 14 (4):419-430.
M. V. Dougherty (2004). Moral Dilemmas and Moral Luck. Proceedings of the American Catholic Philosophical Association 78:233-246.
Jurriaan De Haan (2001). The Definition of Moral Dilemmas: A Logical Problem. Ethical Theory and Moral Practice 4 (3):267 - 284.
Added to index2010-09-13
Total downloads17 ( #160,237 of 1,726,249 )
Recent downloads (6 months)3 ( #231,316 of 1,726,249 )
How can I increase my downloads?