David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 19 (1):5-19 (1998)
Nondirective genetic counseling developed as a means of promoting informed and independent decision-making. To the extent that it minimizes risks of coercion, this counseling approach effectively respects client autonomy. However, it also permits clients to make partially informed, poorly reasoned or ethically questionable choices, and denies counselors a means of demonstrating accountability for the use of their services. These practical and ethical tensions result from an excessive focus on noncoercion while neglecting the contribution of adequate information and deliberative competence to autonomous decision-making. A counseling approach that emphasizes the role of deliberation may more reliably produce thoroughly reasoned decisions. In such an approach, characterized by dialogue, counselors are responsible for ensuring that decisions are fully informed and carefully deliberated. Counseling remains nonprescriptive, but in the course of discussion counselors may introduce unsolicited information and/or challenge what they believe are questionable choices. By this means clients can be better assured that the decisions they make are fully considered, while counselors demonstrate a limited degree of professional accountability.
|Keywords||autonomy decision-making dialogue ethics genetic counseling nondirective|
|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
No citations found.
Similar books and articles
Robert Roger Lebel (1978). Ethical Issues Arising in the Genetic Counseling Relationship. National Foundation--March of Dimes.
Thomas May (2002). Bioethics in a Liberal Society: The Political Framework of Bioethics Decision Making. Johns Hopkins University Press.
John Mark Freeman (1987). Tough Decisions: A Casebook in Medical Ethics. Oxford University Press.
Annette Patterson & Martha Satz (2002). Genetic Counseling and the Disabled: Feminism Examines the Stance of Those Who Stand at the Gate. Hypatia 17 (3):118-142.
Michael Davis (2010). Licensing, Philosophical Counselors, and Barbers. International Journal of Applied Philosophy 24 (2):225-236.
Barabara Biesecker (1998). Future Directions in Genetic Counseling: Practical and Ethical Considerations. Kennedy Institute of Ethics Journal 8 (2):145-160.
Sonia M. Suter (1998). Value Neutrality and Nondirectiveness: Comments on "Future Directions in Genetic Counseling". Kennedy Institute of Ethics Journal 8 (2):161-163.
Anders Nordgren (2002). Wisdom, Casuistry, and the Goal of Reproductive Counseling. Medicine, Health Care and Philosophy 5 (3):281-289.
Jeffrey E. Barnett (2009). Ethics Desk Reference for Counselors. American Counseling Association.
Mark Yarborough, Joan A. Scott & Linda K. Dixon (1989). The Role of Beneficence in Clinical Genetics: Non-Directive Counseling Reconsidered. Theoretical Medicine and Bioethics 10 (2).
Added to index2009-01-28
Total downloads21 ( #189,058 of 1,934,735 )
Recent downloads (6 months)5 ( #113,514 of 1,934,735 )
How can I increase my downloads?