American Journal of Bioethics 17 (4):3-12 (2017)
AbstractRealizing the benefits of translating psychiatric genomics research into mental health care is not straightforward. The translation process gives rise to ethical challenges that are distinctive from challenges posed within psychiatric genomics research itself, or that form part of the delivery of clinical psychiatric genetics services. This article outlines and considers three distinct ethical concerns posed by the process of translating genomic research into frontline psychiatric practice and policy making. First, the genetic essentialism that is commonly associated with the genomics revolution in health care might inadvertently exacerbate stigma towards people with mental disorders. Secondly, the promises of genomic medicine advance a narrative of individual empowerment. This narrative could promote a fatalism towards patients' biology in ways that function in practice to undermine patients' agency and autonomy, or, alternatively, a heightened sense of subjective genetic responsibility could become embedded within mental health services that leads to psychosocial therapeutic approaches and the clinician-patient therapeutic alliance being undermined. Finally, adopting a genomics-focused approach to public mental health risks shifting attention away from the complex causal relationships between inequitable socio-economic, political, and cultural structures and negative mental health outcomes. The article concludes by outlining a number of potential pathways for future ethics research that emphasizes the importance of examining appropriate translation mechanisms, the complementarity between genetic and psychosocial models of mental disorder, the implications of genomic information for the clinician-patient relationship, and funding priorities and resource allocation decision making in mental health.
Similar books and articles
Why the Professional-Client Ethic is Inadequate in Mental Health Care.Wai-Ching Leung - 2002 - Nursing Ethics 9 (1):51-60.
First, Do No Harm: Confronting the Myths of Psychiatric Drugs.P. Barker & P. Buchanan-Barker - 2012 - Nursing Ethics 19 (4):451-463.
Ethical Policy in Mental Health Care: The Goals of Psychiatric Intervention.Laurence R. Tancredi - 1977 - Prodist.
Ethical Conundrums, Quandaries and Predicaments in Mental Health Practice: A Casebook From the Files of Experts.W. Brad Johnson & Gerald P. Koocher (eds.) - 2011 - Oxford University Press.
Juggling Porcupines in Mental Health Practice: An Ethics Casebook From the Files of Experts.W. Brad Johnson & Gerald P. Koocher (eds.) - 2011 - Oxford University Press.
Public Health Genomics : From Scientific Considerations to Ethical Integration.Yanick Farmer & BÉatrice Godard - 2007 - Genomics, Society and Policy 3 (3):14-27.
Ethics and Value Strategies Used in Prioritizing Mental Health Services in Oregon.David A. Pollack, Bentson H. McFarland, Robert A. George & Richard H. Angell - 1993 - HEC Forum 5 (5):322-339.
Mental Health Research Through Clinical Innovation or Quality Improvement—a Reflection on the Ethical Aspects.M. Cleary, G. E. Hunt, M. Robertson & P. Escott - 2009 - Journal of Ethics in Mental Health 4:1-3.
Ethics, Patient Rights and Staff Attitudes in Shanghai's Psychiatric Hospitals.Liang Su, Jingjing Huang, Weimin Yang, Huafang Li, Yifeng Shen & Yifeng Xu - 2012 - BMC Medical Ethics 13 (1):8-.
The Tidal Model: A Guide for Mental Health Professionals.Philip J. Barker - 2005 - Brunner-Routledge.
Self-Determination in Clinical Practice: The Psychiatric Patient's Point of View.Maritta Välimäki, Helena Leino-Kilpi & Hans Helenius - 1996 - Nursing Ethics 3 (4):329-344.
Mental Health Care in the Aftermath of Deinstitutionalization: A Retrospective and Prospective View. [REVIEW]Enric J. Novella - 2010 - Health Care Analysis 18 (3):222-238.
Added to PP
Historical graph of downloads
Citations of this work
Ethical Issues in Global Neuroimaging Genetics Collaborations.Andrea Palk, Judy Illes, Paul Thompson & D. Stein - 2020 - NeuroImage 117208 (221):1-10.
Who's Afraid of Psychiatric Genomics?Paul S. Appelbaum - 2017 - American Journal of Bioethics 17 (4):15-17.
Potential use of clinical polygenic risk scores in psychiatry – ethical implications and communicating high polygenic risk.A. C. Palk, S. Dalvie, J. de Vries, A. R. Martin & D. J. Stein - 2019 - Philosophy, Ethics, and Humanities in Medicine 14 (1):1-12.
Responsible Translation of Psychiatric Genetics and Other Neuroscience Developments: In Need of Empirical Bioethics Research.Gabriel Lázaro-Muñoz - 2017 - American Journal of Bioethics 17 (4):33-35.
Psychosis, Vulnerability, and the Moral Significance of Biomedical Innovation in Psychiatry. Why Ethicists Should Join Efforts.Paolo Corsico - 2020 - Medicine, Health Care and Philosophy 23 (2):269-279.