Should Doctors Offer Biomarker Testing to Those Afraid to Develop Alzheimer’s Dementia?: Applying the Method of Reflective Equilibrium for a Clinical Dilemma

Journal of Bioethical Inquiry 19 (2):287-297 (2022)

Abstract

An increasing number of people seek medical attention for mild cognitive symptoms at older age, worried that they might develop Alzheimer’s disease. Some clinical practice guidelines suggest offering biomarker testing in such cases, using a brain scan or a lumbar puncture, to improve diagnostic certainty about Alzheimer’s disease and enable an earlier diagnosis. Critics, on the other hand, point out that there is no effective Alzheimer treatment available and argue that biomarker tests lack clinical validity. The debate on the ethical desirability of biomarker testing is currently polarized; advocates and opponents tend to focus on their own line of arguments. In this paper, we show how the method of reflective equilibrium can be used to systematically weigh the relevant arguments on both sides of the debate to decide whether to offer Alzheimer biomarker testing. In the tradition of RE, we reflect upon these arguments in light of their coherence with other argumentative elements, including relevant facts, ethical principles, and theories on societal ideals or relevant concepts, such as autonomy. Our stance in the debate therefore rests upon previously set out in-depth arguments and reflects a wide societal perspective.

Download options

PhilArchive



    Upload a copy of this work     Papers currently archived: 72,743

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Analytics

Added to PP
2022-03-19

Downloads
1 (#1,559,800)

6 months
1 (#386,989)

Historical graph of downloads

Sorry, there are not enough data points to plot this chart.
How can I increase my downloads?

Citations of this work

Add more citations

Similar books and articles

Advance Directives and Alzheimer's Disease.Deena S. Davis - 2018 - Journal of Law, Medicine and Ethics 46 (3):744-748.
Dementia in Our Midst: The Moral Community.Stephen G. Post - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (2):142.
The Burden of Dementia: A Medical and Research Perspective.Piero Antuono & Jan Beyer - 1999 - Theoretical Medicine and Bioethics 20 (1):3-13.
Dood op bestelling in het zicht van Alzheimer.Patrick Delaere - 2013 - Algemeen Nederlands Tijdschrift voor Wijsbegeerte 105 (1):1-13.
Qualitative Assessment of Self-Identity in Advanced Dementia.Sadhvi Batra, Jacqueline Sullivan, Beverly R. Williams & David S. Geldmacher - 2015 - Dementia: The International Journal of Social Research and Practice:1-19.