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Autonomy and freedom of choice in prenatal genetic diagnosis

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Abstract

An increase in autonomy and freedom is often considered one ofthe main arguments in favour of a broad use of genetic testing.Starting from Gerald Dworkin's reflections on autonomy and choicethis article examines some of the implications which accompanythe increase in choices offered by prenatal genetic diagnosis.Although personal autonomy and individual choice are importantaspects in the legitimation of prenatal genetic diagnosis, itseems clear that an increase in choice offered by prenatalgenetic diagnosis also leads to various implications that maynegatively influence the freedom of the persons involved.

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References

  • Beauchamp, T.L. and J.F. Childress: 1979, 1994 (4th edn.), Principles of Biomedical Ethics. Oxford: Oxford University Press.

    Google Scholar 

  • Beck-Gernsheim, E.: 1996, 'Die soziale Konstruktion des Risikos-das Beispiel Pränataldiagnostik', Soziale Welt 47(3), 284-296.

    Google Scholar 

  • Benn, S.I.: 1988, A Theory of Freedom. Cambridge: Cambridge University Press.

    Google Scholar 

  • Berlin, I.: 1969, Two Concepts of Liberty. Oxford: Clarendon Press.

    Google Scholar 

  • Botkin, J.R.: 1995, 'Fetal Privacy and Confidentiality', Hastings Center Report 25(5), 32-39.

    Google Scholar 

  • Callahan, D.: 1981, 'Minimalist Ethics', Hastings Center Report 11, 19-25.

    Google Scholar 

  • Callahan, D.: 1984, 'Autonomy: A Moral Good, Not a Moral Obsession', Hastings Center Report 14, 40-42.

    Google Scholar 

  • Childress, J.F.: 1990, 'The Place of Autonomy in Bioethics', Hastings Center Report 20, 12-17.

    Google Scholar 

  • Clarke, A.: 1991, 'Is Non-Directive Counselling Possible?', Lancet 338, 998-1001.

    Google Scholar 

  • Dworkin, G.: 1988, The Theory and Practice of Autonomy. Cambridge/New York.

  • Faden, R.R. and T.L. Beauchamp: 1986, A History and Theory of Informed Consent. Oxford: Oxford University Press.

    Google Scholar 

  • Hennen, L., T. Petermann and J. Schmitt (eds.): 1996, Genetische Diagnostik-Chancen und Risiken. Der Bericht des Büros für Technikfolgen-Abschätzung zur Genomanalyse. Berlin.

  • Hubbard, R.: 1995, 'Transparent Women, Visible Genes, and New Conceptions of Disease', Cambridge Quarterly of Healthcare Ethics 4, 291-295.

    Google Scholar 

  • McGee, G.: 1997, 'Parenting in an Era of Genetics', Hastings Center Report 27(2), 16-22.

    Google Scholar 

  • Raz, J.: 1986, The Morality of Freedom. Oxford: Clarendon Press.

    Google Scholar 

  • Sass, H.-M.: 1996, 'Copernican Challenge of Genetic Prediction in Human Medicine', Annual Review of Law and Ethics 4, 67-79.

    Google Scholar 

  • Sèle, B. and J. Testart: 1999, 'Eugenics Comes Back with Medically Assisted Procreation', in: E. Hildt and S. Graumann (eds.), Genetics in Human Reproduction. Aldershot: Ashgate, pp. 169-174.

    Google Scholar 

  • Steel, K.O.: 1995, 'The Road That I See: Implications of New Reproductive Technologies', Cambridge Quarterly of Healthcare Ethics 4, 351-354.

    Google Scholar 

  • Stein, E.: 1998, 'Choosing the Sexual Orientation of Children', Bioethics 12, 3-24.

    Google Scholar 

  • Ten Have, H.: 1997, 'Living with the Future: Genetic Information and Human Existence', in: R. Chadwick, M. Levitt and D. Shickle (eds.), The Right to Know and the Right Not to Know. Aldershot: Ashgate, pp. 87-95.

    Google Scholar 

  • Wear, S.: 1993, Informed Consent-Patient Autonomy and Physician Beneficence within Clinical Medicine. Dordrecht: Kluwer Academic Publishers.

    Google Scholar 

  • Wertz, D.C. and J.C. Fletcher: 1989, 'Ethics and Genetics: An International Survey', Hastings Center Report 19(4)(Suppl.), 20-24.

    Google Scholar 

  • White, M.T.: 1999, 'Making Responsible Decisions', Hastings Center Report 29(1), 14-21.

    Google Scholar 

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Hildt, E. Autonomy and freedom of choice in prenatal genetic diagnosis. Med Health Care Philos 5, 65–72 (2002). https://doi.org/10.1023/A:1014262809712

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  • DOI: https://doi.org/10.1023/A:1014262809712

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