Ethical Dilemmas in Genetic Testing: Examples From the Cuban Program for Predictive Diagnosis of Hereditary Ataxias
Mariño, Tania Cruz
Armiñán, Rubén Reynaldo
Cedeño, Humberto Jorge
Mesa, José Miguel Laffita
Zaldivar, Yanetza González
Rodríguez, Raúl Aguilera
Santos, Miguel Velázquez
Mederos, Luis Enrique Almaguer
Herrera, Milena Paneque
Pérez, Luis Velázquez
Journal of genetic counseling 2011 Jun; 20(3): 241-8
Predictive testing protocols are intended to help patients affected with hereditary conditions understand their condition and make informed reproductive choices. However, predictive protocols may expose clinicians and patients to ethical dilemmas that interfere with genetic counseling and the decision making process. This paper describes ethical dilemmas in a series of five cases involving predictive testing for hereditary ataxias in Cuba. The examples herein present evidence of the deeply controversial situations faced by both individuals at risk and professionals in charge of these predictive studies, suggesting a need for expanded guidelines to address such complexities.
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