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Informed consent and the misattributed paternity problem in genetic counseling.

Erica K Lucast1

  • 1University of Michigan, Philosophy: 2215 Angell Hall, 435 S. State St., Ann Arbor, MI 48109, USA. elucast@umich.edu

Bioethics
|September 12, 2007
PubMed
Summary

Genetic counselors face a dilemma when discovering misattributed paternity during genetic testing. Including nonpaternity risk in informed consent doesn

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Area of Science:

  • Bioethics
  • Genetic Counseling
  • Medical Genetics

Background:

  • Genetic testing can reveal unexpected information, such as misattributed paternity.
  • Genetic counselors face ethical dilemmas regarding the disclosure of such sensitive findings.
  • Current practices and ethical frameworks struggle to address the complexities of nonpaternity discovery.

Purpose of the Study:

  • To analyze the ethical dilemma faced by genetic counselors when misattributed paternity is discovered.
  • To evaluate the effectiveness of including nonpaternity risk in informed consent as a solution.
  • To propose a resolution for the conflict between equal treatment and potential harm.

Main Methods:

  • Ethical analysis of genetic counseling principles.
  • Examination of different interpretations of equality in counseling.
  • Review of existing suggestions for handling nonpaternity discovery.

Main Results:

  • Including nonpaternity risk in informed consent does not resolve the ethical dilemma.
  • The conflict arises from differing interpretations of equality.
  • Neither interpretation of equality provides a satisfactory solution for disclosure.

Conclusions:

  • The principle of equality in genetic counseling does not offer a clear path for handling nonpaternity discovery.
  • Informed consent regarding nonpaternity does not eliminate the counselor's dilemma.
  • A compromise position of disclosing relevant genetic information while withholding nonpaternity, when possible, is suggested.