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FISH for Pre-implantation Genetic Diagnosis
Published on: February 23, 2011
From genetics to genomics: ethics, policy, and parental decision-making
Benjamin Wilfond1, Lainie Friedman Ross
1Treuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital, Seattle, WA 98101, USA. benjamin.wilfond@seattlechildrens.org
Journal of Pediatric Psychology
|July 24, 2008
Summary
Parental decisions for comprehensive genomic testing in children should be respected, as current evidence does not show serious harm. Further research is needed on the social and behavioral impacts of genomic testing.
Area of Science:
- Pediatric Genetics
- Bioethics
- Genomic Medicine
Background:
- Traditional ethical evaluation of pediatric genetic testing prioritizes clinical benefits and risks.
- This approach can conflict with respecting parental autonomy in healthcare decisions.
- Emerging genomic technologies necessitate a re-evaluation of ethical frameworks.
Purpose of the Study:
- To argue for a greater role of parental decision-making in pediatric genetic testing.
- To explore the ethical challenges posed by comprehensive genomic testing in children.
- To align ethical practices with established parental rights in pediatric healthcare.
Main Methods:
- Analysis of ethical frameworks for genetic and genomic testing in children.
- Examination of the implications of comprehensive genomic testing (examining thousands of DNA markers).
- Consideration of the balance between parental autonomy and potential risks/benefits.
Main Results:
- Existing data on genetic testing in children show minimal psychosocial harm.
- Limited empirical data currently exists on the psychosocial impact of genomic testing in children.
- Parental decisions for genomic testing should be respected absent evidence of significant harm.
Conclusions:
- Comprehensive genomic testing information may be integrated by families more readily than anticipated.
- Further research on the social and behavioral impact of genomic testing in children is essential.
- Findings will inform parents, clinicians, and policymakers regarding pediatric genomic testing.
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