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Striking a Balance in Reproductive Genetic Counseling: Directiveness for Testing, Non-Directiveness About Selection.

Marie Kerguelen Feldblyum Le Blevennec1

  • 1Department of Philosophy, The University of Alabama, Tuscaloosa, Alabama, USA.

Bioethics
|June 15, 2025
PubMed
Summary
This summary is machine-generated.

Genetic counselors should be directive about genetic testing for disabilities but can remain non-directive about selection decisions. This nuanced approach balances patient autonomy with informed genetic screening.

Keywords:
directivenessdisabilitygenetic counselinggenetic testingselection

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Area of Science:

  • Bioethics
  • Reproductive Genetics
  • Genetic Counseling

Background:

  • Non-directiveness is a key principle in genetic counseling.
  • Debates exist regarding directiveness in genetic testing and selection for disability traits.
  • Current practices may adopt monolithic approaches to directiveness.

Purpose of the Study:

  • To defend two claims regarding best practices for genetic counselors in reproductive contexts.
  • To argue for a nuanced approach to directiveness in genetic counseling.
  • To address the perceived tension between non-directiveness in selection and directiveness in testing.

Main Methods:

  • Philosophical argumentation and ethical analysis.
  • Examination of existing principles of genetic counseling.
  • Conceptual analysis of directiveness in testing versus selection.

Main Results:

  • Defenders of non-directiveness in selection should advocate for directiveness in testing for disability traits.
  • Genetic counselors can be non-directive about selection while being directive about testing without contradiction.
  • A nuanced position on directiveness is ethically supported and practically available.

Conclusions:

  • Genetic counselors should adopt a nuanced approach to directiveness, distinguishing between testing and selection.
  • Monolithic non-directiveness in both testing and selection is not necessarily required.
  • This nuanced approach supports informed decision-making in reproductive genetic contexts.