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NIH Sep 1, 1993 | R01
Ethical Guidance for Family Studies in Human Genetics
Institution: Indiana University
FOA Number: N/A
Abstract
This project will develop ethical guidance for presymptomatic testing for autosomal dominant, late onset diseases for which genetic probes are available (familial Alzheimer disease, amyotrophic lateral sclerosis, Huntington disease, myotonic dystrophy, neurofibromatosis, adult polycystic kidney disease and retinitis pigmentosa). Our six-member working group offers expertise in genetic counseling, clinical medical ethics, genetic research, law, ethics and communication. We will collect and analyze case studies, beginning with Indiana University's extensive experience with Huntington disease (HD). We will define the full range of ethical problems presented by presymptomatic testing for these disorders, and we will explore the salient questions from the varied perspectives represented by the working group, considering ethical principles (autonomy, beneficence, justice); clinical practicality; administrative feasibility; changing research findings; religious beliefs and institutions; and political, cultural and economic contexts. In addition, we will solicit input from genetic counselors and others experienced with presymptomatic testing, and we will invite patients and families at risk to review our materials in progress to assess their sensitivity, adequacy and feasibility. Our final product, a book published by Indiana University Press, will include guidelines for presymptomatic testing of autosomal dominant, late onset disorders; annotated cases; and the description of a method for resolving ethical issues our guidelines do not address directly.
FUNDING AGENCY:
Funder:
NIHInstitute:
NATIONAL HUMAN GENOME RESEARCH INSTITUTEFunding Type:
R01Project Number:
R01HG000538Start Date:
Sep 1, 1993End Date:
Aug 31, 1996PROJECT TERMS:
Alzheimer's Disease, amyotrophic lateral sclerosis, autosomal dominant trait, Belief, case history, culture, Ethics, family genetics, Genetic Counseling, genetic disorder diagnosis, genetic techniques, handbook, health related legal, human data, Huntington's disease, linkage mapping, neurofibromatosis, polycystic kidney, Religion, retinitis pigmentosa