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. 2011 Dec 6;3(3):131–145. doi: 10.1007/s12376-011-0070-8

Table 3.

Summary of the major 7 relata for individual, family, professional, and social responsibility in the case of genetic testing

Subject (in different roles) Object (seen as morally relevant) Instance (norm-proofing) Moral-relevant standard Temporal direction Consequences Time frame
Self Self Conscience Autonomy Retrospective_negative Accept possible harm In late onset disease: life long, decades
Prospective_positive Free choice
Self-care Retrospective_negative Guilt/blame In late onset disease: life long, decades
Prospective_positive Prevention
Family Conscience Right to know/duty to inform Retrospective_negative Blame/guilt if not informed Closely after the knowledge is gained, but theoretical for many years
Prospective_positive Preventive (e.g., family planning), good “risk” management
Right not to know/duty not to tell Retrospective_negative Family distress if told Closely after the knowledge is gained, but theoretical for many years
Prospective_positive Protection of families from social-psychological burdens
Professional Patient Soft law/law Non-directive counseling Retrospective_negative Legal liability for counselor During the treatment
Prospective_positive Professional exclusiveness (power)
Public healthcare system Citizens ? Justice and equality Prospective_negative Waste of health care resources/inefficient allocation Theoretically decades, but changing political systems
? ?