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 |
| ? | ? |