Appelbaum Paul S, Benston Shawna
Department of Psychiatry, Columbia University College of Physicians & Surgeons, New York, NY, USA.
NY State Psychiatric Institute, 1051 Riverside Drive, Unit 122, New York, NY, 10032, USA.
Curr Psychiatry Rep. 2017 Jul;19(7):39. doi: 10.1007/s11920-017-0790-x.
Genetic testing for mental illness is likely to become increasingly prevalent as the science behind it is refined. This article identifies anticipated ethical challenges for patients, psychiatrists, and genetic counselors and makes recommendations for addressing them.
Many of the ethical challenges of psychiatric genetic testing are likely to stem from failures to comprehend the nature and implications of test results. Recent studies have identified gaps in the knowledge base of psychiatrists and genetic counselors, which limit their abilities to provide patients with appropriate education. A small number of studies have demonstrated the value of counseling in empowering patients to deal with relevant genetic information. Psychiatrists and other health professionals must be able to assist patients and families in making informed decisions about genetic testing and interpreting test results. Filling their knowledge gaps on these issues will be a critical step towards meeting these responsibilities.
随着精神疾病基因检测背后的科学不断完善,其应用可能会越来越普遍。本文确定了患者、精神科医生和基因咨询师预期会面临的伦理挑战,并提出应对建议。
精神科基因检测的许多伦理挑战可能源于对检测结果的性质和影响理解不足。近期研究发现精神科医生和基因咨询师的知识库存在差距,这限制了他们为患者提供适当教育的能力。少数研究表明咨询在帮助患者处理相关基因信息方面的价值。精神科医生和其他健康专业人员必须能够协助患者和家庭就基因检测及解读检测结果做出明智决策。填补他们在这些问题上的知识空白将是履行这些职责的关键一步。