Division of Medical Ethics, New York University Grossman School of Medicine, New York, New York, USA.
Center for Genetic Privacy and Identity in Community Settings, Vanderbilt University, Nashville, Tennessee, USA.
Med Humanit. 2024 Aug 14;50(2):408-416. doi: 10.1136/medhum-2023-012882.
Medical dramas offer unique insights into the way popular media makes sense of genetic technology and the ethics of its applications. In this paper we evaluate the contrasting depictions in television medical dramas of reproductive genetic screening and eugenics-two medical themes that some commentators see as closely related. By conducting a content analysis of 32 episodes of doctor shows featuring eugenic and/or genetic screening themes, we put the medical drama landscape in conversation with bioethics scholarship and mark a significant divergence between the two. While the academic literature has been parsing the possible relationship between genetic screening and eugenics for over 50 years, doctor shows tend to champion genetic screening as a powerful tool for promoting individual reproductive choice and criticise eugenics as a socially unjust infringement of reproductive freedom. In doing so, medical dramas mark a subtle but important moral distinction between the population-level implications of eugenics and the highly personal, emotional impact of genetic screening.
医疗剧为我们提供了独特的视角,让我们了解大众媒体如何理解基因技术及其应用的伦理道德。在本文中,我们评估了电视医疗剧中生殖遗传筛查和优生学这两个被一些评论家认为密切相关的医学主题的对比描述。通过对 32 集以优生学和/或遗传筛查为主题的医生剧进行内容分析,我们将医疗剧的景观与生物伦理学研究联系起来,并发现两者之间存在显著的分歧。虽然学术文献已经对遗传筛查和优生学之间的可能关系进行了 50 多年的分析,但医生剧倾向于将遗传筛查作为促进个人生殖选择的有力工具,并批评优生学是对生殖自由的不公正侵犯。通过这样做,医疗剧在优生学的人口层面影响和遗传筛查的高度个人化、情绪化影响之间做出了微妙但重要的道德区分。