Rhodes R
Department of Medical Education, Mount Sinai School of Medicine, New York, NY 10029-6574, USA.
J Med Philos. 1998 Feb;23(1):10-30. doi: 10.1076/jmep.23.1.10.2594.
Currently, some of the most significant moral issues involving genetic links relate to genetic knowledge. In this paper, instead of looking at the frequently addressed issues of responsibilities professionals or institutions have to individuals, I take up the question of what responsibilities individuals have to one another with respect to genetic knowledge. I address the questions of whether individuals have a moral right to pursue their own goals without contributing to society's knowledge of population genetics, without adding to their family's knowledge of its genetic history, and without discovering genetic information about themselves and their offspring. These questions lead to an examination of the presumed right to genetic ignorance and an exploration of a variety of social bonds. Analyzing cases in light of these considerations leads to a surprising conclusion about a widely accepted precept of genetic counseling, to some ethical insights into typical problems, and to some further unanswered questions about personal responsibility in the face of genetic knowledge.
当前,一些涉及基因关联的最为重要的道德问题与基因知识相关。在本文中,我探讨的并非专业人士或机构对个体所负有的责任这一常被提及的问题,而是个体在基因知识方面彼此之间负有何种责任。我要探讨的问题是,个体是否拥有一种道德权利,即无需为社会的群体遗传学知识做贡献,无需增加其家族对自身遗传史的了解,也无需发现有关自己及其后代的基因信息,便可追求自身目标。这些问题促使我们审视所谓的基因无知权,并探索各种社会关系。依据这些考量来分析案例,会得出关于遗传咨询一项广泛认可的准则的惊人结论,能对典型问题产生一些伦理见解,还会引发一些关于面对基因知识时个人责任的尚未解答的进一步问题。