Attitudes toward genetic testing for cystic fibrosis among college students

The knowledge and attitudes of 25 college students toward clinical and genetic aspects of cystic fibrosis (CF) were assessed before and after an 80-minute presentation about the disease. The students were asked about their plans regarding genetic testing for cystic fibrosis prior to, and during future conceptions. While their knowledge about the disease increased significantly following the lecture, there were no significant changes in their attitudes.     

THE INTERPLAY BETWEEN SCIENCE AND THEOLOGY IN UNCOVERING THE MATRIX OF HUMAN MORALITY

Abstract. Theology and the life sciences are mutually dependent on one another in the task of understanding the origin and function of moral behavior. The life sciences investigate morality from the perspective of the historical and communal dimension of humanity and point to survival as the primary function of human behavior. A Christian ethic of self-sacrifice advances the preservation of the entire human and nonhuman creation and should not, therefore, be objected to by the life sciences. Religion, however, is more than a survival mechanism. It points to a preserving agency beyond humanity and prevents the life sciences from reducing life to its strictly biological side.     

Preconception Genetic Counseling: Three Years of Experience at a Community-Based Health Center

In the United States, access to genetic education and services is not equally available to all segments of the population, especially to women of minority backgrounds and low incomes. In response to this issue, the Preconception Genetic Health Education Program (PGHEP) was implemented in September of 1993 at the Woodlawn Maternal and Child Health Center in south side Chicago. The goal of this program is to provide access to genetic services to a previously underserved population. Women attending the family planning clinics are offered free, confidential preconception genetic screening and counseling on-site. As of January 1, 1997, 1300 women have participated in the program. The development and implementation of the PGHEP, client self-reports of family histories and beliefs, and implications for future delivery of genetic services are discussed.     

Genetic Counseling, Reproductive Behavior and Future Reproductive Intentions of People with Neurofibromatosis Type 1 (NF1)

Neurofibromatosis type 1(NF1) is a complex and variable inherited disorder. The complexity and variability present particular difficulty for genetic counseling. Thirty-three people with NF1 of reproductive age were interviewed about their experience of genetic counseling, their past reproductive behavior and future intentions. One third reported having had no genetic counseling or not having it until after their first child. In part, this may be due to delay in diagnosis but also indicates poor access to genetic services. Only three people had ever been offered prenatal genetic testing and only one had accepted. Although testing is still technically difficult, the greatest deterrent to uptake of prenatal testing for NF1 is the variability of the disorder. However, six of the 17 people planning future pregnancies would want a test with a view to termination if necessary. Others would welcome testing in order to be prepared but not to terminate. We discuss some of the factors which influence reproductive decision making for people with NF1 and some of the difficulties in genetic counseling in such a variable and complex disorder.     

Experiential Family Therapy: An Innovative Approach to the Resolution of Family Conflict in Genetic Counseling

Experiential family therapy is an intuitive approach that utilizes active, multisensory techniques. These techniques, such as role plays and drawings, increase the family's expression of affect and uncover new information. Increased affect and uncovered information stimulate change and growth in the family system. Experiential techniques are especially useful when more traditional, verbal-based communication is not effective. In this article, I will present a pediatric case in which the patient, a 7-year-old boy diagnosed with autism, was referred to the genetics clinic to rule out the presence of an associated genetic disorder. I will then describe a hypothetical second counseling session with the same family and suggest how three experiential family therapy techniques: family drawing, empty chair technique, and continuums might be used in the session to help resolve a marital conflict between the patient's parents.     

RELIGION AND THE THEORIES OF SCIENCE: A RESPONSE TO BARBOUR

Abstract. This paper offers a detailed response to “Religion and the Theories of Science” in Barbour's Gifford Lectures I. Topics include: complementarity, indeterminacy, parts and wholes, and Bell's theorem in quantum theory; metaphysical issues raised by relativity theory and thermodynamics, principally the problem of temporality and “top-down” versus “bottom—up” causality; design arguments and the origins of the universe in astronomy and creation; and God's action in the context of evolution and continuing creation. Areas of agreement and disagreement between Barbour and myself over philosophical and theological implications are presented, and endnotes indicate further areas of conversation.     

Le malade génétique responsable « La loi des suspects »

A patient suffers of a genetical disease. He does not wish to inform his family. Is he responsible for a lost of chances of his parents, chances to prevent the disease, or to receive care? Is there a second class of patients?