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Revista Ciencias de la Salud
versión impresa ISSN 1692-7273
Resumen
LUQUE-BERNAL, Ricardo Miguel y BUITRAGO-BEJARANO, Roberto José. Is Genetic Counseling a Form of Eugenics?. Rev. Cienc. Salud [online]. 2018, vol.16, n.1, pp.10-26. ISSN 1692-7273. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6475.
Introduction:
Genetic counseling can be practiced under four scenarios: preconception, preimplantation, prenatal, and postnatal (which is similar to preconception). Some authors argue that it should be considered a form of eugenics. The aim of this article is to present different views expressed in the literature regarding the relation between genetic counseling and eugenics.
Materials and methods:
A search of articles was conducted in several academic databases using the MeSH/DeCS terms bioethics, medical genetics, genetic counseling, and eugenics. Articles were included if they discussed eugenics or genetic screening. Articles were excluded if they provided a technical description of procedures. The selection was made after examining titles, abstracts, and full texts.
Results:
Fifty-seven articles were selected for analysis. In preconception counseling, the "reproductive beneficence principle" can be based on eugenic practices of the early twentieth century. In pre-implantation consultation, the genetic selection of embryos can be considered eugenic when it is used to change the natural course of reproduction or used for non-medical purposes. Prenatal diagnosis, when linked to abortion as a response to congenital malformations, can be considered negative eugenics.
Conclusion:
At present, eugenics can be defined in multiple ways. By some definitions, genetic counseling can be framed as a eugenic practice. However, the design of health policies and the interests of society may influence the autonomy of individuals. The possibility of generating a genetic selection of individuals, on the other hand, can be constituted as positive eugenics.
Palabras clave : Genetic counseling; eugenics; medical genetics; bioethics; screening.