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Philosophy and Medicine

Normative and Pragmatic Dimensions of Genetic Counseling

Negotiating Genetics and Ethics

Authors: Fanning, Joseph B.

  • The first book to apply Robert Brandom’s pragmatist philosophy of language to make explicit the normative dimensions of genetic counselling
  • The only book on genetic counseling that explores how communication affects professional conceptions of providing genetic information
  • Features a distinctive focus on how best to coordinate meanings across genetic and religious discourses   
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eBook $84.99
price for USA in USD (gross)
  • ISBN 978-3-319-44929-6
  • Digitally watermarked, DRM-free
  • Included format: EPUB, PDF
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Hardcover $109.99
price for USA in USD
  • ISBN 978-3-319-44928-9
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
Softcover $109.99
price for USA in USD
  • ISBN 978-3-319-83165-7
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
About this book

This book provides an elaboration and evaluation of the dominant conceptions of genetic counseling as they are accounted for in three different models: the teaching model; the psychotherapeutic model; and the responsibility model. The elaboration of these models involves an identification of the larger traditions, visions and theories of communication that underwrite them; the evaluation entails an assessment of each model’s theses and ultimately a comparison of their adequacy in response to two important concerns in genetic counseling: the contested values of non-directiveness and the recognition of differences across perspectives, with special focus on how religious and spiritual beliefs of patients are coordinated with the networks of meaning in genetics. Several insights are made explicit in this project through the work of Robert Brandom. Brandom’s deontic scorekeeping model demonstrates how dialogue is at the root of grasping a conceptual content. Against this backdrop, professional communications such as genetic counseling can be seen as late developments in linguistic practices that have structural challenges. Brandom’s model reminds us that the professional needs the client’s understanding to grasp conceptual content in a particular context.  

About the authors

Joseph B. Fanning is Assistant Professor of Medicine in the Center for Biomedical Ethics and Society at Vanderbilt University Medical Center. He serves as the Director of the Clinical Ethics Consultation Service and works with patients, families and clinicians on ethical concerns that arise in health care.

He received undergraduate training at Birmingham-Southern College (B.A. 1993) completed masters work at Princeton Theological Seminary (M.Div., 2000, Th.M., 2001); and earned his doctorate in the Graduate Department of Religion at Vanderbilt University (Ph.D. 2008).

His research focuses on the role of communication and interpersonal skills in the development of therapeutic relationships across clinical contexts. Most recently, he and other members of a research team authored an article in Qualitative Health Research identifying obstacles to sharing expectations in a critical care context. He has co-authored a book based on fifty-five patient interviews titled, What Patients Teach: The Everyday Ethics of Healthcare (Oxford University Press, Fall 2013). In 2009, Fanning co-edited with Dr. Ellen Wright Clayton a special issue of the American Journal of Medical Genetics that focused on spiritual and religious issues in medical genetics.

Fanning also teaches healthcare ethics across Vanderbilt working with students in the schools of Medicine and Nursing as well as with trainees across multiple residency and fellowship programs. He is also the lead instructor for undergraduate course in the College of Arts and Science titled “Death and Dying in America” that combines experiential learning through hospice volunteering with interdisciplinary engagement of the issues that surround death and dying.

Table of contents (6 chapters)

  • Introduction

    Fanning, Joseph B.

    Pages 1-8

  • Genetic Counseling: Models and Visions

    Fanning, Joseph B.

    Pages 9-45

  • A Responsibility Model of Genetic Counseling

    Fanning, Joseph B.

    Pages 47-78

  • Genetic Counseling and Nondirectiveness

    Fanning, Joseph B.

    Pages 79-102

  • Genetic Counseling and Spiritual Assessment

    Fanning, Joseph B.

    Pages 103-133

Buy this book

eBook $84.99
price for USA in USD (gross)
  • ISBN 978-3-319-44929-6
  • Digitally watermarked, DRM-free
  • Included format: EPUB, PDF
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Hardcover $109.99
price for USA in USD
  • ISBN 978-3-319-44928-9
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
Softcover $109.99
price for USA in USD
  • ISBN 978-3-319-83165-7
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
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Bibliographic Information

Bibliographic Information
Book Title
Normative and Pragmatic Dimensions of Genetic Counseling
Book Subtitle
Negotiating Genetics and Ethics
Authors
Series Title
Philosophy and Medicine
Series Volume
124
Copyright
2016
Publisher
Springer International Publishing
Copyright Holder
Springer International Publishing Switzerland
eBook ISBN
978-3-319-44929-6
DOI
10.1007/978-3-319-44929-6
Hardcover ISBN
978-3-319-44928-9
Softcover ISBN
978-3-319-83165-7
Series ISSN
0376-7418
Edition Number
1
Number of Pages
VII, 151
Topics