Abstract
In the last few decades genomics has completely reshaped the way in which patients and physicians experience and make sense of illness. In this paper we build upon a real case - namely that of breast cancer genetic testing - in order to point to the shortcomings of the paradigm currently driving healthcare delivery. In particular, we put forward a viable analytical model for the construction of a proper decisional process broadening the scope of medical gaze onto human experience of illness. This model revolves around four main conceptual axes: (i) communicating information; (ii) informing decisions; (iii) respecting narratives; (iv) empowering decision-making. These four kernels, we argue, map precisely onto the main pitfalls of the model presently dealing with genetic testing provision. Medical Humanities, we conclude, ought to play a pivotal role in constructing the environment for competent decision-making, autonomous self-determination and respectful narritivization of one's own life.
Original language | English |
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Journal | Critical Reviews in Oncology/Hematology |
Volume | 84 |
Issue number | SUPPL.2 |
DOIs | |
Publication status | Published - Dec 31 2012 |
Keywords
- Autonomy
- Breast cancer
- Decision-making
- Empowerment
- Genetic susceptibility
- Information provision
- Medical Humanities
- Narrative medicine
ASJC Scopus subject areas
- Oncology
- Hematology
- Geriatrics and Gerontology