Is non-directiveness in prenatal genetic testing a myth?: Gladwell’s Blink and implicit associations of Down syndrome

On Sunday, 60 Minutes profiled author Malcolm Gladwell on his new book about underdogs. In a previous book Blink, Gladwell explored how we think without thinking. His writing explains why some people laugh at the notion of non-directive counseling about prenatal testing. Continue Reading

“Any/Particular” critique of disability selective abortion: remembering Adrienne Asch

Over the weekend, an important voice in the discussion of the ethics of prenatal testing for disability fell silent. Adrienne Asch made critical contributions from a seemingly conflicted position: vigorously pro-choice but condemning of selective abortion for disability. Continue Reading

“We choose to go to the moon:” remembering John F. Kennedy, C.S. Lewis, the power of imagination, and choosing Down syndrome

Today we commemorate the 50th anniversary of the assassination of President John F. Kennedy, a very sad day in our nation's history. The words of President Kennedy, and the words of someone else who died that same day, share a wisdom about how we should make choices for our future. Continue Reading

The world will little note, nor long remember what we say here …

Today is the 150th Anniversary of the Gettysburg Address. President Lincoln predicted that "the world will little note, nor long remember what we say here." By marking this anniversary, hopefully we will prove Lincoln wrong. Continue Reading

“Just because something’s always been done that way, doesn’t mean it should continue to be done that way”

"But that's how we've always done it." Who has not heard this--in a group project, at a business meeting, when someone proposes changing the order of a church service--and been incredibly frustrated? Here's a lesson from someone who decided to do something different. Continue Reading

Where the DoD/VA prenatal testing guidelines fall short: the need for post-test counseling

With Veterans Day starting off this week, I have been examining the Department of Defense/Veterans Administrations guidelines concerning prenatal genetic testing. So far, the guidelines provide the most robust recommendations for pre-test counseling. Here, however, is where the guidelines fall short. Continue Reading

When expectant moms learn more about prenatal testing, what do they choose?

Yesterday's post shared how the Department of Defense/Veterans Administration guidelines recognize the need for genetic counseling when offering prenatal testing. One of the methods was group counseling, in which the guidelines said participants learned best as compared to individual counseling or decision aids. What do participants choose then, that have learned best through group counseling? Continue Reading

DoD: counseling needed for Down syndrome prenatal testing

On Monday, Veterans Day, I featured the prenatal testing guidelines for the Department of Defense (DoD) and Veterans Administration (VA). Those guidelines make clear the need for patient counseling when offering prenatal testing for Down syndrome and other genetic conditions. Continue Reading

Happy Anniversary for Down Syndrome Prenatal Testing

This blog was launched on November 12, 2012. Here's why I launched the blog, the most viewed post from the past year, a post needing some more views, and a request if you've found this blog useful over the past year. Continue Reading