Acknowledgment |
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v | |
Preface to the English Edition |
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vii | |
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Preface to the German Edition |
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xi | |
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1 Introduction: Gene as the Basis for Decision Making? |
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1 | (7) |
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Distancing as a research approach |
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5 | (3) |
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8 | (39) |
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8 | (9) |
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2.2 Educational Campaigns |
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17 | (1) |
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2.2.1 Illiterate citizens? A Bremen congress |
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17 | (4) |
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2.2.2 The genetic literacy campaign |
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21 | (6) |
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2.2.3 Genetic counselling |
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27 | (4) |
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2.3 On the History of Genetic Counselling: Genetics as the Foundation of Sociopolitics |
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31 | (1) |
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2.3.1 The scientific management of hereditary dispositions |
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31 | (2) |
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2.3.2 More effective than coercion: Education and responsibility |
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33 | (4) |
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2.3.3 A new goal: The informed decision |
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37 | (10) |
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3 "Informed Choice": How Genetic Counsellors Empower their Clients to Attain Self-Determination |
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47 | (93) |
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3.1 The Initial Transformation of the Person: The Client as a Gene Carrier |
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49 | (1) |
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49 | (2) |
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3.1.2 The incomprehensible self |
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51 | (5) |
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56 | (9) |
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65 | (3) |
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3.1.5 Meaningful information |
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68 | (4) |
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72 | (2) |
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3.1.7 Genes as an "illusion" |
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74 | (3) |
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3.2 Second Transformation of the Person: Clients as Risk Carriers |
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77 | (1) |
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3.2.1 A grave misunderstanding: Risk as diagnosis |
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78 | (3) |
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3.2.2 The client as a statistical construct |
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81 | (5) |
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3.2.3 The pathogenic effects of physician-attested risks |
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86 | (3) |
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3.2.4 Life in irrealis mood |
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89 | (6) |
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95 | (7) |
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102 | (3) |
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3.3 The Compulsion to Risk Management: The Decision |
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105 | (2) |
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3.3.1 The imperative of the autonomous decision |
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107 | (2) |
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3.3.2 The option requiring a decision: The test |
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109 | (6) |
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3.3.3 Self-determined helplessness |
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115 | (8) |
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3.3.4 Decision making: The paradox of personal risk assessment |
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123 | (11) |
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134 | (6) |
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4 Conclusion: Disempowering Autonomy |
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140 | (7) |
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4.1 The Tyranny of Choice |
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140 | (3) |
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4.2 Autonomous Decision Making as Social Technology |
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143 | (2) |
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4.3 Conclusion: Now What? |
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145 | (2) |
Transcription Conventions |
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147 | (1) |
Bibliography |
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148 | (20) |
Index |
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168 | |