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Index

Published online by Cambridge University Press:  02 July 2022

Emily Postan
Affiliation:
University of Edinburgh

Summary

Type
Chapter
Information
Embodied Narratives
Protecting Identity Interests through Ethical Governance of Bioinformation
, pp. 287 - 296
Publisher: Cambridge University Press
Print publication year: 2022
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This content is Open Access and distributed under the terms of the Creative Commons Attribution licence CC-BY-NC-ND 4.0 https://creativecommons.org/cclicenses/

Index

Abi-Rached, Joelle, 10, 54
access to personal bioinformation. see under personal bioinformation
ADHD (attention-deficit hyperactivity disorder), 205
advisory committees, potential bioinformation disclosers and, 221
affiliative self-fashioning, 54
African Americans, ancestry tracing by, 54, 178
African ancestry tracing, 196, 206
African heritage, identity harms and, 204
Alaimo, Stacy, 92
Alzheimer’s disease, 188
desire to contribute to research concerning, 147, 177
preventive/therapeutic interventions for, 145
testing for, 44, 141144, 156, 174, 250
ancestry tracing
African Americans ancestry tracing and, 54, 178
African ancestry tracing and, 196, 206
Black British ancestry tracing and, 54, 178
anxiety, 209
APOE (Apolipoprotein E) gene, 141
APOE testing for risk of Alzheimer’s disease, 44, 141144, 174
counselling and education about, 148
motivations for undergoing, 146, 177
reactions to receiving results from, 150153
recommendations regarding access/disclosure, 250
Article 8 of the European Convention on Human Rights (ECHR), 3337, 250
access to health records and, 41, 45
articulation constraint
role of personal bioinformation in meeting, 103
Schechtman on, 72
Ashkenazi Jewish populations, BRCA-related cancers and, 155
Asperger’s syndrome, 101
asymptomatic disease, 85, 115
Atkins, Kim, 62, 96, 97
attention-deficit hyperactivity disorder (ADHD), 205
autonomy, 7778, 212217
Baylis, Françoise, 69, 95
BCIs (brain-computer interfaces), 260
biobanks (vignette concerning participation in), 1, 221, 255
biological essentialism, 4851, 110113
beyond biological essentialism and, 51
reactions against, 50
bioethics, 3
biography, 101, 106, 198
donor conception and, 132, 137, 140
genetic parentage and, 58, 107
genetic risk and, 149
bioinformation governance, 5, 247263
bioinformation, personal. see personal bioinformation
biosocial identity-making, 54
biosociality, 54
bipolar disorder, 158
Black British, ancestry tracing by, 54, 178
Blyth, Eric, 137
bodily doubt, 92
Bortolotti, Lisa, 108
the brain, 10, 15, 20, 49
brain scans, 1, 9, 162 see also neuroimaging
brain-computer interfaces (BCIs), 260
Brandon, Priscilla, 97
BRCA genes
breast/ovarian cancer risk and, 141
the governance landscape and, 257
BRCA-related cancers, Ashkenazi Jewish populations and, 155
BRCA Self-Concept Scale, 234
BRCA testing, 44, 141144, 191
age at which it is sought, 146
BRCA activism and, 155, 178
desire to contribute to research concerning, 147
motivations for participating in, 145, 146
reactions to receiving results from, 150153
breast cancer, 141
Buchman, Daniel, 163, 167
cancer, breast/ovarian, 141
Carel, Havi, 92, 117
Caribbean heritage, identity harms and, 204
case studies, list of, xiv
Cassam, Quassim, 94
characterisation, identity as, 24, 25
the ‘characterization question’, 23
Chilibeck, Gillian, 148
choice (not) to know, 7, 27, 213
autonomy and, 213
navigating choice and, 237
Christman, John, 70, 79, 83
CIOMS (Council for International Organizations of Medical Sciences) Guidelines, disclosure of health research findings and, 43
clinical actionability, 7, 8, 142, 210
clinical utility, 142, 169, 231
coherence. see narrative coherence
Cohn, Simon, 163, 165, 166
colorectal cancer, 112
comfortable narratives, 185
communication, identity-supporting, 238244
competing interests, disclosure and, 229232
conceptual and normative foundations, filling gaps in, 4660, 197205
confidentiality, family information and, 42, 255
consent, 214, 255
constraints on self-constituting narratives, 72
constructed identity significance, 191, 196
Corsico, Paolo, 168, 170
Council for International Organizations of Medical Sciences (CIOMS) Guidelines, disclosure of health research findings and, 43
counterstories, 197
d’Agincourt-Canning, Lori, 146, 147, 155, 157
damaging narrative contents, 202205, 224
Data Protection Act 2018 (DPA), 41, 45, 209
data, as distinguished from information, 13
Davidson, Larry, 169
DeGrazia, David, 62, 78
de Melo-Martín, Inmaculada, 52
depression, 114, 158, 162
determinism, 48
diabetes, Type-1, 207
direct-to-consumer (DTC) genomic testing services. see DTC (direct-to-consumer) genomic testing services
disability paradox, 191
disclosure of bioinformation, 57, 12, 14, 16 see also under personal bioinformation
debates about, 18
identity interests in, 18
recommendations regarding, 247263
discrimination, 55, 204
distress
narrative disruption and, 105, 138, 250
relationship to and distinction from identity interests, 209
donor conception, 15, 19, 174, 188
donor anonymity and, 38
encounters with, 19
the governance landscape and, 252
illustrative example concerning, 19, 124141
information subjects’ experiences of, 127135
narrative impacts and, 135141
types of information involved, 124
information about
discovery of, 126
donor-conceived individuals’ legal entitlements to, 3740, 126
mitochondrial replacement therapy and, 40, 197, 253
parental disclosure of, 38, 125126
recommendations regarding, 252253
preference for/importance of knowing and, 135
Ravitsky on, 47
responsibilities for disclosure and, 241
social context and, 192
UK regulations and, 3740, 124
Donor Sibling Registry, 132
DPA (Data Protection Act 2018), 41, 45
DSD (differences in sex development), damaging narrative contents and, 203
DTC (direct-to-consumer) genomic testing services, 7, 9, 18, 44, 126, 192, 257259
ancestry tracing and, 54, 196, 206
bioinformation governance issues and, 251
genetic-essentialist assumptions and, 49
misleading information and, 201
potential bioinformation disclosers and, 221
recommendations regarding access/disclosure, 257259
responsible communication of health information and, 240
vignette concerning, 1, 2
Dumit, Joseph, 163, 165, 180
duty to help, 225229
Edelman, Marian Wright, 197
Embodied Narratives
case studies, list of, xiv
guide to the chapters in this book, 2830
terminology used in this book, 1228
embodiment, 9094
identity significance of, 190
narrative identity and, 9498
empirical bioethics, 121
entitlements to personal bioinformation in law, 3142
epilepsy, 103, 261
epistemic qualities of bioinformation, 113118, 200
ethical responsibilities for disclosure of bioinformation, 218248
ethical foundations of, 221229
limiting considerations and, 229232
shared social responsibilities and, 244
European (Oviedo) Convention on Human Rights and Biomedicine, 32, 33
European Convention on Human Rights (ECHR), Article, 8 of
access to health records and, 41, 45
right to identity and, 3338, 250
European Court of Human Rights (ECtHR), 34, 250
European General Data Protection Regulation (GDPR), 41
European Study of Assisted Reproduction Families, 126
exclusion, 55, 79, 82
experiences, identity narratives and, 175
external coherence, 103, 104
FDA (Food and Drug Administration), direct-to-consumer genomic testing services and, 44
feminist theories of self, 91
first-personal narration, 69
fMRI (functional magnetic resonance imaging), 158
Food and Drug Administration (FDA), direct-to-consumer genomic testing services and, 44
forensic genetic analysis, 204, 225
Fraassen, Bas van, 114
Freeman, Tabitha, 39, 138, 192
Frith, Lucy, 132, 138
functional magnetic resonance imaging (fMRI), 158
future challenges for access to personal bioinformation, 262
GDI (General Definition of Information), 13
GDPR (European General Data Protection Regulation), 41
General Definition of Information (GDI), 13
genetic ancestry tracing, 8, 9, 54, 206
African American ancestry tracing and, 54, 178
African ancestry tracing and, 196
Black British ancestry tracing and, 178
unreliability of, 206
genetic essentialism, 50, 140
genetic identity, 47
genetic information, 3, 8
issues of wider entitlement and, 40
‘right to know’ or ‘not to know’ and, 6
genetic parentage, 35, 46, 47, 107, 124
knowledge of, 10
Lillehammer on, 111
Velleman on, 58
genetic risk, 19
illustrative example concerning, 141158
information subjects’ experiences of encounters with, 144153
narrative impacts of, 153158
type of bioinformation involved, 141144
recommendations regarding access/disclosure and, 221
the ‘genetic self’, 48
genetic testing, 141158, 192, 195 see also DTC (direct-to-consumer) genomic testing services
Gibbon, Sahra, 53, 54, 155, 178
Glover, Jonathan, 70, 80
Gooding, Holly, 145
governance, 5, 247263
group identity, 26
Hacking, Ian, 53, 96
Hallowell, Nina, 146
Haraway, Donna, 191
Harris, John, 216
Haslanger, Sally, 52
Hauskeller, Christine, 46
intra-species classifications and, 53, 55
on reifying social distinctions, 9
the Havasupai people, 26
health research
bioinformation generated by, 4, 43
feedback of findings from, 6, 18, 43, 230, 253255
identity harms and, 204
potential bioinformation disclosers and, 17, 220
health status, identity significance and, 190, 193
Healthcare Improvement Scotland, potential bioinformation disclosers and, 221
healthcare information
clinical actionability and, 210
right to access records of, 41, 45
secondary research uses of, 4, 43, 221
healthcare professionals, as potential bioinformation disclosers, 220
Hekman, Susan, 92
helpfulness, 225229, 254
Henschke, Adam, 21
hermeneutic role of bioinformation, 113118
HFEA (Human Fertilisation and Embryology Authority), 38, 39
applying to for donor information, 126
the governance landscape and, 253
home test kit companies, potential bioinformation disclosers and, 221
HRA (Human Rights Act 1998), 33, 38
Human Fertilisation and Embryology Act 1990 (HFE Act), 38
Human Fertilisation and Embryology Authority (HFEA), 38, 39
applying to for donor information, 126
the governance landscape and, 253
Human Rights Act 1998 (HRA), 33, 38
identity, 130
bioinformation impacts and, 8
constituting vs. revealing, 108
definitions of, 2028
as a multi-stranded whole, 180
narrative theories of, 6186
question of ‘who we are’ and, 3, 5
right to, under European Convention on Human Rights (ECHR), 3337, 250
role of bioinformation in, 98109
identity harms, 86, 199205, 223
identity interests, 10, 181219
ascertaining where they lie, 232238
distinguishing from other interests, 208217
fundamental identity interest and, 183186
governance issues and, 247263
information-related, 186190
legal entitlements and, 3140, 218
protection of, 2, 11, 12, 3338, 4546
relationships between structure and contents, 205208
responsibilities for meeting, 219246
identity narratives, 5786, 172180, 198
the body and, 9498
contents of, 65, 86, 87, 99, 202208, 224
fundamental identity interest and, 183186
inhabitability of, 186
knowledge of genetic parentage and, 135141
negative impacts and, 178
personal bioinformation as a tool of, 98109
vulnerability and, 223
identity significance of bioinformation, 190197
contexts of, 190194
social construction of, 196
identity-supporting disclosure practices, 238244
identity value, 43, 210
Illes, Judy, 166
illustrative examples of encounters with bioinformation, 19, 120172
image (public persona), 21
imaging services, potential bioinformation disclosers and, 221
implanted devices, 103, 260
individual research findings, feedback of, 6, 18, 43, 230, 253255
infertility, 103
information, as distinguished from data, 13
information-related identity interests, 186190
information subjects, 3, 16
entitlements to access personal bioinformation and, 8, 3142
information interests of, 58
informed consent, 214, 255
inhabitable narratives, 186
intelligibility, 64, 73, 75, 77, 83
harm to caused by misleading information, 201
internal, 103
internal coherence, 103, 104
International Declaration on Human Genetic Data, 32
International Human Rights Law, 32
interpretation, 13
interpretive frameworks, 14, 96, 105
Jolie, Angelina, 53
Juengst, Eric, 44, 49, 201
Kennett, Jeanette, 77
Keywood, Kirsty, 216
KH and Others v. Slovakia, 37
Kirkman, Maggie, 59, 132
on family stories and narrative identity, 140
on ignorance of donor origins, 139
on parents as key collaborators in helping donor-conceived individuals, 134
Klitzman, Robert, 57, 153
Korsgaard, Christine, 24, 87
Laurie, Graeme, 211, 257
legal entitlements to personal bioinformation, 3142, 4546
Lillehammer, Hallvard, 110, 113
the lived body, 91
Lloyd, Genevieve, 67
Lock, Margaret, 51, 148, 156
Loughlin, Michael, 116
Lupton, Deborah, 52, 116
Lynch syndrome, 100
MacIntyre, Alasdair, 62, 68, 94
Mackenzie, Catriona, 23, 24, 62
on achievability, 84
on biological realities, 106
the body and, 95, 96, 98
on capacities and capabilities, 79
on characteristics, 116
on coherence, 82
on identity harms, 203
on identity narratives, 63, 74
on internal goods, 78
on interpretive frameworks, 96
on making sense of who we are, 76
on narrative contents, 65
on the relative integration of identity narratives, 82
on Saks, 80, 169
on the self over time, 64
on Strawson, 80
magnetic resonance imaging (MRI), 158
major depressive disorder (MDD), 158, 162
MAOA gene, identity harms and, 204
Maori populations, 204
Marshall, Jill, 35, 37, 46, 51
master narratives, 68, 87, 196
the material body, 91
Matthews, Steve, 77
MDD (major depressive disorder), 158, 162
meaningfulness, 14, 64, 87, 184
memories and experiences, identity narratives and, 175
mental health status, 158
responsibilities for disclosure and, 241
vulnerability and, 224
Merleau-Ponty, Maurice, 91
Meyers, Diana, 81
on achievability, 83
emergent intelligibility and, 77
on figurations, 196
on intersectional identities, 81
on self-descriptors, 194
Mikulic v. Croatia, genetic parentage and, 35
Miller, Franklin, 226, 254
misleading information, 200202, 224
mitochondrial replacement therapy (MRT), 18, 40, 197
mobile apps
potential bioinformation disclosers and, 221
tracking pandemics and, 6, 260
MRI (magnetic resonance imaging), 158
MRT (mitochondrial replacement therapy), 18, 40, 197
Murdoch, Iris, 78
narrative coherence, 74
achievability of, 82
external, 103, 104
harm to caused by misleading information, 201
internal, 103, 104
objections to, 7986
recapped, 183
the value of, 7981, 104, 205208
narrative contents, 65, 99
as damaging, 202205, 224
as meaningful, 87
as relate to structure, 86, 205208
narrative context, of identity significance, 193
narrative identity, theories of, 6188
the body in, 9498
narrative self-constitution, 6188, 94
narratives. see identity narratives
narrativity, 58, 82, 86, 172180
importance of according to Atkins, 97
interpretation and, 66, 100
relational, 67
requirements of, 71, 80
National Institute for Health and Care Excellence (NICE)
BRCA screening guidelines and, 142
potential bioinformation disclosers and, 221
need, vulnerability and, 222225
Nelson, Alondra, 54, 178, 196
Nelson, Hilde Lindemann, 62, 68, 196
on counterstories, 83, 241
on the early chapters of our lives, 137
on first-personal narration, 70
on identity narratives, 74
on oppressive master narratives, 87
Nelson, Jamie, 58
on how our lives connect with those of others, 137
on the opening pages of our biographies, 107
neural activity, 9
neurobiological self, 54
neuroessentialism, 49
neuroimaging, 10, 49, 175, 195
communication context and, 193
data from, algorithmic analyses of, 159
motivations for, 162
psychiatric neuroimaging and, 20, 158172
neuroscience, reportings of in non-specialist media, 9
neurotechnologies, 49
NICE (National Institute for Health and Care Excellence)
BRCA screening guidelines and, 142
potential bioinformation disclosers and, 221
Nordgren, Anders, 44, 49, 201
normative and conceptual foundations, filling gaps in, 4660, 197205
normative roles, 102108
normativity, 60, 63, 78, 88
Novas, Carlos
biographical narration and, 57
risk identity and, 54, 56, 156
Nuffield Council on Bioethics, 47, 135, 140
numerical identity, 21
Nussbaum, Martha, 85, 87
Odièvre v. France, 36
oppressive conditions, 80, 83
oppressive master narratives, 87
origins cases, in European Court of Human Rights (ECtHR), 3337
ovarian cancer, 141
overactive thyroid, 103
pandemics
bioinformation collection and, 4
tracking exposure/immunity via mobile apps, 6, 260
Parry, Bronwyn, 51
personal bioinformation, 5, 16
access to
by information subjects, 8, 17
future challenges for, 262
information subjects’ entitlements in law and, 3142
knowledge of genetic parentage and, 10
concerns about identity relevance and, 110118
contexts in which encountered, 3, 1620, 120180
contribution to embodied narratives and, 119
defined, 1316
epistemic qualities of, 113118, 200
examples of encounters with, 4, 1620, 120172
identity significance of, 190197
interpretive context and, 100
as a narrative tool, 98109
normative roles and, 102108
personal identity, 22
personal utility, 43, 210, 254
PET (positron emission tomography), 158
phenomenology, embodiment and, 52, 91
Pickersgill, Martyn, 167
policy research, potential bioinformation disclosers and, 221
Poltera, Jacqui, 62
on identity narratives, 74
on narrative coherence, 82, 84
on narrative scepticism, 80
on Saks, 80, 169
positron emission tomography (PET), 158
potential bioinformation disclosers, responsibilities of, 219246
practical identity, 23
practical self-characterisation, 25
preparedness, 145, 210
principle of helpfulness, 225229, 254
privacy, 6, 7, 45, 211
psychiatric neuroimaging
encounters with, 20
illustrative example concerning, 158172
information subjects’ experiences and, 161167
narrative impacts of, 167172
type of bioinformation involved, 158161
psychological distress
narrative disruption and, 105, 138, 250
relationship to and distinction from identity interests, 209
psychological preparedness, 145, 210
psychosis, 158, 204
public persona (image), 21
racial/ethnic profiling for forensic purposes, 204
Racine, Eric, 49
racism
misuses of genetic science and, 55
oppressive master narratives and, 87
Ravitsky, Vardit, 9, 47
reality constraint, 73
reductionism, 48
Rehmann-Sutter, Christoph, 239, 243
relational narrativity, 6769, 240
relational roles, 28, 65, 68, 185, 189
relational self-constitution, 137
REVEAL Study, 143, 144151
importance of interpretive context and, 188
participant counselling and, 148
rheumatoid arthritis, 101, 105
Ricoeur, Paul, 86, 97
right to identity
under European Convention on Human Rights (ECHR), 3337, 250
Human Rights Act (HRA) and, 33, 38
under United Nations Convention on the Rights of the Child (UNCRC), 33
‘right to know’ or ‘not to know’, 2, 6, 217
right to respect for private and family life, European Convention on Human Rights (ECHR) and, 3337, 41, 45, 250
rights, 182
risk identity, 54, 56, 156
Roberts, Scott, 258
Roe, David, 169
Rogers, Wendy, 60, 115, 117
on coherence, concerning asymptomatic disease, 85
on narrative identity and asymptomatic disease, 208
on vulnerability, 223, 228
Rose v. Secretary of State for Health, 38
Rose, Nikolas
narratives and, 57
risk identity and, 54, 56, 156
on self-characterisation, 10
Saks, Elyn, 80, 169
Scanlon, Thomas, 222, 225
Schechtman, Marya, 76, 77, 86
articulation constraint and, 103
the body and, 94, 99
on capacities, 85
on coherence, 84
on constraints on self-constituting narratives, 69, 72
on identity as characterisation, 25
on intelligibility, 81
on narrative identity, 61, 63, 65, 66, 71, 193
on practical identity, 23
on prenarrative truth about the self, 109
reality constraint and, 73, 104
on relational narrativity, 68
schizophrenia, 80, 158, 169
damaging narrative contents and, 203
psychiatric neuroimaging and, 163
screening programmes, 17, 18, 41, 221, 250
Scully, Jackie Leach, 239
on ascertaining where others’ interests lie, 232, 243
on mitochondrial replacement therapy, 60, 197
self-characterisation, 25, 35, 48, 63
self-constituting narratives, 6188, 94
coherence and, 74
constraints on, 7275
contents of, 65
objections to, 7072
practical and evaluative capacities of, 7579
selfhood, 63
self-narratives. see identity narratives
shared social responsibilities, 244
Shildrick, Margrit, 91, 92
sickle cell disease, 204
single-photon emission computed tomography (SPECT), 158
sleep-monitoring apps, 116
smart technologies, 4, 18, 44
potential bioinformation disclosers and, 221
tracking pandemics and, 6, 260
social construction, of identity significance, 191
social identity, 24
social responsibilities, shared, 244
somatic identity, 54
species identity, 21
SPECT (single-photon emission computed tomography), 158
Stewart, George, 33
Strawson, Galen, 70, 79
structure of identity, as relates to contents, 205208
subject access rights under the Data Protection Act (DPA), 41, 45
sustainability, 184, 201
Taylor, Charles, 62, 67, 77
the body and, 94
on identity, 78, 86
on relational narrativity, 68
on self-constitution, 68
Taylor, Mark, 14, 15
terminology used in this book, 1228
thyroid disease, 103
tracking devices, 44
governance and, 260
pandemics and, 6, 260
potential bioinformation disclosers and, 221
transphobia, oppressive master narratives and, 87
Type-1 diabetes, 207
UK Donor Conceived Register, 126
UK Longitudinal Study of Assisted Reproduction Families, 126, 131
UK National Screening Committee, 41, 221
UNCRC (United Nations Convention on the Rights of the Child), 33
unification, 75
Universal Declaration of Human Rights, 32
Velleman, David, 62
on acquaintance with genetic parents, 58, 107, 137
on observing family resemblances, 117, 137
on self-narratives, 75
vulnerability, 222225, 226, 238
Walker, Mary, 60, 62
on achievability, 83
on brain data, 10
on characteristics, 70
on coherence, concerning asymptomatic disease, 85, 208
distortion of self-conceptions and, 115, 117
on dramatic personal changes, 76, 111
on identity narratives, 74
on making sense of who we are, 76
on ‘revealing identity’, 108
Widdows, Heather, 27, 60, 247
Wilson, Sarah, 58, 107, 136
worthwhile narratives, 58, 87, 184
Young, Iris Marion, 93, 191

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  • Index
  • Emily Postan, University of Edinburgh
  • Book: Embodied Narratives
  • Online publication: 02 July 2022
  • Chapter DOI: https://doi.org/10.1017/9781108652599.011
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  • Index
  • Emily Postan, University of Edinburgh
  • Book: Embodied Narratives
  • Online publication: 02 July 2022
  • Chapter DOI: https://doi.org/10.1017/9781108652599.011
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  • Index
  • Emily Postan, University of Edinburgh
  • Book: Embodied Narratives
  • Online publication: 02 July 2022
  • Chapter DOI: https://doi.org/10.1017/9781108652599.011
Available formats
×