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Wednesday, November 11th, 2009

Them’s Fighting Words 2: Genetic Testing, Prenatal

May 17, 2006 by Kristina Chew, PhD  
Filed under Health

To the list of fighting words, add

  • genetic testing
  • prenatal

A few days ago, I posted about a genetic test for autism. As Hsien at Genetics and Health posted, “not all genetic tests are prenatal.” The genetic test I mentioned, Chromosomal Microarray Analysis (CMA), is not a prenatal genetic test for autism.

There are links on the CMA webpage for other kinds of prenatal CMA tests. There is no such test, yet.

The advantages of knowing your yet-to-be-born child will be autistic?

Parents could start to figure out what kinds of services and treatment and therapies would best help their child.

Parents could decide not to have the child—and that is the disadvantage (to understate the matter) of a prenatal genetic test for autism. Autistic Bitch from Hell wrote

Joseph commented on Kristina’s site that the “next fight” in the struggle for the human rights of autistic people has begun. Other bloggers such as elmindreda have described these times as the Last Day, the final battle for survival, Tarmon Gai’don, Armageddon. We knew that it was coming. Most of us didn’t expect it to happen this soon.

Read the rest at Next Fight, or Last Day.

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Comments

13 Responses to “Them’s Fighting Words 2: Genetic Testing, Prenatal”
  1. Joseph says:

    Parents could decide not to have the child—and that is the disadvantage (to understate the matter)

    That’s right. And I can’t emphasize this enough. It’s true that it’s a moral issue, but it goes beyond this. This kind of thing can get out of hand. Pretty soon only “normal” (typical, average) people will be allowed to be born, or only people with certain desirable traits. Artificial selection of human traits is not a good idea by any means. Tampering with nature is dangerous stuff and could easily be catastrophic. I don’t want to be melodramatic, but we’re really talking about the potential extinction of the species.

  2. zilari says:

    If the science is going to happen, it’s vitally important to discuss the potential implications of new knowledge and technology, so that proper ethical guidelines can be put in place. Better to have the discussion now than when it’s too late.

    And of course, letting people know what Life With Autism is REALLY like — as many bloggers are attempting to do — will help discourage people from trying to use technology and biological understanding to the detriment of the species.

    The future desperately needs diversity: of thought, of body, of ideology. If anyone attempts to homogenize the human race, I have a strong feeling that the human race won’t last very long.

  3. abfh says:

    Thanks for the link.

    Are you certain that the test is not yet being used as a prenatal test for autism? That website didn’t look as if it made a clear statement one way or the other.

  4. Based on the “Autism Every Day” video and following the response to it, it seems to me that the general public’s perception of autism is not exactly positive—the great sadnesss cited by some of the mothers was that their kids would not, could “never be able” to do “normal” things, like getting married, dancing with a bride, etc.. The struggle ahead seems to me to involve showing that the “real autism every day” is not the “devastation” portrayed in the video and promoted by Autism Speaks.

    Joseph, I agree, this is a moral issue and something beyond that. And it looks like this science IS happening and we need to get this discussion into as many ears as possible.

  5. Thanks for the thanks, abfh—-Dr. Lei at geneticsandhealth.com is contacting Baylor School of Medicine to ask about that. I do think the website–just by the way it is set up–suggests that the test, or some other genetic test, could be used to prenatally test for autism.

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Check out what others are saying about this post...
  1. [...] The possibility of a future prenatal genetic test for autism raises more than a few tough ethical questions. If such a test is developed, would people who learned that they might have an autistic child choose not to have that child—choose eugenic abortion? It is also true that people, knowing that they will have an autistic child, could start to learn how to care for their child earlier than most parents do and start to find the best therapies and therapies for their child. And that is why the mention of “cure” and “autism” together evokes so much controversy, discussion, feeling, and more. [...]

  2. [...] You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site. Related Posts: The Autism Project: Genetics and Bioethics…“We mustall play god when it comes to genetics”…Genetics, Excuses, and Myths…NAAR’s Research “Partners”…“Mutant mice” and autism genetics…Autism and the Weather…Gene interaction, autism, and race… [...]

  3. [...] From being friends with Kristina of Autism Vox, I know that genetics is a hot button topic in the autism community or “fighting words” as she calls them. But I don’t think I quite “got it” until I read this past week’s Injecting Sense post by Wade Rankin. If the construct of autism is defined by a constellation of dysfunctions, an appropriate response includes interventions to counteract the problems. If, on the other hand, autism is a mere cognitive difference that resulting solely from genetics unrelated to any environmental insult, then no amount of intervention will make a difference anyway. From the practical side, the real issue becomes safety of protocols. The ethical dilemma, however, is unresolvable. [...]

  4. [...] You write two popular blogs about autism and have said that genetic testing are “fightin’ words.” Can you tell us more about the view of genetic testing in the autism community? [...]

  5. [...] The Southern Health Magazine article attempts to “explode the myths” concerning genetic testing and abortion. This particular topic has made pre-natal genetic testing a fighting word in discussions about autism, among autistics and the parents of autistic children in particular. The Southern Health Magazine article quotes a number of medical professionals in considering these issues. “Often parents-to-be decline genetic testing thinking they are invincible or that we will ask them to abort,” says Reddy. “Both reasons are wrong and I cannot stress that enough.” [...]

  6. [...] Inclusion, while not exactly a fighting word like “cure” or prenatal genetic testing in autism circles, can certainly arouse strong emotions and opinions in parents. When Charlie was just starting out in his ABA program over seven years ago, “full inclusion” was a goal. When he was seven, he attended some “specials”—-music and library—with his same-age peers and an aide, and many “disruptive” behavior problems. In retrospect, I think that better training of the aide and better planning with supports built in like a token system might have made these experiences more successful. At this time, Charlie is in a self-contained autism classroom (in a public school in our town) and has never done better at school, and, at least for this time, mainstreaming does not seem like the educational option that will best help him learn. [...]

  7. [...] Back in the earlier days of this blog, I referred to “prenatal genetic testing” as a “fighting word“: Simply put, the notion of a prenatal genetic test for autism brings with it the possibility of expecting parents finding out that their child-to-be has autism, and of the parents choosing not to have the child—-of eugenic abortion. [...]

  8. [...] circles, to the point that the very term prenatal genetic test for autism can be considered a fighting words. Two fellow bloggers (and parents) provide some thoughtful commentary on this [...]



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