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Managing self-responsibility through other-oriented blame: family accounts of genetic testing

Arribas-Ayllon, Michael ORCID: https://orcid.org/0000-0003-2669-2781, Sarangi, Srikant and Clarke, Angus John ORCID: https://orcid.org/0000-0002-1200-9286 2008. Managing self-responsibility through other-oriented blame: family accounts of genetic testing. Social Science & Medicine 66 (7) , pp. 1521-1532. 10.1016/j.socscimed.2007.12.022

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Abstract

'Genetic responsibility' has emerged as a key notion for understanding how genetic risk reshapes patterns of choice, identification and obligation within families. Where previous research has examined the difficulties of managing responsibility for genetic testing and disclosure of the testing process and results, there is little work that examines these themes when accounts of genetic responsibility involve blame. In this paper, we explore how forms of responsible selfhood are managed through accounts of other-oriented blame in the family sphere. Interviews (n = 20) were conducted in the United Kingdom with parents whose genetic condition may have consequences for other family members. Using rhetorical discourse analysis we show that a key discursive resource for managing blame and responsibility is the use of contrast – via constructed dialogue, character/event work and extreme case formulation – to either endorse or contest versions of responsible/moral selfhood. We conclude that claims of personal responsibility manifest in open disclosure of genetic information often entail the blaming of others within the family. By extension, blaming others has moral and relational significance when competing views of genetic responsibility are at stake and when genetic understandings are incongruent.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Medicine
English, Communication and Philosophy
Subjects: H Social Sciences > HQ The family. Marriage. Woman
H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > R Medicine (General)
Uncontrolled Keywords: UK; Genetic testing; Genetic risk; Accounts; Blame; Responsibility; Rhetorical discourse analysis; Self-other; Misalignment
Publisher: Elsevier
ISSN: 0277-9536
Last Modified: 19 Oct 2022 08:42
URI: https://orca.cardiff.ac.uk/id/eprint/18787

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