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Immaculate Re-Conception: Redefining Health and Reproductive Risk Using Prenatal Genetic Testing
Immaculate Re-Conception: Redefining Health and Reproductive Risk Using Prenatal Genetic T...
Immaculate Re-Conception: Redefining Health and Reproductive Risk Using Prenatal Genetic Testing

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자료유형  
 학위논문 서양
최종처리일시  
20250211150942
ISBN  
9798384447023
DDC  
301
저자명  
Mukherjee, Meghna.
서명/저자  
Immaculate Re-Conception: Redefining Health and Reproductive Risk Using Prenatal Genetic Testing
발행사항  
[Sl] : University of California, Berkeley, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
199 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-04, Section: B.
주기사항  
Advisor: Ray, Raka.
학위논문주기  
Thesis (Ph.D.)--University of California, Berkeley, 2024.
초록/해제  
요약This dissertation explores the routinization of prenatal genetic testing in the United States' precision medicine landscape. It investigates how these technologies shape perspectives on reproduction, health, and disability, and probes the ethical implications of their widespread use. I ask, how does the "appropriate" use of prenatal genetic technologies come to frame certain existences as meaningful and worthwhile while others are seen as unwanted and less valuable? I also explore the role of experts in both implementing and interpreting these technologies during medical research as well as patientcare. The study reveals how the routine use of prenatal genetic technologies positions disability as an undesirable social harm, narrowing our tolerance of difference and amplifying the imperative to use these tools to reproduce 'judiciously.'The first empirical chapter delves into Wrongful Birth and Life legal disputes in prenatal testing. It reveals how courts have ushered the technological imperative around prenatal genetic tools and enshrined disability as an unwanted private burden. In the second, I unpack the social making of genetic diagnostic categories. Focusing on sex chromosome aneuploidies, this chapter offers an in-depth examination of gendered pathology and the medicalization of genetic variations as 'abnormal' existences. The final empirical chapter centers on experts and expertise. It illuminates how reproductive physicians and genetic counselors organize expertise and responsibilities around prenatal testing, emphasizing possible transformations in which groups are influencing the forefront of genomics and equitable patientcare.I employ mixed qualitative methods. I conducted in-depth interviews (20 with reproductive physicians, 20 with genetic counselors, and 20 with patients). Further, I completed ethnographic observations at professional genomics conferences, a genetic counseling master's program, and consultations between patients and genetic counselors. I also relied on content analysis, using a Python-assisted web scraper to gather text-based exchanges about prenatal genetic testing on Reddit. Finally, I conducted archival research on Wrongful Birth and Life cases from 1963-2021.There are significant consequences surrounding genetic technologies, systematic de-selection of disability, reproductive pressures, and the enduring history of eugenics. As prenatal genetic innovations become more precise, capable, and accessible, it is essential to implement them toward a more inclusive and just society. To be sure, prenatal genetic testing is not inherently harmful; rather, harms result from how we systematically employ these tools to treat disability as objectively unwanted. In that vein, this dissertation is an endeavor to pave the way for a more equitable and compassionate future in prenatal testing, where inclusive social infrastructures parallel technological innovation.
일반주제명  
Sociology
일반주제명  
Medical ethics
일반주제명  
Gender studies
일반주제명  
Counseling psychology
일반주제명  
Disability studies
키워드  
Disability
키워드  
Experts
키워드  
Gender
키워드  
Prenatal testing
키워드  
Reproduction
키워드  
Gendered pathology
기타저자  
University of California, Berkeley Sociology
기본자료저록  
Dissertations Abstracts International. 86-04B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aMukherjee,  Meghna.
■24510▼aImmaculate  Re-Conception:  Redefining  Health  and  Reproductive  Risk  Using  Prenatal  Genetic  Testing
■260    ▼a[Sl]▼bUniversity  of  California,  Berkeley▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a199  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-04,  Section:  B.
■500    ▼aAdvisor:  Ray,  Raka.
■5021  ▼aThesis  (Ph.D.)--University  of  California,  Berkeley,  2024.
■520    ▼aThis  dissertation  explores  the  routinization  of  prenatal  genetic  testing  in  the  United  States'  precision  medicine  landscape.  It  investigates  how  these  technologies  shape  perspectives  on  reproduction,  health,  and  disability,  and  probes  the  ethical  implications  of  their  widespread  use.  I  ask,  how  does  the  "appropriate"  use  of  prenatal  genetic  technologies  come  to  frame  certain  existences  as  meaningful  and  worthwhile  while  others  are  seen  as  unwanted  and  less  valuable?  I  also  explore  the  role  of  experts  in  both  implementing  and  interpreting  these  technologies  during  medical  research  as  well  as  patientcare.  The  study  reveals  how  the  routine  use  of  prenatal  genetic  technologies  positions  disability  as  an  undesirable  social  harm,  narrowing  our  tolerance  of  difference  and  amplifying  the  imperative  to  use  these  tools  to  reproduce  'judiciously.'The  first  empirical  chapter  delves  into  Wrongful  Birth  and  Life  legal  disputes  in  prenatal  testing.  It  reveals  how  courts  have  ushered  the  technological  imperative  around  prenatal  genetic  tools  and  enshrined  disability  as  an  unwanted  private  burden.  In  the  second,  I  unpack  the  social  making  of  genetic  diagnostic  categories.  Focusing  on  sex  chromosome  aneuploidies,  this  chapter  offers  an  in-depth  examination  of  gendered  pathology  and  the  medicalization  of  genetic  variations  as  'abnormal'  existences.  The  final  empirical  chapter  centers  on  experts  and  expertise.  It  illuminates  how  reproductive  physicians  and  genetic  counselors  organize  expertise  and  responsibilities  around  prenatal  testing,  emphasizing  possible  transformations  in  which  groups  are  influencing  the  forefront  of  genomics  and  equitable  patientcare.I  employ  mixed  qualitative  methods.  I  conducted  in-depth  interviews  (20  with  reproductive  physicians,  20  with  genetic  counselors,  and  20  with  patients).  Further,  I  completed  ethnographic  observations  at  professional  genomics  conferences,  a  genetic  counseling  master's  program,  and  consultations  between  patients  and  genetic  counselors.  I  also  relied  on  content  analysis,  using  a  Python-assisted  web  scraper  to  gather  text-based  exchanges  about  prenatal  genetic  testing  on  Reddit.  Finally,  I  conducted  archival  research  on  Wrongful  Birth  and  Life  cases  from  1963-2021.There  are  significant  consequences  surrounding  genetic  technologies,  systematic  de-selection  of  disability,  reproductive  pressures,  and  the  enduring  history  of  eugenics.  As  prenatal  genetic  innovations  become  more  precise,  capable,  and  accessible,  it  is  essential  to  implement  them  toward  a  more  inclusive  and  just  society.  To  be  sure,  prenatal  genetic  testing  is  not  inherently  harmful;  rather,  harms  result  from  how  we  systematically  employ  these  tools  to  treat  disability  as  objectively  unwanted.  In  that  vein,  this  dissertation  is  an  endeavor  to  pave  the  way  for  a  more  equitable  and  compassionate  future  in  prenatal  testing,  where  inclusive  social  infrastructures  parallel  technological  innovation.
■590    ▼aSchool  code:  0028.
■650  4▼aSociology
■650  4▼aMedical  ethics
■650  4▼aGender  studies
■650  4▼aCounseling  psychology
■650  4▼aDisability  studies
■653    ▼aDisability
■653    ▼aExperts
■653    ▼aGender
■653    ▼aPrenatal  testing
■653    ▼aReproduction
■653    ▼aGendered  pathology
■690    ▼a0626
■690    ▼a0497
■690    ▼a0733
■690    ▼a0201
■690    ▼a0603
■71020▼aUniversity  of  California,  Berkeley▼bSociology.
■7730  ▼tDissertations  Abstracts  International▼g86-04B.
■790    ▼a0028
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17160249▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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