عنوان

Non-invasive prenatal diagnosis and testing :

شماره

TLets685488

عنوان اصلي

Non-invasive prenatal diagnosis and testing :

نام عام مواد

[Thesis]

نام نخستين پديدآور

Strange, Heather

عنوان اصلي به قلم نويسنده ديگر

perspectives on the emergence and translation of a new prenatal testing technology

نام ناشر، پخش کننده و غيره

Cardiff University

تاریخ نشرو بخش و غیره

2015

جزئيات پايان نامه و نوع درجه آن

Ph.D.

کسي که مدرک را اعطا کرده

Cardiff University

امتياز متن

2015

متن يادداشت

This thesis presents findings from a qualitative study of the emergence and early clinical translation of non-invasive prenatal diagnosis (NIPD) in the UK. Drawing from interviews with a range of experts and users I track the enrolment and translation of this new prenatal testing technology across a variety of clinical and social spaces. I show how encounters with NIPD prompt deep critical examination of the moral, social and political implications - not only of the technology - but of the established clinical practices (routine and specialised prenatal testing) and specific policy contexts (prenatal screening programmes) within which NIPD has begun to sediment. I explore how, as NIPD advances at a rapid pace and emerges within a culturally and politically complex context, the technology both aligns with and disrupts routine practices of prenatal screening and diagnosis. I show how, as the technology divides into two major strands - NIPD and NIPT - at an early stage of development, and before becoming naturalised/normalised within the clinic, scientists, clinicians and policy makers attempt to pin down, define and 'fix' the technology, drawing upon and engaging in substantive practices of division, categorisation and classification. I explore ambiguities present within such accounts, highlighting dissenting voices and moments of problematisation, and following this, I show how the 'troubling' of boundaries prompts much examination of ethical and social concerns. As a location within which interviewees explored more contentious issues, I show how abortion emerged as central to the discussion of NIPD. I proceed to show how institutionalised, professionalised bioethical debate dominates mainstream discourse, and I explain how a particular construction of the informed, individual choice-maker is mobilised in order to locate moral and political responsibility for testing in the hands of individuals, and to distance political/organisational structures from entanglement with problematic concerns. I explore how clinicians and patients respond to this positioning in multiple ways, both assimilating and questioning the mainstream discourse of 'informed choice'. In conclusion, I highlight the broader (bio)political aspects of NIPD's emergence and translation within prenatal screening and diagnosis.

موضوع مستند نشده

H Social Sciences (General)

موضوع مستند نشده

RG Gynecology and obstetrics

مستند نام اشخاص تاييد نشده

Strange, Heather

مستند نام تنالگان تاييد نشده

Cardiff University

نام الکترونيکي

فرمت انتشار

p

نوع ماده

[Thesis]

کد کاربرگه

276903

سطح دسترسي

a

تكميل شده

Y