Abstract

In recent months, genetic testing for the breast and ovarian cancer genes, BRCA1 and BRCA2, has again hit the headlines in the UK press. Four women, all from families with a strong breast cancer pedigree, have asked the Human Fertility and Embryology Authority for permission to screen their embryos for BRCA1/2 mutations. Although this may be a dramatic example of parental responsibility, other studies have shown that women at risk of BRCA-related cancers frequently cite responsibility to others as an important influence on their testing and treatment decision making. In this paper, I explore the decision-making explanations that women at risk of BRCA-related breast and ovarian cancer provide when accounting for their decision to undergo genetic testing. In doing so, I treat women's accounts critically, and examine how and why the women verbalize their explanations in the manner that they do.

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