Cover -- Half-title -- Title -- Copyright -- Dedication -- Contents -- Notes on contributors -- George Agich -- Richard Ashcroft -- Alastair Campbell -- Raanan Gillon -- Søren Holm -- Brian Hurwitz -- Anneke Lucassen -- Michael Parker -- Julian Savulescu -- Marian Verkerk -- Guy Widdershoven -- Rob Withers -- Acknowledgements -- 1 Philosophical introduction: case analysis in clinical ethics -- References -- 2 Families and genetic testing: the case of Jane and Phyllis -- Jane's story -- Phyllis's story -- The general practitioner's story -- The oncologist's story -- The geneticist's story -- Author's comment -- Note -- References -- Appendix I Family diagram -- Appendix II Patient information leaflet -- Is breast cancer inherited? -- What is BRCA1 and BRCA2? -- How are BRCA genes inherited? -- How do I know if the cancer in my family is due to a mutation in a BRCA gene? -- Can I have a test to see if the breast cancer in my family is due to a mutation in a BRCA gene? -- I have got a very strong family history, how do I go about testing? -- What if a relative with breast or ovarian cancer is not available? Can I be tested even if I have never had cancer? -- So testing is a two-stage process? -- Does everyone who inherits a mutation in a BRCA gene get breast or ovarian cancer? -- How high is my risk of cancer if I have inherited a BRCA mutation? -- If I have not inherited a BRCA mutation can I still get cancer? -- What happens if a man has a mutation in a BRCA gene? -- Are BRCA1/2 the only genes that can cause hereditary breast cancer? -- If I have a BRCA mutation when will I develop cancer? -- What can be done about the risk of developing breast or ovarian cancer? -- What is the advantage of predictive BRCA testing? -- What are the risks of BRCA testing? -- Is there an alternative to genetic testing? -- I've heard of research studies involving people with a family history of cancer. How can I find out more? -- 3 Family access to shared genetic information: an analysis of the narrative -- Piecing the jigsaw puzzle together -- What does Jane really think? -- Jane and Phyllis's meeting -- Jane's decision -- The unseen narrator -- Phyllis's story -- Portrayals of Phyllis and Jane -- The general practitioners' perspective -- The oncologist's story -- The geneticist's story -- Closure -- Conclusion -- Acknowledgement -- Notes -- References -- 4 A virtue-ethics approach -- Introducing virtue ethics -- Cultural relativity -- Elitism and stigma -- Applicability -- Self and community -- The case study -- References -- 5 Interpretation and dialogue in hermeneutic ethics -- Interpretation and ambiguity -- Interpretation and ambiguity in the case of Jane and Phyllis -- Varying perspectives and fusing horizons -- Perspectives and horizons in the story of Jane and Phyllis -- Fostering interpretation and sustaining dialogue -- References -- 6 'Power, corruption and lies' : ethics and power -- Power and domination -- Productive power -- Power and responsibility -- Synthetic summary --tidtid25