Nondirectiveness is widely regarded as an important principle of genetic counseling. However, numerous studies have indicated that the use of this principle and its content itself are subject to controversies. The present study aimed to verify how the nondirectiveness principle is defined by Polish geneticists, the extent to which it is considered the main principle in clinical practice, and the situations in which geneticists see the positive value of the directive action. Using quantitative and qualitative methods, the study compared the (...) abstract declarations of the directiveness validity and the scope of this principle with the declaration of action in situations close to reality (case scenarios). The results showed that the high rank assigned to the nondirectiveness principle does not translate into the conviction about the absolute obligation to use it in clinical practice. Polish geneticists are inclined to restrict the scope of patients’ choices when these are outside of their definition of medical standard. Strong medical paternalism manifests itself particularly in invasive prenatal diagnostics, where geneticists play the role of gatekeepers. In this study, we offer hypotheses about the sources of these attitudes by analyzing the current cultural and legal context of Poland. (shrink)

The subject of this article is the problem of truth in works of literature. The purpose of presenting the polemic between Roman Ingarden and Jerzy Pelc concerning the issue of verity of statements in literary fiction is to show the difficulties that inevitably arise while analyzing literary fiction. The major theses and solutions proposed by both authors are, in my opinion, still relevant - in the sense that they give a picture of the magnitude of logical problems with which everyone (...) who wants to build a thorough theory of literary fiction must cope. (shrink)

The paper reconstructs a famous ethical debate on the Baby Doe case. The consequence of the fact that contemporary medicine can not and probably should not treat all severely handicapped children is twofold: we have to establish who is entitled to decide on the ways of treatment in the case of incompetent children ; and what are the criteria of fair judgment. The second part of the paper is an overview of Polish legal regulations establishing the proper kinds of treatment (...) in the case of terminally ill patients. The author concludes with some remarks on the place of ethical debate in political life of contemporary Poland. (shrink)

The article aims at organizing multifaceted discourse on the concept of nondirectiveness in the practice of genetic counseling. The analysis of areas where nondirectiveness was invoked and discussed reveals the problematic confusion of different meanings of the term that often leads to false conclusions about the relations between the professional standards and the practice of genetic counseling. The article offers clear and comprehensive description of different approaches to nondirectiveness and various ideas associated with the term. Normative consequences of various meanings (...) attributed to nondirectiveness are explored. The article concludes by presenting important but unsolved problems regarding both theory (the meaning of nondirectiveness and its operational definition) and practice of genetic counseling (the scope and content of the norm of nondirective counseling). (shrink)

Według standardowej koncepcji krzywdy, inkorporującej test kontrfaktyczny, osoba B została skrzywdzona, jeśli na skutek działania x osoby A znalazła się w gorszej sytuacji niż ta, w której znajdowałaby się, gdyby osoba A nie zrealizowała tego działania. Zastosowanie tej koncepcji do wyborów prokreacyjnych napotyka jednak dwa poważne problemy teoretyczne: tzw. problem nie-istnienia, będący także istotą spraw sądowych z tytułu „wrongful life”, oraz problem nie-tożsamości, opisany przez Derka Parfita. Problemy te ujawniają, że standardowa koncepcja krzywdy prowadzi do wniosków, które są całkowicie sprzeczne (...) z powszechnie podzielanymi intuicjami dotyczącymi obowiązków moralnych rodziców wobec przyszłych dzieci. Celem niniejszego artykułu jest analiza alternatywnej koncepcji krzywdy – tzw. krzywdy progowej. Wykazane zostanie, że koncepcja ta jest oporna na problem nie-istnienie, ale nie jest w stanie w sposób satysfakcjonujący rozwiązać problemu nie-tożsamości. (shrink)