Topical depression
Jason chimes in in the comments section of the previous post on the potential value of knowing one’s genotype:
…there are many reasons why someone might want to learn about predisposition to disease, even when therapies are not available, including disease advocacy (i.e. joining a “race for a cure”), or in the specific case of Alzheimer’s, behavioral modifications like the avoidance of contact sports.
To me the judgmental browbeating from the medical community would be comical if it were about anything other than disease. Medical geneticists have been in the business of–in the immortal words of Steve Murphy–”diagnose and adios” for the better part of a century. I wonder how many medical professionals ever, in good conscience, said to the dysmorphologists of yesteryear, “Why even bother trying to understand this syndrome? There’s nothing you can do for this family.” Okay sure, one could argue that dysmorphology and medical genetics are ex post facto pursuits–the unfortunate event has already happened and hey, we need a box to put it in so we can say we did something and at least tell families what we know.
But if we accept the “can’t do anything to change it” argument and the idea that genomes are fixed, then why is it okay to examine something retrospectively but verboten to see what might lie ahead? Because someone might get depressed? Because we have to save people from themselves? Blogga please. When people ask me whether I’m nervous about getting my DNA sequenced, my response is always the same: “Maybe I will feel differently in a month or a year, but for right now my genome is the least of my problems.”
I work as an Assistant Professor in the Duke University Institute for Genome Sciences & Policy (although this site and its content are my own).
In 2007 I became the fourth subject in Harvard geneticist George Church's Personal Genome Project. As the PGP moves forward, I am chronicling the dawn of personal genomics, that is, people obtaining their genomic information for whatever reason(s) and figuring out what to do with it. I am interested in the relevant technologies and especially the attendant privacy and other ethical/legal/social issues.
This blog may also discuss some of my non-genome interests or, to paraphrase Dwight Yoakam, "Guitars, Cadillacs, hillbilly music, etc etc."
The header image comes from the Liz Lerman Dance Exchange's multimedia performance piece, "Ferocious Beauty: Genome."
January 9th, 2008 at 3:27 pm
[…] I’m not. And to emphasize this, here’s a quote that I sympathize with, from this post at genomeboy: “When people ask me whether I’m nervous about getting my DNA sequenced, my […]
January 9th, 2008 at 3:30 pm
““Maybe I will feel differently in a month or a year, but for right now my genome is the least of my problems”"
Although one could argue that since your genome is your be-all then your genome is your only problem, alternatively that you have no problems (more on http://sciphu.wordpress.com/).
January 9th, 2008 at 5:08 pm
Well, if my genome is my “be-all,” as you say, then I really do have problems. Perhaps the biggest problem would be that that view would make me a genetic determinist, something I don’t think any self-respecting biologist can be.
Genes are tremendously important, but I would like to believe that my environment and my ability to transcend my genome come into play. And I think there are plenty of data to back me up on this point–we are more than the sum of our nucleic acid programming. But even if I do turn out to be just another of Richard Dawkins’s lumbering robots whose only purpose on this earth is to propagate his DNA, I still find life to be more fun and more meaningful if I don’t wake up everyday thinking of it in those terms.
Thanks for the comment, SciPhu.