TY - JOUR PY - 1997// TI - Huntington's disease: psychiatric practice in molecular genetic prediction and diagnosis JO - British journal of psychiatry A1 - Scourfield, J. A1 - Soldan, J. A1 - Gray, J. A1 - Houlihan, G. A1 - Harper, P. S. SP - 146 EP - 149 VL - 170 IS - N2 - BACKGROUND: Predictive genetic testing for Huntington's disease has been available in Cardiff since 1987 using linked genetic markers, and since 1993 using direct mutation testing, which can also be used as a diagnostic test. During this period there have been numerous referrals that have required liaison with psychiatric services at all stages of the testing programme. METHOD: A series of cases was selected to highlight issues from both genetic prediction and diagnosis that are relevant to psychiatric practice and have arisen during the testing programme. RESULTS: Issues have been raised concerning competence to consent to testing in the context of psychotic illness; depression and suicidal ideation in test candidates; requests for testing from third parties such as psychiatrists, social services and the courts; and testing of children. CONCLUSIONS: As genetic testing becomes possible for more disorders the lessons learned from Huntington's disease will provide valuable guidelines for counselling.
Language: en
LA - en SN - 0007-1250 UR - http://dx.doi.org/ ID - ref1 ER -