Hulme_Taylor_Personal Response Post_Discussion 1

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1 Genetic Counselling: Roberta Rizzo Genetic Counselling: Roberta Rizzo Roberta Rizzo talks about genetic counselling and how genetic testing can affect your life. There can be emotional, physical, and ethical issues, therefore, genetic counselling can be a good option for families with genetic disorders, cancer, or something they want to avoid altogether. In Rizzo's Ted Talk, she explains everyone has their own genetic makeup unique to them (Rizzo, 2022). Yet, still within your genetic material we can inherit disabilities, and this is found out through your genome. There are chromosomal abnormalities like Down syndrome or Turner syndrome and genetic abnormalities such as type 1 diabetes or cystic fibrosis. As a personal example, my brother and I are siblings, but are quite different and have different genes. I have no hereditary disorders, but my brother was diagnosed with type 1 diabetes at 13 years old. He got extremely sick, but nobody knew how serious it was until he nearly fell into a coma. His life was forever changed. Rizzo explains that most people want to get testing done once they know there is a hereditary disorder (Rizzo, 2022), but my mother's trauma with her father stopped her from getting us assessed or letting people know type 1 diabetes was in our family history. The trauma was intergenerational because it influenced my mother's behaviour and biology, being passed to my brother resulting in his experience being diagnosed and sometimes his behaviour towards his disability (Pitt, 2023). As a genetic counselor you must help people understand their genetic makeup, as well as help them through the psychology of accepting and understanding it. Rizzo said that this information can come with anxiety, guilt, confusion, amongst others (Rizzo, 2022). There are many challenging decisions people must make before taking genetic tests, if they even want to, and after. People who would benefit from speaking with a genetic counsellor and often look to speak with one have been in many different situations. Some people know there is a

2 Genetic Counselling: Roberta Rizzo family history of genetic issues, some people have difficulties having children and others want to have children later in life, which can come with more risk (Pitt, 2023). Some issues surrounding genetic counselling can be working on fetuses and gene therapy. Working on an unborn fetus is a very invasive process that can result in health issues for both the mother and fetus (Shaffer et al., 2020). Although you know your fetus may have hereditary or environmental issues when it is born (Pitt, 2023), is it right to try and work on those issues before they are even born and risk their lives and/or the mothers? Fetal surgery is still experimental, with few reported trials and there is only a small amount pregnant women who are willing to participate in such invasive testing (Shaffer et al., 2020). Rizzo talks about how gene therapy is a new way to help people with genetic disorders (Rizzo, 2022). The ethical problem with gene therapy is it can lead to eugenics. Eugenics has been seen in the past as something that fights against nature and the natural selection (Shaffer et al., 2020). Abuse, both political and social, is prevalent when humans have the power to play God, so to speak (Shaffer et al., 2020, p. 85). The Nazis used eugenics to prompt the sterilization of Germany in WWII. They wanted everyone to be fit, have blonde hair, blue eyes, and high a high IQ. The agenda for eugenics that Hitler carried out was already thought of in the USA. From a social perspective, the average person would be given the opportunity to select desirable traits in their offspring. Pre-selecting your child's identity through genome modification may lead to the stripping of that child's individuality; what is deemed desirable by the parent, may not be reflective of what is deemed desirable by the child. I would enjoy learning more about the different treatments and the different effects of each treatment to better understand what these people are going through. I currently am working through the City of Burlington in recreation programming for children with disabilities. I would

3 Genetic Counselling: Roberta Rizzo like to be able to better understand disorders such as Dentatorubral-pallidoluysian atrophy disease and Down syndrome so I can implement different recreational activities to help their development. Some of these kids I work with will either be able to continue progressing to reach different millstones and others will regress as they grow older until they die. I want to understand these disabilities to better understand them as individuals, fostering better connections and creating better programs.

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4 Genetic Counselling: Roberta Rizzo References Pitt, G. E. (2023). PSYC*2450 FALL 2023 DEVELOPMENTAL PSYCHOLOGY Week 3– Hereditary Influences on Development . Courselink . Guelph; Guelph University . Retrieved 2023, from https://courselink.uoguelph.ca/d2l/le/content/841711/viewContent/3600265/View. Rizzo, R. (2022, February 1). Genetic counselling: How much do you want to know? | Roberta Rizzo | tedxuniversityofmalta . YouTube. https://www.youtube.com/watch?v=1fywBGAP3- g Shaffer, D. R., Kipp, K., Wood, E., Willoughby, T., Roberts, K. P., Krettenauer, T., Lee, J., Gottardo, A., & Newton, N. (2020). Ethical Issues Surrounding Treatments for Hereditary Disorders. In Developmental psychology: Infancy and childhood (5th ed., pp. 84–85). essay, Nelson.

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