The Family Covenant and Genetic Testing


The physician-patient relationship has changed over the last several decades, requiring a systematic reevaluation of the competing demands of patients, physicians, and families. In the era of genetic testing, using a model of patient care known as the family covenant may prove effective in accounting for these demands. The family covenant articulates the roles of the physician, patient, and the family prior to genetic testing, as the participants consensually define them. The initial argument defines the boundaries of autonomy and benefit for all participating family members. The physician may then serve as a facilitator in the relationship, working with all parties in resolving potential conflicts regarding genetic information. The family covenant promotes a fuller discussion of the competing ethical claims that may come to bear after genetic test results are received.


Health Law, Genetic Testing

Publication Date


Document Type


Place of Original Publication

American Journal of Bioethics

Publication Information

1 (3) American Journal of Bioethics 3 (2001)

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COinS David J. Doukas Faculty Bio