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Benedikt Höltgen & Johannes Doerflinger 1 Benedikt Höltgen (LMU Munich) & Johannes Doerflinger (Konstanz) The ethics of genome editing An empirical investigation 21 September 2018

An empirical investigation - Life-Science Lab · How much do you approve of genetic technologies? All applications . Benedikt Höltgen & Johannes Doerflinger 17 ... 2015) . Benedikt

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Page 1: An empirical investigation - Life-Science Lab · How much do you approve of genetic technologies? All applications . Benedikt Höltgen & Johannes Doerflinger 17 ... 2015) . Benedikt

Benedikt Höltgen & Johannes Doerflinger 1

Benedikt Höltgen (LMU Munich) & Johannes Doerflinger (Konstanz)

The ethics of genome editing

An empirical investigation

21 September 2018

Page 2: An empirical investigation - Life-Science Lab · How much do you approve of genetic technologies? All applications . Benedikt Höltgen & Johannes Doerflinger 17 ... 2015) . Benedikt

Benedikt Höltgen & Johannes Doerflinger 2

Introduction

Outline

1) Ethical challenges of genetic technologies

2) Study 1: Bioethical judgments of laypeople

3) Study 2: Does moral identity determine bioethical

judgments?

4) Context-dependence of bioethical judgements

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Benedikt Höltgen & Johannes Doerflinger 3

Introduction

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Benedikt Höltgen & Johannes Doerflinger 4

Introduction

Page 5: An empirical investigation - Life-Science Lab · How much do you approve of genetic technologies? All applications . Benedikt Höltgen & Johannes Doerflinger 17 ... 2015) . Benedikt

Benedikt Höltgen & Johannes Doerflinger 5

Introduction

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Benedikt Höltgen & Johannes Doerflinger 6

Introduction

CRISPR/Cas9: new genome editing technique

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Benedikt Höltgen & Johannes Doerflinger 7

Introduction

Ethical issues

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Benedikt Höltgen & Johannes Doerflinger 8

Introduction

Gaskell et al. (2017)

Using genome editing…

…for therapy rather than

enhancement

…in adults rather than in

embryos

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Benedikt Höltgen & Johannes Doerflinger 9

Introduction

Project goals

• Investigate lay opinions on genome editing

-> generate insights for policy-makers

• Study moral judgements about issues of applied ethics

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Introduction

Team

LMU Munich

PI: Nora Heinzelmann

University of Konstanz

PI: Johannes Doerflinger

German Cancer Research Center Heidelberg

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Benedikt Höltgen & Johannes Doerflinger 11

Study 1 - Introduction

Study 1: lay opinions and confidence (LMU)

• investigation of lay opinions

• correlations with individual traits

• confidence in opinions

• developing a questionnaire as a measurement tool

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Benedikt Höltgen & Johannes Doerflinger 12

Study 1 - Methods

Sample

• Online survey on MTurk

• 124 participants, 79 after exclusion

• 27 female, 52 male

• mean age 36.2 years

Exclusion criterion

Failing more than one of eight attention checks

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Study 1 - Methods

Questionnaire

16 Statements

16 Vignettes

Responses

Confidence

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Study 1 - Methods

Personal information

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Study 1 - Methods

Factor analysis: 23 items, 7 factors, including:

- Personalised medicine

- Reproductive medicine

- Genetic testing of humans

- Genetic testing of non-human animals

- Social justice

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Study 1 - Results

Results

How much do you approve of genetic technologies?

All applications

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Study 1 - Results

Extreme views and high confidence

correlation significant (p < 0.05)

Strong approval Strong disapproval

Very

confident

Not at all

confident

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Study 1 - Results

Gender: genetic tests are permissible on…

Strongly

agree

Strongly

disagree

male

male

female

female

t-tests significant (p < 0.05)

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Benedikt Höltgen & Johannes Doerflinger 19

Study 1 - Results

Genetic engineering an issue of social justice?

Strongly

agree

Strongly

disagree

t-test significant (p < 0.05), 24% religious

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Benedikt Höltgen & Johannes Doerflinger 20

Study 1 - Results

GE permissible in reproductive medicine?

Strongly

agree

Strongly

disagree

t-tests significant (p < 0.05), 66% had experience with cancer

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Study 1 - Discussion

Ethical opinions on genetic technologies

• Higher confidence for more extreme positions

• Correlations with personal traits:

: >

: >

: >

: >

: >

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Study 1 - Discussion

Limitations

• Groups often unevenly divided → less statistical power

(esp. gender and religiosity)

• Some questionnaire items did not clearly fall under one

category

• Ethical expressions vary in strength

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Study 2 - Introduction

Study 2: Moral Identity (University of Konstanz)

• Moral Identity as an identity goal

• Social roles and other identity goals

• Self-Complexity

Moral identity specifically reflects how important moral concerns are for an

individuals’ sense of self (Jennings et al., 2015) .

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Study 2 – Identity Goals

Identity Goals

• Commitment to act

• Incomplete Goals Tension state

• Self-completion with symbols

• Goals are part of a goal system

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Study 2 – Identity Goals

The motivational force of moral identity depends on other active identity goals

Doerflinger (2018)

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Study 2 – Design

Design

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Study 2 – Results

Identity Goal Activation

3,45

3,55

3,65

3,75

3,85

3,95

Bioethicist Medical Professional

Ag

ree

me

nt

on

Mo

ral V

ign

ette

s

Active Identity Goal

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Study 2 – Results

Identity Goal Commitment

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Study 2 – Results

Self-Complexity

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Study 2 – Results

Self-Complexity

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Study 2 – Results

Self-Complexity

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Study 2 - Discussion

Discussion

• Identity goal activation impacted bioethical judgments

• The relation of identity specific attributes (e.g., self-rated

fairness) and bioethical judgments depends on

commitment

• Self-complexity affects moral self ratings and moral

judgments

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General Discussion

General discussion

Bioethical judgements are highly determined by context:

a) Context of application

b) Individual features

c) Identity goal activation

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General Discussion

Future directions

• Replicate correlational findings

• Identify views specific for genetic technologies

• Role of social and learning context

• Refine measurement of self-complexity and bioethical

views

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Acknowledgements

LMU Munich

Nora Heinzelmann, Luis Hillebrand,

Ophelia Deroy, Viet Tran

University of Konstanz

Peter Gollwitzer, Lea Oppermann

Viet

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Benedikt Höltgen & Johannes Doerflinger 36

Thank you for your attention!

[email protected] [email protected]

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References

References Gaskell, G., Bard, I., Allansdottir, A., Da Cunha, R. V., Eduard, P., Hampel, J., ... &

Meijknecht, A. (2017). Public views on gene editing and its uses. Nature biotechnology

35(11), 1021.

Harman, G. 1999. “Moral Philosophy Meets Social Psychology: Virtue Ethics and the

Fundamental Attribution Error.” Proceedings of the Aristotelian Society 99: 315-331.

Images

https://upload.wikimedia.org/wikipedia/commons/thumb/e/ef/Life_of_a_Cancer_Cell.pn

g/250px-Life_of_a_Cancer_Cell.png

https://upload.wikimedia.org/wikipedia/commons/thumb/6/66/Scissors.svg/1024px-

Scissors.svg.png

https://www.flickr.com/photos/59632563@N04/6104068209

https://svgsilh.com/image/306311.html

https://pixabay.com/de/balance-gerechtigkeit-recht-2755579/

https://svgsilh.com/de/image/44647.html

https://pixabay.com/de/dna-desoxyribonukleins%C3%A4ure-menschen-2789565/

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References

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https://pixabay.com/de/frau-portr%C3%A4t-gesicht-jahrgang-2026337/

https://pixabay.com/de/gruppe-menschen-m%C3%A4nner-frauen-team-148305/

https://pixabay.com/de/jahrgang-schwarz-und-wei%C3%9F-zeichnung-1835812/

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References

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e,_Ludwig_Tieck_(sitzend).jpg

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Additional Graphics

Both significant (p < 0.05), but small correlations

(r-squared = 0.08, 0.04 respectively)

ap-

proval

liberal lower edu. higher edu.

issue

no

issue

conservative

disap-

proval

conservatives see less issues

for social justice

higher educated are less

opposed to genetic

testing/editing

in reproductive medicine

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Additional Graphics

Both significant (p < 0.05), but very small correlations

(r-squared = 0.04 for both)

ap-

proval

disap-

proval issue

no

issue

Younger people more opposed

to non-human genetic testing

Younger people see less

issues for social justice

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Study 1 - Results

Experience with genetic testing

Strongly agree Strongly disagree

t-tests significant (p < 0.05)

experience

experience

no exp.

no exp.

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Study 2 – Additional Results

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Study 2 – Additional Results