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Carrier and presymptomatic genetic testing information can have profound psychological consequences for a patient and the family. American and Canadian professional accreditation standards for clinical genetics state that the health care provider must be prepared to provide psychological support. Through a survey of human/medical genetics journals and texts, this article identifies those protocols that constitute an appropriate standard of care, and examines the legal implications, particularly with regard to the law of medical malpractice.

Mao recently reported results of a survey of Chinese geneticists' views on ethical issues in genetic testing and screening, which are quite different from those of their Western counterparts (Mao 1998). Although this report provides a welcome opportunity to further illuminate the East-West controversy that surrounds the Chinese