VIRTUOUS INDECISIVENESS: Structural Moral Ambivalence and the Tentative Implementation of Non-Invasive Prenatal Testing in Japan

Anthropological engagement with moralities and ethics assumes that people evaluate themselves and others according to their notions of good and bad; yet little is known about how people evaluate the quality of their deliberations. Such evaluations of the seriousness of ethical deliberations prevail in Japan's genetic counseling for pregnant couples considering NIPT, a maternal blood test early in pregnancy that does not endanger the pregnancy but might lead to termination dilemmas. These deliberations are based on the idea that the ambivalence over whether to provide or undergo a po-tentially selective test is virtuous. This article examines how Japanese policymakers, medical professionals, genetic counselors, and pregnant couples make decisions within social settings that valorize indecisiveness. Ambivalence emerges as the cognitive skill of seeing complexity clearly. How people and their ethnographers evaluate the quality of ethical deliberations is essential to contemplate if we are to understand how people seek to lead a moral life. [ethicalization; ambivalence; virtue; prenatal diagnosis; genetic counseling; reproductive decisions; local moralities and ethics; Japan]

Automated summary

This article examines the importance of indecisiveness in ethical deliberations within the context of genetic counseling in Japan, and emphasizes the need to evaluate the quality of these deliberations in order to understand how people seek a moral life.