Title Psychosocial genetic counseling / Jon Weil

Published New York : Oxford University Press, 2000

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Description 1 online resource (xvi, 297 pages) : illustrations Series Oxford monographs on medical genetics ; no. 41 Oxford monographs on medical genetics ; no. 41. Contents 1 The Counselee as Individual -- Pregnancy, Childbirth, and the Psychosocial Meanings of Parenthood -- Coping Strategies -- The Search for Meaning -- Psychological Defenses -- The Coping Process -- Self-esteem and Narcissistic Injury -- Grief and Mourning -- Guilt and Shame -- 2 The Counselee in a Social Context -- Family Structure -- The Family in a Temporal and Social Context -- Family Belief Systems -- Communication -- Couples -- Social Isolation and Social Support -- Religion -- 3 Techniques of Psychosocial Genetic Counseling Unconditional Positive Regard, Empathy, and Genuineness -- Informed Observation -- Developing Emotional Intensity -- Reducing Emotional Intensity -- Presentation of Self -- Promoting Competence and Autonomy -- Reframing -- Modeling and Role Play -- Addressing Guilt and Shame -- Giving Bad News -- Mental Health Referrals -- Countertransference -- 4 The Structure of Psychosocial Genetic Counseling -- Initial Contacts -- Introductions -- Beliefs, Understanding, and Questions -- Agendas -- The Pedigree as a Psychosocial Instrument -- Presenting Information -- Meeting with Subsets of Counselees Closing the Session -- Follow-up -- 5 Nondirective Counseling, Risk Perception, and Decision Making -- Nondirective Genetic Counseling -- Risk Perception and Interpretation -- Decision Making -- 6 Specific Counseling Situations and Counselees -- Prenatal Diagnosis Counseling -- Cancer Risk Counseling -- Genetic Counseling with Children -- Genetic Counseling with Adolescents -- 7 The Ethnocultural Imperative -- Culture and Ethnocultural Identity -- Cultures and Cultural Differences -- Ethnocultural History and Social Experience -- Institutional and Social Barriers to Services Ethnocultural Self-awareness -- Cross-Cultural Generic Counseling Techniques -- Reducing Institutional and Social Barriers -- 8 Genetic Counseling in an Expanding Social Context -- Resistance to Genetic Screening, Testing, and Counseling for Reproductive Issues -- Critiques -- The Voices of Individuals Affected by Genetic Disease, Birth Defects, and Disabilities -- Genetic Counseling: Content and Context -- References -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- M -- N -- P -- Q -- R -- S -- T -- U -- V -- W Summary Psychosocial issues are integral to all genetic counselling interactions. They include counsellees' beliefs about the cause of birth defects and genetic disorders, the cognitive procession of medical information and risk figures, emotions such as anxeity and guilt, and the complex process of decision making. Drawing on direct clinical experience and the growing body of relevant literatue, Psychosocial Genetic Counseling provides a comprehensive, integrated approach to understanding these issues and their applications to genetic counselling. The book combines theoretical and practical approaches, including many clinical vignettes and examples of dialogue. It is written in an engaging style that conveys the emotional immediacy of genetic counselling. The emotional and social effects of genetic disorders are discussed with reference to the individual and to couple, family, and social interactions. Counselling techniques and the agenda of the genetic counselling session are then addressed in detail. Specialized aspects of prenatal diagnosis counselling, cancer risk counselling, and genetic counselling with children and adolescents are integrated with these general principles.; Nondirective counselling and the psychology of risk interpretation and decision making are discussed from theoretical and historical perspectives, leading to recommendations for their application to clinical practice. The influences of ethnocultural history, beliefs and practices, for counsellee and counsellor, are then discussed as they enter into all aspects of genetic counselling Bibliography Includes bibliographical references (pages 273-291) and index Notes Print version record Subject Genetic counseling -- Psychological aspects Genetic counseling -- Social aspects Genetic counseling. Genetic Counseling Genetic Predisposition to Disease -- psychology HEALTH & FITNESS -- Diseases -- Genetic. MEDICAL -- Genetics. Genetic counseling Genetic counseling -- Psychological aspects Genetic counseling -- Social aspects Form Electronic book LC no. 00020614 ISBN 9780199747740 0199747741 1280759933 9781280759932

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