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The first book devoted exclusively to the principles and
practice of genetic counseling--now in a new edition
First published in 1998, A Guide to Genetic Counseling
quickly became a bestselling and widely recognized text, used
nationally and internationally in genetic counseling training
programs. Now in its eagerly anticipated Second Edition, it
provides a thoroughly revised and comprehensive overview of genetic
counseling, focusing on the components, theoretical framework, and
unique approach to patient care that are the basis of this
profession. The book defines the core competencies and covers the
genetic counseling process from case initiation to
completion--in addition to addressing global professional
issues--with an emphasis on describing fundamental principles
and practices.
Chapters are written by leaders in the field of genetic
counseling and are organized to facilitate academic instruction and
skill attainment. They provide the most up-to-date coverage of:
The history and practice of genetic counseling
Family history
Interviewing
Case preparation and management
Psychosocial counseling
Patient education
Risk communication and decision-making
Medical genetics evaluation
Understanding genetic testing
Medical documentation
Multicultural counseling
Ethical and legal issues
Student supervision
Genetic counseling research
Professional development
Genetics education and outreach
Evolving roles and expanding opportunities
Case examples
A Guide to Genetic Counseling, Second Edition belongs on
the syllabi of all medical and human genetics and genetic
counseling training programs. It is an indispensable reference for
both students and healthcare professionals working with patients
who have or are at risk for genetic conditions.
Autorentext
Wendy R. Uhlmann, MS, CGC is the genetic counselor/clinic
coordinator of the Medical Genetics Clinic at the University of
Michigan. She is a Clinical Instructor in the Department of Human
Genetics and an executive faculty member of the genetic counseling
training program.
Jane L. Schuette, MS, CGC has been a genetic counselor
for 26 years ansd is currently genetic counselor and clinic
coordinator in the Division of Pediatric Genetics at the University
of Michigan Health System.
Beverly M. Yashar, MS, PhD, CGC is the program director
for the genetic counseling graduate training program in the
Department of Human Genetics at the University of Michigan.
Zusammenfassung
The first book devoted exclusively to the principles and practice of genetic counselingnow in a new edition
First published in 1998, A Guide to Genetic Counseling quickly became a bestselling and widely recognized text, used nationally and internationally in genetic counseling training programs. Now in its eagerly anticipated Second Edition, it provides a thoroughly revised and comprehensive overview of genetic counseling, focusing on the components, theoretical framework, and unique approach to patient care that are the basis of this profession. The book defines the core competencies and covers the genetic counseling process from case initiation to completionin addition to addressing global professional issueswith an emphasis on describing fundamental principles and practices.
Chapters are written by leaders in the field of genetic counseling and are organized to facilitate academic instruction and skill attainment. They provide the most up-to-date coverage of:
The history and practice of genetic counseling
Family history
Interviewing
Case preparation and management
Psychosocial counseling
Patient education
Risk communication and decision-making
Medical genetics evaluation
Understanding genetic testing
Medical documentation
Multicultural counseling
Ethical and legal issues
Student supervision
Genetic counseling research
Professional development
Genetics education and outreach
Evolving roles and expanding opportunities
Case examples
A Guide to Genetic Counseling, Second Edition belongs on the syllabi of all medical and human genetics and genetic counseling training programs. It is an indispensable reference for both students and healthcare professionals working with patients who have or are at risk for genetic conditions.
Inhalt
Foreword xv
Preface xvii
Contributors xix
1 The Practice of Genetic Counseling 1
Ann P. Walker
The Practice of Genetic Counseling 1
Definition and Goals of Genetic Counseling 5
Components of the Genetic Counseling Interaction 11
Counseling Contexts and Situations 14
Providers of Genetic Counseling 16
Professional and Educational Landmarks in Genetic Counseling 19
Professional Growth and Skill Acquisition 25
Appendix: Practice-Based Competencies 26
Genetic Counselors' Scope of Practice 30
References 32
2 The Ultimate Genetic Tool: The Family History 37
Jane L. Schuette and Robin L. Bennett
The Evolution of the Pedigree 38
Family History Basics 40
Gathering the Information and Constructing a Pedigree 43
Interpreting the Family History and Pedigree Analysis 57
Psychosocial Aspects of Obtaining a Family History 63
Summary 64
References 65
3 Interviewing: Beginning to See Each Other 71
Kathryn Spitzer Kim
Getting Started 71
Breaking the Ice 72
Setting the Stage: Core Qualities 73
Creating a Working Agreement 76
Verbal and Nonverbal Communication 80
Specific Interviewing Techniques 83
Obtaining Pedigrees 88
Assessment 89
Summary 90
Acknowledgments 90
References 90
4 Thinking It All Through: Case Preparation and Management 93
Wendy R. Uhlmann
Introduction 93
The Initial Intake 95
Billing Issues for Genetics Clinic Visits 96
Preparing a Case 97
Finding Information on Genetic Conditions 102
Practice Guidelines 103
Finding SupportAdvocacy Groups and Patient Resources 104
Performing a Risk Assessment 106
Locating and Developing Counseling Aids 112
Genetic Testing 113
Managing the Clinic Visit 125
Referrals to Other Specialists 128
Referrals of Family Members to Genetics Clinics 128
Case Documentation 129
Is a Genetics Case Ever Complete? 129
Conclusions 129
References 130
5 Psychosocial Counseling 133
Luba Djurdjinovic
Introduction 133
Psychosocial Assessment and the Structure of a Session 135
The Patient's Story 136
Achieving Dynamic Psychological Engagement: The Working Alliance 137
Disruptions in the Working Alliance 144
Discussing Difficult Issues and Giving Bad News 148
Reactions and Psychologically Challenging Experiences 151
Counselees' Coping Styles 154
Theories that Surround Our Work 155
Men in Our Practice 165
Supervision: Refining the Psychological Lens 166
Conclusion 167
References 168
6 Patient Education 177
Ann C.M. Smith and Toni I. Pollin
Sharing Expertise 178
Adult Learners 179
Models of Adult Learning 180
Genetic Counseling in the Information Age 181
The Genetic Counseling Session----A Vehicle for Patient Education 182
Additional Aspects of Patient Learning 188
Application of Instructional Aids for Patient Education 193
Tenets of Health Education and Promotion: Application to Genetic Counseling 196
Future Directions 200
Summary 201
References 201
7 Risk Communication and Decision-Making 207
Bonnie Jeanne Baty
Factors Impacting Risk Communication 208
Models of Risk Communication 213
Practical Aspects of Communicating Risk 213
The Family and Risk Communication 219 Factors Impacting Decision-Making 225</p...