Genetic Counselling

Genetic Counselling

Psychological Dimensions

1st Edition - May 28, 1979

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  • Editor: Seymour Kessler
  • eBook ISBN: 9781483288741

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Genetic Counseling: Psychological Dimensions deals with the psychosocial aspects of genetic counseling, specifically the various issues and processes involved. This book is based on two premises: first, genetic counseling deals with human behavior and psychological functioning; and second, a strong kinship exists between genetic counseling and other areas of personal counseling. The book is organized into two major sections. The initial chapters focus on principles of genetic counseling, with an attempt to integrate these with specific counseling practices. The second section consists of eight chapters dealing with representative genetic disorders. This book, therefore, is of importance to all who deal with genetic problems and engage in genetic counseling, regardless of their background or specialty.

Table of Contents

  • List of Contributors



    1 Introduction

    2 The Psychological Foundations of Genetic Counseling

    3 The Processes of Communication,Decision Making and Coping in Genetic Counseling

    Human Communication

    Effective Communication and Effective Counseling

    Decision Making

    Coping Processes




    4 The Counselor-Counselee Relationship

    Models of Counselor-Counselee Relationships

    Genetic Counseling and Behavior Control


    5 The Genetic Counseling Session

    The Structure of the Genetic Counseling Session

    The Intake Phase

    The Initial Contact Phase

    The Middle or Encounter Phase

    Summary Phase



    6 Amniocentesis Counseling

    7 Genetic Counseling for Parents of a Baby with Down's Syndrome

    Structure for Providing Genetic Counseling

    First Clinic Visit

    Second Clinic Visit

    The Counseling Process

    Understanding the Counselee's Pain

    Genetic Information

    Options for Dealing with the Recurrence Risk

    Developmental Issues

    Evaluating the Outcome

    Good Case Management

    Role of the Counselor

    Counselor Characteristics



    8 Psychological Issues in Genetic Counseling of Phenylketonuria

    The Genetics of PKU

    Dietary Treatment

    Newborn Screening Programs

    Maternal PKU

    Psychological Aspects

    The Phenylketonuric Family

    Summary—Issues in Genetic Counseling

    Case Illustrations


    9 Psychological Issues in the Genetic Counseling of Cystic Fibrosis

    Clinical Aspects

    Emotional Issues

    Social Considerations

    Therapeutic Issues


    10 Applied Behavioral Genetics: Counseling and Psychotherapy in Sex-Chromsomal Disorders

    Turner's Syndrome

    Klinefelter's Syndrome

    47,XYY Syndrome



    11 Psychological Issues in Sickle Cell Counseling

    Self-Image and Sickle Cell

    Misconceptions about Sickle Cell

    Apprehensions about Restrictions on Social Opportunity

    Iatrogenic Complications of Testing and Counseling

    Psychological Effects of Sickle Cell Related to Stage of Life

    Content of Counseling

    Determinants of Decision Making by Clients


    12 Genetic "Russian Roulette": The Experience of Being "At Risk" for Huntington's Disease

    Reactions to HD Symptomatology

    Genetic Disease and Family Dynamics

    "Waiting for Godot"

    Subjective Prediction: Second Guessing the Unknown through Magic

    Predictive Tests

    Family Planning and Prediction

    Learning to Live in Limbo

    Psychotherapeutic Suggestions

    13 Genetic Counseling and Cancer

    Cancer as a Unique Genetic Counseling Problem

    A Colon-Cancer-Prone Family

    Family Management and Education

    The Physician and Genetic Counseling

    Dissemination of Genetic Risk Information

    Divergent Responses to Risk Information

    Heritable Cancer Syndromes Amenable to Genetic Counseling

    Physical Stigmata in Hereditary Precancerous Disorders

    Gardner's Syndrome

    Multiple Nevoid Basal Cell Carcinoma Syndrome

    Testicular Feminization Syndrome

    National Familial Cancer Registry System

    Summary and Conclusions


    Subject Index

Product details

  • No. of pages: 272
  • Language: English
  • Copyright: © Academic Press 1979
  • Published: May 28, 1979
  • Imprint: Academic Press
  • eBook ISBN: 9781483288741

About the Editor

Seymour Kessler

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