Abstract
This article is a response to the case of SA presented by O'Daniel and Wells. In this response I support the approach used with the patient, and discuss and expand on the applicability of a crisis intervention model to genetic counseling. In addition, I explore the issue of autonomy and informed decision making for patients who are in crisis. I also discuss the surface contradiction between the mandate for nondirectiveness and the need to provide direction during crisis intervention are discussed and reframe the issue as one of process versus content directiveness. I argue that during times of crisis, genetic counselors may need to direct process in order for patients to be able to make autonomous decisions.
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REFERENCES
Anderson G (1999) Nondirectiveness in prenatal genetics: Patients read between the lines. Nurs Ethics 6:126.
Applebaum P, Lidz C, Meisel A (1987) Informed Consent: Legal Theory and Clinical Practice. New York: Oxford University Press.
Bartels D, LeRoy B, McCarthy P, Caplan A (1997) Nondirectiveness in genetic counseling: A survey of practitioners. Am J Med Genet 72:172.
Golan N (1978) Treatment in Crisis Situations. New York: Free Press.
Green J, Lee M, Trask R, Reinsheld J (2000) How to work with clients' strengths in crisis intervention: A solution-focused approach: In: Robert A (ed) Crisis Intervention Handbook: Assessment, Treatment, Research. New York: Oxford University Press, pp 31–55.
Hepworth D, Rooney R, Larson J (2002) Direct Social Work Practice: Theory and Skills, 6th edn. Pacific Grove, CA: Books/Cole.
Kessler S (1997) Psychological aspects of genetic counseling. XI. Nondirectiveness revisited. Am J Med Genet 72:164.
Parad H (1971) Crisis intervention. In: Morris R (ed) Encyclopedia of Social Work, 16th edn. New York: National Association of Social Workers, pp 196–202.
Payne M (1991) Crisis intervention and task-centered models. In: Payne M (ed) Modern Social Work Theory: A Critical Introduction. Chicago, IL: Lyceum Books, pp 101–117.
Ragg D (2001) Building Effective Helping Skills: The Foundation of Generalist Practice. Boston, MA: Allyn and Bacon.
Roberts A (2000) An overview of crisis theory and crisis intervention. In: Roberts A (ed) Crisis Intervention Handbook: Assessment, Treatment, Research. New York: Oxford University Press, pp 1–30.
Werman D (1984) The Practice of Supportive Psychotherapy. New York: Brunner/Mazel.
Witmer J, Wedl L, Black B (1986) Genetic counseling: Ethical and professional role implications. J Couns Dev 64:337.
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Scheyett, A.M. Approaching Complex Cases With a Crisis Intervention Model and Teamwork: A Commentary. Journal of Genetic Counseling 11, 377–382 (2002). https://doi.org/10.1023/A:1016837630517
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DOI: https://doi.org/10.1023/A:1016837630517