Skip to main content

Family Communication of Genomic Information

  • Chapter
  • First Online:
Handbook of Genomics and the Family

Part of the book series: Issues in Clinical Child Psychology ((ICCP))

Abstract

Genetic information is inherently both personal and familial. While knowledge of personal genetic risk often generates information relevant to other family members (information flow from consultand to relatives), in many situations the first suspicion of genetic risk is itself prompted by shared information within a family, that is, the family history (information flow from relatives to consultand). Thus, except in contexts where genetic testing is offered to all members of a general target population (e.g., newborn screening), the discovery or clarification of genetic risk generally depends on the sharing of information between family members. In clinical genetics as practiced in Western culture, therefore, there is a paradoxical situation in which family information is often pivotal in risk assessment procedures, but an individual consultand, whose genetic status may have been clarified through the sharing of “family information,” may also have the right to prevent disclosure of what is now “personal information” to other family members.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aktan-Collan, K., Haukkala, A., Pylvänäinen, K., Järvinen, H., Aaltonen, L., Peltomäki, P., et al. (2007). Direct contact in inviting high-risk members of hereditary colon cancer families to genetic counseling and DNA testing. Journal of Medical Genetics, 44, 732–738.

    PubMed  Google Scholar 

  • American Society of Clinical Oncology. (2003). American Society of Clinical Oncology Policy Statement update: Genetic testing for cancer susceptibility. Journal of Clinical Oncology, 21, 2397–2406.

    Google Scholar 

  • American Society of Human Genetics BoD, & American College of Medicine Genetics BoD. (1995). Points to consider: Ethical, legal and psychosocial implications of genetic testing in children and adolescents. American Journal of Human Genetics, 57, 1233–1241.

    Google Scholar 

  • American Society of Human Genetics. (1998). Professional disclosure of familial genetic information. American Journal of Human Genetics, 62, 474–483.

    Google Scholar 

  • Annas, G. J., Glantz, L. H., & Roche, P. A. (1995). Drafting the Genetic Privacy Act: Science, policy and practical consideration. Journal of Law, Medicine and Ethics, 23, 360–366.

    Google Scholar 

  • Bandura, A. (1977). Social learning theory. Upper Saddle River, NJ: Prentice Hall.

    Google Scholar 

  • Barlow-Stewart, K., & Keays, D. (2001). Genetic discrimination in Australia. Journal of Law and Medicine, 8, 250–262.

    Google Scholar 

  • Barlow-Stewart., K., Yeo, S. S., Meiser, B., Goldstein, D., Tucker, K., & Eisenbruch, M. (2006). Toward cultural competence in cancer genetic counseling and genetics education: Lessons learned from Chinese-Australians. Genetics in Medicine, 8, 24–32.

    PubMed  Google Scholar 

  • Barsevick, A., Montgomery, S., Ruth, K., Ross, E., Egleston, B., Bingler, R., et al. (2008). Intention to communication BRCA1/BRCA2 genetic test results to the family. Journal of Family Psychology, 22, 303–312.

    PubMed  Google Scholar 

  • Billings, P., Kohn, M., Cuevas, M., Beckwith, J., Alper, J., & Natowicz, M. (1992). Discrimination as a consequence of genetic testing. American Journal of Human Genetics, 50, 476–482.

    PubMed  Google Scholar 

  • Bish, A., Sutton, S., Jacobs, C., Levene, S., Ramirez, A., & Hodgson, S. (2002). No news is (not necessarily) good news: Impact of preliminary results for BRCA1 mutation searches. Genetics in Medicine, 4, 353–358.

    PubMed  Google Scholar 

  • Bloch, M., & Hayden, M. R. (1990). Opinion: Predictive testing for Huntington disease in childhood: Challenges and implications. American Journal of Human Genetics, 46, 1–4.

    PubMed  Google Scholar 

  • Clarke, S., Butler, K., & Esplen, M. J. (2008). The phases of disclosing BRCA 1/2 genetic information to offspring. Psycho-Oncology, 17, 797–803.

    PubMed  Google Scholar 

  • Clarke, A., Richards, M., Kerzin Storrar, L., Halliday, J., Young, M., Simpson, S., et al. (2005). Genetic professionals’ reports of nondisclosure of genetic risk information within families. European Journal of Human Genetics, 13, 556–562.

    PubMed  Google Scholar 

  • Clinical Genetics Society. (1994). The genetic testing of children. Working Party of the Clinical Genetics Society (UK). Journal of Medical Genetics, 31, 785–797.

    Google Scholar 

  • Cox, S. (2003). Stories in decisions: How at-risk individuals decide to request predictive testing for Huntington disease. Qualitative Sociology, 26, 257–280.

    Google Scholar 

  • Cox, S., & McKellin, W. (1999). “There’s this thing in our family” Predictive testing and the construction of risk for Huntington disease. Sociology of Health and Illness, 21, 622–646.

    Google Scholar 

  • Crabb, J., Tucker, D., & Young Mun, E. (2005). The effect of preventability and severity levels of a genetic disorder on desire to communicate genetic testing information to family members. Genetic Testing, 9, 320–327.

    PubMed  Google Scholar 

  • d’Agincourt-Canning, L. (2001). Experiences of genetic risk: Disclosure and the gendering of responsibility. Bioethics, 15, 231–247.

    PubMed  Google Scholar 

  • d’Agincourt-Canning, L. (2006). Genetic testing for hereditary breast and ovarian cancer: Responsibility and choice. Qualitative Health Research, 16, 97–118.

    Google Scholar 

  • DeMarco, T., & McKinnon, W. (2007). Life after BRCA 1/2 testing: Family communication and support issues. Breast Disease, 27, 127–136.

    Google Scholar 

  • Denayer, L., De Boeck, K., Evers-Kiebooms, G., & van den Berghe, H. (1992). The transfer of information about genetic transmission to brothers and sisters of parents with a CF-child. Birth Defects, 28, 149–158.

    PubMed  Google Scholar 

  • Dillard, J., & Tluczak, A. (2005). Information flow after a positive newborn screening for cystic fibrosis. Journal of Pediatrics, 147(Supp 3), S94–S97.

    PubMed  Google Scholar 

  • Doukas, D. (2003). Genetics providers and the family covenant: Connecting individuals with their families. Genetic Testing, 7, 315–321.

    PubMed  Google Scholar 

  • Duncan, R. E., Savulescu, J., Gillan, L., Williamson, R., & Delatycki, M. B. (2005). An international survey of predictive genetic testing in children for adult onset conditions. Genetics in Medicine, 7, 390–396.

    PubMed  Google Scholar 

  • Eisenbruch, M., Yei, S. S., Meiser, B., Goldstein, D., Tucker, K., & Barlow-Stewart, K. (2004). Optimising clinical practice in cancer genetics with cultural competence: Lessons to be learned with ethnographic research with Chinese-Australians. Social Science and Medicine, 59, 235–248.

    PubMed  Google Scholar 

  • Elwyn, G., Gray, J., & Clarke, A. (2000). Shared decision making and non-directiveness in genetic counseling. Journal of Medical Genetics, 37, 135–138.

    PubMed  Google Scholar 

  • Esplen, M. J., Hunter, J., Leszcz, M., Warner, E., Narod, S., Metcalfe, K., et al. (2004). A multicenter study of supportive-expressive group therapy for women with BRCA1/BRCA2 mutations. Cancer, 101, 2327–2340.

    PubMed  Google Scholar 

  • Etchegary, H. (2006). Discovering the family history of Huntington disease. Journal of Genetic Counseling, 15, 105–117.

    PubMed  Google Scholar 

  • Etchegary, H. (2007). “There’s not really a stigma, but…:” Perceptions of stigma among those at risk for Huntington disease. Qualitative Research in Psychology, 4, 65–84.

    Google Scholar 

  • Evers-Kiebooms, G., & Decruyenaere, M. (1998). Predictive testing for Huntington’s disease: A challenge for persons at risk and for professionals. Patient Education and Counseling, 35, 15–26.

    PubMed  Google Scholar 

  • Farkas Patenaude, A., Dorval, M., DiGianni, L., Schneider, K., Chittenden, A., & Garber, J. (2006). Sharing BRCA 1/2 test results with first-degree relatives: Factors predicting who women tell. Journal of Clinical Oncology, 24, 700–706.

    Google Scholar 

  • Festinger, L. (1954). A theory of social comparison processes. Human Relations, 7, 117–140.

    Google Scholar 

  • Finlay, E., Stopfer, J., Burlingame, E., Goldfeder Evans, K., Nathanson, K., Weber, B., et al. (2008). Factors determining dissemination of results and uptake of genetic testing in families with known BRCA 1/2 mutations. Genetic Testing, 12, 81–91.

    PubMed  Google Scholar 

  • Forrest Keenan, K., Simpson, S., Wilson, B., van Teijlingen, E., McKee, L., Haites, N., et al. (2005). It’s their blood not mine. Who’s responsible for (not) telling relatives about genetic risk? Health, Risk, and Society, 7, 209–226.

    Google Scholar 

  • Forrest, L., Curnow, L., Delatycki, M., Skene, L., & Aitken, M. (2008). Health first, genetics second: Exploring families’ experiences of communicating genetic information. European Journal of Human Genetics, 16, 1329–1335.

    PubMed  Google Scholar 

  • Forrest, L., Delatycki, M., Skene, L., & Aitken, M. (2007). Communicating genetic information in families – a review of guidelines and position papers. European Journal of Human Genetics, 15, 612–618.

    PubMed  Google Scholar 

  • Forrest, K., Simpson, S., Wilson, B., van Teijlingen, E., McKee, L., Haites, N., et al. (2003). To tell or not to tell: Barriers and facilitators in family communication about genetic risk. Clinical Genetics, 64, 317–326.

    PubMed  Google Scholar 

  • Frank, A. (1998). Just listening: Narrative and deep illness. Families, Systems and Health, 16, 197–212.

    Google Scholar 

  • Fryer, A. (1997). The genetic testing of children. Journal of the Royal Society of Medicine, 90, 419–421.

    PubMed  Google Scholar 

  • Gaff, C., Clarke, A., Atkinson, P., Sivell, S., Elwyn, G., Iredale, R., et al. (2007). Process and outcome in communication of genetic information within families: A systematic review. European Journal of Human Genetics, 15, 999–1011.

    PubMed  Google Scholar 

  • Gaff, C., Collins, V., Symes, T., & Halliday, J. (2005). Facilitating family communication about predictive genetic testing: Probands’ perceptions. Journal of Genetic Counseling, 14, 133–140.

    PubMed  Google Scholar 

  • Genetic Information Nondiscrimination Act. (2008, May 21). Genetic Information Nondiscrimination Act of 2008, Public Law No. 110-233, 122 Stat. 881

    Google Scholar 

  • Gostin, L. O. (1995). Genetic privacy. Journal of Law, Medicine and Ethics, 23, 320–330.

    Google Scholar 

  • Gostin, L. O., & Hodge, J. G., Jr. (1999). Genetic privacy and the law: An end to genetic exceptionalism. Jurimetrics, 40, 21–58.

    Google Scholar 

  • Gregory, M., Boddington, P., Dimond, R., Atkinson, P., Clarke, A., & Collins, P. (2007). Communicating about haemophilia within the family: The importance of context and of experience. Haemophilia, 13, 189–198.

    PubMed  Google Scholar 

  • Guttmacher, A., & Collins, F. (2003). Ethical, legal, and social implications of genomic medicine. The New England Journal of Medicine, 349, 562–569.

    Google Scholar 

  • Hall, M., & Rich, S. (2000). Patients’ fear of genetic discrimination by health insurers: The impact of legal protections. Genetics in Medicine, 2, 214–221.

    PubMed  Google Scholar 

  • Hallowell, N., Arden-Jones, A., Eeles, R., Foster, C., Lucassen, A., Moynihan, C., et al. (2006). Guilt, blame and responsibility: Men’s understanding of their role in the transmission of BRCA1/2 mutations within their family. Sociology of Health and Illness, 28, 969–988.

    PubMed  Google Scholar 

  • Hallowell, N., Foster, C., Eeles, R., Ardern-Jones, A., Murday, V., & Watson, M. (2003). Balancing autonomy and responsibility: The ethics of generating and disclosing genetic information. Journal of Medical Ethics, 29, 74–83.

    PubMed  Google Scholar 

  • Hamilton, R., Bowers, B., & Williams, J. (2005). Disclosing genetic test results to family members. Journal of Nursing Scholarship, 37, 18–24.

    PubMed  Google Scholar 

  • Hodgkinson, K. A., Parfrey, P. S., Bassett, A. S., Kupprion, C., Drenckhahn, J., Norman, M. W., et al. (2005). The impact of implantable cardioverter-defibrillator therapy on survival in autosomal dominant arrhythmogenic right ventricular cardiomyopathy (ARVD5). Journal of the American College of Cardiology, 45, 400–408.

    PubMed  Google Scholar 

  • Holt, K. (2006). What do we tell the children? Contrasting the disclosure choices of two HD families regarding risk status and predictive genetic testing. Journal of Genetic Counseling, 15, 253–265.

    PubMed  Google Scholar 

  • Hudson, K., Rothenberg, K., Andrews, L., Kahn, M., & Collins, F. (1995). Genetic discrimination and health insurance: An urgent need for reform. Science, 270, 391–393.

    PubMed  Google Scholar 

  • Kasparian, N., Wakefield, C., & Meiser, B. (2007). Assessment of psychosocial outcomes in genetic counseling research: An overview of available measurement scales. Journal of Genetic Counseling, 16, 693–712.

    PubMed  Google Scholar 

  • Kenen, R., Ardern-Jones, A., & Eeles, R. (2003). Family stories and the use of heuristics: Women from suspected hereditary breast and ovarian cancer (HBOC) families. Sociology of Health and Illness, 25, 838–865.

    PubMed  Google Scholar 

  • Khoury, M. J. (2003). Genetics and genomics in practice: The continuum from genetic disease to genetic information in health and disease. Genetics in Medicine, 5, 261–268.

    PubMed  Google Scholar 

  • Khoury, M. J., Millikan, R., Little, J., & Gwinn, M. (2004). The emergence of epidemiology in the genomics age. International Journal of Epidemiology, 33, 936–944.

    PubMed  Google Scholar 

  • Klitzman, R., Thorne, D., Williamson, J., Chung, W., & Marder, K. (2007). Disclosures of Huntington disease risk within families: Patterns of decision-making and implications. American Journal of Medical Genetics Part A, 143, 1835–1849.

    Google Scholar 

  • Koehly, L., Peterson, S., Watts, B., Kempf, K., Vernon, S., & Gritz, E. (2003). A social network analysis of communication about hereditary nonpolyposis colorectal cancer genetic testing and family functioning. Cancer, Epidemiology, Biomarkers, and Prevention, 12, 304–313.

    Google Scholar 

  • Koenig Kellas, J. (2005). Family ties: Communicating identity through jointly told family stories. Communication Monographs, 72, 365–389.

    Google Scholar 

  • Kohut, K., Manno, M., Gallinger, S., & Esplen, M. (2007). Should healthcare providers have a duty to warn family members of individuals with an HNPCC-causing mutation? A survey of patients from the Ontario Familial Colon Cancer registry. Journal of Medical Genetics, 44, 404–407.

    PubMed  Google Scholar 

  • Lehmann, L., Weeks, J., Klar, N., Biener, L., & Garber, J. (2000). Disclosure of familial genetic information: Perceptions of the duty to inform. American Journal of Medicine, 109, 705–711.

    PubMed  Google Scholar 

  • Lucassen, A. (2007). Should families own genetic information? Yes. BMJ, 335, 22.

    PubMed  Google Scholar 

  • MacDonald, D., Sarna, L., van Servellen, G., Bastani, R., Newman Giger, J., & Weitzel, J. (2007). Selection of family members for communication of cancer risk and barriers to this communication before and after genetic cancer risk assessment. Genetics in Medicine, 9, 275–282.

    PubMed  Google Scholar 

  • Malpas, P. (2006). Why tell asymptomatic children of the risk of an adult-onset disease in the family but not test them for it? Journal of Medical Ethics, 32, 639–642.

    PubMed  Google Scholar 

  • Marteau, T. M. (1994). The genetic testing of children. Journal of Medical Genetics, 31, 743.

    PubMed  Google Scholar 

  • McAllister, M. (2002). Predictive genetic testing and beyond: A theory of engagement. Journal of Health Psychology, 7, 491–508.

    PubMed  Google Scholar 

  • McAllister, M., Payne, K., Nicholls, S., MacLeod, R., Donnai, D., & Davies, L. (2007). Improving service evaluation in clinical genetics: Identifying effects of genetic diseases on individuals and families. Journal of Genetic Counseling, 16, 71–78.

    PubMed  Google Scholar 

  • McConkie-Rosell, A., & Spiridigliozzi, G. (2004). Family matters: A conceptual framework for genetic testing in children. Journal of Genetic Counseling, 13, 9–29.

    PubMed  Google Scholar 

  • McGivern, B., Everett, J., Yager, G., Baumiller, R., Hafertepen, A., & Saal, H. (2004). Family communication about positive BRCA1 and BRCA2 genetic test results. Genetics in Medicine, 6, 503–509.

    PubMed  Google Scholar 

  • Mesters, I., Ausems, M., Eichhorn, S., & Vasen, H. (2005). Informing one’s family about genetic testing for hereditary non-polyposis colorectal cancer (HNPCC): A retrospective exploratory study. Familial Cancer, 4, 163–167.

    PubMed  Google Scholar 

  • Metcalfe, A., Coad, J., Plumridge, G., Gill, P., & Farndon, P. (2008). Family communication between children and their parents about inherited genetic conditions: A meta-synthesis of the research. European Journal of Human Genetics, 16, 1193–1200.

    PubMed  Google Scholar 

  • Michie, S. (1996). Predictive testing in children: Paternalism or empiricism? In T. Marteau & M. Richards (Eds.), The troubled helix: Social and psychological implications of the new human genetics (pp 177–186). Cambridge: Cambridge University Press.

    Google Scholar 

  • Michie, S., & Marteau, T. M. (1996). Predictive genetic testing in children: The need for psychological research. British Journal of Health Psychology, 1, 3–14.

    Google Scholar 

  • Miller, S. (1996). Monitoring/blunting of threatening information: Cognitive interference and facilitation in the coping process. In I. G. Sarason, G. R. Pierce, & B. R., Sarason (Eds.), Cognitive interference: Theories, methods and findings (pp. 175–190). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • National Consultative Ethics Committee for Health and Life Sciences (2003). Opinion No. 76. Regarding the obligation to disclose genetic information of concern to the family in the event of medical necessity, April 24, 2003. Retrieved from http://www.ccne-ethique.fr/docs/en/avis076.pdf

  • National Society of Genetic Counselors. (2002). Position statement 4: Confidentiality of test results. Retrieved from http://www.nsgc.org/about/position.cfm

  • Olson, D. (2000). Circumplex model of marital and family systems. Journal of Family Therapy, 22, 144–167.

    Google Scholar 

  • Olson, D., Russell, C., & Sprehkle, D. (1989). Circumplex model in systemic assessment and treatment of families. New York: Haworth Press.

    Google Scholar 

  • Ormond, K., Mills, P., Lester, L., & Ross, L. (2003). Effect of family history on disclosure patterns of cystic fibrosis carrier status. American Journal of Medical Genetics, Part C, 119, 70–77.

    Google Scholar 

  • Parker, M., & Lucassen, A. (2004). Genetic information: A joint account? BMJ, 329, 165–167.

    PubMed  Google Scholar 

  • Parsons, E., & Atkinson, P. (1992). Lay constructions of genetic risk. Sociology of Health and Illness, 14, 437–455.

    Google Scholar 

  • Pentz, R., Peterson, S., Watts, B., Vernon, S., Lynch, R., Koehly, L., et al. (2005). Hereditary nonpolyposis colorectal cancer family members’ perceptions about the duty to inform and health professionals’ role in disseminating genetic information. Genetic Testing, 9, 261–268.

    PubMed  Google Scholar 

  • Petersen, A. (2006). The best experts: The narratives of those who have a genetic condition. Social Science and Medicine, 63, 32–42.

    PubMed  Google Scholar 

  • Peterson, S., Watts, B., Koehly, L., Vernon, S., Baile, W., Kohlmann, W., et al. (2003). How families communicate about HNPCC genetic testing: Findings from a qualitative study. American Journal of Medical Genetics Part C, 119, 78–86.

    Google Scholar 

  • Pincus, L., & Dare, C. (1978). Secrets in the family. London: Faber & Faber.

    Google Scholar 

  • President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. (1983). Screening and counseling for genetic conditions: The ethical, social, and legal implications of genetic screening, counseling, and education programs. US Government Printing Office, Washington, DC.

    Google Scholar 

  • Richards, M. P. M. (1996). Families, kinship and genetics. In T. Marteau & M. Richards (Eds.), The troubled helix: Social and psychological implications of the new human genetics (pp. 247–273). Cambridge: Cambridge University Press.

    Google Scholar 

  • Rolland, J., & Williams, J. (2005). Toward a biopsychosocial model for 21st century genetics. Family Process, 44, 3–24.

    PubMed  Google Scholar 

  • Segal, J., Esplen, M. J., Toner, B., Baedorf, S., Narod, S., & Butler, K. (2004). An investigation of the disclosure process and support needs of BRCA1 and BRCA2 carriers. American Journal of Medical Genetics, 125A, 267–272.

    PubMed  Google Scholar 

  • Sermijn, E., Goelen, G., Teugels, E., Kaufman, L., Bonduelle, M., Neyns, B., et al. (2004). The impact of proband mediated information dissemination in families with a BRCA1/2 gene mutation. Journal of Medical Genetics, 41, e23.

    PubMed  Google Scholar 

  • Sobel, S., & Cowan, C. (2000). Impact of genetic testing for Huntington disease on the family system. American Journal of Medical Genetics, 90, 49–59.

    PubMed  Google Scholar 

  • Sorenson, J., Jennings-Grant, T., & Newman, J. (2003). Communication about carrier testing within Hemophilia A families. American Journal of Medical Genetics Part C, 119, 3–10.

    Google Scholar 

  • Suslak, L., Price, D. M., & Desposito, F. (1985). Transmitting balanced translocation information within families: A follow-up study. American Journal of Medical Genetics, 20, 227–232.

    PubMed  Google Scholar 

  • Taub, S., Morin, K., Spillman, M. A., Sade, R. M., & Riddick, F. A., for the Council on Ethical and Judicial Affairs of the American Medical Association. (2004). Managing familial risk in genetic testing. Genetic Testing, 8, 356–359.

    PubMed  Google Scholar 

  • Tercyak, K., Bennett Johnson, S., Roberts, S., & Cruz, A. (2001a). Psychological response to prenatal genetic counseling and amniocentesis. Patient Education and Counseling, 43, 73–84.

    PubMed  Google Scholar 

  • Tercyak, K., Hughes, C., Main, D., Snyder, C., Lynch, J., Lynch, H., et al. (2001b). Parental communication of BRCA 1/2 genetic test results to children. Patient Education and Counseling, 42, 213–224.

    PubMed  Google Scholar 

  • Tercyak, K., Peshkin, B., DeMarco, T., Farkas Patenaude, A., Schneider, K., Garber, J., et al. (2007). Information needs of mothers regarding communicating BRCA 1/2 cancer genetic test results to their children. Genetic Testing, 11, 249–255.

    PubMed  Google Scholar 

  • van Dijk, S., Otten, W., Timmermans, D., van Asperen, C., Meijers-Heijboer, H., Tibben, A., Breuning, M., & Kievt, J. (2005). What’s the message? Interpretation of an uninformative BRCA 1/2 test result for women at risk of familial breast cancer. Genetics in Medicine, 7, 239–245.

    PubMed  Google Scholar 

  • van Dijk, S., van Asperen, C., Jacobi, C., Vink, G., Tibben, A., Breuning, M., et al. (2004). Variants of uncertain clinical significance as a result of BRCA1/2 testing: Impact of an ambiguous breast cancer risk message. Genetic Testing, 8, 235–239.

    PubMed  Google Scholar 

  • van den Nieuwenhoff, H., Mesters, I., Gielen, C., & de Vries, N. (2007). Family communication regarding inherited high cholesterol: Why and how do patients disclose genetic risk? Social Science and Medicine, 65, 1025–1037.

    PubMed  Google Scholar 

  • van den Nieuwenhoff, H., Mesters, I., Nellissen, J., Stalenhoef, A., & de Vries, N. (2006). The importance of written information packages in support of case-finding within families at risk for inherited high cholesterol. Journal of Genetic Counseling, 15, 29–40.

    PubMed  Google Scholar 

  • Wilson, B., Forrest, K., van Teijlingen, E., McKee, L., Haites, N., Matthews, E., et al. (2004). Family communication of genetic risk: The little that is known. Community Genetics, 7, 317–326.

    Google Scholar 

  • Wolff, G., Back, E., Arleth, S., & Rapp-Korner, U. (1989). Genetic counseling in families with inherited balanced translocations: Experience with 36 families. Clinical Genetics, 35, 404–416.

    PubMed  Google Scholar 

  • World Health Organization. (2003). Review of ethical issues in medical genetics (WHO/HGN/ETH/00.4). Geneva: World Health Organization.

    Google Scholar 

  • Yeo, S. S., Meiser, B., Barlow-Stewart, K., Goldstein, D., Tucker, K., & Eisenbruch, M. (2005). Understanding community beliefs of Chinese-Australians about cancer: Initial insights using an ethnographic approach. Psycho-oncology, 14, 174–186.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Wilson, B.J., Etchegary, H. (2010). Family Communication of Genomic Information. In: Tercyak, K. (eds) Handbook of Genomics and the Family. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-5800-6_7

Download citation

Publish with us

Policies and ethics