Counseling: Directive and Nondirective

  • Dorothy C. Wertz
  • John C. Fletcher
Part of the International Library of Ethics, Law, and the New Medicine book series (LIME, volume 17)


“Nondirectiveness” has long been the preferred approach in genetic counseling in the US, Canada, the UK, and other nations influenced by English/American medical traditions. Genetic counseling, a term coined by the American, Sheldon Reed, in 1947 to replace the earlier “genetic hygiene” or “genetic advice,” began in the shadow of the Eugenics Movement and of World War II (Reed, 1947). Its founders sought to distinguish it from earlier, more directive forms of interaction in order to avoid accusations of possible coercion.


Cystic Fibrosis Primary Care Physician Alzheimer Disease Sickle Cell Anemia Prenatal Diagnosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media Dordrecht 2004

Authors and Affiliations

  • Dorothy C. Wertz
    • 1
  • John C. Fletcher
    • 2
  1. 1.University of Massachusetts Medical School and Shriver CenterWalthamUSA
  2. 2.University of Virginia School of MedicineCharlottesvilleUSA

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