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Psychological aspects of genetic counseling. VII. Thoughts on directiveness

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Journal of Genetic Counseling

Abstract

Directiveness and nondirectiveness in genetic counseling are poorly understood on the operational level, and information about what counselors allege they do and what actually is done in practice is lacking. Although they are often thought of as diametrically opposite approaches, when viewed as strategies of persuasion, their similarities become more apparent. Directive counselors attempt to influence the counselee's behavior, whereas nondirective ones attempt to influence the latter's thinking processes; there is need for both approaches. Directiveness may also sometimes occur because of inadequate interview skills. The case made for directiveness is discussed and critiqued, available research is reviewed, and suggestions for future studies are advanced.

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References

  • Antley RM (1979) The genetic counselor as facilitator of the counselee's decision process. In: Capron AM, Lappe M, Murray RM, Powledge TM, Twiss SB, Bergsma D (eds)Genetic Counseling: Facts, Values, and Norms. BD:OAS, XV(2):137–168.

  • Bell NK (1990) Medical ethicist responds to issue of non-directiveness in genetic counseling setting.Perspect Gen Counsel 12(4):5.

    Google Scholar 

  • Christodorescu D (1980) Genetic counselling for neurological and psychic diseases. I. Data on counsellees and their pre- and post-counselling family planning.Rev Roum Med Neurol Psychiat 18:269–279.

    Google Scholar 

  • Czeizel A, Metneki J, Osztovics M (1981) Evaluation of information-guidance genetic counselling.J Med Genet 18:91–98.

    Google Scholar 

  • Fraser FC (1979) Degree of directiveness. In: Lubs HA, de la Cruz F (eds)Genetic Counseling. New York: Raven Press, pp 579–581.

    Google Scholar 

  • Frets PG, Duivenvoorden HJ, Verhage F, Niermeijer MF, van den Berge SMM, Galjaard H (1990) Factors influencing the reproductive decision after genetic counseling.Am J Med Genet 35:496–502.

    Google Scholar 

  • Fujita N (1979) Genetic counselling: Follow-up study.Metab Pediat Ophthal 3:237–246.

    Google Scholar 

  • Haley J (1963)Strategies in Psychotherapy. New York: Grune & Stratton.

    Google Scholar 

  • Karp LE (1983) Genetic drift: The terrible question.Am J Med Genet 14:1–4.

    Google Scholar 

  • Kessler S (1989) Psychological aspects of genetic counseling. VI. A critical review of the literature dealing with education and reproduction.Am J Med Genet 34:340–353.

    Google Scholar 

  • Klein D, Wyss D (1977) Retrospective and follow up study of approximately 1000 genetic consultations.J Genet Hum 25:47–57.

    Google Scholar 

  • Lubs ML (1979) Does genetic counseling influence risk attitudes and decision making? In: Epstein CJ, Curry CJR, Packman S, Sherman S, Hall BD (eds)Risk, Communication, and Decision Making in Genetic Counseling. BD:OAS, XV(5C):355–367.

  • Pauker SP, Pauker SG (1979) The amniocentesis decision: An explicit guide for parents. In: Epstein CJ, Curry CJR, Packman S, Sherman S, Hall BD (eds)Risk, Communication, and Decision Making in Genetic Counseling. BD:OAS, V(5C):289–324.

  • Shiloh S, Saxe L (1989) Perception of risk in genetic counseling.Psychol Health 3:45–61.

    Google Scholar 

  • Sissine FJ, Rosser L, Steele MW, Marchese S, Garver KL, Berman N (1981) Statistical analysis of genetic counseling impacts.Eval Rev 5:745–757.

    Google Scholar 

  • Sorenson JR, Scotch NA, Swazey JP, Wertz DC, Heeren TC (1987) Reproductive plans of genetic counseling clients not eligible for prenatal diagnosis.Am J Med Genet 28:345–352.

    Google Scholar 

  • Swerts A (1987) Impact of genetic counseling and prenatal diagnosis for Down syndrome and neural tube defects. In: Evers-Kiebooms G, Cassiman JJ, Van den Berghe H, d'Ydewalle G (eds)Genetic Risk, Risk Perception and Decision Making. BD:OAS, XXIII(2):61–83.

  • Wertz DC, Fletcher JC (1988) Attitudes of genetic counselors: A multinational survey.Am J Hum Genet 42:592–600.

    Google Scholar 

  • Wertz DC, Sorenson JR, Heeren TC (1984) Genetic counseling and reproductive uncertainty.Am J Med Genet 18:79–88.

    Google Scholar 

  • Wertz DC, Sorenson JR, Heeren TC (1988) Communication in health professional-lay encounters: How often does each party know what the other wants to discuss. In: Ruben BD (ed)Information and Behavior, Vol 2. New Brunswick, NJ: Transaction Books, pp 329–342.

    Google Scholar 

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Kessler, S. Psychological aspects of genetic counseling. VII. Thoughts on directiveness. J Genet Counsel 1, 9–17 (1992). https://doi.org/10.1007/BF00960080

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