Document Detail

When the Topic is You: Genetic Counselor Responses to Prenatal Patients' Requests for Self-Disclosure.
MedLine Citation:
PMID:  23212177     Owner:  NLM     Status:  Publisher    
A limited amount of research indicates patient requests play a major role in genetic counselors' self-disclosure decisions and that disclosure and non-disclosure responses to patient requests may differentially affect genetic counseling processes. Studies further suggest patient requests may be more common in prenatal settings, particularly when counselors are pregnant. Empirical evidence is limited however, concerning the nature of patient requests. This study explored genetic counselors' experiences of prenatal patients' requests for self-disclosure. Four major research questions were: (1) What types of questions do prenatal patients ask that invite self-disclosure?; (2) Do pregnant genetic counselors have unique experiences with prenatal patient disclosure requests?; (3) How do genetic counselors typically respond to disclosure requests?; and (4) What strategies are effective and ineffective in responding to disclosure requests? One hundred seventy-six genetic counselors completed an online survey and 40 also participated in telephone interviews. Inductive analysis of 21 interviews revealed patient questions vary, although questions about counselor demographics are most common, and patients are more likely to ask pregnant counselors questions about their personal pregnancy decisions. Participants reported greater discomfort with self-disclosure requests during pregnancy, yet also disclosing more frequently during pregnancy. Counselor responses included personal self-disclosure, professional self-disclosure, redirection, and declining to disclose. Factors perceived as influencing disclosure included: topic, patient motivations, timing of request, quality of counseling relationship, patient characteristics, and ethical/legal responsibilities. Disclosure practices changed over time for most counselors. Additional findings, practice implications, and research recommendations are discussed.
Jessica R Balcom; Patricia McCarthy Veach; Heather Bemmels; Krista Redlinger-Grosse; Bonnie S Leroy
Related Documents :
21507817 - Controversies of anticoagulation reversal in life-threatening bleeds.
12644807 - M. m. house mental classification revisited: intersection of particular patient types a...
21821317 - [diagnosis and treatment of urethral recurrence after radical cystectomy in the male].
9041507 - Patients' perception of lasers in dentistry.
20700137 - Nutrition assessment: the reproducibility of subjective global assessment in patients r...
1283357 - Systemic lupus erythematosus and chronic lymphocytic leukemia: rare coexistence in thre...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-6
Journal Detail:
Title:  Journal of genetic counseling     Volume:  -     ISSN:  1573-3599     ISO Abbreviation:  J Genet Couns     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206865     Medline TA:  J Genet Couns     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Division of Laboratory Genetics, Molecular Genetics Laboratory, Mayo Clinic, Rochester, MN, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Screening for Muir-Torre Syndrome Using Mismatch Repair Protein Immunohistochemistry of Sebaceous Ne...
Next Document:  Protective Effect of Na(+)/Ca (2+) Exchange Blocker KB-R7943 on Myocardial Ischemia-Reperfusion Inju...