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[In 2005, I observed 20 prenatal genetic counseling sessions at Vanderbilt University Medical Center. With each patient’s permission, I sat as a student observer in a small patient education room listening and watching the conversations that unfolded between the genetic counselors, patients, and...
[The professional attitudes and competencies of genetic counselors are often informed by either a teaching model or a psychotherapeutic model. This bifurcation within the profession is generally accepted in the genetic counseling literature despite a diversity of modeling strategies. Evidence of...
[In the previous chapter, I introduced and elaborated the teaching and psychotherapeutic models of genetic counseling. The models were located within larger narratives from which they inherited distinct views of communication. I claim that the teaching model of genetic counseling is underwritten...
[Nondirectiveness has been a core value in genetic counseling models for over 30 years and yet there is little consensus about what it means. Nondirectiveness is a contested set of attitudes about the role a genetic counselor should play in helping a patient understand and make decisions about...
[In the previous chapter, the value of nondirectiveness was shown to be a contested and defining feature of genetic counseling. It was interpreted from the standpoint of the teaching, psychotherapeutic and responsibility models and then respectively applied to Debbie’s case. The responsibility...
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