Facilitating the Genetic Counseling Process Practice-Based Skills, Second Edition

267 so much pain.” After your patient responds to your statement, you could follow up with a statement such as, “Grief takes a l ...

268 Anxiety Patients are frequently fearful and anxious about genetic counseling (Kessler 1992a, b; Klitzman 2010 ; McCarthy Vea ...

269 Behavioral clues include shaming others (“If you had taken better care of yourself you wouldn’t have lost this pregnancy!”), ...

270 to use both humor and denial as defense mechanisms. You must attend carefully to these patients because they may portray eve ...

271 Synthesizers can take in information that both confirms and challenges their frameworks. Synthesizers can absorb a great de ...

272 on the search for meaning or purpose in life, and spiritual beliefs and practices aid a person in looking outside of the sel ...

273 groups regarding their genetic status and genetic testing were related to their rela- tionship with God. Their beliefs and r ...

274 ( 2007 ) recommends a brief spiritual assessment in which you might ask: “It sounds like your faith (religion, spirituality) ...

275 logical functioning (e.g., cognitive impairment, mental illness), challenging life events (e.g., divorce, job loss), and/or ...

276 Activity 2: Defense Mechanisms (Small or Large Group) Using the list of defense mechanisms in Table 9.1, students generate a ...

277 Process Dyads or small groups share their questions with the large group. Estimated time: 45 min. Instructor Note You can c ...

278 Exercise 3: Defense Mechanisms From the list of defense mechanisms in Table 9.1, identify two defenses that you are most lik ...

279 For some people, their religious or spiritual beliefs act as a source of comfort and strength in dealing with life’s ups an ...

280 Brasington CK. What I wish I knew then... Reflections from personal experiences in counseling about Down Syndrome. J Genet C ...

281 Lazarus RS. Stress and emotion. Berlin: Springer; 1999. Lindberg M.  Monitoring and blunting styles in fluid restriction con ...

282 Schneider JL, Goddard KA, Davis J, Wilfond B, Kauffman TL, Reiss JA, Gilmore M, et al. “Is it worth knowing?” Focus group pa ...

© Springer International Publishing AG, part of Springer Nature 2018 283 P. McCarthy Veach et al., Facilitating the Genetic Coun ...

284 of Ethics which states that “The counselor-client relationship is based on values of care and respect for the client’s auton ...

285 the options they have already decided on, and/or to help them implement their deci- sions successfully (DeCapua and Dunham 1 ...

286 decisions in the course of their lives without our help” (p. 383). In most situations, genetic counselors should employ thei ...