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

307 11.1.4 Functions of Self-Disclosure As mentioned earlier, there are several reasons mental health counselors, genetic counse ...

308 “When I was pregnant, I was anxious/worried all the time.” “So, you are from Chicago. I grew up there. I really miss___.” I ...

309 Pt: “What would you do if you were me?” Co: “I’m not sure, but when I’ve had a big decision to make, I think things over fo ...

310 reducing your own anxiety or to avoid disappointing, frustrating, or angering the patient (Dewane 2006 ; Henretty and Levitt ...

311 distracting (Audet and Everall 2003 ; McCarthy Veach 2011 ), and cause patients to experience your disclosures as oversharin ...

312 the profession. Conversely, the patient may be trying to deflect the discussion away from more sensitive topics. When the pa ...

313 Observe patient reactions. Bonovitz ( 2006 ) stresses the importance of “hearing the personal impact” (p.  298) of your self ...

314 that nondisclosure responses to patient requests were successful when they included an explanation of the reason they did no ...

315 amniocentesis and asked the genetic counselor either “What would you do if you were me?” or “Have you ever had an amniocente ...

316 “I know how hard it can be to deal with insurance companies, too. I’ve run into roadblocks with them myself. I can help you ...

317 11.2.1 Counselor-Patient Situations that May Prompt Self- Involving Responses There are several situations in which a geneti ...

318 said, “...I’m sorry you had to go through that experience...” (p. 65); and “I’m so sorry that you had that experience with t ...

319 “I’m sorry this conversation is making you very uncomfortable. I know that you’ve been given a lot of information all at on ...

320 11.4 Class Activities Activity 1: Self-Disclosure Vs. Self-Involving Responses (Group Discussion) Students talk about what t ...

321 Is genetic counselor self-disclosure a counseling technique or a counseling “mis- take” (adapted from Hanson 2005 )? Estima ...

322 Activity 6a: Low-Level Self-Reference Skills Model The instructor and a volunteer genetic counseling patient engage in a rol ...

323 Activity 7: Small Group Role-Plays Working in small groups, students volunteer to be patient and genetic counselor. The stud ...

324 Instructor Note The instructor may want to encourage students to attempt self-disclosure and/or self-involving responses du ...

325 Parents whose 4-year-old son was diagnosed with autism. 35-year-old woman whose mother and sister died from ovarian cancer. ...

326 Audio- record the role-play. Next transcribe the role-play and critique your work. Use the following method for transcribing ...