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

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  • Is genetic counselor self-disclosure a counseling technique or a counseling “mis-
    take” (adapted from Hanson 2005 )?
    Estimated time: 30–45 min.


Instructor Note



  • This activity could also be done as a journaling exercise.


Activity 4: Self-Involving Responses (Small Group Discussion)


Students discuss each of the following questions. Students can first respond to these
questions in dyads in order to start the discussion.



  • What would you do if you made a mistake with a patient?

  • What would you do if you did not know the answer to a patient’s question?

  • What would you do if you became tearful/cried with a patient?


Estimated time: 20 min.

Instructor Note



  • This activity could also be done as a journaling exercise.


Activity 5: Brainstorming Nondisclosure Responses to Patient


Requests for Self-Disclosure (Group Discussion)


Respond to each of the following patient questions in a non-disclosing way.
Formulate three non-disclosing responses for each patient question.
Patient asks:



  • Do you go to church?

  • Do you have children?

  • Are you married?

  • What do you think about abortion?

  • Do you believe in God?

  • Do you think it’s wrong to wish my disabled child had never been born?

  • Did you drink when you were pregnant?

  • Don’t you think my doctor should have told me more about the prenatal screen-
    ing test?

  • Do you think I’m being too hasty in my decision to terminate this pregnancy?

  • Would you have this test if your family history looked like mine?

  • Would you have a mastectomy if you knew you had the “BRCA gene”?


Estimated time: 20–30 min.

11.4 Class Activities

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