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

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between a genetic counselor and patient. First write the interchange with the coun-
selor asking excessive and challenging/judgmental questions. Then rewrite the
interchange, using a combination of counselor questions, primary empathy
responses, and silence, as appropriate.
[Hint: (1) Patient responses naturally would be expected to change in response to
the more effective counselor interventions.]


Exercise 3: Strategic Questioning^2


Write one question for each of Sanders ( 1966 ) six types of questions. Write your
questions as if you are actually asking them during a genetic counseling session.


Memory question:


Translation question:


Application question:


Synthesis question:


Analysis question:


Evaluation question:


Exercise 4: Pedigree Role-Play


Audio-record an interview in which you gather a family history from a volunteer.
Next, construct a pedigree based on the information obtained in the interview.
Submit your tape and pedigree for evaluation.


Exercise 5: Pedigree Construction


Construct a pedigree using the audio recording and notes from the simulated history
taking session (see Activity #9) conducted by the instructor.


References


Bennett RL.  The practical guide to the genetic family history. 2nd ed. Hoboken, NJ: Wiley-
Blackwell; 2010.
Bertakis KD, Roter D, Putnam SM. The relationship of physician medical interview style to patient
satisfaction. J Fam Pract. 1991;32:175–82.
Bloom BS, Engelhart MD, Furst EJ, Hill WH, Krathwohl DR.  Taxonomy of educational objec-
tives, handbook I: the cognitive domain. New York: David McKay Co; 1956.


(^2) Adapted from Pedersen and Ivey ( 1993 ).
References

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