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learning disabilities. Your pediatrician questioned whether autism runs in the family.
Write a letter to the genetic counselor in which you describe your surface thoughts
and feelings, your deeper thoughts and feelings, what you expect about the genetic
counseling appointment, and what you want from the counselor. Try to write about
things you might initially be reluctant to share with the genetic counselor.
Instructor Note
- This exercise could be done as a journal entry, small reflection paper, or with a
dyad partner. - The letters generated could be used for genetic counseling role-plays. The “patient”
could either act out the content from her/his own letter or from a classmate’s letter.
References
Anonymous. A genetic counselor’s journey from provider to patient: a mother’s story. J Genet
Couns. 2008;17:412–8.
Awwad R, Veach PM, Bartels DM, LeRoy BS. Culture and acculturation influences on Palestinian
perceptions of prenatal genetic counseling. J Genet Couns. 2008;17:101–16.
Bayne HB, Pusateri C, Dean-Nganga L. The use of empathy in human services: strategies for
diverse professional roles. J Hum Serv. 2012;32:72–88.
Bellcross C. A genetic counselor’s story of birth, grief, and survival. J Genet Couns. 2012;21:169–72.
Bodurtha J. 46 chromosomes and me. J Genet Couns. 2012;21:173–4.
Chin SR. It’s not always about the “genetics”: giving patients what they need. J Genet Couns.
2012;21:181–2.
Chui H, Hill CE, Ain S, Ericson SK, Ganginis Del Pino HV, Hummel AM, et al. Training under-
graduate students to use challenges. Couns Psychol. 2014;42:758–77.
Clark AJ. Empathy: an integral model in the counseling process. J Couns Dev. 2010;88:348–56.
Danish SJ, D'Augelli AR, Hauer, AL. Helping skills: a basic training program. New York: Human
Sciences Press; 1980.
Djurdjinovic L. Psychosocial counseling. In: Uhlmann WR, Schuette JL, Yashar B, editors. A
guide to genetic counseling. 2nd ed. New York: Wiley; 2009. p. 133–75.
Dougherty AM, Henderson BB, Lindsay B. The effectiveness of direct versus indirect confron-
tation as a function of stage of consultation: results of an exploratory investigation. J Educ
Psychol Consult. 1997;8:361–72.
Egan G. The skilled helper. Pacific Grove/Monterey, CA: Brooks/Cole; 1994.
Fine SF, Glasser PH. The first helping interview. Thousand Oaks, CA: Sage; 1996.
Fontaine JH, Hammond NL. Twenty counseling maxims. J Couns Dev. 1994;73:223–6.
Glessner HD. Will my voice be heard? J Genet Couns. 2012;21:189–91.
Greeson CJ, Veach PM, LeRoy BS. A qualitative investigation of Somali immigrant perceptions of
disability: implications for genetic counseling. J Genet Couns. 2001;10:359–78.
Hackney HL, Bernard JM. Professional counseling: a process guide to helping. 8th ed. London:
Pearson; 2017.
Hill CE. Helping skills: facilitating exploration, insight, and action. 4th ed. Washington, DC:
American Psychological Association; 2014.
Hill CE, Spangler PT, Chui H, Jackson JL. Training undergraduate students to use insight skills: over-
view of the rationale, methods, and analyses for three studies. Couns Psychol. 2014;42:702–28.
Ivey AE. International interviewing and counseling: facilitating client development in a multicul-
tural society. Pacific Grove, CA: Brooks/Cole; 1994.
Ivey AE, D’Andrea M, Ivey MB, Simek-Morgan L. Theories of counseling and psychotherapy: a
multicultural perspective. 6th ed. Boston, MA: Allyn & Bacon; 2007.
8 Responding to Patient Cues: Advanced Empathy and Confrontation Skills