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

403

Projective identification, 336
Providing information, 180–184
class activity, 201–207
communicating test results, 179
negative, strategy, 182–184
positive, strategy, 180–182
vs. giving advice, 175–176
quantitative formats, 185
written exercises, 207–209

Q
Questions
to ask, 124–125
to avoid asking, 125
class activity, 129–134
cultural views, 127–128
effective
guidelines, 120–121
know how to ask, 118–119
know what type of question ask, 120
know when to ask, 118
function, 114
explore perceptions, 117–118
reflection, 116–117
to meet genetic counseling goals,
115–116
to obtain medical and family history,
114–115
values clarification, 117–118
open and closed, 122–124
types of, 111–113
written exercises, 134–135

R
Rationalization, 227
Reciprocal-engagement model (REM), 37
corresponding factors, 43
of genetic counseling practice, 41
goals, 42–43, 147
model of practice components, 37–42
outcomes, 42–43
Reflective frames, 116
Reflective practice, 369, 372–374
Rejecting countertransference, 337
Religiosity, 271
Religious/spiritual
dimensions, 273–274
Reserved style, 270
Resistance
behaviours, 253
causes, 250

disconnection with counselor, 252

fear, 250–251

misunderstanding, 251–252

class activity, 275

definition, 249

strategy, 254–258

types, 253–254

Risk communication

in genetic counseling, 185

guidelines, 188–189

numeric probability, 185

patient factors, 186–188

Risk information, 184

Role-play

guidelines, 23

interactive training

model, 21–23

scenarios, 19–20

student concerns, 23–24

triad/quad groups, 20–21

S

Self-disclosure, 303, 304, 307–309

believe, 305

class activity, 322–324

functions of, 307

builds relationship, 307

education provide, 309

elicits strong feeling, 309

enhances social influence, 307

generates new perspective, 308

provide reality test, 308

reassurance, 308

reinforces, 308

genetic counselors, 314–316

indirect vs. direct, 305–306

intimacy levels, 306

levels of intimacy, 307

non-disclosing responses, 321

reasons, 304

vs. self-involving responses class

discussion, 320

small group discuss, 320

suggestions, 309–314

written exercises, 324–326

Self-involving responses, 303, 316

cautions, 318

class discussion, 320

genetic counselors, 318–319

situations, 317–318

small group discussion, 321

written exercises, 325

Index