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

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Table 2.1 (continued)

Goala Strategya Behaviora Additional strategiesb

Tenet: Patient autonomy must be supporteda

Establish working

contract

Assess patient

expectations

Provide informed

consent

Establish realistic

agenda

Ask questions

Describe process

State goals

Establish GC goals and

expectations

Information giving

Establish working alliance

Integrate familial

and cultural context

into counseling

relationship and

decisions

Recognize multiple

strategies

Maintain counseling

flexibility

• Use psychosocial
  counseling skills/strategies
  Information giving
  Establish working alliance

Patient feels

empowered and

more in control

Discuss what patient

wants to discuss

Create safe

environment

Respect patient

decision/viewpoint

Enable informed

decisions

• Information giving
  Use psychosocial
  counseling skills/strategies
  Provide care before and
  after GC session
  Establish working alliance

Facilitate

collaborate

decisions

Ask about options Reflect patient

thoughts and feelings

re: options

Use psychosocial

counseling skills/strategies

Assessment 

Information giving

Tenet: Patients are resilienta

Recognize patient

strengths

Identify patient

strengths

Make connections

Anticipatory

guidance

Instill hope

Ask questions about

patient coping skills

Assessment

Use psychosocial skills/

strategies

Information giving

Adaptation Assimilation

Accommodation

• Information giving
  Assessment
  Use psychosocial
  counseling skills/strategies
  Empowerment Create safe
  environment
  Maintain/enhance
  patient self-esteem
  Identify possible
  outcomes


• Information giving
  Use psychosocial
  counseling skills/strategies
  Provide care before and
  after GC session
  Establish working alliance
  Tenet: Patient emotions make a differencea
  Counselor and
  patient know patient
  concerns

Recognize ethical

dilemmas in

patient’s life

Anticipate patient

needs

• Use psychosocial skills/
  strategies
  Information giving
  Assessment

2 Overview offiGenetic Counseling