By Patricia T. Kelly Ph.D. (auth.)
The objective of facing issue is to inte grate scientific and genetic info with the psychoso cial facets of genetic counseling, as a way to supply a operating handbook for genetic counselors. The e-book fills a spot within the genetic counseling box since it emphasizes the humanistic elements of genetic counseling, and is basically excited about communica tion among genetic counselor and counselee. The few genetic counseling books to be had at the present are committed virtually totally to the scientific and genetic elements of the topic. This booklet is written in nontechnical language, however it presupposes a few wisdom of Mendelian genetics, poly genic inheritance, and chromosomal anomalies. No previous examine of psychology or counseling is critical, besides the fact that. facing quandary is meant for physi cian and nonphysician genetic counselors, inner most perform physicians in pediatrics, obstetrics, relations and normal perform, internists, nurses, public overall healthiness execs, genetic counseling scholars, social staff, and different health and wellbeing pros. a lot of the fabric offered might be helpful to people who care for the psychosocial ramifications of many nongenetic illnesses as well-prob lems of the mentally retarded, handicapped, or chronically unwell. moreover, it's was hoping that pros who plan nation and federal health and wellbeing coverage can use this booklet to achieve a greater wisdom of the humanistic facet of genetic counseling.
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Extra info for Dealing with Dilemma: A Manual for Genetic Counselors
Diagnostic Visit ronmental factors play a large role in the expression of these diseases. Explanations about the inheritance of polygenic diseases need to start with a clear description of the genes. " Counselees need to know that a fetus receives half its genes from one parent and half from the other, and that different children in the same family receive a different set of genes from each parent. , three from one and four from the other, or two from one and five from the other). When empiric risk figures are available, they should, of course, be used in genetic counseling, but not at the expense of the genetic explanation, or of discussion with the concerned individuals.
As people relate what they have understood, the genetic counselor will want to ask how they first felt on hearing the information, how they now feel about the information, and perhaps what brought about the change in feeling or perception. Sometimes then, people will admit that they did not understand or listen to much of the information. One woman whose child had been stillborn said: "But to tell you the truth, once I heard that it would probably never happen again, the statistics didn't stick.
Probability and Statistics Even when a diagnosis can be made, when the family history unequivocally shows that there is a genetic disease present, when the genetic counselor can tell individuals the mode of inheritance, much genetic counseling information is given in probabilistic fashion. That is, if both parents are carriers for the same recessive gene, there is a 25 percent chance with each conception that the child will be affected. There is no certain knowledge about the outcome of any particular pregnancy, however.
Dealing with Dilemma: A Manual for Genetic Counselors by Patricia T. Kelly Ph.D. (auth.)