tailieunhanh - Genetic Counselling A Psychological Conversation

The practice of medicine has a long tradition of making a diagnosis by building up a composite picture of the symptoms and their history, a clinical examination and specialist investigations. A diagnosis enables the course of the disease to be predicted and the appropriate treatment , scientific developments in genetics, by allowing us to detect specific abnormalities in chromosomes and in individual genes, are beginning to throw light on the mechanisms involved at a biochemical and molecular a result the genetic and environmental factors involved in many disorders can be separated | CHRISTINE EVANS FOREWORD BY PETER HARPER Genetic counselling A PSYCHOLOGICAL APPROACH Genetic Counselling A Psychological Conversation The role of a genetic counsellor is to mediate between the rapid advances in molecular medicine and an individual s ability to understand and manage the risks of their inheritance. Counsellors therefore need to be fully in command of the psychological impact of their communications. Written by a psychiatrist who later became a psychotherapist this book is essential reading for counsellors of all disciplines. It examines the psychological processes involved and uses the framework of attachment theory to explain why people approach and respond to genetic counselling differently. Effective counselling requires a knowledge of the principles from individual and family therapy. In particular an in-depth understanding of empathy enables the counsellor to help the individual contain anxiety and process grief and so facilitate decision-making or help with the effects of having a test result. The effect of counselling on the counsellor is examined creatively in order to enrich the interview with clients and the concept of non-directiveness is discussed in the context of similar approaches in family therapy and psychoanalysis. The theme of the professional relationship and its importance is seen as the most important factor. Christine Evans trained as a psychiatrist and worked with disturbed adolescents before retraining as a psychotherapist. She has 10 years experience of working with genetic counsellors. Her work includes experience as a Child and Adolescent Psychiatrist and as a Psychotherapist. Her particular interest is the integration of the psychological and physical aspects of medicine. Her present practice involves working in individual psychotherapy and teaching and running workshops on attachment theory and its use in consultations in medicine psychiatry and .

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