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FISH for Pre-implantation Genetic Diagnosis
Published on: February 23, 2011
Certainty and uncertainty in genetic counselling: a qualitative case study
J A Smith1, S Michie, A Allanson
1Department of Psychology, University of Sheffield, Sheffield S10 2TN, UK.
Psychology & Health
|February 7, 2003
Summary
Genetic counseling communication reveals a contrast between the promise of new genetics and the uncertainty of test results. Clinicians offer certainty amidst complex personal and social implications of genetic information.
Area of Science:
- Medical Communication
- Clinical Genetics
- Sociology of Science
Background:
- Genetic counseling integrates complex scientific information with personal patient circumstances.
- Effective communication is crucial for navigating patient understanding and expectations.
Observation:
- Qualitative analysis of nine genetic counseling sessions revealed communication patterns.
- Clinicians expressed certainty about genetic technologies' potential but uncertainty about specific test information and limitations.
- A contrast existed between clinician control over the consultation's structure and the uncontrollable personal/social implications of genetic topics.
Findings:
- Communication highlighted a tension between the perceived power of new genetics and the practical limitations of genetic testing.
- Clinicians managed inherent uncertainty by providing structure and a sense of order within the counseling session.
Implications:
- Understanding these communication dynamics is key to improving genetic counseling practices.
- Addresses the gap between the promise of genetic advancements and their current application in patient care.
- Highlights the need for strategies to manage patient expectations regarding genetic information and its utility.
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