Genetic Counseling Practice: Advanced Concepts and Skills. Chapter 7: Resistance and Adherence: Understanding Patient's Perspective

The text book includes 15 chapters that fall into three topic areas:

  • genetic counseling dynamics, 
  • client cultural and individual characteristics, and 
  • genetic counselor development.

This chapter:

  • describes and differentiates between client resistance and nonadherence,
  • discusses sources of both, and 
  • provides strategies for addressing each. 

The chapter includes learning activities for skills practice.


Type Book
CME Available No
Topic
Cost Print Price - $114.95 ; eBook Price - $91.99/per publisher
Note

2010

Date of Resource 2010

Genomic Competencies

Experts from the disciplines listed below have tagged this resource as fulfulling genomic competencies.

Genetic Counselor

  • Interpersonal, Psychosocial and Counseling Skills
    • 10:   Use a range of genetic counseling skills and models to facilitate informed decision-making and adaptation to genetic risks or conditions.
      • 10a:   Demonstrate knowledge of psychological defenses, family dynamics, family systems theory, coping models, the grief process, and reactions to illness.
      • 10b:   Utilize a range of basic counseling skills, such as open-ended questions, reflection, and normalization.
      • 10c:   Employ a variety of advanced genetic counseling skills, such as anticipatory guidance and in-depth exploration of client responses to risks and options.
      • 10d:   Assess clients' psychosocial needs, and evaluate the need for intervention and referral.
      • 10e:   Apply evidence-based models to guide genetic counseling practice, such as short-term client-centered counseling, grief counseling and crisis counseling.
      • 10f:   Develop an appropriate follow-up plan to address psychosocial concerns that have emerged in the encounter, including referrals for psychological services when indicated.
    • 9:   Employ active listening and interviewing skills to identify, assess, and empathically respond to stated and emerging concerns.
      • 9a:   Elicit and evaluate client emotions, individual and family experiences, beliefs, behaviors, values, coping mechanisms and adaptive capabilities.
      • 9b:   Engage in relationship-building with the client by establishing rapport, employing active listening skills and demonstrating empathy.
      • 9c:   Assess and respond to client emotional and behavioral cues, expressed both verbally and non-verbally, including emotions affecting understanding, retention, perception, and decision-making.