“What Would You Do if You Were Me?” Effects of Counselor Self-Disclosure Versus Non-disclosure in a Hypothetical Genetic Counseling Session

  title={“What Would You Do if You Were Me?” Effects of Counselor Self-Disclosure Versus Non-disclosure in a Hypothetical Genetic Counseling Session},
  author={Amy L. Paine and Patricia McCarthy Veach and Ian M MacFarlane and Brittany C Thomas and Mary Ahrens and Bonnie LeRoy},
  journal={Journal of Genetic Counseling},
Two prior studies suggest genetic counselors self-disclose primarily because patients ask them to do so (Peters et al., 2004; Thomas et al., 2006). However, scant research has investigated effects of counselor disclosure on genetic counseling processes and outcomes. In this study, 151 students (98 undergraduates, 53 graduates) completed one of three surveys describing a hypothetical genetic counseling session in which a patient at risk for FAP was considering whether to pursue testing or… 
What Would You Say? Genetic Counseling Graduate Students’ and Counselors’ Hypothetical Responses to Patient Requested Self-Disclosure
Genetic counselor self-disclosure is a complex behavior that lacks extensive characterization. In particular, data are limited about genetic counselors’ responses when patients ask them to
Genetic counselor and proxy patient perceptions of genetic counselor responses to prenatal patient self‐disclosure requests: Skillfulness is in the eye of the beholder
Perceived skillfulness of genetic counselor self‐disclosures and non‐disclosure and counselor intentions and response type appear to influence perceptions, and counselors and patients may not always agree in their perceptions.
When the Topic is You: Genetic Counselor Responses to Prenatal Patients’ Requests for Self-Disclosure
Genetic counselors’ experiences of prenatal patients’ requests for self-disclosure are explored and factors perceived as influencing disclosure included: topic, patient motivations, timing of request, quality of counseling relationship, patient characteristics, and ethical/legal responsibilities.
Effects of Genetic Counselor Self-Disclosure: an Experimental Analog Study
Brief, direct, verbal disclosure of session-relevant personal information by a genetic counselor appears to enhance the counselor-patient relationship and increase the likelihood of patients returning to the counselor.
Counselor Self-Reference: Self-Disclosure and Self-Involving Skills
Two types of genetic counseling skills involve self-reference by genetic counselors: self-disclosure and self-involving responses. Self-referent responses are advanced helping skills, and although
Attitudes Towards Prenatal Genetic Counseling, Prenatal Genetic Testing, and Termination of Pregnancy among Southeast and East Asian Women in the United States
Attitudes towards prenatal genetics among Southeast and East Asian women living in the United States for varying amounts of time are described and sociocultural factors influencing those attitudes are explored to allow prenatal genetic counselors to gain a richer, more nuanced understanding of their Asian patients.
Parental autonomy and responsibility in the context of prenatal diagnosis. Views and attitudes of Belgian healthcare professionals and families
In order to gain insight into the views and attitudes regarding prenatal testing and parental autonomy, in-depth, semi-structured, face-to-face interviews were conducted with healthcare professionals involved in prenatal counselling.
Interdisciplinary Education for Genetic Counselors: Developing the Concept and Assessing the Need in Australasia
There is a role for interdisciplinary education to be considered as a formal continual learning tool for genetic counselors, according to findings of a survey of Australasian genetic counselors.
Reflections on the meaning of clinician self-reference: are we speaking the same language?
The ideas presented herein are intended to prompt researchers, practitioners, and educators to carefully consider the nature, scope, and functions of self-reference, and in doing so, bring greater conceptual and operational clarity to their work.
Complicated Shadows


Is Self-Disclosure Part of the Genetic Counselor's Clinical Role?
Opinions regarding potential benefits of disclosure varied, and nearly all participants stressed the importance of self-disclosing judiciously, stating that it may be counterproductive to client goal attainment.
Does Receiving Genetic Counseling Impact Genetic Counselor Practice?
This study was an investigation of whether genetic counselors have received genetic counseling and if so, how they believe it affects their practice and whether they disclosed to clients about their receipt of genetic counseling.
Should your lips be zipped? How therapist self-disclosure and non-disclosure affects clients
Abstract Is therapist self-disclosure a therapeutic technique or a therapeutic mistake? Is it useful? Is it ethical? This study attempts to address this controversy among therapeutic modalities by
The Effects of Counselor Self-Disclosure
Self-disclosure has long been a topic of interest in the counseling and psychotherapy literature. In an effort to provide a more contemporary perspective on the role of self-disclosure in counseling,
The role of therapist self-disclosure in psychotherapy: a qualitative review.
The goal of this paper was to review the empirical literature relevant to therapist self-disclosure, and provide the reader with a comprehensive understanding of the factors that affect, and are affected by, therapistSelf-Disclosure.
A qualitative analysis of client perceptions of the effects of helpful therapist self-disclosure in long-term therapy.
Thirteen adult psychotherapy clients currently in long-term therapy were interviewed twice, with semistructured protocols, about their experiences with helpful instances of therapist self-disclosure.
Multidimensional Perception of Counselor Behavior.
This study investigated Strong's prediction of the existence of three dimensions of perceived counselor behavior—expertness, attractiveness, and trustworthiness. Films of interviews given by Rogers,
A New Definition of Genetic Counseling: National Society of Genetic Counselors’ Task Force Report
The Genetic Counseling Definition Task Force of the National Society of Genetic Counselors (NSGC) developed the following definition of genetic counseling that was approved by the NSGC Board of
Psychological aspects of genetic counseling. VIII. Suffering and countertransference
  • S. Kessler
  • Psychology, Medicine
    Journal of Genetic Counseling
  • 2004
Two common forms of countertransferential problems seen in genetic counseling, associative and projective, are described and illustrated. Both forms have the potential of reducing the quality of
Facilitating the Genetic Counseling Process: A Practice Manual
Guidelines for Manual Users.- Genetic Counseling Models.- Attending Skills.- Primary Empathy Skills.- Gathering Information: Asking Questions and Taking Client Genetic History: Structuring the