Thomas Brittany C, Veach Patricia McCarthy, Leroy Bonnie S
Division of Laboratory Genetics, Molecular Genetics Laboratory, Mayo Clinic, Rochester, Minnesota, USA.
J Genet Couns. 2006 Jun;15(3):163-77. doi: 10.1007/s10897-006-9022-y.
The role of genetic counselor self-disclosure in clinical practice is unclear as there are few published investigations of this issue. In the present study, 11 genetic counselors who previously received genetic services were interviewed about their opinions and use of disclosure. Several themes were extracted from their responses. All participants reportedly disclosed to patients; however, not all disclosed their receipt of genetic services. Patient requests for self-disclosure influenced many participants' disclosure decisions. Opinions regarding potential benefits of disclosure varied. Nearly all participants stressed the importance of self-disclosing judiciously, stating that it may be counterproductive to client goal attainment. Four individuals with expertise in genetic counseling and psychotherapy were invited to react to these themes and to provide their opinions of self-disclosure. Their views are compared to those of the present sample, and practice and research recommendations are given.
遗传咨询师自我披露在临床实践中的作用尚不清楚，因为关于这个问题的已发表研究很少。在本研究中，对11名之前接受过遗传服务的遗传咨询师就他们对披露的看法和使用情况进行了访谈。从他们的回答中提取了几个主题。据报道，所有参与者都向患者披露了信息；然而，并非所有人都披露了他们接受遗传服务的情况。患者对自我披露的要求影响了许多参与者的披露决定。关于披露潜在益处的观点各不相同。几乎所有参与者都强调了明智地进行自我披露的重要性，称这可能对实现客户目标产生适得其反的效果。邀请了四名在遗传咨询和心理治疗方面有专业知识的人对这些主题做出反应，并提供他们对自我披露的看法。将他们的观点与本样本的观点进行了比较，并给出了实践和研究建议。
