Kessler S, Kessler H, Ward P
Am J Med Genet. 1984 Mar;17(3):673-97. doi: 10.1002/ajmg.1320170320.
Reactions of guilt and shame are conspicuous in the context of genetic counseling, and the relief of their distressing aspects is a widely held goal of genetic counselors. They are in a unique position to accomplish this; however, guidelines as to how one might proceed are not readily available. We have considered guilt and shame responses and have attempted to differentiate them, dynamically and developmentally, and have pointed out how each might be manifested in the course of genetic counseling. The major counseling tactics by means of which the alleviation or reduction of feelings of guilt and shame might be achieved are outlined and case illustrations are provided in which actual and potential counseling situations are explored and discussed.
在遗传咨询的背景下，内疚和羞耻反应很明显，减轻这些令人痛苦的方面是遗传咨询师广泛认可的目标。他们处于实现这一目标的独特位置；然而，关于如何进行的指导方针却并不容易获得。我们已经考虑了内疚和羞耻反应，并试图从动态和发展的角度对它们进行区分，还指出了它们在遗传咨询过程中可能如何表现。文中概述了实现减轻或减少内疚和羞耻感的主要咨询策略，并提供了案例说明，探讨和讨论了实际和潜在的咨询情况。
