Abstract
This chapter defines genetic counselor advice and influencing skills, differentiates between clinical recommendations and other types of advice, discusses the function of each skill, and provides concrete examples of different types of advice and different types of influencing responses. Consequences of advice (possible advantages and drawbacks) are discussed, and strategies for giving advice effectively are provided. Several advice-giving challenges are described (e.g., thinking that every patient will listen to and follow the counselor’s advice). Influencing responses are characterized either as counselor opinions that express agreement (encouragement) or as counselor opinions that express disagreement (provide a cautionary note) about the patient and/or topics relevant to genetic counseling processes and outcomes (e.g., the patient’s feelings, thoughts, attitudes, actions, situation, plans, etc.). Activities and written exercises facilitate student development of advice and influencing skills through self-reflection, practice, and feedback.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Andersen J, Øyen N, Bjorvatn C, Gjengedal E. Living with long QT syndrome: a qualitative study of coping with increased risk of sudden cardiac death. J Genet Couns. 2008;17:489–98.
Barragan DI, Ormond KE, Strecker MN, Weil J. Concurrent use of cultural health practices and Western medicine during pregnancy: exploring the Mexican experience in the United States. J Genet Couns. 2011;20:609–24.
Butler CW, Potter J, Danby S, Emmison M, Hepburn A. Advice-implicative interrogatives: building “client-centered” support in a children’s helpline. Soc Psychol Q. 2010;73:265–87.
Cavanagh M, Levitov JE. The counseling experience a theoretical and practical approach. 2nd ed. Prospect Heights IL: Waveland Press; 2002.
Couture SJ, Sutherland O. Giving advice on advice-giving: a conversation analysis of Karl Tomm’s practice. J Marital Fam Ther. 2006;32:329–44.
DeCapua A, Dunham JF. Strategies in the discourse of advice. J Pragmat. 1993;20:519–31.
Dennis A, Howell S, Cordeiro L, Tartaglia N. “How should I tell my child?” Disclosing the diagnosis of sex chromosome aneuploidies. J Genet Couns. 2015;24:88–103.
Feng B. Testing an integrated model of advice giving in supportive interactions. Hum Commun Res. 2009;35:115–29.
Feng B, MacGeorge EL. Predicting receptiveness to advice: characteristics of the problem, the advice-giver, and the recipient. South Commun J. 2006;71:67–85.
Fine SF, Glasser PH. The first helping interview. Thousand Oaks, CA: Sage; 1996.
Floyd E, Allyse MA, Michie M. Spanish-and English-speaking pregnant women’s views on cfDNA and other prenatal screening: practical and ethical reflections. J Genet Couns. 2016;25:965–77.
Gibas AL, Klatt R, Johnson J, Clarke JT, Katz J. Disease rarity, carrier status, and gender: a triple disadvantage for women with Fabry disease. J Genet Couns. 2008;17:528–37.
Goldsmith DJ. Soliciting advice: the role of sequential placement in mitigating face threat. Commun. Monogr. 2000;67:1–9.
Goldsmith DJ, Fitch K. The normative context of advice as social support. Hum Commun Res. 1997;23:454–76.
Hepburn A, Potter J. Designing the recipient: managing advice resistance in institutional settings. Soc Psychol Q. 2011;74:216–41.
Kao JH. Walking in your patient’s shoes: an investigation of genetic counselor empathy in clinical practice. Minneapolis, MN: University of Minnesota; 2010. Retrieved from the University of Minnesota Digital Conservancy, http://hdl.handle.net/11299/96724.
Kessler S. Psychological aspects of genetic counseling. VII. Thoughts on directiveness. J Genet Couns. 1992;1:9–17.
Kessler S. Psychological aspects of genetic counseling. X. Advanced counseling techniques. J Genet Couns. 1997;6:379–92.
Mac Dougall K, Becker G, Scheib JE, Nachtigall RD. Strategies for disclosure: how parents approach telling their children that they were conceived with donor gametes. Fertil Steril. 2007;87:524–33.
Martin DG. Counseling and therapy skills. 2nd ed. Prospect Heights, IL: Waveland Press; 2000.
McCarthy Veach P, Bartels DM, LeRoy BS. Coming full circle: a Reciprocal-Engagement Model of genetic counseling practice. J Genet Couns. 2007;16:713–28.
National Society of Genetic Counselors. National society of genetic counselors code of ethics. J Genet Couns. 2017. https://doi.org/10.1007/s10897-017-0166-8. [Epub ahead of print].
Nusbaum R, Grubs RE, Losee JE, Weidman C, Ford MD, Marazita ML. A qualitative description of receiving a diagnosis of clefting in the prenatal or postnatal period. J Genet Couns. 2008;17:336–50.
Patenaude AF, Schneider KA. Issues arising in psychological consultations to help parents talk to minor and young adult children about their cancer genetic test result: a guide to providers. J Genet Couns. 2017;26:251–60.
Phelps C, Wood F, Bennett P, Brain K, Gray J. Knowledge and expectations of women undergoing cancer genetic risk assessment: a qualitative analysis of free-text questionnaire comments. J Genet Couns. 2007;16:505–14.
Quaid KA, Sims SL, Swenson MM, Harrison JM, Moskowitz C, Stepanov N, et al. Living at risk: concealing risk and preserving hope in Huntington disease. J Genet Couns. 2008;17:117–28.
Resta RG. Complicated shadows: a critique of autonomy in genetic counseling. In: LeRoy BS, McCarthy Veach P, Bartels DM, editors. Genetic counseling practice. Hoboken: Wiley-Blackwell; 2010. p. 13–30.
Schmerler S. Lessons learned: risk management issues in genetic counseling. New York: Springer; 2007.
Silver E. Should I give advice? A systematic review. J Fam Thpy. 1991;13:293–309.
Vehvilainen S. Evaluative advice in educational counseling: the use of disagreement in the “stepwise entry” to advice. Res Lang Soc Interact. 2001;34:371–98.
Weil J. Psychosocial genetic counseling. New York: Oxford University Press; 2000.
Wong YJ. The psychology of encouragement: theory, research, and applications. Couns Psychol. 2015;43:178–216.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
McCarthy Veach, P., LeRoy, B.S., Callanan, N.P. (2018). Providing Guidance: Advice and Influencing Skills. In: Facilitating the Genetic Counseling Process. Springer, Cham. https://doi.org/10.1007/978-3-319-74799-6_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-74799-6_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-74798-9
Online ISBN: 978-3-319-74799-6
eBook Packages: MedicineMedicine (R0)