Skip to main content
Top
Published in: Journal of Genetic Counseling 1/2008

01-02-2008 | Original Research

Culture and Acculturation Influences on Palestinian Perceptions of Prenatal Genetic Counseling

Authors: Rawan Awwad, Patricia McCarthy Veach, Dianne M. Bartels, Bonnie S. LeRoy

Published in: Journal of Genetic Counseling | Issue 1/2008

Login to get access

Abstract

Patient cultural backgrounds strongly influence decision-making processes and outcomes in genetic counseling. The present study investigated influences of culture and acculturation on prenatal decision making processes of native Palestinians and Palestinian Americans. Seventeen native Palestinians and 14 first-generation, Palestinian Americans were interviewed and asked to imagine themselves as patients in hypothetical premarital and prenatal situations. Five major issues were investigated: 1) Influence of family history of an inherited condition on pre-marital decisions; 2) Perceptions of non-directive genetic counselor statements regarding options; 3) Role of gender in prenatal decisions; 4) Gender differences in emotional expression; and 5) Role of family and society in prenatal decisions. Several similarities and differences in native Palestinian and Palestinian American responses were obtained. Similarities appear to be due to common cultural roots, while differences may be due to acculturation. Practice and research recommendations are provided.
Appendix
Available only for authorised users
Literature
go back to reference Abraham, N. (1995). Arab Americans. In R. J. Vecoli, J. Galens, A. Sheets, & R. V. Young (Eds.) Gale encyclopedia of multicultural America, volume 1 (pp. 84–98). New York: Gale Research. Abraham, N. (1995). Arab Americans. In R. J. Vecoli, J. Galens, A. Sheets, & R. V. Young (Eds.) Gale encyclopedia of multicultural America, volume 1 (pp. 84–98). New York: Gale Research.
go back to reference Abudabbeh, N. (1996). Arab families. In M. McGoldrick, J. Giordano, & J. K. Pearce (Eds.) Ethnicity and family therapy, (2nd ed., pp. 333–346). New York: Guilford. Abudabbeh, N. (1996). Arab families. In M. McGoldrick, J. Giordano, & J. K. Pearce (Eds.) Ethnicity and family therapy, (2nd ed., pp. 333–346). New York: Guilford.
go back to reference Abudabbeh, N., & Nydell, M. K. (1993). Transcultural counseling and Arab Americans. In J. McFadden (Ed.) Transcultural counseling: Bilateral and international perspectives (pp. 261–284). Alexandria, VA: American Counseling Association. Abudabbeh, N., & Nydell, M. K. (1993). Transcultural counseling and Arab Americans. In J. McFadden (Ed.) Transcultural counseling: Bilateral and international perspectives (pp. 261–284). Alexandria, VA: American Counseling Association.
go back to reference Albar, M. A. (1999). Counseling about genetic disease: An Islamic perspective. East Mediterranean Health Journal, 5, 1129–1133. Albar, M. A. (1999). Counseling about genetic disease: An Islamic perspective. East Mediterranean Health Journal, 5, 1129–1133.
go back to reference Ali, S. R., Liu, W. M., & Humedian, M. (2004). Islam 101: Understanding the religion and therapy implications. Professional Psychology, Research and Practice, 35, 635–642.CrossRef Ali, S. R., Liu, W. M., & Humedian, M. (2004). Islam 101: Understanding the religion and therapy implications. Professional Psychology, Research and Practice, 35, 635–642.CrossRef
go back to reference Al-Mughni, H. (1993). Women in Kuwait: The politics of gender. London: Saqi Books. Al-Mughni, H. (1993). Women in Kuwait: The politics of gender. London: Saqi Books.
go back to reference Berry, J. W. (1994). Acculturation and psychological adaptation: An overview. In A. Bouvy, F. J. R. Van De Vijver, P. Boski, & P. Schmitz (Eds.) Journeys into cross-cultural psychology (pp. 129–141). Berwyn, PA: Swets & Zeitlinger. Berry, J. W. (1994). Acculturation and psychological adaptation: An overview. In A. Bouvy, F. J. R. Van De Vijver, P. Boski, & P. Schmitz (Eds.) Journeys into cross-cultural psychology (pp. 129–141). Berwyn, PA: Swets & Zeitlinger.
go back to reference Berry, J. W. (1997). Immigration, acculturation, and adaptation. Applied Psychology, 46, 5–34. Berry, J. W. (1997). Immigration, acculturation, and adaptation. Applied Psychology, 46, 5–34.
go back to reference El-Hazmi, M. A. F. (2004). Ethics of genetic counseling: Basic concepts and relevance to Islamic communities. Annals of Saudi Medicine, 24(2), 84–92.PubMed El-Hazmi, M. A. F. (2004). Ethics of genetic counseling: Basic concepts and relevance to Islamic communities. Annals of Saudi Medicine, 24(2), 84–92.PubMed
go back to reference Erickson, C. D., & Al-Timimi, N. R. (2001). Providing mental health services to Arab Americans: Recommendations and conclusions. Cultural Diversity and Ethnic Minority Psychology, 7, 308–327.CrossRef Erickson, C. D., & Al-Timimi, N. R. (2001). Providing mental health services to Arab Americans: Recommendations and conclusions. Cultural Diversity and Ethnic Minority Psychology, 7, 308–327.CrossRef
go back to reference Jaber, L. A. (2003). Barriers and strategies for research in Arab Americans. Diabetes Care, 26, 514–515.PubMedCrossRef Jaber, L. A. (2003). Barriers and strategies for research in Arab Americans. Diabetes Care, 26, 514–515.PubMedCrossRef
go back to reference Jaber, L., Dolfin, T., Shohat, T., Halpern, G. J., Reish, O., & Fejgin, M. (2000). Prenatal diagnosis for detecting congenital malformations: Acceptance among Israeli Arab women. IMAJ, 2, 346–349.PubMed Jaber, L., Dolfin, T., Shohat, T., Halpern, G. J., Reish, O., & Fejgin, M. (2000). Prenatal diagnosis for detecting congenital malformations: Acceptance among Israeli Arab women. IMAJ, 2, 346–349.PubMed
go back to reference Jackson, M. (1997). Counseling Arab Americans. In C. Lee (Ed.) Multicultural issues in counseling: New approaches to diversity, (2nd ed., pp. 333–349). Alexandria, VA: American Counseling Association. Jackson, M. (1997). Counseling Arab Americans. In C. Lee (Ed.) Multicultural issues in counseling: New approaches to diversity, (2nd ed., pp. 333–349). Alexandria, VA: American Counseling Association.
go back to reference Kim, B. S. K., Atkinson, D. R., & Umemoto, D. (2001). Asian cultural values and the counseling process: Current knowledge and directions for future research. The Counseling Psychologist, 29, 570–603.CrossRef Kim, B. S. K., Atkinson, D. R., & Umemoto, D. (2001). Asian cultural values and the counseling process: Current knowledge and directions for future research. The Counseling Psychologist, 29, 570–603.CrossRef
go back to reference Landrine, H., & Klonoff, E. A. (1995). The African American acculturation scale II: Cross-validation and short form. Journal of Black Psychology, 21, 124–152.CrossRef Landrine, H., & Klonoff, E. A. (1995). The African American acculturation scale II: Cross-validation and short form. Journal of Black Psychology, 21, 124–152.CrossRef
go back to reference Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic enquiry. Beverly Hills, CA: Sage. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic enquiry. Beverly Hills, CA: Sage.
go back to reference Nobles, A. Y., & Sciarra, D. T. (2000). Cultural determinants in the treatment of Arab Americans: a primer for mainstream therapies. American Journal of Orthopsychiatry, 70, 182–191.PubMedCrossRef Nobles, A. Y., & Sciarra, D. T. (2000). Cultural determinants in the treatment of Arab Americans: a primer for mainstream therapies. American Journal of Orthopsychiatry, 70, 182–191.PubMedCrossRef
go back to reference Nydell, M. (1987). Understanding Arabs: A guide for westerners. Yarmouth, ME: Intercultural Press. Nydell, M. (1987). Understanding Arabs: A guide for westerners. Yarmouth, ME: Intercultural Press.
go back to reference Palestinian Central Bureau of Statistics (2001–2006). Projected mid-year population in the Palestinian Territory by governorate. www.pcbs.gov.ps. Palestinian Central Bureau of Statistics (2001–2006). Projected mid-year population in the Palestinian Territory by governorate. www.​pcbs.​gov.​ps.
go back to reference Parette, P. (1999). Transition planning with families across cultures. Career Development for Exceptional Individuals, 22, 213–211.CrossRef Parette, P. (1999). Transition planning with families across cultures. Career Development for Exceptional Individuals, 22, 213–211.CrossRef
go back to reference Patai, R. (1973). The Arab mind. New York: Charles Scribners. Patai, R. (1973). The Arab mind. New York: Charles Scribners.
go back to reference Patton, M. Q. (1990). Qualitative evaluation and research methods. Newbury Park, CA: Sage. Patton, M. Q. (1990). Qualitative evaluation and research methods. Newbury Park, CA: Sage.
go back to reference Puddifoot, J. E., & Johnson, M. P. (1997). The legitimacy of grieving: The partner’s experience at miscarriage. Social Science & Medicine, 45, 837–845.CrossRef Puddifoot, J. E., & Johnson, M. P. (1997). The legitimacy of grieving: The partner’s experience at miscarriage. Social Science & Medicine, 45, 837–845.CrossRef
go back to reference Rashad, H., Osman, M., & Roudi-Fahimi, F. (2005). Marriage in the Arab World. Population reference bureau (pp. 1–8). Washington, D.C. Rashad, H., Osman, M., & Roudi-Fahimi, F. (2005). Marriage in the Arab World. Population reference bureau (pp. 1–8). Washington, D.C.
go back to reference Raz, A. E., & Atar, M. (2003). Nondirectiveness and its lay interpretations: The effect of counseling style, ethnicity, and culture, on attitudes towards genetic counseling among Jewish and Bedouin respondents in Israel. Journal of Genetic Counseling, 12, 313–332.PubMedCrossRef Raz, A. E., & Atar, M. (2003). Nondirectiveness and its lay interpretations: The effect of counseling style, ethnicity, and culture, on attitudes towards genetic counseling among Jewish and Bedouin respondents in Israel. Journal of Genetic Counseling, 12, 313–332.PubMedCrossRef
go back to reference Raz, A. E., & Atar, M. (2004). Cousin marriage and premarital carrier matching in a Bedouin community in Israel: Attitudes, service development and educational intervention. Journal of Family Planning and Reproductive Health Care, 30, 49–51.PubMedCrossRef Raz, A. E., & Atar, M. (2004). Cousin marriage and premarital carrier matching in a Bedouin community in Israel: Attitudes, service development and educational intervention. Journal of Family Planning and Reproductive Health Care, 30, 49–51.PubMedCrossRef
go back to reference Said, E. W. (1997). Covering Islam: How the media and the experts determine how we see the rest of the world. New York: Pantheon Books. Said, E. W. (1997). Covering Islam: How the media and the experts determine how we see the rest of the world. New York: Pantheon Books.
go back to reference Sayed, M. A. (2003). Psychotherapy of Arab Patients in the West. American Journal of Psychotherapy, 57, 445–459.PubMed Sayed, M. A. (2003). Psychotherapy of Arab Patients in the West. American Journal of Psychotherapy, 57, 445–459.PubMed
go back to reference Shaheen, J. G. (1986). The Hollywood Arabs: 1984–86. Mideast Monitor, 3, 1–6. Shaheen, J. G. (1986). The Hollywood Arabs: 1984–86. Mideast Monitor, 3, 1–6.
go back to reference Smart, D. W., & Smart, J. F. (1992). Cultural issues in the rehabilitation of Hispanics. Journal of Rehabilitation, 58, 29–37. Smart, D. W., & Smart, J. F. (1992). Cultural issues in the rehabilitation of Hispanics. Journal of Rehabilitation, 58, 29–37.
go back to reference Suleiman, M. W. (1988). Arabs in the mind of America. Brattleboro, VT: Amana Books. Suleiman, M. W. (1988). Arabs in the mind of America. Brattleboro, VT: Amana Books.
go back to reference Terry, J. (1985). Mistaken Identity: Arab stereotypes in American popular writing. Washington, DC: American-Arab Affairs Council. Terry, J. (1985). Mistaken Identity: Arab stereotypes in American popular writing. Washington, DC: American-Arab Affairs Council.
go back to reference United Nations (2001). Report on the Palestinian economy. United Nations (2001). Report on the Palestinian economy.
go back to reference U.S. Census Bureau (2003). The Arab population: 2000, 1–9, December. U.S. Census Bureau (2003). The Arab population: 2000, 1–9, December.
go back to reference Wertz, D. (1998). Eugenics is alive and well: A survey of genetic professionals around the world. Science Context, 11, 493–510. Wertz, D. (1998). Eugenics is alive and well: A survey of genetic professionals around the world. Science Context, 11, 493–510.
go back to reference Williams, J. E., & Best, D. L. (1990). Sex and psyche: Gender and self viewed cross-culturally pp. 118–133. Newbury Park, CA: Sage. Williams, J. E., & Best, D. L. (1990). Sex and psyche: Gender and self viewed cross-culturally pp. 118–133. Newbury Park, CA: Sage.
Metadata
Title
Culture and Acculturation Influences on Palestinian Perceptions of Prenatal Genetic Counseling
Authors
Rawan Awwad
Patricia McCarthy Veach
Dianne M. Bartels
Bonnie S. LeRoy
Publication date
01-02-2008
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 1/2008
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-007-9131-2

Other articles of this Issue 1/2008

Journal of Genetic Counseling 1/2008 Go to the issue