Skip to main content
Top
Published in: Journal of Genetic Counseling 6/2010

01-12-2010 | Original Research

“It’s Challenging on a Personal Level”—Exploring the ‘Lived Experience’ of Australian and Canadian Prenatal Genetic Counselors

Authors: Melody A. Menezes, Jan M. Hodgson, Margaret A. Sahhar, MaryAnne Aitken, Sylvia A. Metcalfe

Published in: Journal of Genetic Counseling | Issue 6/2010

Login to get access

Abstract

Prenatal genetic counselors work with clients who are at risk of having a child with a fetal anomaly, or who have been diagnosed with a fetal anomaly. This can raise challenging ethical, moral and legal issues for both clients and counselors. Few studies have explored whether this type of work impacts on genetic counselors themselves. Interviews were conducted with 15 prenatal genetic counselors, five from Toronto, Canada and ten from Melbourne, Australia. A qualitative approach was used to allow for an in-depth exploration of the experiences of genetic counselors working in the prenatal setting. While participants reported that working in a prenatal setting affected them in several ways, this paper focuses on one particular unanticipated finding—that of the impact experienced by counselors from both countries while working when pregnant.
Appendix
Available only for authorised users
Literature
go back to reference Bennett, R. L. (2002). Everything I ever needed to know about genetic counseling research I learned from attending the Jane Engelberg memorial fellowship grantmanship seminar. Journal of Genetic Counseling, 11(4), 319–321.CrossRef Bennett, R. L. (2002). Everything I ever needed to know about genetic counseling research I learned from attending the Jane Engelberg memorial fellowship grantmanship seminar. Journal of Genetic Counseling, 11(4), 319–321.CrossRef
go back to reference Benoit, L. G., McCarthy Veach, P., & LeRoy, B. S. (2007). When you care enough to do your very best: genetic counselor experiences of compassion fatigue. Journal of Genetic Counseling, 16(3), 299–312.CrossRefPubMed Benoit, L. G., McCarthy Veach, P., & LeRoy, B. S. (2007). When you care enough to do your very best: genetic counselor experiences of compassion fatigue. Journal of Genetic Counseling, 16(3), 299–312.CrossRefPubMed
go back to reference Biesecker, B. (2001). Prenatal diagnoses of sex chromosome conditions. British Medical Journal, 322, 441–442.CrossRefPubMed Biesecker, B. (2001). Prenatal diagnoses of sex chromosome conditions. British Medical Journal, 322, 441–442.CrossRefPubMed
go back to reference Boyer, S. P., & Hoffman, M. A. (1993). Counselor affective reactions to termination—Impact of counselor loss history and perceived client sensitivity to loss. Journal of Counseling Psychology, 40(3), 271–277.CrossRef Boyer, S. P., & Hoffman, M. A. (1993). Counselor affective reactions to termination—Impact of counselor loss history and perceived client sensitivity to loss. Journal of Counseling Psychology, 40(3), 271–277.CrossRef
go back to reference Candib, L. M. (1999). When the doctor takes off her clothes: reflections on being seen by patients in the exercise setting. Families, Systems and Health, 17(3), 349–363.CrossRef Candib, L. M. (1999). When the doctor takes off her clothes: reflections on being seen by patients in the exercise setting. Families, Systems and Health, 17(3), 349–363.CrossRef
go back to reference Clark, K. (2010). Life as a pregnant genetic counselor. Journal of Genetic Counseling, 19(3), 235–237. Clark, K. (2010). Life as a pregnant genetic counselor. Journal of Genetic Counseling, 19(3), 235–237.
go back to reference Drake, C. (2002). Overcoming self-doubt in the genetic counseling session-A student’s perspective. Journal of Genetic Counseling, 11(4), 305–307.CrossRef Drake, C. (2002). Overcoming self-doubt in the genetic counseling session-A student’s perspective. Journal of Genetic Counseling, 11(4), 305–307.CrossRef
go back to reference Edwards, J. G. (2002). Pushing through the door. Journal of Genetic Counseling, 11(4), 325–327.CrossRef Edwards, J. G. (2002). Pushing through the door. Journal of Genetic Counseling, 11(4), 325–327.CrossRef
go back to reference Evans, C. (2006). Genetic counselling a psychological approach. Cambridge: Cambridge University Press.CrossRef Evans, C. (2006). Genetic counselling a psychological approach. Cambridge: Cambridge University Press.CrossRef
go back to reference Figley, C. R. (2002). Compassion fatigue: psychotherapists’ chronic lack of self care. Journal of Clinical Psychology, 58(11), 1433–1441.CrossRefPubMed Figley, C. R. (2002). Compassion fatigue: psychotherapists’ chronic lack of self care. Journal of Clinical Psychology, 58(11), 1433–1441.CrossRefPubMed
go back to reference Gold, R. B. (2002). Defining moments in genetic counseling, or, the day I knew “The patient is not always right”. Journal of Genetic Counseling, 11(4), 309–311.CrossRef Gold, R. B. (2002). Defining moments in genetic counseling, or, the day I knew “The patient is not always right”. Journal of Genetic Counseling, 11(4), 309–311.CrossRef
go back to reference Hagemoser-Platt, K., & Reiser, G. (2002). Compassionate colleague, genetic counselor, and friend. Journal of Genetic Counseling, 11(4), 293–294.CrossRef Hagemoser-Platt, K., & Reiser, G. (2002). Compassionate colleague, genetic counselor, and friend. Journal of Genetic Counseling, 11(4), 293–294.CrossRef
go back to reference Hatten, B. (2002). Pregnancy and genetic counseling: the other side of the fence. Journal of Genetic Counseling, 11(44), 299–300.CrossRef Hatten, B. (2002). Pregnancy and genetic counseling: the other side of the fence. Journal of Genetic Counseling, 11(44), 299–300.CrossRef
go back to reference Hiller, E., & Rosenfield, J. M. (2000). The experience of leader-led peer supervision: genetic counselors’ perspectives. Journal of Genetic Counseling, 9(5), 399–410.CrossRef Hiller, E., & Rosenfield, J. M. (2000). The experience of leader-led peer supervision: genetic counselors’ perspectives. Journal of Genetic Counseling, 9(5), 399–410.CrossRef
go back to reference Hodgson, J., & Spriggs, M. (2005). A practical account of autonomy: why genetic counseling is especially well suited to the facilitation of informed autonomous decision making. Journal of Genetic Counseling, 14(2), 89–97.CrossRefPubMed Hodgson, J., & Spriggs, M. (2005). A practical account of autonomy: why genetic counseling is especially well suited to the facilitation of informed autonomous decision making. Journal of Genetic Counseling, 14(2), 89–97.CrossRefPubMed
go back to reference Kadushin, A. (1983). The social work interview (2nd ed.). New York: Columbia University Press. Kadushin, A. (1983). The social work interview (2nd ed.). New York: Columbia University Press.
go back to reference Keilman, K. (2002). Genetic counselor or patient-who am I today? Journal of Genetic Counseling, 11(4), 289–292.CrossRef Keilman, K. (2002). Genetic counselor or patient-who am I today? Journal of Genetic Counseling, 11(4), 289–292.CrossRef
go back to reference Kennedy, A. L. (2000a). A leader-led supervision group as a model for practicing genetic counselors. Journal of Genetic Counseling, 9(5), 391–397.CrossRef Kennedy, A. L. (2000a). A leader-led supervision group as a model for practicing genetic counselors. Journal of Genetic Counseling, 9(5), 391–397.CrossRef
go back to reference Kennedy, A. L. (2000b). Supervision for practicing genetic counselors: an overview of models. Journal of Genetic Counseling, 9(5), 379–390.CrossRef Kennedy, A. L. (2000b). Supervision for practicing genetic counselors: an overview of models. Journal of Genetic Counseling, 9(5), 379–390.CrossRef
go back to reference Kessler, S. (1992). Psychological aspects of genetic counseling. VIII. Suffering and countertransference. Journal of Genetic Counseling, 1(4), 303–308.CrossRef Kessler, S. (1992). Psychological aspects of genetic counseling. VIII. Suffering and countertransference. Journal of Genetic Counseling, 1(4), 303–308.CrossRef
go back to reference Liamputtong, P., & Ezzy, D. (2005). Qualitative research methods (2nd ed.). Oxford/New York: Oxford University Press. Liamputtong, P., & Ezzy, D. (2005). Qualitative research methods (2nd ed.). Oxford/New York: Oxford University Press.
go back to reference Lieber, C. (2002). Defining moments: coming full circle. Journal of Genetic Counseling, 11(4), 315–318.CrossRef Lieber, C. (2002). Defining moments: coming full circle. Journal of Genetic Counseling, 11(4), 315–318.CrossRef
go back to reference McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2001). Ethical and professional challenges posed by patients with genetic concerns: a report of focus group discussions with genetic counselors, physicians, and nurses. Journal of Genetic Counseling, 10(2), 97–119.CrossRef McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2001). Ethical and professional challenges posed by patients with genetic concerns: a report of focus group discussions with genetic counselors, physicians, and nurses. Journal of Genetic Counseling, 10(2), 97–119.CrossRef
go back to reference McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2002a). Defining moments: catalysts for professional development. Journal of Genetic Counseling, 11(4) 277–280. McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2002a). Defining moments: catalysts for professional development. Journal of Genetic Counseling, 11(4) 277–280.
go back to reference McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2002b). Defining moments: important lessons for genetic counselors. Journal of Genetic Counseling, 11(4), 333–337.CrossRef McCarthy Veach, P., Bartels, D. M., & LeRoy, B. S. (2002b). Defining moments: important lessons for genetic counselors. Journal of Genetic Counseling, 11(4), 333–337.CrossRef
go back to reference McCarthy Veach, P., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the genetic counseling process: a practice manual. New York: Springer-Verlag. McCarthy Veach, P., LeRoy, B. S., & Bartels, D. M. (2003). Facilitating the genetic counseling process: a practice manual. New York: Springer-Verlag.
go back to reference McDaniel, S. H., Beckman, H. B., Morse, D. S., Silberman, J., Seaburn, D. B., & Epstein, R. M. (2007). Physician self-disclosure in primary care visits—Enough about you, what about me? [Article]. Archives of Internal Medicine, 167(12), 1321–1326.CrossRefPubMed McDaniel, S. H., Beckman, H. B., Morse, D. S., Silberman, J., Seaburn, D. B., & Epstein, R. M. (2007). Physician self-disclosure in primary care visits—Enough about you, what about me? [Article]. Archives of Internal Medicine, 167(12), 1321–1326.CrossRefPubMed
go back to reference Middleton, A., Cowley, L., & Clarke, A. (2007). Editorial on supervision. Journal of Genetic Counseling, 16(2), 123–125.CrossRefPubMed Middleton, A., Cowley, L., & Clarke, A. (2007). Editorial on supervision. Journal of Genetic Counseling, 16(2), 123–125.CrossRefPubMed
go back to reference Middleton, A., Wiles, V., Kershaw, A., Everest, S., Downing, S., Burton, H., et al. (2007). Reflections on the experience of counseling supervision by a team of genetic counselors from the UK. Journal of Genetic Counseling, 16(2), 143–155.CrossRefPubMed Middleton, A., Wiles, V., Kershaw, A., Everest, S., Downing, S., Burton, H., et al. (2007). Reflections on the experience of counseling supervision by a team of genetic counselors from the UK. Journal of Genetic Counseling, 16(2), 143–155.CrossRefPubMed
go back to reference Millward, M. (2010). Should pregnant doctors work in termination of pregnancy clinics? British Medical Journal, 340:c867, 425. Millward, M. (2010). Should pregnant doctors work in termination of pregnancy clinics? British Medical Journal, 340:c867, 425.
go back to reference Moreira, C., Muggli, E., & Halliday, J. (2008). Report on prenatal diagnostic testing in Victoria 2007. Melbourne: Murdoch Childrens Research Institute; Victorian Perinatal Data Collection Unit; The Consultative Council on Obstetric and Paediatric Mortality and Morbidity. Moreira, C., Muggli, E., & Halliday, J. (2008). Report on prenatal diagnostic testing in Victoria 2007. Melbourne: Murdoch Childrens Research Institute; Victorian Perinatal Data Collection Unit; The Consultative Council on Obstetric and Paediatric Mortality and Morbidity.
go back to reference Morris, L. R. (2002). There is power in numbers. Journal of Genetic Counseling, 11(4), 323–324.CrossRef Morris, L. R. (2002). There is power in numbers. Journal of Genetic Counseling, 11(4), 323–324.CrossRef
go back to reference Morse, D. S., McDaniel, S. H., Candib, L. M., & Beach, M. C. (2008). “Enough about me lets get back to you”: physician self-disclosure during primary care encounters. Annals of Internal Medicine, 14(11), 835–837. Morse, D. S., McDaniel, S. H., Candib, L. M., & Beach, M. C. (2008). “Enough about me lets get back to you”: physician self-disclosure during primary care encounters. Annals of Internal Medicine, 14(11), 835–837.
go back to reference Peters, E., McCarthy Veach, P., Ward, E. E., & LeRoy, B. S. (2004). Does receiving genetic counseling impact genetic counselor practice? Journal of Genetic Counseling, 13(5), 387–402.CrossRefPubMed Peters, E., McCarthy Veach, P., Ward, E. E., & LeRoy, B. S. (2004). Does receiving genetic counseling impact genetic counselor practice? Journal of Genetic Counseling, 13(5), 387–402.CrossRefPubMed
go back to reference Riley, M., & Halliday, J. (2006). Birth defects in Victoria 2003–2004. Melbourne: Victorian Perinatal Data Collection Unit, Victorian Government Department of Human Services. Riley, M., & Halliday, J. (2006). Birth defects in Victoria 2003–2004. Melbourne: Victorian Perinatal Data Collection Unit, Victorian Government Department of Human Services.
go back to reference Roberts, A. R. (1990). Crisis intervention handbook: assessment, treatment, and research. Belmont: Wadsworth Publishing Co. Roberts, A. R. (1990). Crisis intervention handbook: assessment, treatment, and research. Belmont: Wadsworth Publishing Co.
go back to reference Robinson, A. (2006). Phenomenology. In E. R. Cluett & R. Bluff (Eds.), Principles and practice of research in midwifery (2nd ed., pp. 187–202). Edinburgh/New York: Churchill Livingstone/Elsevier. Robinson, A. (2006). Phenomenology. In E. R. Cluett & R. Bluff (Eds.), Principles and practice of research in midwifery (2nd ed., pp. 187–202). Edinburgh/New York: Churchill Livingstone/Elsevier.
go back to reference Roggenbuck, J., Olson, J. E., Sellers, T. A., & Ludowese, C. (2000). Perception of genetic risk among genetic counselors. Journal of Genetic Counseling, 9(1), 47–59.CrossRefPubMed Roggenbuck, J., Olson, J. E., Sellers, T. A., & Ludowese, C. (2000). Perception of genetic risk among genetic counselors. Journal of Genetic Counseling, 9(1), 47–59.CrossRefPubMed
go back to reference Sahhar, M. A. (2010). Commentary on “Life as a pregnant genetic counselor”. Journal Genetic Counseling, 19(3), 238–240. Sahhar, M. A. (2010). Commentary on “Life as a pregnant genetic counselor”. Journal Genetic Counseling, 19(3), 238–240.
go back to reference Schmerler, S. (2002). Defining moments: professional integrity. Journal of Genetic Counseling, 11(4), 313–314.CrossRef Schmerler, S. (2002). Defining moments: professional integrity. Journal of Genetic Counseling, 11(4), 313–314.CrossRef
go back to reference Starks, H., & Brown Trinidad, S. (2007). Choose your method: a comparison of phenomenology, discourse analysis, and grounded theory. Qualitative Health Research, 17(10), 1372–1380.CrossRefPubMed Starks, H., & Brown Trinidad, S. (2007). Choose your method: a comparison of phenomenology, discourse analysis, and grounded theory. Qualitative Health Research, 17(10), 1372–1380.CrossRefPubMed
go back to reference Strauss, A., & Corbin, J. (1998). Basics of qualitative research: techniques and procedures for developing grounded theory (2nd ed.). London: SAGE Publications. Strauss, A., & Corbin, J. (1998). Basics of qualitative research: techniques and procedures for developing grounded theory (2nd ed.). London: SAGE Publications.
go back to reference Thomas, B. C., Veach, P. M., & LeRoy, B. S. (2006). Is self-disclosure part of the genetic counselor’s clinical role? Journal of Genetic Counseling, 15(3), 163–177.CrossRefPubMed Thomas, B. C., Veach, P. M., & LeRoy, B. S. (2006). Is self-disclosure part of the genetic counselor’s clinical role? Journal of Genetic Counseling, 15(3), 163–177.CrossRefPubMed
go back to reference Udipi, S., McCarthy Veach, P., Kao, J., & LeRoy, B. S. (2008). The psychic costs of empathic engagement: personal and demographic predictors of genetic counselor compassion fatigue. Journal of Genetic Counseling, 17(5), 459–471.CrossRefPubMed Udipi, S., McCarthy Veach, P., Kao, J., & LeRoy, B. S. (2008). The psychic costs of empathic engagement: personal and demographic predictors of genetic counselor compassion fatigue. Journal of Genetic Counseling, 17(5), 459–471.CrossRefPubMed
go back to reference Valverde, K. D. (2002). Genetic counseling: a new perspective. Journal of Genetic Counseling, 11(4), 285–287.CrossRef Valverde, K. D. (2002). Genetic counseling: a new perspective. Journal of Genetic Counseling, 11(4), 285–287.CrossRef
go back to reference Vokits Cohen, S. A. (2002). Lifetime continuing education: learning from my son. Journal of Genetic Counseling, 11(4), 281–284.CrossRef Vokits Cohen, S. A. (2002). Lifetime continuing education: learning from my son. Journal of Genetic Counseling, 11(4), 281–284.CrossRef
go back to reference Weil, J. (2000). Psychosocial genetic counseling. New York: Oxford University Press, Inc. Weil, J. (2000). Psychosocial genetic counseling. New York: Oxford University Press, Inc.
go back to reference Woo, S. (2002). When grief roars. Journal of Genetic Counseling, 11(4), 295–298. Woo, S. (2002). When grief roars. Journal of Genetic Counseling, 11(4), 295–298.
go back to reference Young, T. (2002). Beach glass. Journal of Genetic Counseling, 11(4), 301–303.CrossRef Young, T. (2002). Beach glass. Journal of Genetic Counseling, 11(4), 301–303.CrossRef
Metadata
Title
“It’s Challenging on a Personal Level”—Exploring the ‘Lived Experience’ of Australian and Canadian Prenatal Genetic Counselors
Authors
Melody A. Menezes
Jan M. Hodgson
Margaret A. Sahhar
MaryAnne Aitken
Sylvia A. Metcalfe
Publication date
01-12-2010
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 6/2010
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-010-9315-z

Other articles of this Issue 6/2010

Journal of Genetic Counseling 6/2010 Go to the issue