Components of a Genetic Cancer Risk Clinic

Peters, June A.; Graham, J. R.; Stadler, Mona P.; Sargent, Kate

doi:10.1007/978-1-4615-4699-3_1

Cited by 1 publication

(4 citation statements)

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Section: Introductionmentioning

confidence: 99%

“…The practice of cancer genetic counseling includes components of both the educational and counseling models of genetic counseling [Peters and Stopfer, 1996;Peters et al, 1999b]. The goal of the educational model is to inform counselees about medical and genetic factors pertinent to their family situation, based on the assumptions that they come for information and that they will be able to make their own decisions, given the right information.…”

Section: Introductionmentioning

confidence: 99%

“…The service, often seen as a variation on genetic counseling, is comprehensive in scope and includes a strong emphasis on the familial nature of cancers [Peters and Stopfer, 1996;Richards, 1996]. Components of the genetic cancer risk clinic usually involve provisions for management of psychosocial issues as well as management of medical and genetic risk [Biesecker et al, 1993;Eeles and Murday, 1996;Peters et al, 1999b;Schneider, 2001;Evans and Lalloo, 2002].Although genetic counseling, which is often associated with genetic testing, has been offered for several decades, there is no consensus regarding the specific ingredients required for successful counseling outcomes [Resta, 1997;Biesecker and Marteau, 1999]. In part, this is due to the multi-purpose nature of the activity.…”

mentioning

confidence: 99%

“…Genetic counseling involves not only the provision of genetic information about a given condition and its inheritance pattern; it also is intended to help at-risk individuals integrate the new genetic information, adjust to it emotionally and socially, and make informed decisions about healthcare, lifestyle and other important matters [Ad Hoc Committee of the American Society of Human Genetics (ASHG), 1975;Weil, 2000]. The optimum strategy to accomplish these goals remains undefined.The practice of cancer genetic counseling includes components of both the educational and counseling models of genetic counseling [Peters and Stopfer, 1996;Peters et al, 1999b]. The goal of the educational model is to inform counselees about medical and genetic factors pertinent to their family situation, based on the assumptions that they come for information and that they will be able to make their own decisions, given the right information.…”

mentioning

confidence: 99%

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Exploratory study of the feasibility and utility of the colored eco‐genetic relationship map (CEGRM) in women at high genetic risk of developing breast cancer

Peters

Kenen

Giusti

et al. 2004

American J of Med Genetics Pt A

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We report here the results of an exploratory feasibility study of the colored eco-genetic relationship map (CEGRM), a novel, recently-developed psychosocial assessment tool, which incorporates features of the genetic pedigree, family systems genogram, and ecomap. The CEGRM presents a simple, concise, visual representation of the social interaction domains of information, services, and emotional support through the application of color-coded symbols to the genetic pedigree. The interactive process of completing the CEGRM was designed to facilitate contemporary genetic counseling goals of: (a) understanding the client in the context of her/his social milieu; (b) bolstering client self-awareness and insight; (c) fostering active client participation and mutuality in the counseling interaction; (d) eliciting illuminating social narratives; and (e) addressing outstanding emotional issues. Twenty women participating in a breast imaging study of women from families with BRCA1/2 mutations completed and evaluated various aspects of the CEGRM. We found that efficient construction of the CEGRM was feasible, and that compliance was excellent. Participants developed insights into their social milieu through observing the visual pattern of relationships illustrated by the CEGRM. The process of co-constructing the CEGRM fostered the participant's active involvement in the session, marked by mutuality and increased empathy. In this clinical research context, the participants felt free to share poignant stories about their friends and families. Further studies are planned to refine the CEGRM and to examine its utility in cancer genetics research.

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