Section outline

  • In this topic, we will examine the Reciprocal Engagement Model (REM) of Genetic Counseling, the contemporary framework from which the practice of genetic counseling is anchored on. We will study the different tenets of genetic counseling based on the REM and discuss how these are operationalized in actual practice. We will also examine the different genetic counseling "schools of thought" particularly the teaching and the counseling approach in genetic counseling. 

    Please read the following papers and answer the discussion forum that follows.  

    • Reciprocal Engagement Model of Genetic Counseling File

      In much of the history of genetic counseling, we have relied on other theories and models of other fields to guide the practice of genetic counseling. For example, much of the contemporary practice of genetic counseling has been influenced by Carl Roger's client-centered counseling. The Reciprocal Engagement Model is a proposed model to capture the essence and tenets of practice of genetic counselors and clarifies the goals, strategies, and behaviors.  

    • Outcomes of Genetic Counseling based on the REM File

      While the REM provided the tenets, strategies, and behavior, it did not specify the outcomes of genetic counseling. In this paper, these outcomes are elucidated based on a study of practicing genetic counselors. As you may notice, there are no hard and fast rule yet on the outcomes and these are all evolving. However, these are the outcomes that are practice-based and more research is needed to study these outcomes. 

    • Client's Perspective of Genetic Counseling File

      When we study outcomes of genetic counseling, it is always important to consider the perspective of our clients and their families. After all, the genetic counseling session and the process itself is centered around our clients. Their perspectives are important because our goals and strategies can be anchored from how they perceive the process. This research by Skirton (2001) elucidates the perspectives of client's in genetic counseling enabling us to know what outcomes are most salient for them. 

    • Forum (Reciprocal Engagement Model)