This dissertation elaborates and evaluates the proprieties of genetic counseling as they are accounted for in three models: 1) the teaching model 2) the psychotherapeutic model and 3) the responsibilist model. The elaboration of these involves an identification of the larger traditions, visions, and theories of communication that underwrite the models. In relation to these broader contexts, the models are explicated in the terms offered by key proponents. Each models theses are assessed and their adequacy is tested and compared in response to two important concerns in genetic counseling: the value of nondirectiveness and the assessment of spirituality. Nondirectiveness is a central and contested norm within genetic counseling that posits the appropriate ways to respect the understanding and decision making of patients. Spiritual assessment is an intervention being considered by some genetic counselors that would formalize inquiry into a patients spiritual life. These are discussed in reference to a case study about a pregnant woman who receives prenatal genetic counseling. All of these theoretical efforts support the claim that the responsibilist model provides the most adequate account of the proprieties of genetic counseling.
| Identifer | oai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-03292008-172012 |
| Date | 10 April 2008 |
| Creators | Fanning, Joseph B. |
| Contributors | Victor Anderson, Ellen Wright Clayton, Don Welch, Larry R. Churchill |
| Publisher | VANDERBILT |
| Source Sets | Vanderbilt University Theses |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.vanderbilt.edu/available/etd-03292008-172012/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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