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Construct Validity of an Instrument for Assessment of Reflective Writing-Based Portfolios of Medical Students
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In: Adv Med Educ Pract (2020)
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Counselling uncertainty: genetics professionals' accounts of (non)directiveness and trust/distrust
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Abstract:
In genetic counselling, uncertainty is central to the client–professional relationship where decisions are made on the basis of risk information/assessment. For various historical reasons, genetic counsellors adopt an ethos of ‘nondirectiveness’ to communicate risk and offer support without advising their clients on what decisions to reach. However, nondirectiveness remains an ambiguous and contested concept that has acquired a negative meaning of ‘not influencing clients’ or ‘adopting an indifferent stance’. We argue that nondirectiveness also implies a positive sense of acknowledging genetic counselling as a process of influence. Drawing on interview data (n = 25) involving professionals from England and South Wales (UK), accounts of genetic testing indicate a dynamic relationship between managing uncertainty on the one hand and negotiating trust and distrust on the other. In the counselling process, trusting and distrusting are coexisting techniques of assessing clients’ motivations, expectations and reasons for genetic testing. Using rhetorical discourse analysis as our analytical approach, we identify a pattern of accounting whereby professionals justify a directive stance when they are not confident whether clients have considered the uncertainty of the situation. More than a veneer of neutrality and indifference, we argue that nondirectiveness is a technique by which genetics professionals explore whether clients can be trusted to make autonomous decisions within a climate of uncertainty. Eliciting confidence and establishing trust within the context of genetic counselling are enabling, pastoral strategies for configuring risk and emotion.
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Keyword:
HM Sociology; P Philology. Linguistics; QH426 Genetics
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URL: https://orca.cardiff.ac.uk/73794/ https://doi.org/10.1080/13698575.2014.884545
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3 |
Counselling uncertainty: genetics professionals' accounts of (non)directiveness and trust/distrust
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4 |
Modes of risk explanation in telephone consultations between nurses and parents for a genetic condition
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Preface
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In: Genre(s) on the Move: Hybridization and Discourse Change in Specialized Communication ; https://hal.univ-lille.fr/hal-01731374 ; Giuditta Caliendo (ed.); Vanda Polese (ed.); Srikant Sarangi (ed.). Genre(s) on the Move: Hybridization and Discourse Change in Specialized Communication, 6, Edizioni Scientifiche Italiane, pp.IX-X, 2012 (2012)
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Professional and organisational practice : a discourse/communication perspective
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Psychological and sociomoral frames in genetic counseling for predictive testing
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Psychological and sociomoral frames in genetic counseling for predictive testing
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Professional and organisational practice: a discourse/communication perspective
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13 |
Generic Traits in Research Articles
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SALA, Michele (orcid:0000-0001-7538-5070). - : Edizioni Scientifiche Italiane, 2011. : country:IT, 2011. : place:Napoli, 2011
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Genre variation in medical discourse: the case of medical posters
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MACI, Stefania Maria (orcid:0000-0003-1654-5665). - : ESI, 2011. : country:IT, 2011. : place:Napoli, 2011
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Applying linguistic research to real world problems: the social meaning of talk in workplace interaction
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Articulations of knowing: NGOs and HIV-positive health in India
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Reconfiguring self/identity/status/role: the case of professional role performance in healthcare encounters
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Reconfiguring self/identity/status/role: the case of professional role performance in healthcare encounters
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The spatial and temporal dimensions of reflective questions in genetic counselling
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