title: [A psychodynamic approach in counselling vulnerable persons for Chorea Huntington -- a case report].
abstract: The availability of predictive testing for neurodegenerative diseases such as Chorea Huntington has far-reaching consequences on psychological, ethical, and legal issues. The special situation of persons vulnerable for the disease requires a comprehensive counselling including psychotherapeutic measures. On the basis of a case report, the authors outline a psychodynamic practice, which intends not only the identification of deliberate arguments and development of coping strategies, but also a clarification of unconscious backgrounds and expectations. In the discussion, the necessity of sufficient time is stressed that allows the reflection of repressed motives in respect of the genetic testing.
authors.affiliation: Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen. elke.richartz@med.uni-tuebingen.de
authors.forename: Elke Renate
authors.initials: ER
authors.lastname: Richartz
authors.forename: Claudia
authors.initials: C
authors.lastname: Frank
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D017028:Caregivers / Q000523:psychology; D003220:Conflict, Psychological; D003376:Counseling; D003379:Countertransference; D003717:Denial, Psychological; D005260:Female; D005783:Gender Identity; D006580:Genetic Carrier Screening; D020022:Genetic Predisposition to Disease / Q000235:genetics / Q000523:psychology; D005820:Genetic Testing / Q000523:psychology; D006801:Humans; D006816:Huntington Disease / Q000235:genetics / Q000523:psychology*; D009769:Object Attachment; D011575:Psychoanalytic Therapy; D012094:Repression, Psychology; D014167:Transference, Psychology