[A psychodynamic approach in counselling vulnerable persons for Chorea Huntington -- a case report].
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.
Richartz
Elke Renate
ER
Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen. elke.richartz@med.uni-tuebingen.de
Frank
Claudia
C
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