title: Genetic Counseling-Stress, Coping, and the Empowerment Perspective.
abstract: Historically one of the basic foundations of the genetic counseling process has been nondirectiveness; however, its definition and utility continues to be in question. There remains a need to develop genetic counseling interventions in order to qualify, quantify, measure, and enhance the genetic counseling process as well as to delineate the complex interactions of education and counseling that occur. We propose a framework for genetic counseling interventions utilizing an empowerment perspective and Lazarus and Folkman's adaptation of the theory of stress and coping. This model frames the genetic counseling process as one that promotes the autonomy of the individual by providing the individual with the tools required to make their own decisions and enhances coping and adjustment to the outcome of those decisions through control and mastery.
authors.affiliation: Department of Pediatrics, Division of Medical Genetics, Duke University Medical Center, Durham, North Carolina, 27710, mccon006@mc.duke.edu.
authors.forename: A
authors.initials: A
authors.lastname: McConkie-Rosell
authors.forename: J A
authors.initials: JA
authors.lastname: Sullivan