Narrative therapy and family therapy in genetic counseling: A scoping review.

Genetic counseling facilitates psychological and social adaptation in clients and families. Two psychotherapeutic approaches, narrative and family therapy foster client adaptation to adverse situations and may enhance the genetic counseling process. This scoping review aimed to describe the applicat...

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Publicado en:Journal of Genetic Counseling Vol. 34; no. 2; pp. 1 - 12
Autores principales: Dane, Aimee, Berkman, Jennifer, DeBortoli, Emily, Wallingford, Courtney K., Yanes, Tatiane, McInerney‐Leo, Aideen
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/jgc4.1938
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        atl: Narrative therapy and family therapy in genetic counseling: A scoping review.
      aug:
        au:
          Dane, Aimee
          Berkman, Jennifer
          DeBortoli, Emily
          Wallingford, Courtney K.
          Yanes, Tatiane
          McInerney‐Leo, Aideen
        affil: Cardiology Department, Prince Charles Hospital, Brisbane Queensland,, Australia
      sug:
        subj:
          Narratives
          Family Therapy
          Genetic Counseling
          Human
          Scoping Review
          Life Experiences
          Coping
          Sense of Agency
          Communication Barriers
          Psychotherapy, Group
          CINAHL Database
          Psycinfo
          PubMed
          Interpersonal Relations
      ab: Genetic counseling facilitates psychological and social adaptation in clients and families. Two psychotherapeutic approaches, narrative and family therapy foster client adaptation to adverse situations and may enhance the genetic counseling process. This scoping review aimed to describe the applications of narrative therapy and family therapy in genetic counseling, and to document the actual and perceived value of these approaches in a genetic counseling setting. Nine original research articles and six commentary articles met the study inclusion criteria. Original articles reported on positive client attitudes when these approaches were applied to hereditary cancer and Huntington disease settings. Five studies applied either approach in group sessions, where safety was key to positive outcomes, including sharing lived experiences and coping strategies. Balanced utilization of structured and open elements in group sessions maximized a sense of control, while also allowing for opportunity to self‐disclose. Narrative therapy interventions were time efficient and were reported to foster connection with others and shape a new adaptive narrative centered around strengths. Family therapy approaches, based on experiential family therapy, the intersystem model, object relations family therapy, and the social ecology model, required a greater time commitment, but promoted disclosure of complex feelings and diffused tension. Family therapy genogram tools were feasible in practice, easy to implement, and effective at identifying communication barriers. Commentary articles highlighted the alignment of both approaches with genetic counseling goals and their potential value in practice. Utilization of psychotherapeutic approaches can improve counselors' ability to shape sessions, enhance insight and optimize efficacy, and flexibility in moving between models can maximize impact. This review highlights the paucity of studies investigating the efficacy of these psychotherapeutic approaches in the genetic counseling context and the need for more outcomes‐based research on the utilization of narrative or family therapy in genetic counseling practice.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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