Client-centred clinical genetic diagnostics

被引:1
|
作者
Otter, Maarten [1 ,2 ]
Stumpel, Constance [3 ]
van Amelsvoort, Therese [4 ]
机构
[1] Dichterbij, STEVIG, Forens Psychiat Dept People Learning Disabil, Venray, Netherlands
[2] Trajectum, Dept Community Mental Hlth Learning Disabil, Zutphen, Netherlands
[3] Maastricht Univ, Sch Oncol & Dev Biol, Dept Clin Genet, Med Ctr, Maastricht, Netherlands
[4] Maastricht Univ, Sch Mental Hlth & Neurosci, Dept Psychiat & Psychol, Transit Psychiat,Med Ctr, Maastricht, Netherlands
关键词
Quality of life; Shared decision-making; Behavioural phenotype of genetic syndromes; Clinical genetic diagnostics; Destigmatization; Physical examination in developmental delay;
D O I
10.1108/AMHID-06-2017-0025
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose - The purpose of this paper is to establish the value of clinical genetic diagnostics in the lives of people with an intellectual disability (ID), their families, and their primary and professional caregivers. It has been shown that psychologists are more likely to make use of the opportunities offered by clinical genetic diagnostics if they have seen the psychological benefits in their own practice. Moreover, this paper aims to promote the practice of informing people with ID, their families, and other caregivers regarding the current technological advances in genetic diagnostics, thereby allowing these patients to decide for themselves whether to utilise these opportunities. Design/methodology/approach - The authors report four case studies in which the psychosocial value to each patient is pivotal. Findings - In these four cases, it is clear the medical model can augment the social model by providing an interpretation of its meaningfulness in the lives of the people concerned. Research limitations/implications - Case studies alone can have limited scientific significance. This approach examining the significance of clinical genetic diagnosis should be studied further in larger groups. Practical implications - It is hoped that psychologists and other professional caregivers will become enthused about the value of clinical genetic diagnostics and will choose to discuss the option of referral for clinical genetic diagnostics with their patients more often. Social implications - People with an ID who are seeking mental health care, and their caregivers, should be given the opportunity to take part in the decision regarding whether to use clinical genetic diagnostics, which may even have a destigmatising effect. Originality/value - Quality of life may improve for people with an ID seeking mental healthcare and for their caregivers as well by opening up discussion regarding the opportunities presented by clinical genetic diagnostics. The fact that people are able to make their own choices based on their own considerations can have a destigmatising effect.
引用
收藏
页码:1 / 10
页数:10
相关论文
共 50 条
  • [1] Client-centred occupational therapy: the importance of critical perspectives
    Hammell, Karen R. Whalley
    SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY, 2015, 22 (04) : 237 - 243
  • [2] Client-centred self-care intervention after stroke: A feasibility study
    Guidetti, Susanne
    Andersson, Karin
    Andersson, Magnus
    Tham, Kerstin
    Von Koch, Lena
    SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY, 2010, 17 (04) : 276 - 285
  • [3] Achieving a successful and sustainable return to the workforce after ABI: A client-centred approach
    O'Brien, Lisa
    BRAIN INJURY, 2007, 21 (05) : 465 - 478
  • [4] A cluster randomised controlled trial on the efficacy of client-centred occupational therapy in multiple sclerosis: good process, poor outcome
    Eyssen, Isaline C. J. M.
    Steultjens, Martijn P. M.
    de Groot, Vincent
    Steultjens, Esther M. J.
    Knol, Dirk L.
    Polman, Chris H.
    Dekker, Joost
    DISABILITY AND REHABILITATION, 2013, 35 (19) : 1636 - 1646
  • [5] Intensive client-centred occupational therapy in the home improves older adults' occupational performance. Results from a Danish randomized controlled trial
    Nielsen, Tove Lise
    Andersen, Niels Trolle
    Petersen, Kirsten Schultz
    Polatajko, Helene
    Nielsen, Claus Vinther
    SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY, 2019, 26 (05) : 325 - 342
  • [6] A sector-wide response to national policy on client-centred care and support: a document analysis of the development of a range of instruments to assess clients’ experiences in the care and support for people with (intellectual) disabilities
    Petri J. C. M. Embregts
    Kees Ahaus
    Mirella Minkman
    Henk Nies
    Pauline Meurs
    BMC Health Services Research, 21
  • [7] A sector-wide response to national policy on client-centred care and support: a document analysis of the development of a range of instruments to assess clients' experiences in the care and support for people with (intellectual) disabilities
    Embregts, Petri J. C. M.
    Ahaus, Kees
    Minkman, Mirella
    Nies, Henk
    Meurs, Pauline
    BMC HEALTH SERVICES RESEARCH, 2021, 21 (01)
  • [8] The Person-Centred Clinical Interview
    Sensky, Tom
    PSYCHOTHERAPY AND PSYCHOSOMATICS, 2024, 93 (04) : 237 - 243
  • [9] Person-centred care in clinical assessment
    Wallstrom, Sara
    Ekman, Inger
    EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2018, 17 (07) : 576 - 579
  • [10] Clinical reasoning as midwifery: A Socratic model for shared decision making in person-centred care
    Gunby, Julie D.
    Lockhart, Jennifer Ryan
    NURSING PHILOSOPHY, 2022, 23 (03)