Evidence map›Paper›PMID 15959640›Full record

ArticleJournal of genetic counseling2005

A practical account of autonomy: why genetic counseling is especially well suited to the facilitation of informed autonomous decision making.

Jan Hodgson, Merle Spriggs

Registry-linked trialAbstract read
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In one paragraph

Article in Journal of genetic counseling, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00360711 (Genetic Counselors' Experiences of Moral Value Conflicts With Clients), which is not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00360711 completednot on this mapstarted 2006, after this paper: background citation

Genetic Counselors' Experiences of Moral Value Conflicts With Clients

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2006 to 2007Enrolled0ConditionsMoral Value Conflicts, Moral Distress, Genetic Counseling
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  15. Preferences for prenatal diagnosis of sickle-cell disorder: A discrete choice experiment comparing potential service users and health-care providers.Health expectations : an international journal of public participation in health care and health policy · 2017
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  18. 'And then you can decide'--antenatal foetal diagnosis decision making in South Africa.Health expectations : an international journal of public participation in health care and health policy · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Jan HodgsonGenetic Education, Murdoch Children's Research Institute, Royal Children's Hospital, Flemington Rd, Parkville, Victoria, 3052, Australia. jan.hodgson@mcri.edu.au
Merle Spriggs

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In genetic counseling, facilitation of autonomous decision-making is seen as a primary aim and respect for autonomy is used to justify a nondirective counseling approach whereby clients are free to make their own choices after being given all necessary information. However in the genetic counseling literature, autonomy as a concept appears to be interpreted variably and often narrowly. We offer a practical account of autonomy that is coherent, consistent and philosophically defensible for the genetic counseling setting. At the same time we demonstrate how nondirective counseling may serve to frustrate rather than facilitate client autonomy. We suggest that promoting purposeful dialogue rather than counseling that is nondirective is more conducive to client autonomy.

Indexed as

Decision MakingGenetic CounselingPersonal AutonomyDown SyndromeFemaleGoalsHumansPregnancyGenetics and Reproduction

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.