GC Chat: A Genetic Counselling Podcast

In our final episode of the season, we discuss the counselling issues and interventions raised in episode 4: insurance, and have guest input from insurance expert Dr Jane Tiller. Support us by buying a coffee: https://buymeacoffee.com/gcchatpod Sound engineer: Shaun Allen You will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website. https://gcchatpodcast.libsyn.com/ You can find us on Instagram, Facebook and Bluesky. Join the discussion with #GCchatpodcast References mentioned in our discussion: Centre for Genetics Education fact sheet: Life Insurance Products and Genetic Testing in Australia. https://www.genetics.edu.au/SitePages/Life-insurance-products-and-genetic-testing-in-Australia.aspx Clarke & Wallgren-Pettersson (2019). Ethics in genetic counselling. Journal of Community Genetics https://doi.org/10.1007/s12687-018-0371-7 The DNA Screen study: https://dnascreen.monash.edu/index.html Human Genetics Society of Australasia Code of Ethics: https://www.hgsa.org.au/common/Uploaded%20files/pdfs/policies,%20position%20statements%20and%20guidelines/genetic%20counselling/Code%20of%20Ethics%20for%20GC.pdf [original]; https://hgsa.org.au/common/Uploaded%20files/pdfs/policies,%20position%20statements%20and%20guidelines/members%20only%20policies/HGSA%20Code%20of%20Ethics-%20Guideline.pdf [updated] Keenan, et al., (2013). How Do Partners Find out About the Risk of Huntington's Disease in Couple Relationships? Journal of Genetic Counseling https://doi.org/10.1007/s10897-012-9562-2 MacLeod et al., (2013). Editorial Committee and Working Group 'Genetic Testing Counselling' of the European Huntington Disease Network. Recommendations for the predictive genetic test in Huntington's disease. Clinical Genetics https://doi.org/10.1111/j.1399-0004.2012.01900.x Reeder, et al.,(2017). Characterizing Clinical Genetic Counselors' Countertransference Experiences: an Exploratory Study. Journal of Genetic Counseling https://doi.org/10.1007/s10897-016-0063-6 Tiller, et al., (2023). Final Stakeholder Report of the Australian Genetics and Life Insurance Moratorium: Monitoring the Effectiveness and Response (A-GLIMMER) Project. Monash University. https://doi.org/10.26180/23564538.v1 Updates regarding the ban on the use of adverse genetic testing results on life insurance: https://treasury.gov.au/consultation/c2025-626785 ; https://ministers.treasury.gov.au/ministers/stephen-jones-2022/media-releases/total-ban-use-adverse-genetic-testing-results-life

In this episode, we begin by discussing the counselling issues and interventions raised in episode 2: Countertransference. We'll then present this week's case, where the genetic counsellor experienced their first predictive testing results disclosure in neurogenetics. Support us by buying a coffee: https://buymeacoffee.com/gcchatpod Sound engineer: Shaun Allen You will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website. https://gcchatpodcast.libsyn.com/ You can find us on Instagram, Facebook and Bluesky. Join the discussion with #GCchatpodcast References mentioned in our discussion: Clark, (2010). Life as a pregnant genetic counselor. Journal of Genetic Counseling https://doi.org/10.1007/s10897-010-9283-3. Clark, (2012). Life as a pregnant genetic counselor: take two. Journal of Genetic Counseling https://doi.org/10.1007/s10897-011-9411-8. Kessler, (1992). Psychological aspects of genetic counseling. VIII. Suffering and countertransference. Journal of Genetic Counseling https://doi.org/10.1007/BF00962826. Menezes et al., (2010). "It's Challenging on a Personal Level"—Exploring the 'Lived Experience' of Australian and Canadian Prenatal Genetic Counselors. Journal of Genetic Counseling https://doi.org/10.1007/s10897-010-9315-z Menezes, (2012). Commentary on "Life as a Pregnant Genetic Counselor: Take Two". Journal of Genetic Counseling https://doi.org/10.1007/s10897-011-9413-6 Menezes et al., (2013), "Taking Its Toll": The Challenges of Working in Fetal Medicine. Birth https://doi.org/10.1111/birt.12029 Porges, (2017). The pocket guide to the polyvagal theory: the transformative power of feeling safe. USA: Norton & Company. Redlinger-Grosse, (2020). Countertransference. In Genetic Counseling Practice (eds B.S. LeRoy, P.M. Veach and N.P. Callanan). https://doi.org/10.1002/9781119529873.ch8 Rietzler, et al. (2018). Perceived Changes to Obstetric Care and the Integration of Personal and Professional Life as a Pregnant Prenatal Genetic Counselor. Journal of Genetic Counseling, https://doi.org/10.1007/s10897-018-0210-3

Welcome to season 4 of GC Chat Podcast! In this episode, we introduce our first case of the season, which raised several ethical issues for the genetic counsellor. Reflections will follow in our next episode. Support us by buying a coffee: https://buymeacoffee.com/gcchatpod Sound engineer: Shaun Allen You will find suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website. https://gcchatpodcast.libsyn.com/ You can find us on Instagram, Facebook and Bluesky. Join the discussion with #GCchatpodcast References mentioned in our discussion: Gould & Griffin (2017). Karyomapping and how is it improving preimplantation genetics? Expert Rev Mol Diagn. https://doi.org/10.1080/14737159.2017.1325736. Handyside et al., (2010). Karyomapping: a universal method for genome wide analysis of genetic disease based on mapping crossovers between parental haplotypes, Journal of Medical Genetics. https://doi.org/10.1136/jmg.2009.069971 National Health and Medical Research Council (NHMRC) (2017). Ethical guidelines on the use of assisted reproductive technology in clinical practice and research 2017 (updated 2023). Canberra: National Health and Medical Research Council. www.nhmrc.gov.au/guidelines-publications/e79

**Trigger warning: the new case presented today (from 16:40) may be distressing to some listeners as the case involves issues of domestic violence, rape and incest. Please consider this before deciding whether or not to listen.** Welcome back. We hope you had a nice break. In this episode, we begin by discussing the counselling issues and interventions raised in episode 2: Adding value. We'll then present this week's case, where our guest genetic counsellor discusses a case that weighed heavily for both her and the client. References mentioned in our discussion: Young, M. A., Thompson, K., Lewin, J., & Holland, L. (2020). A framework for youth-friendly genetic counseling. Journal of community genetics, 11(2), 161–170. https://doi.org/10.1007/s12687-019-00439-2 World Health Organization. (2014). Global status reports on violence prevention 2014. Retrieved from. http://www.who.int/violence injury prevention/violence/statusreport/2014/en/ Additional support options: https://www.1800respect.org.au/ https://www.rainn.org/national-resources-sexual-assault-survivors-and-their-loved-ones https://lifecentre.uk.com/ You can find our usual suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website. http://www.gcchatpodcast.libsyn.com #GCchatpodcast Sound engineer: Shaun Allen