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Nursing Ethics
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Relational Ethics and Genetic Counseling

Marilyn Evans

University of Alberta, Edmonton, Alberta, Canada, mmacevans{at}cogeco.ca

Vangie Bergum

University of Alberta, Edmonton, Alberta, Canada

Stephen Bamforth

University of Alberta, Edmonton, Alberta, Canada

Sandra MacPhail

University of Alberta, Edmonton, Alberta, Canada

Genetic counseling is viewed as a therapeutic interrelationship between genetic counselors and their clients. In a previous relational ethics research project, various themes were identified as key components of relational ethics practice grounded in everyday health situations. In this article the relational ethics approach is further explored in the context of genetic counseling to enhance our understanding of how the counselor-client relationship is contextually developed and maintained. Qualitative interviews were conducted with six adult clients undergoing genetic counseling for predictive testing. Engagement, dialogue and presence were revealed as relevant to genetic counselor-client relationships. A relational ethics approach in genetic counseling challenges the concept of nondirectiveness and may enhance the outcome of counseling for both counselor and client.

Key Words: counseling • ethics • genetics • relational • therapeutic relationship

Nursing Ethics, Vol. 11, No. 5, 459-471 (2004)
DOI: 10.1191/0969733004ne724oa
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