To what extent are family systems approaches relevant in the genomics era? What difference does it make to remember the wider social context within which ‘problems’ associated with a genetic diagnosis reside? How does this influence the conversations we have with our patients? These questions will be considered in relation to systemic approaches to genetic counseling practice. Narrative therapy with an emphasis on people's strengths, wishes, and ways of resisting the effects of a problem may be a particularly useful framework for genetic counselors. Narrative practice views people as multi‐storied and is concerned with the question of how we encourage people to tell their stories in ways that make them feel stronger. Increased uptake of genomic testing and the number of people seeking genetic counseling present opportunities to consider new ways of working, particularly around support following a new genetic diagnosis. One option is to realize the potential of group interventions. Family therapy and narrative practices have the potential to encourage communication and for families to learn from each other.

中文翻译：

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遗传咨询的家庭系统方法：叙事干预的发展

在基因组学时代，家庭系统方法在多大程度上相关？记住与基因诊断相关的“问题”所在的更广泛的社会背景有什么区别？这如何影响我们与患者的对话？这些问题将结合遗传咨询实践的系统方法来考虑。强调人们的优势、愿望和抵抗问题影响的方式的叙事疗法对于遗传咨询师来说可能是一个特别有用的框架。叙事实践将人们视为多层次的，并关注我们如何鼓励人们以让他们感觉更强大的方式讲述他们的故事的问题。越来越多的基因检测和寻求遗传咨询的人数为考虑新的工作方式提供了机会，特别是在新的遗传诊断后的支持方面。一种选择是实现团体干预的潜力。家庭治疗和叙事实践有可能鼓励沟通和家庭相互学习。