Genetic counseling is one of the fastest growing fields across clinical care, medical research, and health-related industries. This growth is driven by advancements in genetic knowledge, the expansion of genetic tests and sequencing tools, industry demands for new testing modalities, and a public interest in direct-to-consumer genetic testing.

As the field continues to expand and diversify, The Oxford Handbook of Genetic Counseling is the most comprehensive and authoritative resource designed to meet the demands of a growing workforce. The volume contains thirty-six chapters that cover historic developments, application in clinical practice, research and industry, and genetic and genomic testing. The book also discusses ethical and social issues and provides an outlook on the future of the field.

Bringing together an interdisciplinary team that includes genetic counselors, clinical geneticists, medical researchers, bioethicists, legal and policy experts, and other healthcare professionals, this volume is an invaluable resource for professionals in the field. It appeals to genetic counselors, genetic counseling students, teachers, scholars, and bioethicists. Given its scope and diversity of topics, it is also an important resource for clinical faculty, health researchers, and healthcare providers who are increasingly encountering genetics and genomics in their respective fields.

Robin E. Grubs, PhD, LCGC is an Associate Professor of Human Genetics at the University of Pittsburgh. An active participant in national genetics organizations, Grubs served as President of the American Board of Genetic Counseling and as an Executive Committee member of the Genetic Counselor Educators Association. Currently, she is an Editorial Board member for the Journal of Genetic Counseling. She has published on genetic counseling education, psychosocial effects of genetic testing, ethical issues in genetic counseling and the use of qualitative methods in genetic counseling research. She is the recipient of the 2019 University of Pittsburgh Chancellor's Distinguished Teaching Award.

Emily G. Farrow, PhD, CGC is an Associate Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine. As a genetic counselor and assistant clinical laboratory director, she has been active in the development and implementation of novel next generation sequencing tests. She has numerous publications on next generation sequencing, particularly in rare pediatric disease. Farrow is also the principle investigator for a genomic medicine short course, developed for the education of clinicians on genomic medicine.

Michael J. Deem, PhD is an Associate Professor in the Department of Human Genetics and Core Faculty in the Center for Bioethics & Health Law at the University of Pittsburgh. He has published widely in philosophy and bioethics, and has taught ethics courses in genetic counseling, medicine, nursing, philosophy, and rehabilitation science programs for over a decade. He completed a Ph.D. in Philosophy at the University of Notre Dame and the Pediatric Ethics and Genomics Fellowship Children's Mercy Hospital.

Contributors
Preface
Acknowledgments

Part I: The Emergence and Establishment of the Genetic Counseling Profession
1 - Negotiating Heredity, Choice, and Coercion: A Gendered History of Genetic Counseling and Reproductive Advice, 1910-1960
Devon Stillwell

2 - The Development of Education for Genetic Counselors
Bonnie Jeanne Baty and Claire Davis

3 - The Professionalization of Genetic Counseling
Vickie L. Venne and Edward M. Kloza

Part II: Engaging in the Practice of Genetic Counseling
4 - A Theory of Responsive Genetic Counseling Practice
Robin E. Grubs and Maria Piantanida

5 - The Reciprocal-Engagement Model of Genetic Counseling Practice
Patricia McCarthy Veach and Bonnie S. LeRoy

6 - New Perspective in Psychosocial Genetic Counseling
Jon Weil

Part III: Contexts of Genetic Counseling Practice

7 - Prenatal Genetic Counseling
Sandra A. Darilek and Jennifer Hoskovec

8 - Pediatric Genetic Counseling
Carol S. Walton

9 - Cancer Genetic Counseling
Stephanie A. Cohen

10 - Specialization and Sub-Specialization in Genetic Counseling: Trends and Drivers
Catherine A. Wicklund and Angela M. Trepanier

11 - The Genetic Counselor's Role in Direct-to-Consumer Genetic Testing
Anne E. Greb

12 - Genetic Counselors as Researchers
Julia Wynn and Tara Schmidlen

13 - Genetic Counselors in Marketing and Industry
Elissa Levin and Edgar MacBean

14 - Genetic Counseling Approaches for Adolescents and Young Adults
Melanie F. Myers and Wendy R. Uhlmann

Part IV: Navigating Contemporary Issues in Genetic Testing and Genetic Counseling Practice

15 - Considerations Before Testing: Patient Education, Decision Making and Informed Consent
Kelly E. Ormond

16 - Testing Strategies: Navigating the Path of Genetic Testing
Lee A. Zellmer and Emily G. Farrow

17 - After the Test: Interpreting a Clinical Report
Isabelle Thiffault and Carol J. Saunders

18 - Genetic Counselor Liability and Licensure in the Genomics Era
Susan M. Wolf, Gary E. Marchant, Hannah M. Oliason, Bonnie S. LeRoy

19 - Family History in Contemporary Genetics
Debra L. Collins and Devin M. Cox

20 - Common and Complex Traits: Considerations for Genetic Counseling
Eleanor Feingold

21 - Risk Assessment of Secondary Findings
Eric T. Rush

22 - Genetics and Genetic Counseling in the Internet Age
Lauren Gallagher and Leslie Ordal

Part V: Normative Concepts and Ethical Issues in Genetic Counseling

23 - Nondirectiveness in Genetic Counseling: Conceptual and Normative Dimensions
Michael J. Deem

24 - Communicating Family Information in Genetic Counseling: An Ethical Perspective
Samantha J. Leonard and Ainsley J. Newson

25 - Genetic Counselors' Personal Reactions and the Ethical Implications for Genetic Counseling Practice
Patricia McCarthy Veach and Krista Redlinger-Grosse

26 - Ethical and Social Issues Connected to Genetic Testing of Fetuses, Infants, and Children
Dena S. Davis

27 - Genetic Counseling and the Problem of Exploitation
Naomi Scheinerman

28 - Precision Medicine's Ethical Challenges: Roles for Genetic Counselors
Lisa S. Parker

Part VI: Culture, Disability, and the Social Effects of Genetic Counseling

29 - Cultural Responsiveness and Linguistic Competence in Genetic Counseling:
Taking Responsibility
Nancy Steinberg Warren

30 - Genetic Counseling Outcomes, Patient Empowerment, and the Genetic Counseling Outcome Scale
Marion McAllister

31 - Reforming Informed Consent: On Disability and Genetic Counseling
Elizabeth Dietz and Joel Michael Reynolds

32 - Genetics and Disadvantage: Inequity, Stigma, and Expectation
Angus Clarke

Part VII: The Future of Genetic Counseling

33 - Anticipating the Growth of Genetic Counseling
Megan E. Trinkle-Tucker and Beverly M. Yashar

34 - Globalization of Genetic Counseling
Mercy Ygoña Laurino and Austin E. Bland

35 - Growing Up with Genomes: Ethical and Practical Considerations of Prenatal and Postnatal Genomic Sequencing
Marsha Michie and Aaron J. Goldenberg

36 - Considering the Future of Genetic Counseling
Deborah Cragun, Robert Resta, and Daniel Lee Riconda