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The authors argue that logotherapy helps genetic counselors hold painful experiences such as guilt, death, and suffering while guiding decision-making and healthy adaptation. The paper demonstrates meaning-centered counseling skills, emphasizing Socratic Dialogue and Dereflection, and links psychological concerns about meaningfulness with core genetic counseling goals.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/exploring-the-principles-of-logotherapy-in-genetic-counseling-enhancing-decision-making-adaptation-and-justice/443709/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/exploring-the-principles-of-logotherapy-in-genetic-counseling-enhancing-decision-making-adaptation-and-justice/443709.png","ImageObject",300,407,{"name":92,"@type":93},"Kyle","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the central idea of logotherapy in this paper?","Question",{"text":112,"@type":113},"Logotherapy centers on meaning: individuals can discover meaning even in tragic circumstances through a will-to-meaning, guided by freedom and responsibility in the moment and across life narratives.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why is logotherapy considered relevant to genetic counseling?",{"text":117,"@type":113},"Genetic counseling sits between scientific realities and human choices. The paper argues logotherapy provides a framework that supports informed decision-making and healthy adaptation while addressing guilt, death, and suffering.",{"name":119,"@type":110,"acceptedAnswer":120},"Which logotherapy techniques does the paper highlight?",{"text":121,"@type":113},"The paper highlights two specific techniques: Socratic Dialogue and Dereflection, presented as meaning-centered counseling skills that empower patients’ narratives and capacities.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},443709,1791069036,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},3985741905716,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","DOI: 10. 1002/jgc4 .70165  \nP R OF E S S I ONAL IS S U E S  \nExploring the principles of logotherapy in genetic counseling: Enhancing decision-making, adaptation, and justice  \nNour Chanouha1  | Anna Chassevent2  | Ellen F. Macnamara3  | Kendra Schaa1  | Renata Thoeny1  | Janeta Tansey4   \n1Department of Obstetrics & Gynecology, University of Iowa Health Care, Iowa City, Iowa, USA  \n2Department of Developmental Neurology, Kennedy Krieger Institute, Baltimore, Maryland, USA 3Undiagnosed Diseases Program, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA  \n4Virtue Medicine PC, Viktor Frankl Institute of Logotherapy, Iowa City, Iowa, USA  \nCorrespondence  \nRenata Thoeny, Department of Obstetrics & Gynecology, University of Iowa Health Care, Iowa City, IA, USA.  \nEmail: [renata-thoeny@uiowa.edu](renata-thoeny@uiowa.edu)  \nAbstract  \nLogotherapy is a psychological approach originated by Viktor Frankl, shaped by the thesis that meaning can be discovered even in the most tragic of human circumstances, and through a human's will-to-meaning, that individuals have both freedom and responsibility to discover meanings in the moment and ultimate meanings from their unique standpoints and life stories. The authors submit that as the genetic counseling profession straddles the givens of science and disease alongside the openness of human choices, logotherapy is a particularly effective and potent framework for its practitioners. Logotherapy holds space for the painful experiences of guilt, death, and suffering alongside genetic conditions and the responsibility to make decisions about what to do and how to live. Attention to the emerging psychological concerns and possibilities for meaningfulness in these spaces of tension can enhance the core goals of genetic counseling, including informed decision-making and healthy adaptation. This paper aims to demonstrate the efficacy of meaning-centered counseling skills to actively empower a patient's narrative and capacities as essential and alongside other health care needs and concerns. This paper focuses on the general approach of logotherapy and highlights two specific techniques: Socratic Dialogue and Dereflection. From the authors' own multiplicity of practice and teaching perspectives in the genetic counseling field, the paper argues that logotherapy is highly applicable to the profession, highly compatible with short-term counseling interventions and across varied specialties, offering counselors and their diverse patient populations a more meaning-rich experience of care, respect, and decisional empowerment.  \nK E Y WO R D S  \nadaptation, counseling, decision-making, freedom, genetic counseling, guilt, logotherapy, meaning, suffering, values  \nNour Chanouha, Anna Chassevent, Ellen F. Macnamara, Kendra Schaa and Renata Thoeny should be considered co-first authors.  \nThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \n© 2026 The Author(s) . Journal of Genetic Counseling published by Wiley Periodicals LLC on behalf of National Society of Genetic Counselors.  \n1 | INTRODUCTION  \nIn “Psychosocial Genetic Counseling,” Dr. Jon Weil states the following: “The genetic counselor must keep in mind the central importance of the search for meaning and be alert to its many possible manifestations (Weil, 2000, p. 8) .” This search for meaning often leads to existential questions about meaning and meaninglessness in life, the possibilities and limits of freedom, and the nature of suffering, dying, and death. In encountering these deep human questions and their normal discomfort, there are associated questions of who or what is responsible for the pain, and in seeking a root cause or agent of responsibility, fear, anger, guilt, and shame may arise. Such feelings are common experiences for the practicing genetic c","cbCaipiy0GnoYKCy","https://ap.wps.com/l/cbCaipiy0GnoYKCy","pdf",640176,"English","# Abstract\n# Introduction\n## Meaning and existential concerns in genetic counseling\n## Meaning-making as an adaptation mechanism\n## Core principles of logotherapy","[{\"question\":\"What is the central idea of logotherapy in this paper?\",\"answer\":\"Logotherapy centers on meaning: individuals can discover meaning even in tragic circumstances through a will-to-meaning, guided by freedom and responsibility in the moment and across life narratives.\"},{\"question\":\"Why is logotherapy considered relevant to genetic counseling?\",\"answer\":\"Genetic counseling sits between scientific realities and human choices. The paper argues logotherapy provides a framework that supports informed decision-making and healthy adaptation while addressing guilt, death, and suffering.\"},{\"question\":\"Which logotherapy techniques does the paper highlight?\",\"answer\":\"The paper highlights two specific techniques: Socratic Dialogue and Dereflection, presented as meaning-centered counseling skills that empower patients’ narratives and capacities.\"}]","Exploring the principles of logotherapy in genetic counseling - Enhancing decision-making, adaptation, and justice | PDF",1790705067,25]