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a Department of
Clinical Genetics, University Hospital Dijkzigt and Erasmus University,
PO Box 1738, 3000 DR Rotterdam, The Netherlands, b Department of Philosophy,
Medical Ethics and History of Medicine, University Hospital Dijkzigt
and Erasmus University, Rotterdam, The Netherlands, c Department of Medical
Psychology and Psychotherapy, University Hospital Dijkzigt and Erasmus
University, Rotterdam, The Netherlands
Correspondence to: Dr de Vries.
Received 10 December
1997;
Revised version accepted for publication 22 June 1998
The dilemmas in counselling a mildly retarded female with the
fragile X syndrome and her retarded partner are presented. The fragile
X syndrome is an X linked mental retardation disorder that affects
males and, often less severely, females. Affected females have an
increased risk of having affected offspring.
The counselling of this couple was complicated by their
impaired comprehension which subsequently impaired their thinking on
the different options. The woman became pregnant and underwent CVS,
which showed an affected male fetus. The pregnancy was terminated. Whether non-directive counselling for this couple was the appropriate method is discussed and the importance of a system oriented approach, through involving relatives, is stressed.
This article has been cited by other articles:
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  G. Tachdjian, N. Frydman, F. Audibert, P. Ray, V. Kerbrat, P. Ernault, R. Frydman, and J.-M. Costa Clinical applications of fetal sex determination in maternal blood in a preimplantation genetic diagnosis centre Hum. Reprod., August 1, 2002; 17(8): 2183 - 2186. [Abstract] [Full Text] [PDF]
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