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Table 4 Examples of active non-disclosure reported by participants

From: Disclosure to genetic relatives without consent – Australian genetic professionals’ awareness of the health privacy law

ROLE

EXPERIENCE

CONDITION

PROBAND

REFUSED TO DISCLOSE TO

REASON FOR NON-DISCLOSURE

DISCLOSURE

Clinical Geneticist P42

16+ years

Carrier of a severe X-linked disease (female)

Parent

Daughter

Parent refused

RESOLVED – informed when pregnant.

Genetic counsellor (cert) P29

11–15 years

Hereditary Creutzfeldt Jacob Disease (Fhx) gene mutation carrier (female)

Parent

Children

Unable to disclose as did not want to cause concern

UNRESOLVED

Genetic counsellor (cert) P22

2–5 years

Lynch syndrome

Parent

Children

Worry, guilt, anxiety for children

UNRESOLVED via genetic counselling

Genetic counsellor (Associate) P25

6–10 years

Balanced translocation

Female

At-risk relatives

Did not want to disclose child had a genetic condition, felt family would treat child differently

RESOLVED via other relatives

Genetic counsellor (cert) P20

6–10 years

Myotonic dystrophy (DM1)

Adult male

Relatives

It was only his (proband’s) business

RESOLVED via other relatives

Genetic counsellor (cert) P12

6–10 years

Not-specified

Female

Cousins

They wouldn’t care about me

RESOLVED via ongoing genetic counselling

Genetic counsellor (Associate) P35

2–5 years

Cancer (male)

Male

Extended Family members

Did not have a close and open relationship with extended family

RESOLVED via ongoing genetic counselling -wrote a family letter