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[Genetic counseling and prenatal diagnosis: from where, to where? A personal commentary].

In cases of genetic risks genetic counseling as an important support in decision making has developed from specific information transfer to a kind of client centered therapy. The progress in prenatal diagnosis and the possibility of replacing risk with security is about to debase the rationale of genetic counseling. No more the conscientious preparation and acceptance of family planning and a pregnancy at risk but the decision for or against the child is to be expected.