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The social science literature has a history of examining practices within this clinic, but with little attention from the sociology of identity. In this paper, we highlight the importance of identity within these clinics by examining how currently healthy patients anticipate the prospect of a future identity of illness and death. We do this by examining how patients authenticate a decision to take a predictive genetic test for Huntington's Disease (HD). In deciding to take this test, a patient simultaneously asserts that they want the test, and they will be able to cope with a positive (bad news) test result. Positioning this as a claim to authenticity using Habermas, we explore authentic decision making through four themes\u2014vouching, calibrating, reassuring and projecting. Non\u2010directive counselling provides space for patients to articulate the authenticity of their decision while enabling counsellors probe their decision. However, counselling risks hindering authentic decision making and may devalue the social and familial as bases for efforts to authenticate.<\/jats:p>","DOI":"10.1111\/1467-9566.70149","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T14:07:37Z","timestamp":1769695657000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Non\u2010Directiveness and Authenticity in the Predictive Genetic Clinic"],"prefix":"10.1111","volume":"48","author":[{"given":"Shane","family":"Doheny","sequence":"first","affiliation":[{"name":"Division of Cancer &amp; Genetics Cardiff University Institute of Medical Genetics School of Medicine Heath Park  Cardiff Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Dimond","sequence":"additional","affiliation":[{"name":"School of Social Sciences Cardiff University  Cardiff Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Ballard","sequence":"additional","affiliation":[{"name":"Clinical Ethics Law and Society University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneke","family":"Lucassen","sequence":"additional","affiliation":[{"name":"Nuffield Department of Medicine Centre for Personalised Medicine University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angus","family":"Clarke","sequence":"additional","affiliation":[{"name":"Division of Cancer &amp; Genetics Cardiff University Institute of Medical Genetics School of Medicine Heath Park  Cardiff Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1911"},{"key":"e_1_2_15_3_1","volume-title":"The Sociology of Identity: Authenticity, Multidimensionality, and Mobility","author":"Brekhus W. 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