Journal of Genetic Counseling

, Volume 16, Issue 4, pp 409–417 | Cite as

Risky Communication: Pitfalls in Counseling About Risk, and How to Avoid Them

  • K. O’DohertyEmail author
  • G. K. Suthers
Professional Development Paper

A genetic counselor is often faced with the difficult task of conveying a set of complex and highly abstract factors associated with the client's risk of developing a familial disorder. The client is faced with the even more difficult task of making significant health-related decisions about an event which may or may not eventuate. Although there is a large corpus of research on this topic, much of the knowledge on risk communication is difficult to apply in a practical context. In this paper we draw together some insights on risk communication and decision-making under conditions of uncertainty, and apply them directly to the problem of communicating familial cancer risk. In particular, we focus on the distinction between individual risk and observed frequencies of adverse events, various framing effects, and contextualizing risk communication. We draw attention to some of the potential pitfalls in counseling about risk and offer avenues for circumventing them.


Genetic counseling risk familial cancer risk communication 



We thank Debbie Trott, Jacquie Armstrong, Sally Russell, Vanessa Huntley, Nicola Poplawski, and Matthew Welsh for their support, insight, and suggestions. We also acknowledge the valuable critiques provided by two anonymous reviewers.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.School of PsychologyUniversity of AdelaideAdelaideAustralia
  2. 2.Familial Cancer Unit, SA Clinical Genetics Service, Department of Genetic MedicineChildren’s Youth and Women’s Health ServiceNorth AdelaideAustralia
  3. 3.Department of PaediatricsUniversity of AdelaideAdelaideAustralia

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