Process studies in genetic counseling: Peering into the black box

Genetic counseling is a dynamic psychoeducational process. Yet we know very little about its interior. Process research explores what transpires betwe en providers and their clients and can serve to provide insight into unknow n practice dimensions. The few process studies that have been conducted in genetic counseling provide a glimpse into the Black Box, but more of this t ype of research is needed to examine the contents. To achieve success with process studies a contemporary definition of genetic counseling is proposed . Thoughtfully designed process studies in genetic counseling will provide the data to refine the definition and identify the components of counseling , the communication process between provider and client, the therapeutic in terventions used by counselors, and the needs, attitudes and expectations o f clients. Overall, process studies will contribute to a more accurate unde rstanding of the practice of genetic counseling.