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We use examples from four separate qualitative GC projects, in the United Kingdom and South Africa, to highlight how different multimodal methods such as photo elicitation (PE) and graphic elicitation (GE), body mapping (BM), and conversation analysis (CA) can be incorporated into GC research and how they can produce novel ways for understanding practice, services, and patient experiences. The four projects aimed to understand the experiences of (1) a family with a genetic cancer syndrome, (2) pregnant women who chose to continue a pregnancy following detection of serious congenital abnormalities, (3) how women of advanced maternal age make decisions regarding amniocentesis, and (4) how genetic health practitioners communicate risk and manage uncertainty in GC consultations. Results provide insight into participants' moral discernments, notions of kinship and how emotional and social tensions are navigated during the offer of genetic testing. They further reveal how conversations are negotiated in clinical interactions and how practice may diverge from theoretical counseling frameworks. The purpose of this paper is to highlight how multimodal approaches were applied in these different projects and how they can be used to generate knowledge about GC experiences and interactions that extend beyond the collection of verbal or text\u2010based data. We further propose how these methods can be useful for therapeutic purposes for exploring sensitive and traumatic events related to genetic conditions or testing. Used individually, or together with other approaches, multimodal methods such as visual, art, and interactional\u2010based methods offer complementary insights into the layered, relational, and emotionally complex nature of GC. Embracing methodological diversity provides opportunities for richer, more holistic knowledge generation within an evolving and diverse GC landscape.<\/jats:p>","DOI":"10.1002\/jgc4.70193","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T04:56:52Z","timestamp":1774933012000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Expanding the methodological repertoire: Integrating multimodal approaches in genetic counseling research"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9454-5615","authenticated-orcid":false,"given":"Malebo F.","family":"Malope","sequence":"first","affiliation":[{"name":"Division of Molecular Biology and Human Genetics, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences Stellenbosch University  Stellenbosch South Africa"},{"name":"Division Human Genetics, Department of Pathology University of Cape Town  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4166-1908","authenticated-orcid":false,"given":"Megan","family":"Scott","sequence":"additional","affiliation":[{"name":"The Health Communication Research Unit (HCRU), School of Human &amp; Community Development, Faculty of Humanities University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2676-0564","authenticated-orcid":false,"given":"Tina\u2010Mari\u00e9","family":"Wessels","sequence":"additional","affiliation":[{"name":"Division Human Genetics, Department of Pathology University of Cape Town  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7789-5197","authenticated-orcid":false,"given":"Lorraine","family":"Cowley","sequence":"additional","affiliation":[{"name":"Northern Genetics Service Newcastle upon Tyne NHS Foundation Hospitals Trust  Newcastle upon Tyne UK"},{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.07.006"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/1350293X.2025.2480812"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.1001"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780190626426.001.0001"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1215\/9780822383222-004"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2004.03238.x"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/26330040241265449"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOGC.0000044201.73103.4f"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11019-022-10085-0"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/17533010903471827"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-51783-4_31"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940691201100501"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.12272"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468794106065003"},{"issue":"4","key":"e_1_2_14_16_1","first-page":"393","article-title":"Exploring family relationships in cancer risk counseling using the genogram","volume":"8","author":"Daly M.","year":"1999","journal-title":"Cancer Epidemiology, Biomarkers & Prevention"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1499\u20104046(06)60069\u20103"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.9.4.451"},{"key":"e_1_2_14_19_1","volume-title":"Who is a sister and a brother? 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