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These include: mode of genetic transmission, counsellees' reproductive behaviour or intentions, time delay between counselling and data collection, prior familiarity with the disorder, subjective perceptions of risk, and the way that risk information is presented during counselling. It is argued that using counsellees' recall of genetic risk estimates as a measure of the effectiveness of counselling is problematic, both at a methodological and conceptual level. It is suggested that assessments of the effectiveness of genetic counselling must involve an approach which conceptualizes counselling as a dynamic process in which both counsellee and counsellor have active roles to play.<\/jats:p>","DOI":"10.1177\/135910539700200104","type":"journal-article","created":{"date-parts":[[2007,3,11]],"date-time":"2007-03-11T03:54:48Z","timestamp":1173585288000},"page":"31-43","source":"Crossref","is-referenced-by-count":39,"title":["Understanding Life's Lottery"],"prefix":"10.1177","volume":"2","author":[{"given":"Nina","family":"Hallowell","sequence":"first","affiliation":[{"name":"University of Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin P.M.","family":"Richards","sequence":"additional","affiliation":[{"name":"University of Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1997,1,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0004.1980.tb00106.x"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.30.7.567"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1002\/for.3980010305"},{"key":"atypb4","unstructured":"Black, R.B. 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