Deciphering the Physician—Older Patient Interaction

1997 ◽  
Vol 27 (3) ◽  
pp. 251-267 ◽  
Author(s):  
Julie T. Irish
Keyword(s):  
Nonverbal Communication ◽  
Nonverbal Behavior ◽  
Care Quality ◽  
Patient Communication ◽  
Social Model ◽  
Nonverbal Behaviors ◽  
Older Patient ◽  
Patient Interaction ◽  
Expression Of Emotion

Objective: The purpose of this article is to provide a commentary on nonverbal communication in the physician-older patient interaction. Method: A literature review of physician-older patient communication yielded several published studies on this topic. Nonverbal behaviors were rarely examined in this body of literature even though the need to adopt a more “biopsycho-social” model of care was mentioned in several of the articles. The nonverbal communication literature was also reviewed to determine whether aging had been a variable of interest with regard to encoding (sending) and decoding communication (receiving) skills. Results: To date there have been very few studies that have investigated the role of nonverbal communication in the physician-older patient interaction. Selected encoding and decoding characteristics for both physicians and patients are discussed with the context of the aging process. In lieu of direct evidence linking nonverbal behavior and physician-older patient communication, possible implications are offered for the following characteristics: expression of emotion, pain expression, gestures, gaze, touch, hearing, and vocal affect. Three relevant outcomes (satisfaction with care, quality of life, and health status) are also discussed within the nonverbal behavior-aging framework. Conclusion: The connection between nonverbal behavior and how physicians and older patients interact with one another has not been rigorously examined. Identifying and improving nonverbal communication will likely enhance the verbal exchange in the medical encounter and may improve the older patient's quality of care.

scholarly journals Reading Lies: Nonverbal Communication and Deception

2019 ◽  
Vol 70 (1) ◽  
pp. 295-317 ◽  
Author(s):  
Aldert Vrij ◽  
Maria Hartwig ◽  
Pär Anders Granhag
Keyword(s):  
Nonverbal Communication ◽  
Nonverbal Behavior ◽  
The State ◽  
Nonverbal Cues ◽  
Nonverbal Behaviors ◽  
State Of Affairs ◽  
The Relationship

The relationship between nonverbal communication and deception continues to attract much interest, but there are many misconceptions about it. In this review, we present a scientific view on this relationship. We describe theories explaining why liars would behave differently from truth tellers, followed by research on how liars actually behave and individuals’ ability to detect lies. We show that the nonverbal cues to deceit discovered to date are faint and unreliable and that people are mediocre lie catchers when they pay attention to behavior. We also discuss why individuals hold misbeliefs about the relationship between nonverbal behavior and deception—beliefs that appear very hard to debunk. We further discuss the ways in which researchers could improve the state of affairs by examining nonverbal behaviors in different ways and in different settings than they currently do.

Nonverbal Communication

2017 ◽  
Author(s):  
Alfonso Troisi
Keyword(s):  
Facial Expression ◽  
Nonverbal Communication ◽  
Behavioral Ecology ◽  
Nonverbal Behavior ◽  
Emotional State ◽  
Real Life ◽  
Nonverbal Behaviors ◽  
Theoretical Frameworks ◽  
Emotional Model ◽  
The Impact

Humans use two different means to exchange information: language and nonverbal communication. Often nonverbal signals emphasize and specify what is being said with words. Yet sometimes they collide, and the words are contradicted by what seeps through facial expression, gesture, and posture. This chapter discusses two theoretical frameworks for studying these nonverbal behaviors. The first approach (the emotional model) aims at unveiling the emotional state from facial expression and gesture. The second approach (the behavioral ecology model) analyzes the social meaning of nonverbal behavior, regardless of the emotional state of the sender of nonverbal signals. The two models are not incompatible and can be integrated to study nonverbal behavior. Yet, the behavioral ecology model explains some findings that are not accounted for by the emotional model. The final part of the chapter deals with neuropsychiatric conditions, such as Williams syndrome and prosopagnosia, that alter the encoding and decoding of nonverbal signals. The impact of these conditions on real-life social behavior can be dramatic, which shows the adaptive relevance of nonverbal communication.

scholarly journals Pilot assessment of nonverbal pragmatic ability in people with asperger syndrome

2013 ◽  
Vol 17 (3) ◽  
pp. 279-294 ◽  
Author(s):  
Francisco J. Rodríguez Muñoz
Keyword(s):  
Facial Expression ◽  
Asperger Syndrome ◽  
Nonverbal Communication ◽  
Nonverbal Behavior ◽  
Diagnostic Tool ◽  
Eye Gaze ◽  
Body Language ◽  
Nonverbal Behaviors ◽  
Nonverbal Interaction ◽  
Nonverbal Ability

Abstract The purpose of this study is to present a diagnostic tool to assess the nonverbal pragmatic behaviors of people with Asperger syndrome, with the intent to give an account of the severity of symptoms in the area of nonverbal interaction, as well as providing a profile of nonverbal behaviors that may be targeted for intervention. Through this communication profile, overall nonverbal ability is calculated in a group of 20 subjects with Asperger syndrome. The proposed scale also includes the measurement of the following nonverbal dimensions: (1) eye gaze, (2) facial expression, (3) body language and posture, (4) proxemics, (5) gestures, and (6) paralanguage. The results of this assessment suggest low nonverbal pragmatic ability in these subjects, show specific deficits in nonverbal communication, and capture variability in nonverbal behavior in individuals with AS.

Exploring web-mediated communication: A genre-based linguistic study for new patterns of doctor–patient interaction in online environment

2016 ◽  
Vol 12 (2-3) ◽  
Author(s):  
Marianna Zummo
Keyword(s):  
Patient Communication ◽  
Online Environment ◽  
Patient Relationship ◽  
Medical Visit ◽  
Mediated Communication ◽  
Web Based ◽  
Doctor Patient Communication ◽  
Patient Interaction ◽  
Computer Mediated ◽  
New Form

This paper questions the nature of the communicative event that takes place in online contexts between doctors and web-users, showing computer-mediated linguistic norms and discussing the nature of the participants’ roles. Based on an analysis of 1005 posts occurring between doctors and the users of health service websites, I analyse how doctor–patient communication is affected by the medium and how health professionals overcome issues concerning the virtual medical visit. Results suggest that (a) online medical answers offer a different service from that expected by users, as doctors cannot always fulfill patient requests, and (b) net consultations use aspects of traditional doctor–patient exchange and yet present a language and a style that are affected by the computer-mediated environment. Additionally, it seems that this new form leads to a different model of doctor–patient relationship. The findings are intended to provide new insights into web-based discourse in doctor–patient communication and to demonstrate the emergence of a new style in medical communication.

Giving Care, Delivering Value

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Value Chain ◽  
Barriers To Care ◽  
Care Delivery ◽  
Care Quality ◽  
Patient Knowledge ◽  
Geographical Distance ◽  
Patient Centered ◽  
Utilization Of Services ◽  
The Continuum

People value health. Yet impoverished patients face many barriers in seeking and receiving care. This chapter challenges the hypothesis that low service utilization of services is due to lack of patient knowledge. Rather, the chapter posits that low utilization is due to barriers to care (Quality of care, another factor in low utilization, will be addressed in Chapter 10). The chapter highlights offers the approaches caregiving and accompaniment to help providers and managers understand the geographical distance, harrowing transportation, and financial challenges that patients face. This understanding should support the design of more empathic and patient-centered programs that reduce barriers to care. To that end, this chapter introduces a tool called the care delivery value chain which is a helpful framework to design a system that optimizes access and services across the continuum of care.

Epistemic Violence and Emotional Misperception

Hypatia ◽  
2019 ◽  
Vol 34 (1) ◽  
pp. 59-75
Author(s):  
Trip Glazer
Keyword(s):  
Nonverbal Communication ◽  
Expression Of Emotion ◽  
Epistemic Violence

I expand upon Kristie Dotson's concept of “epistemic violence” by identifying another type of epistemic violence that arises in the context of nonverbal communication. “Emotional misperception,” as I call it, occurs when the following conditions are met: (1) A misreads B's nonlinguistic expression of emotion, (2) owing to reliable ignorance, (3) harming B.

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