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Effective Therapeutic Communication Techniques for Clinical Interviews

This chapter explores the communication process in clinical interviews, including factors that affect communication, nonverbal and verbal communication, therapeutic communication techniques, nontherapeutic communication techniques, cultural considerations, and the importance of process recording. Enhance your communication skills for better patient outcomes.

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Effective Therapeutic Communication Techniques for Clinical Interviews

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  1. Chapter 10 Communication and the Clinical Interview

  2. The Communication Process Stimulus for information, comfort, or advice Sender – initiates contact Message – sent or expressed Variety of media – hearing, visual, touch, smell Feedback received

  3. Factors That Affect Communication • Personal factors • Environmental factors • Relationship factors

  4. Nonverbal Communication • Tone of voice • Emphasis on certain words • Physical appearance • Facial expressions • Body posture • Amount of eye contact • Hand gestures

  5. Verbal Communication • All words a person speaks • Communicates • Beliefs and values • Perceptions and meaning • Can convey • Interest and understanding • Insult and judgment • Double or mixed messages

  6. Therapeutic Communication Techniques • Tools for enhancing communication • Using silence • Active listening • Listening with empathy

  7. Clarifying Techniques Paraphrasing Restating Reflecting Exploring

  8. Asking Questions and Eliciting Patient Responses • Open-ended questions • Closed-ended questions

  9. Nontherapeutic Communication Techniques Excessive questioning Giving approval or disapproval Giving advice Asking “why” questions

  10. Cultural Considerations Communication style Eye contact Touch Cultural filters – form of bias or prejudice

  11. Preparing for the Interview Pace Setting Seating Introductions Initiating the interview

  12. Attending Behaviors • Foundation of the interview • Eye contact • Body language • Vocal quality • Verbal tracking

  13. Process Recording Written record of a segment of the nurse-patient session that reflects as closely as possible the verbal and nonverbal behaviors of both patient and nurse Useful tool for identifying communication patterns

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