Therapeutic Communication

1. Therapeutic Communication Lecture 1

2. Objective #6 • Define communication

3. Communication is: • interaction • between 2+ people • exchange of information

4. Communication • -tion • Process • Communica • Share / give • To make common

5. Communication is influenced by: • Values • Attitudes • Beliefs • Purpose • Context

6. Intrapersonal • Interpersonal

7. Objective #7 • Identify and describe the operational definition of the communication process

8. Communication Process • Sender • Receiver • Message • Feedback

9. Message • Expression of your thoughts

10. Sender • Encoding • Sends our the message

11. Method

12. Receiver • Decoding • Person to whom the message was sent

13. Feedback! • Response to the message

14. Objective #8 • List the two main channels of communication

15. Types of Communication Verbal Non-verbal AKA: body language • Spoken word • Written word

16. 8 modes of nonverbal communication • Physical appearance • Body movement & Posture • Facial expression • Gestures • Eye contact • Tone & volume or voice • Touch • Silence

17. Two Main Channels of Communication are WORDS and BEHAVIORS • Verbal • The words we choose (7%) • Paraverbal • How we say the words (38%) • Kinesics • Body Language (55%)

18. People Reading • What people are really saying.

19. Body Language • Facial Expressions • Posture • Gestures

20. Considerations • Context • Sufficient Samples • Culture / Ethnicity • Age and Gender • Faking and Deception

21. Emotional Facial ExpressionsDr. Paul Ekman • Anger • Wrath / Rage • Contempt • Disrespect / Intense Dislike • Disgust • Aversion / Repugnance • Fear • Agitation / Anxiety • Happiness • Pleasure / Contentment • Sadness • Showing / Causing Sorrow • Surprise • Sudden / Unexpected

22. Posture and Gestures • Anger • Lean Forward • Clenched Fists • Excited / Happy • Open, Palms Up • Intimidating • Upright, Close Proximity • Interest • Lean Forward • Hand on Face, Finger pointing up • Defensive • Closed • Arms Crossed • Mirroring • Matched Position • Matched Elevation

23. Objective #9 • Explain what is meant by the P.T.—patient relationship

24. Empathy versus Sympathy Empathy • Acknowledge client’s emotions • Show care by listening and responding Sympathy • Carry some of the patients problems…. Feel sorry for them

25. Emotional Separateness Allows the professional to focus on the patient’s needs and not on our own!! • Be Self-Aware • Be Self-Monitoring • Be Self-Correcting

26. Objective #10 • Describe why therapeutic communication is the most important tool used by the P.T.

27. Basic Communication Skills What characteristics do you ascribe to someone you really like talking to?

28. Therapeutic Communication • Is “other focused” Listening is the key!

29. Elements of Therapeutic Communication • Trust • Empathy • RespectCongruence (Genuineness) • Self Awareness • Listening

30. Traits for Successful and Effective Therapeutic Communication: • non-judgmental • good listener • genuine liking for people • open body language • good eye contact • clarifies what they heard • trustworthy - integrity • sincere desire to help • values who your are • exhibits patience • attentive • not always quick to remedy • appropriate vocabulary • use humor • sensitivity and Empathy

31. Objective #14 • Discriminate between hearing and listening

32. How can you become a better listener? • Hearing • Sensing sound • Listening • “A process that involves sensing, interpreting, evaluating and reacting to spoken messages.”

33. Definition • Listening • “A process that involves sensing, interpreting, evaluating and reacting to spoken messages.”

34. stages of listening • Sensation • Interpretation • Evaluation • Reaction

35. listening challenges • Distractions • Internal • External

36. listening challenges • Distractions • Shutting out the message • The rush to judgment • Partial hearing • Disabilities

37. Become an active listener • Set purposes • Ask questions • Pay attention to verbal signpost • Expect the unexpected

38. Ask questions • “The most important types of question you will ask are… • CLARIFYING QUESTIONS”

39. Objective #15 • Relate how therapeutic communication differs from social communication

40. Style of Communication Social Therapeutic Purposeful Goal oriented • Family • Friends

41. Therapeutic Social Therapeutic vs. Social Communication • Focus on helping patient • PLANNED and directed with a purpose by the professional • Needs of the patient outweigh the needs of the P.T. • Professionals are obligated to share information within Tx Team • Relies on pt. disclosure • Both parties seek to have personal needs met • Involves equal disclosure of personal information and intimacy • Confidentiality • Spontaneity

42. Objective #16 • Define and describe the importance of each of the following: • Readiness skills, Attending skills, Active listening skills, Reflecting skills: content and emotion

43. Objective #17 • Explain the concept of the therapeutic self.

44. Psychiatric Technicians Primary Role: • Therapeutic “Use of Self” • Attempt to establish healthy relationships with people who are unable to do so • Therapeutic interpersonal relationships • Therapeutic communication