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The Ins and Outs of Medical Encounters : = An Interactional Analysis of Empathy, Patient Satisfaction, and Information Exchange (Doctor-Patient, Nonverbal Communication).

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	The Ins and Outs of Medical Encounters :/
Reminder of title:	An Interactional Analysis of Empathy, Patient Satisfaction, and Information Exchange (Doctor-Patient, Nonverbal Communication).
Author:	Fraenkel, Danielle Louisa.
Description:	1 online resource (50 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 47-07, Section: A.
Contained By:	Dissertations Abstracts International47-07A.
Subject:	Academic guidance counseling. -
Online resource:	click for full text (PQDT)
ISBN:	9798641585550

The Ins and Outs of Medical Encounters : = An Interactional Analysis of Empathy, Patient Satisfaction, and Information Exchange (Doctor-Patient, Nonverbal Communication).
Fraenkel, Danielle Louisa.

The Ins and Outs of Medical Encounters :An Interactional Analysis of Empathy, Patient Satisfaction, and Information Exchange (Doctor-Patient, Nonverbal Communication). - 1 online resource (50 pages)

Source: Dissertations Abstracts International, Volume: 47-07, Section: A.

Thesis (Ph.D.)--University of Rochester, 1986.

Includes bibliographical references

This exploratory, descriptive study integrated concepts from medicine, counseling, and dance therapy to explore the relationships among varying levels of empathy, dyadic nonverbal behaviors, patient satisfaction, and patient recall of doctor-offered information. It also examined the relationship of the physician's sex to these variables. Three concepts laid the foundation for this study. The first was Barrett-Lennard's interactional, cyclical, and phenomenological analysis of empathy. The second concerned synchrony and echoing--units of interactional analysis--and used them to summarize the physician's and the patient's nonverbal interactions. The third involved Kagan's Interpersonal Process Recall System (IPRS) and used it to tap the moment-to-moment flux of the patient's changing perceptions of the physician's level of empathy. Twelve male and seven female family medicine residents and nineteen of their female patients were videotaped during the pre- and post-physical segments of their encounters. After the appointment the patient used the IPRS to label her perceptions of the physician's level of empathy, completed a state satisfaction questionnaire, and then recalled in her own words what the doctor had said. One group of raters scored the tapes, with the audio off, for synchrony and echoing. A second group rated the audio only for doctor-offered information. The two analyses were combined to identify the information accompanied by synchrony or echoing. While total echoing, total synchrony, and the total synchrony and total echoing accompanying information-giving failed to relate to empathy, satisfaction, or recall, integrants of echoing and synchrony generated relationships with empathy and accurate recall, respectively, which merit further examination. Total empathy correlated moderately with satisfaction; affective and cognitive empathy, alone, did not. Affective empathy correlated moderately with information-giving regarding the patient's treatment and regimen. New ways of thinking about synchrony, echoing, empathy, and patient recall were presented: the consideration of patient-initiated echoing as a marker for affective process; doctor-initiated echoing as a marker for cognitive process; synchrony as the kinesthetic signal for accurate recall; a change in empathy training curricula; and support for the view of empathy as multi-dimensional. The methodological and technological limitations of the study and suggestions for using synchrony and echoing to analyze dyadic and group settings in medicine, education, and counseling/psychotherapy were also discussed.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798641585550Subjects--Topical Terms:

1437868
Academic guidance counseling.
Index Terms--Genre/Form:

554714
Electronic books.

The Ins and Outs of Medical Encounters : = An Interactional Analysis of Empathy, Patient Satisfaction, and Information Exchange (Doctor-Patient, Nonverbal Communication).
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504 $a Includes bibliographical references
520 $a This exploratory, descriptive study integrated concepts from medicine, counseling, and dance therapy to explore the relationships among varying levels of empathy, dyadic nonverbal behaviors, patient satisfaction, and patient recall of doctor-offered information. It also examined the relationship of the physician's sex to these variables. Three concepts laid the foundation for this study. The first was Barrett-Lennard's interactional, cyclical, and phenomenological analysis of empathy. The second concerned synchrony and echoing--units of interactional analysis--and used them to summarize the physician's and the patient's nonverbal interactions. The third involved Kagan's Interpersonal Process Recall System (IPRS) and used it to tap the moment-to-moment flux of the patient's changing perceptions of the physician's level of empathy. Twelve male and seven female family medicine residents and nineteen of their female patients were videotaped during the pre- and post-physical segments of their encounters. After the appointment the patient used the IPRS to label her perceptions of the physician's level of empathy, completed a state satisfaction questionnaire, and then recalled in her own words what the doctor had said. One group of raters scored the tapes, with the audio off, for synchrony and echoing. A second group rated the audio only for doctor-offered information. The two analyses were combined to identify the information accompanied by synchrony or echoing. While total echoing, total synchrony, and the total synchrony and total echoing accompanying information-giving failed to relate to empathy, satisfaction, or recall, integrants of echoing and synchrony generated relationships with empathy and accurate recall, respectively, which merit further examination. Total empathy correlated moderately with satisfaction; affective and cognitive empathy, alone, did not. Affective empathy correlated moderately with information-giving regarding the patient's treatment and regimen. New ways of thinking about synchrony, echoing, empathy, and patient recall were presented: the consideration of patient-initiated echoing as a marker for affective process; doctor-initiated echoing as a marker for cognitive process; synchrony as the kinesthetic signal for accurate recall; a change in empathy training curricula; and support for the view of empathy as multi-dimensional. The methodological and technological limitations of the study and suggestions for using synchrony and echoing to analyze dyadic and group settings in medicine, education, and counseling/psychotherapy were also discussed.
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