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Health Behavior Change and Treatment AdherenceEvidence-based Guidelines for Improving Healthcare$
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Leslie Martin, Kelly Haskard-Zolnierek, and M. Robin DiMatteo

Print publication date: 2009

Print ISBN-13: 9780195380408

Published to Oxford Scholarship Online: February 2010

DOI: 10.1093/acprof:oso/9780195380408.001.0001

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Relationships and Communication Between Caregivers and Patients

Relationships and Communication Between Caregivers and Patients

(p.132) 6 Relationships and Communication Between Caregivers and Patients
Health Behavior Change and Treatment Adherence

Leslie R. Martin

Kelly B. Haskard-Zolnierek

M. Robin DiMatteo

Oxford University Press

This chapter reviews four basic models for understanding the patient–practitioner relationship: paternalistic, expert, consumerist, and mutual. While some aspects of communication are well-predicted by factors such as patient age and socioeconomic status, other elements are highly individualized within each dyad. The quality and content of communication is influenced by many factors, including the physical environment (e.g., light, toys, plants) in which the communication occurs, aspects of the verbalizations (e.g., open-ended questions, interruptions, jargon), and nonverbal factors (e.g., facial expressions, posture, body movements). Both verbal and nonverbal channels are used to communicate distress, pain, and the desire for active partnership in the healthcare process, as well as to convey empathy.

Keywords:   paternalism, expert, consumerist, mutuality, physical environment, open-ended questions, interruption, jargon, nonverbal, distress, partnership, empathy

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