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Biopsychosocial theories and models of human communication, Therapeutic…
Biopsychosocial theories and models of human communication
Symbolic interaction model (Herbert Blumer, 1969)
transactional perspective
social-interpersonal level
simultaneous mutual influence
Neurobiological factors
energy and movement at the molecular level may be the root of all brain functioning
neuron - unit of the brain - function of information processing
chemical particles - Na+, K+, Ca2+, Cl - presynaptic membrane
receptors - chloride ion channel activity - understanding
speech circuit - auditory cortex - passes Wernicke's area (left frontal lobe) via arcuate fasciculus
Therapeutic communication theory
Basic concepts
Ruesch's theory
intrapersonal, interpersonal, group, social
group and social???
Ability to receive, evaluate and transmit messages is influenced by
perception
evaluation
memory
past experience
value systems
the transmission quality
amount
speed
efficacy
distinctiveness
messages achieve meaning when
mutually validated
verified between two parties
correction through feedback
adaptive
healthy behaviour
successful conversation
Successful vs Disturbed communication
Efficiency
simplicity
clarity
correct timing
Appropriateness
relevant to the situation
mutual fit of overall patterns and constituent parts
inappropriate amount
overload
underload
tangential reply 離題
Flexibility
otherwise increase frustrating, ungratifying, disturbed, ineffectual communication 令人沮喪的、令人不快的、不安的、無效的溝通
set new priorities and goals
Feedback
Behavioural effects and human communication theory
Communication levels
Communication disturbances
Neurolinguistic programming theory
Determining the sensory modality
Therapeutic use of NLP
Three communication levels
intrapersonal
taking to themselves
interpersonal
between two or more people
public
Therapeutic Communication Skills
Active listening
Using silence
Paraphrasing
Reflecting feelings
Imparting information
Avoiding self-disclosure
Clarifying
Checking perceptions
Questioning
Structuring
Pinpointing
Linking
Giving feedback
Confronting
Summarising
Processing
The process of human communication
Role of perception
the eye and brain trick us - illusions
see or sense affect by the past
Perceptions are differ from our experience
Role of values
Value system differ due to the AGE.
Be aware of people's value
monolingual clinician should choose the words/gestures wisely
drawings also may be helpful
use open questions
Family member may not be appropriate interpreter - pt's privacy / Aboriginal liaison officers / speak to the person not the interpreter
The culture of disability
hearing, sight impairment, intellectual or physical disability
people have different needs
Try to do anything to facilitate the conversation - aids, signs, eye contact etc.
The spoken word
Denotation
the literal or restrictive meaning of the word
general use by most people share a common language
Private and shared meanings
personal and private ways
snags - sausages
Schizophrenia - idiosyncratic異質的, neologisms新詞
conotation
connotative meaning - person's personal experience
not only learn the language, but also the meaning behind it - more culture thing
Non-verbal messages
body movement
kinaesics
clothes, cosmetics, perfume, deodorants, jewellery, eyeglasses, body piercing, wigs, hairpieces, beards, mustaches...
Voice quality and non-language sounds
pitch and range
non-language vocalisations - sobbing抽泣, laughing or grunting咕噥
vocal cues - personality traits
greater intonation and volume - persuasive
Status cues
a combination of word choice, pronunciation, grammar, speech fluency, articulation
Personal and social space
proxemics
avid bingo player
Touch
high-touch-avoidance
men don't like be touched than women in AU
may or may not be sexual implications
Verbal and non-verbal links
with gesture
contradict
add to or modify
little waiting
accent or emphasise
regulate
the woman wants to talk - open and close her mouth
substitute
a wave to "hello"
Common mistakes
Giving advice
Minimising or discounting feelings
Deflecting
Facilitating Communication and building a relationship
Superficiality versus Intimacy
Facilitating intimacy
Responding with empathy
Responding with respect
Responding with genuineness
Responding with warmth
Responding with immediacy