UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Do pain images used in pain consultations affect clinicians’ and patients’ nonverbal communication, and patient emotional disclosure?

Addai-Davis, J; (2015) Do pain images used in pain consultations affect clinicians’ and patients’ nonverbal communication, and patient emotional disclosure? Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

[img]
Preview
Text
Thesis_final_volume1_Addai-Davis.pdf

Download (1MB) | Preview

Abstract

Background: Patients with chronic pain find it hard to convey their experience of pain in medical consultations. Visual images may communicate experience in a way which language cannot. Aim: To examine the impact of using images of pain on patients’ and clinicians’ nonverbal communication and how personal patients’ emotional disclosures were during pain consultations. Method: Thirty-five video-taped chronic pain consultations were used (17 patients had consultations with images and 18 did not). Ten clinicians conducted consultations in both groups. Using fixed-interval sampling, coders rated perceptions of patients’ and clinicians’ affiliation and dominance behaviours using the Interpersonal Grid (Moskowitz & Zuroff, 2005); how personal patients’ emotional disclosures were; and whether or not the images were actively used in consultations. Results: In consultations with images, behavioural correspondence (mirroring behaviour) between patients’ and clinicians’ positive affiliation behaviours was observed, and patients made more personal emotional disclosures when the images were used compared to when they were not used in the consultation. Behavioural reciprocity (mismatching behaviour indicative of status differences) between patients’ and clinicians’ dominance behaviours was not observed in either consultation. No differences were found between consultations with and without images for rates of patients’ or clinicians’ affiliation and dominance behaviours, and patients’ emotional disclosures over the course of the consultations. Conclusions: Using images in pain consultations largely failed to demonstrate a beneficial impact on the nonverbal communication of patients and clinicians. However, some benefit was found: pain images facilitated patient-clinician behavioural correspondence and patient emotional disclosure. The findings will be used to inform further research on verbal and nonverbal communication in pain consultations and the use of visual images.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Do pain images used in pain consultations affect clinicians’ and patients’ nonverbal communication, and patient emotional disclosure?
Open access status: An open access version is available from UCL Discovery
Language: English
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: http://discovery.ucl.ac.uk/id/eprint/1471814
Downloads since deposit
386Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item