Psychia NON verbal and therapeutic and non thera communication

Kinesics

Body movement

Eye contact

Facial expression adn gestures

Paralanguage

Voice quality

Non vocalizaiton

Proximics

Law of space relationship

Intimate zone

0 to 18 inc

Personal

18in to 3 ft

Social zone

4 to 12 ft

Public

More than 12 ft

adaptable

Simple

Concise

Open ended

Feelings

effective therapeutic communication should be:

ASCOF

Accepting

Yes i follow what you said

Active listening

Face the patientmaintain eye contact (8-10 sec)

Broad opening

Is there something youd like to talk about.

Where would you like to begin

Exploring

Tell memore how you feel

Can you provide an example

• specific to general

Focusing

What bothers you about

• general to specific

General leads

Go on and then

Tell me about it

• used in pt who are victims of sexual abuse, childabuse

Giving information

My name is

Visiting hours are

My purpose in being here is

Giving recognition

Goodmorning Mrs

Iv noticed that you’ve combed your hair today

Making of observation

You appear tense

I notice thatyour biting you lips

Offering self

I’ll sit with you a while

I’ll stay here with you

I’m interested in what you think

Presenting reality

I see no one else in the room

Hallucinations and illusions

Reflecting

Client “i’m hungry”

Nurse “your so hungry?”

• repeat the main idea expressed by the client

Silence

Maintain eye contact and convery interest

Suggesting collaboration

Perhaps you and i can discuss and discover triggers for your anxiety

Summarizing

Have i got this straight

You’ve said that

Voicing doubt

Really? Its hard to beleive

• express uncertainty

• Delusions

Advising

I think you should

Agreeing/approving

Thats right

I agree

Thats good

Im glad that

Belittling feelings

C: i have nothing to live for

N: i felt that way myself

Challenging

But how can you be the president of the Philippines

Disagreeing

Thats wrong

I definitely definitely disagree with

Defending

This hospital has a fine reputation

Changing the subject

I want to die

Did you have visitors lastnight

Cliche

Its for your own good

Theres a silver lining for every cloud

Probing

Now tell meabout this problem

Ineed to know

Reasurrance

Everything will be alright

Dont worry be happy

Rejecting

Lets not discuss

Asking explanation

Why do you think that

Why do you feel that way

Resting

Do you know what kind of hospital is this