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Communication Process (communication + process)

Distribution by Scientific Domains

Medical Sciences	31%
Humanities and Social Sciences	26%
Psychology	21%

Selected Abstracts

The Family Experience of "Sudden Health": The Case of Intractable Epilepsy

FAMILY PROCESS, Issue 4 2003
DAVID B. SEABURN Ph.D.
This article reports the experience of "sudden health" among six families who participated in an exploratory qualitative study of families with a member who elects to have corrective surgery for intractable epilepsy. Families were interviewed pre- and post surgery (6,8months) and the interviews were analyzed using a constant comparative methodology. Findings indicated that (1) families were organized in two primary ways (nesting and crisis) to deal with epilepsy and the aftermath of surgery and (2) "sudden health" had differing effects on these families depending on their organizational style, emotional communication process, and developmental dynamics. [source]

The use of conversational analysis: nurse,patient interaction in communication disability after stroke

JOURNAL OF ADVANCED NURSING, Issue 3 2009
Clare Gordon
Abstract Title., The use of conversational analysis: nurse,patient interaction in communication disability after stroke. Aim., This paper is a report of a study to explore how nursing staff and patients with aphasia or dysarthria communicate with each other in natural interactions on a specialist stroke ward. Background., Nursing staff often talk with patients in a functional manner, using minimal social or affective communication. Little nursing research has been carried out with patients who have communication difficulties. Conversational analysis, used in other healthcare settings, is a way to explore these interactions in depth in order to gain further understanding of the communication process. Method., An observational study was carried out in 2005 and the data were 35·5 hours of videotape recording and field notes with 14 nursing staff and five patients with aphasia or dysarthria. The recordings were analysed using conversation analysis. Findings., Nursing staff controlled the conversations by controlling the topic and flow of conversations, creating asymmetry in all interactions. Patients had very little input because of taking short turns and responding to closed questions. These behaviours are related to the institutional context in which they occur. Conclusion., In rehabilitation, the focus for interaction may be thought to be patient goals, worries or plans for the future, but in this study nursing staff controlled the conversations around nursing tasks. This may be because they do not have the confidence to hold conversations with people with communication problems. Nursing staff need to receive training to reinforce communication rehabilitation programmes and to engage more fully with patients in their care, but also that a wider institutional culture of partnership is developed on stroke wards. [source]

ADHD couple and family relationships: Enhancing communication and understanding through Imago Relationship Therapy

JOURNAL OF CLINICAL PSYCHOLOGY, Issue 5 2005
Carol Ann Robbins
This article reviews the relationship deficits experienced by many individuals who have attention deficit hyperactivity disorder (ADHD) and proposes effective strategies, based on Imago Relationship Therapy (IRT), to assist them in communicating more effectively. The neurological underpinnings of the disorder often contribute to the development of poor social and communication skills and can lead to a lifetime of relationship difficulties. IRT, a brain-based approach, is compatible with the neurological challenges of living with ADHD because it slows the communication process, provides structure, reduces reactivity, and helps individuals to be fully present so that their loved one can feel fully heard and understood. The couple's dialogue strengthens relationships by encouraging the development of stronger listening skills, better self-control, and problem solving. Two case examples illustrate the clinical methods used. © 2005 Wiley Periodicals, Inc. J Clin Psychol/In Session 61: 565,577, 2005. [source]

The Danish version of the questionnaire on pain communication: preliminary validation in cancer patients

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 6 2009
R. JACOBSEN
Background: The modified version of the patients' Perceived Involvement in Care Scale (M-PICS) is a tool designed to assess cancer patients' perceptions of patient,health care provider pain communication process. The objective of this study was to examine the psychometric properties of the shortened Danish version of the M-PICS (SDM-PICS). Methods: The validated English version of the M-PICS was translated into Danish following the repeated back-translation procedure. Cancer patients were recruited for the study from specialized pain management facilities. Results: Thirty-three patients responded to the SDM-PICS, Danish Barriers Questionnaire II, Hospital Anxiety and Depression Scale, and Brief Pain Inventory Pain Severity Scale. A factor analysis of the SDM-PICS resulted in two factors: Factor one, patient information, consisted of four items assessing the extent to which the patient shared information with his/her health care provider, and Factor two, health care provider information, consisted of four items measuring the degree to which a health care provider was perceived as the one who shares information. Two separate items addressed the perceived level of information exchange between the patient and the health care provider. The SDM-PICS total had an internal consistency of 0.88. The SDM-PICS scores were positively related to pain relief and inversely related to the measures of cognitive pain management barriers, anxiety, and reported pain levels. Conclusion: The SDM-PICS seems to be a reliable and valid measure of perceived patient,health care provider communication in the context of cancer pain. [source]

CONTEXTUAL ASSESSMENT OF COUPLES THERAPY: THE CLINICAL DISCOURSE Q-SETS

JOURNAL OF MARITAL AND FAMILY THERAPY, Issue 4 2002
Steven M. Kogan
This article describes a method for creating highly contextual assessments of couples therapy interaction using concepts from Systemic Functional Linguistics (SFL). According to SFL, talk in interaction serves three primary functions: to mediate social relations, to negotiate representations of reality, and to organize and structure the event as coherent. These concepts are operationalized using observational q-methodology. The Clinical Discourse Q-Sets (CDQS) include three separate q-sets for use by trained observers in rating 12-min segments of couples therapy conversation. Each q-set captures one aspect of the communication process as defined by Systemic Functional theory. Good-to-high reliabilities for the q-set profiles over various (n=16) couples therapy episodes were found. Preliminary evidence for the conceptual structure and clinical validity of the system was found. [source]

New bounds on the minimum number of calls in failure-tolerant gossiping

NETWORKS: AN INTERNATIONAL JOURNAL, Issue 1 2009
Zhe Hou
Abstract Gossiping is an extensively investigated information dissemination process. In gossiping, every vertex holds a message that has to be transmitted to all other vertices. This article deals with k -failure tolerant gossiping, which investigates the minimum number of transmissions (calls) required by the communication process, provided that at most k transmissions may fail. We show new bounds for the number of transmissions, an improvement over previous results if k is sufficiently large. © 2008 Wiley Periodicals, Inc. NETWORKS, 2009 [source]

A survey of language barriers from the perspective of pediatric oncologists, interpreters, and parents

PEDIATRIC BLOOD & CANCER, Issue 6 2006
Marisa Abbe MA
Abstract Background Oncologists in the US increasingly face the challenge of communicating with non-English speaking parents of children with cancer. This study explores this challenge from the perspectives of a sample of pediatric oncologists, interpreters, and Spanish-speaking parents of children with newly diagnosed leukemia. Procedure Thirty-seven oncologists and 17 professional language interpreters based at two non-profit pediatric hospitals in the US were surveyed on the topic of language barriers in pediatric care. Seventeen parents who communicated with their child's oncologist through an interpreter were also surveyed. Results All groups expressed considerable concern over the process of communicating across a language barrier. For oncologists, these concerns included the accuracy and completeness of interpretations, complexity of information, and loss of confidence and control over the communication process. For interpreters, they included complexity of information, information overload, and lack of clinician sensitivity toward the cultural and socioeconomic backgrounds of limited English proficiency (LEP) families. Parent concerns included difficulties comprehending information and anxiety over the possibility of missing out on important information. All groups provided multiple suggestions for improving communication across a language barrier. Conclusions Oncologists, interpreters, and parents expressed considerable concern over the process of communicating across a language barrier. Some of these concerns could be minimized through efforts to boost interpreter accuracy and completeness, including the use of more simple, easy to understand language. Other issues, such as differences in culture and socioeconomic background, warrant consideration of the intercultural knowledge and skills of interpreters. Pediatric Blood Cancer 2006;47:819,824. © 2006 Wiley-Liss, Inc. [source]

Embodied conversational agents as conversational partners

APPLIED COGNITIVE PSYCHOLOGY, Issue 9 2009
Max M. Louwerse
Conversational agents are becoming more widespread in computer technologies but there has been little research in how humans interact with them. Two eye tracking studies investigated how humans distribute eye gaze towards conversational agents in complex tutoring systems. In Study 1, participants interacted with the single-agent tutoring system AutoTutor. Fixation times showed that the agent received most attention throughout the interaction, even when display size was statistically controlled. In Study 2, participants interacted with iSTART. Fixations were on the relevant agents when these agents spoke. Both studies provided evidence that humans regard animated conversational agents as conversational partners in the communication process. Copyright © 2008 John Wiley & Sons, Ltd. [source]

,Hitting you over the head': Oncologists' disclosure of prognosis to advanced cancer patients

BIOETHICS, Issue 2 2003
Elisa J. Gordon
The disclosure of prognosis to terminally ill patients has emerged as a recent concern given greater demands for patient involvement in medical decision-making in the United States. As part of the informed consent process, American physicians are legally and ethically obligated to provide information to such patients about the risks, benefits, and alternatives of all available treatment options including the use of experimental therapies. Although not legally required, the disclosure of a terminal prognosis is ethically justified because it upholds the principle of self-determination and enables patients to make treatment decisions consistent with their life goals. To understand oncologists' attitudes about disclosing prognostic information to cancer patients with advanced disease, we interviewed fourteen oncologists and conducted one focus group of medical fellows. Although oncologists reported to disclose prognosis in terms of cancer not being curable, they tend to avoid using percentages to convey prognosis. Oncologists' reported reluctance to disclosing prognosis was conveyed through the use of metaphors depicting the perceived violent impact of such information on patients. Oncologists' reluctance to disclose prognosis and preserve patient hope are held in check by their need to ensure that patients have ,realistic expectations' about therapy. We discuss these data in light of the cultural, ethical, and legal dimensions of prognosis disclosure, patient hope and the doctor,patient relationship, and recommend ways to enhance the communication process. [source]

Corporate social responsibility communication: stakeholder information, response and involvement strategies

BUSINESS ETHICS: A EUROPEAN REVIEW, Issue 4 2006
Mette Morsing
While it is generally agreed that companies need to manage their relationships with their stakeholders, the way in which they choose to do so varies considerably. In this paper, it is argued that when companies want to communicate with stakeholders about their CSR initiatives, they need to involve those stakeholders in a two-way communication process, defined as an ongoing iterative sense-giving and sense-making process. The paper also argues that companies need to communicate through carefully crafted and increasingly sophisticated processes. Three CSR communication strategies are developed. Based on empirical illustrations and prior research, the authors argue that managers need to move from ,informing' and ,responding' to ,involving' stakeholders in CSR communication itself. They conclude that managers need to expand the role of stakeholders in corporate CSR communication processes if they want to improve their efforts to build legitimacy, a positive reputation and lasting stakeholder relationships. [source]

2241: Principles of genetic counselling

ACTA OPHTHALMOLOGICA, Issue 2010
G HALL
Purpose To present the genetic counselling needs of families with inherited eye disease. Methods A presentation on the counselling challenges and ethical dilemmas in genetic services for inherited eye disease using case illustrations and review of research and current literature. Results Genetic counselling for families with inherited eye disease is rapidly advancing with improvements in molecular testing leading to accurate diagnosis and information for families. With increasing patient demand and expectation, families request genetic counselling to understand the inheritance pattern and the risks to themselves and their children. However, the heterogeneity, variable penetrance and overlapping phenotypes make this particularly challenging in genetic eye disease. Genetic counselling is a communication process to provide information about the genetic condition, its inheritance and to facilitate decision-making around genetic testing and reproduction. Genetic counsellors have experience in helping individuals decide and come to terms with results from genetic testing such as pre-symptomatic testing, childhood testing and pre-natal diagnosis. In addition, families are often coping with the psychological burden of progressive blindness and the impact of vision loss and risk to other family members. Recent publications highlight the disparity in specialist service provision for families with inherited eye disease and calls for research and improvements in evidenced-based practice. Conclusion Families with inherited eye disease have complex genetic counselling needs requiring multidisciplinary co-ordination of services for accurate diagnosis, information provision, genetic testing and decision-making, and support and follow-up. [source]

Nonverbal behavioral similarity between patients with depression in remission and interviewers in relation to satisfaction and recurrence of depression

DEPRESSION AND ANXIETY, Issue 4 2006
Erwin Geerts Ph.D.
Abstract Unsatisfying interpersonal relationships are involved in the onset and course of depression. However, little is known about the underlying mechanisms. In this study we investigated the nonverbal communication between 101 patients with remitted depression and interviewers. We related the interaction between the patients' and interviewers' behavior to patients' satisfaction with the interview and to the risk of recurrence of depression. We registered the patients' and interviewers' nonverbal displays of involvement during a clinical interview and assessed the patients' satisfaction with the interview. Possible recurrence of depression was assessed within a 2-year follow-up. Based on findings in healthy people, we hypothesized that the more similar the levels of the patients' and interviewers' behavior became during the interview, the more satisfied the patients would turn out to be. Furthermore, we hypothesized that lack of similarity in the levels of the patients' and interviewers' involvement behavior would predict recurrence of depression. Our hypotheses were confirmed: The more the patients' and interviewers' behavior converged, the more satisfied the patients were with the interview and the lower the risk of recurrence of depression. Satisfaction did not mediate the association between convergence and risk of recurrence. Also, no gender effects were found. We conclude that nonverbal communication processes are involved in the risk of recurrence of depression. Remitted people's difficulties in reaching nonverbal convergence with others may hamper them in their interpersonal functioning and, as a consequence, may put them at risk for new episodes of depression. Depression and Anxiety 23:200,209, 2006. © 2006 Wiley-Liss, Inc. [source]

Notes for a Cultural History of Family Therapy,

FAMILY PROCESS, Issue 1 2002
C. Christian Beels M.D.
The official history of family therapy describes its beginnings as a daring technical and philosophical departure from traditional individual treatment in the 1960s, inspired especially by the "system thinking" of Gregory Bateson. This celebrated origin story needs to be supplemented with a longer and larger history of both practice and thought about the family, and that is the subject of this article. The longer history goes back to the founding of social work by Mary Richmond, of pragmatism by William James, and of the organic view of social systems intervention by John Dewey. Seen against this background, family therapy is, among other things, a consequence of the development of persistent elements of American professional culture, experience, and philosophy. The taking of this historical-anthropological view discloses also the origins of two other histories that have made their contribution to the development of family therapy: a science of observing communication processes that starts with Edward Sapir and leads to contemporary conversation analysis, and a history of mesmerism in the United States that culminates in Milton Erickson and his followers. [source]

Does Participation Affect Deception Success?

HUMAN COMMUNICATION RESEARCH, Issue 4 2001
A Test of the Interactivity Principle
Communication episodes may range from highly interactive to noninteractive. The principle of interactivity refers to the constellation of structural and experiential features associated with interactivity that systematically affect communication processes and outcomes. One such feature is degree of participation. In deceptive interchanges, senders may engage in dialogic (high participation, two-way) or monologic (low participation, one-way) communication. According to the principle of interactivity, dialogue should advantage deceivers relative to monologue due to increased mutuality between sender and receiver and greater opportunities for deceivers to improve their performance over time. An experiment in which friends or strangers alternated between deceiving and telling the truth to a partner under dialogue or monologue conditions tested this principle. All hypotheses received some support. Relative to monologue, dialogue created more mutuality among strangers. Dialogue also enabled deceivers to better manage their informational content, speech fluency, nonverbal demeanor, and image, resulting in less accurate deception detection by partners. These results support the interactivity principle and interpersonal deception theory, from which the principle emanated. [source]

Anxiety as a factor influencing satisfaction with emergency department care: perspectives of accompanying persons

JOURNAL OF CLINICAL NURSING, Issue 24 2009
Anna Ekwall
Aim., To measure levels of anxiety among people accompanying consumers to the emergency department and to explore how anxiety influences satisfaction with care. Background., When people seek treatment in an emergency department they are often accompanied by a next-of-kin, family member or friend. While the accompanying person plays a vital role in providing psycho-social support to consumers, little is known about how they perceive the quality of care. Learning more about how accompanying persons perceive care may inform the development of strategies to enhance communication processes between staff, consumers and accompanying persons. Design., A prospective cross-sectional survey design. Methods., Data were collected from a consecutive sample of accompanying persons at one Australian metropolitan teaching hospital. Of all eligible individuals approached, 128/153 (83·7%) returned completed questionnaires. The questionnaire comprised a series of open- and close-ended questions about perceptions of medical need, urgency and satisfaction with the overall visit. Anxiety was assessed using the Visual Analogue Scale for Anxiety (VAS-A). Results., There was a significant association between the accompanying person's levels of anxiety and satisfaction at point of discharge. In the satisfied group, mean VAS-A scores were 17·4 (SD 17·5) compared to 42·9 (SD 26·6) in the not satisfied group (p = 0·011). Moreover, those participants who were not satisfied with the visit did not show a significant reduction in VAS-A scores from triage to point of discharge. Conclusion., The lower the level of anxiety reported by accompanying persons when leaving the emergency department, the more satisfied they are likely to be with their emergency department visit. Ultimately, well informed and confident accompanying persons are beneficial for ensuring quality patient support. Relevance to clinical practice., Asking accompanying persons about their anxiety level before discharge gives them the opportunity to pose clarifying questions and is, therefore, an effective way of improving their satisfaction with the emergency department visit. [source]

The importance of language, context, and communication as components of successful partnership

NEW DIRECTIONS FOR COMMUNITY COLLEGES, Issue 139 2007
Susan J. BrackenArticle first published online: 14 SEP 200
Successful community-university partnerships are usually attributed, at least in part, to clear communication processes. This chapter reflects on language and context as elements in developing a strong partnership process. [source]

Interpersonal communication apprehension, topic avoidance, and the experience of irritable bowel syndrome

PERSONAL RELATIONSHIPS, Issue 2 2009
JENNIFER L. BEVAN
Through the lens of the theory of inhibition and confrontation (Pennebaker, 1989), this study explored the relationships that interpersonal communication apprehension and topic avoidance in one's closest relationship share with the experience of irritable bowel syndrome (IBS). Specifically, an online survey that studied U.S. IBS-diagnosed and non-IBS subsamples examined person,partner communication apprehension, amount of overall topic avoidance, and reasons for topic avoidance in relation to four IBS experience variables. Communication apprehension displayed a particularly strong relationship with multiple aspects of the IBS experience, and a number of the communication avoidance variables varied according to IBS diagnosis. Implications for the theoretical understanding of interpersonal communication processes in the specific context of IBS and general chronic health conditions are discussed. [source]

Taking a "Hands On" Approach to Diversity in Higher Education: A Critical-Dialogic Model for Effective Intergroup Interaction

ANALYSES OF SOCIAL ISSUES & PUBLIC POLICY, Issue 1 2009
Nicholas Sorensen
This article reviews divergent empirical evidence on interracial contact. While research on diversity in higher education provides ample evidence for the educational benefits of engaging with diversity in informal interactions or courses, experimental and naturalistic studies in social psychology on interracial interactions reveal a complicated picture, showing what appear to be both positive and negative effects. Rather than addressing the question of whether or not to promote interracial interactions on campus, we present a critical-dialogic model of intergroup dialogue that centers on communication processes as an avenue toward intergroup relationships, understanding, and collaboration. Prior research and preliminary results from a nine-university research collaboration provide strong empirical support for the proposed model. We conclude with program and policy considerations for higher education institutions interested in promoting meaningful intergroup interaction. [source]