Méndez A, Shymansky J A, Wolraich M
Med Educ. 1986 Sep;20(5):437-43. doi: 10.1111/j.1365-2923.1986.tb01190.x.
This study was an attempt to gather information on doctors' verbal and non-verbal hand- and speech-related behaviours during interactions involving the conveyance of distressing information. Similarities and differences in verbal/non-verbal communication were identified and described between doctors rated high, medium or low in communication skills. Gender differences were also explored. Statistically significant differences were found among doctors rated high in communication skills on the use of 'Information/advice' and 'Emotional probes'. Differences were also found on the frequency of speech disruptions and hand behaviour patterns. Doctors rated high were less anxious during the interactions as inferred from their hand- and speech-related behaviours. Gender differences on verbal behaviours indicate that 'Emotional probing' and 'Reflection of feelings' were exhibited more frequently by females. On the other hand, no statistically significant differences were found in non-verbal hand- and speech-related behaviours.
本研究旨在收集医生在传达令人痛苦的信息的互动过程中与手部和言语相关的言语及非言语行为的信息。对沟通技巧评级为高、中或低的医生之间的言语/非言语沟通的异同进行了识别和描述。同时也探讨了性别差异。在沟通技巧评级高的医生中,发现他们在使用“信息/建议”和“情感探查”方面存在统计学上的显著差异。在言语中断频率和手部行为模式方面也发现了差异。从与手部和言语相关的行为推断,沟通技巧评级高的医生在互动过程中焦虑程度较低。言语行为方面的性别差异表明,女性更频繁地表现出“情感探查”和“情感反映”。另一方面,在与手部和言语相关的非言语行为方面未发现统计学上的显著差异。