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Updated: Jun 2, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Good communication in psychiatry--a conceptual review
S Priebe1, S Dimic, C Wildgrube
1Queen Mary University of London, Newham Centre for Mental Health, Barts and the London School of Medicine and Dentistry, Unit for Social and Community Psychiatry, London E13 8SP, UK. S.Priebe@qmul.ac.uk
Effective psychiatric communication relies on five key principles: focusing on patient concerns, showing respect, involving patients in decisions, being genuine, and using a psychological model. These enhance clinical outcomes.
Area of Science:
- Psychiatry
- Clinical Communication
- Healthcare Professional Training
Background:
- Clinician-patient communication is fundamental to psychiatric treatment.
- Limited practical training and theoretical frameworks exist for effective psychiatric communication.
- This review identifies principles for optimal clinician-patient dialogue in psychiatry.
Purpose of the Study:
- To identify and define guiding principles for effective clinician-patient communication in psychiatric settings.
- To establish a theoretical basis for good communication practices in psychiatry.
- To inform training and clinical practice for improved patient outcomes.
Main Methods:
- A conceptual review methodology was employed.
- Analysis focused on identifying principles for achieving clinical objectives through communication.
- The review synthesized existing knowledge on communication in psychiatry.
Main Results:
- Five core principles for clinician communication were identified:
- 1. Patient-centered focus on concerns.
- 2. Positive regard and personal respect.
- 3. Shared decision-making.
- 4. Genuineness and personal connection.
- 5. Application of a psychological treatment model.
Conclusions:
- Identified principles, while broadly applicable, present unique implementation challenges in psychiatry.
- These principles can guide future empirical research into psychiatric communication.
- Clinicians can adapt and utilize these principles based on their individual skills.
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