Related Experiment Video
Updated: Feb 10, 2026
10:07
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
19.5K
Miscommunication in Doctor-Patient Communication
Rose McCabe1, Patrick G T Healey2
1Institute of Health Research, University of Exeter Medical School.
Topics in Cognitive Science
|May 12, 2018
Summary
Improving psychiatrist-patient communication through "repair" strategies enhances treatment adherence for psychosis. Addressing communication breakdowns builds shared understanding, leading to better therapeutic relationships and outcomes.
Area of Science:
- Psychiatry
- Communication Studies
- Linguistics
Background:
- Effective medical treatment relies on strong patient-clinician relationships.
- Shared understanding of illness and treatment is crucial for therapeutic success.
- Communication challenges in psychosis, particularly regarding hallucinations and delusions, impact patient adherence and outcomes.
Purpose of the Study:
- To investigate the role of "repair" mechanisms in psychiatrist-patient communication within psychiatric consultations.
- To explore how conversation analysis (CA) can illuminate communication processes in psychosis treatment.
- To associate communication repair with treatment adherence and therapeutic relationship quality.
Main Methods:
- Utilized conversation analysis (CA) and its "repair" framework.
- Analyzed communication patterns in psychiatric consultations.
- Conducted two studies examining patient repair of psychiatrist talk and psychiatrist self-repair after training.
Main Results:
- Patient clarification or repair of psychiatrist utterances correlated with improved treatment adherence.
- Training focused on understanding patients' psychotic experiences increased psychiatrists' self-repair.
- Repair mechanisms enhance mutual understanding and commitment in communication.
Conclusions:
- Repair is a vital mechanism for establishing shared understanding in doctor-patient communication.
- Improved communication through repair enhances therapeutic relationships and treatment adherence in psychosis.
- Addressing miscommunication offers a low-cost method to improve psychosis treatment outcomes.
Related Concept Videos
01:03Communication
8.8K
Communication between two animals occurs when one animal transmits an information signal that causes a change in the animal that receives the information. Organisms communicate with one another in a host of different ways. Signals can be auditory, chemical, visual, tactile, or a combination of these. Communication is a critical behavioral adaptation that promotes survival, growth, and reproduction.
8.8K
01:28Communication
11.4K
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
11.4K
01:28Neuronal Communication
3.5K
Neurons, the fundamental units of the brain and nervous system, communicate through complex electrochemical signals that underpin all cognitive and bodily functions. This communication is primarily facilitated by a process involving the generation and propagation of an action potential along the axon of the neuron. When the internal electrical charge of a neuron surpasses a certain threshold, an action potential is triggered. This rapid change in voltage travels swiftly along the axon to the...
3.5K
01:30Therapeutic Communication
8.6K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
8.6K
01:21Barriers to Effective Communication II
4.9K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.9K
01:28Channels of Non-Verbal Communication
453
Non-verbal communication plays a critical role in human interaction, influencing how individuals perceive emotions and psychological states. It operates through four primary channels: facial expressions, eye contact, body language, and touch. These non-verbal cues help convey meaning beyond spoken language and are often culturally influenced.Facial Expressions and Emotional RecognitionFacial expressions are among the most powerful and universal forms of non-verbal communication. Research has...
453