Therapeutic Communication
Therapeutic communication builds trust and surfaces the patient's perspective. It is intentional and learnable โ distinguish it from social conversation by its purpose and techniques.
Therapeutic techniques
- Active listening: full attention, eye contact, body language.
- Open-ended questions: "Tell me about..." invites exploration.
- Reflection: "It sounds like..." mirrors feeling or content.
- Clarification: "I'm not sure I follow. Can you say more?"
- Summarization: condense key points to validate and organize.
- Silence: a powerful therapeutic technique โ allow space for the patient to gather thoughts.
- Restating: repeat the patient's main idea to confirm understanding.
Blocks to avoid
- Giving advice, dismissing or minimizing ("It could be worse"), false reassurance ("Everything will be fine"), changing the subject, why-questions (interrogating), value judgments, and social agreeableness that avoids the clinical point.
Cultural considerations
Eye contact norms, personal space, family involvement, and communication preferences vary. Adjust without stereotyping; ask the patient how they prefer to be addressed and how decisions are made in their family.
Practice with detailed rationales, study plans, and performance feedback.
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