Modes of communication
communication is the process Of conveying information verbally through the use of words and non-verbally through gestures or behaviors that accompany words. Nonverbal communication also can occur in the absence of spoken words.
Verbal communication is used to convey content such as ideas, thoughts, or concepts to one or more listeners to effectively use verbal communication one must use the spoken word as a communication tool while being mindful of its potential to affect outcomes. verbal communication allows us to present ourselves to each Other, using words to convey the most complex dimensions of ourselves – aspect that aren’t obvious from appearance or action.
Nonverbal communication is said to reflect a more accurate description of one’s true feelings because people have less control over non-verbal reaction. vocal cues, gestures, physical appearance, distance or spatial territory, position or posture, touch and facial expression are nonverbal communication techniques used in the psychiatric – mental health clinical setting.
· Vocal cues: pausing or hesitating while conversing, talking in a tenses or flat tone, or speaking tremulously is vocal cues that can agree with or contradict a client’s verbal messaoe. For e.g. a person who is admitted to the hospital for emergency surgery may speak softly but tremulously stating “I am okay. I just want to get better and go home as soon as possible’ the nonverbal cues should indicate to the nurse that the client isn’t okay and the client’s feelings need to be explored.
· Gestures: Pointing, finger tapping, winking, hand clapping, eyebrow raising, palm rubbing, hand wringing and beard stroking are the examples of nonverbal gestures that communicates various thouohts and feelings. They may betray feelings of insecurity, anxiety, apprehension, power, etc
· Physical appearance: People who are depressed may pay little attention to their appearance. They may appear unkept and unconsciously don dark – colored clothing, reflecting their depressed feelings. Persons who are confused or disoriented may forget to put on items of clothinø.
· Position or posture: the position one assume can designate authority, cowardice, boredom, or
· Indifference. Eg. a nurse standing at the foot of a client’ bed with arms folded across chest gives the impression that the nurse is in charge of any interaction that may occur. A nurse sitting in a chair leaning forward slightly and maintaining eye contact with a client gives the impression that the nurse is interested in what the client says or does.
· Touch: reactions to touch depend on age, sex, cultural background, interpretation of the gesture and appropriateness of the touch. The nurse should always exercise caution when touching the people. E.g. ,hand shaking, hugging, holding hands, and kissing typically denote positive feelings for another person, the client with depression or who is grieving may respond to touch as a gesture of concern, whereas the client who is sexually promiscuous may consider touching an invitation to sexual advances.
· Facial expression: a blank stare, startled expression, sneer, grimace and broad smile are examples of facial expressions denoting one’s innermost feelings. For example the client with depression seldom smiles.