The Role of Nonverbal Behavior in Clinical Settings

Philippot, Pierre; Feldman, Robert S.; Coats, Erik J.

doi:10.1093/med:psych/9780195141092.003.0001

Cited by 33 publications

(26 citation statements)

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“…Studies show that 60-80% of all communication (in treatment) is nonverbal [6,7]. A sizable number of nonverbal events are unconscious and can often convey the patients' emotional and psychological state more incisively than verbal communication can [8].…”

Section: Introductionmentioning

confidence: 99%

Interpretation and Working through Contemptuous Facial Micro-Expressions Benefits the Patient-Therapist Relationship

Datz

Wong

Löffler‐Stastka

2019

IJERPH

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Introduction: The significance of psychotherapeutic micro-processes, such as nonverbal facial expressions and relationship quality, is widely known, yet hitherto has not been investigated satisfactorily. In this exploratory study, we aim to examine the occurrence of micro-processes during psychotherapeutic treatment sessions, specifically facial micro-expressions, in order to shed light on their impact on psychotherapeutic interactions and patient-clinician relationships. Methods: In analyzing 22 video recordings of psychiatric interviews in a routine/acute psychiatric care unit of Vienna General Hospital, we were able to investigate clinicians’ and patients’ facial micro-expressions in conjunction with verbal interactions and types. To this end, we employed the Emotion Facial Action Coding System (EmFACS)—assessing the action units and microexpressions—and the Psychodynamic Intervention List (PIL). Also, the Working Alliance Inventory (WAI), assessed after each session by both patients and clinicians, provided information on the subjective quality of the clinician–patient relationship. Results: We found that interpretative/confrontative interventions are associated with displays of contempt from both therapists and patients. Interestingly, displays of contempt also correlated with higher WAI scores. We propose that these seemingly contradictory results may be a consequence of the complexity of affects and the interplay of primary and secondary emotions with intervention type. Conclusion: Interpretation, confrontation, and working through contemptuous microexpressions are major elements to the adequate control major pathoplastic elements. Affect-cognitive interplay is an important mediator in the working alliance.

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Section: Introductionmentioning

confidence: 99%

Interpretation and Working through Contemptuous Facial Micro-Expressions Benefits the Patient-Therapist Relationship

Datz

Wong

Löffler‐Stastka

2019

IJERPH

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“…To measure the degree of disorder, an integrated view is suggested to explore the holistic visual-based nonverbal behavior [13,14,20], e.g., to study the patterns of visual-based nonverbal behavior to understand their biological and psychological functions [20]. The patterns of visual-based nonverbal behavior was described by a series of body parts positions over time in [13].…”

Section: Introductionmentioning

confidence: 99%

Automated Depression Diagnosis Based on Facial Dynamic Analysis and Sparse Coding

Wen

Guo

et al. 2015

IEEE Trans.Inform.Forensic Secur.

106

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Depression is a severe psychiatric disorder preventing a person from functioning normally in both work and daily lives. Currently, diagnosis of depression requires extensive participation from clinical experts. It has drawn much attention to develop an automatic system for efficient and reliable diagnosis of depression. Under the influence of depression, visual-based behavior disorder is readily observable. This paper presents a novel method of exploring facial region visual-based nonverbal behavior analysis for automatic depression diagnosis. Dynamic feature descriptors are extracted from facial region sub-volumes, and sparse coding is employed to implicitly organize the extracted feature descriptors for depression diagnosis. Discriminative mapping and decision fusion are applied to further improve the accuracy of visual-based diagnosis. The integrated approach has been tested on the AVEC2013 depression database and the best visual-based MAE/RMSE results have been achieved.

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“…olhar, gestos, expressões faciais) e baseia-se predominantemente em respostas automáticas e reflexas, que são espontaneamente produzidas. Portanto, é mais difícil o controle intencional daquilo que é comunicado através de canais não-verbais (Andersen, 1999;Philippot, Feldman & Coats, 2003). expressões de alegria, tristeza, surpresa, raiva, nojo, medo) que apresenta baixa ou nenhuma variação ao redor do mundo (Ekman & Friesen, 1975;Ekman, Friesen & Ellsworth, 1972;veja também Ekman, 2003, para uma revisão (Farroni, Csiba, Simion & Johson, 2002).…”

Section: Lista De Figurasunclassified

“…Abramson et al, 2002;Beck & Alford, 2009;Gable & Shean, 2000), podendo superestimar déficits em habilidades sociais e rejeição interpessoal. Em segundo lugar, o contexto interpessoal envolve processos emocionais automáticos difíceis de serem reconhecidos e verbalizados (Philippot et al, 2003). É neste contexto que a análise de indicadores não-verbais pode ser um método complementar de investigação de processos interpessoais envolvidos na depressão.…”

Section: As Teorias De Lewinsohn E Coyne Estimularam O Prosseguimentounclassified

“…Insegurança interpessoal e déficits em habilidades sociais tem sido, de fato, indicados na literatura como fatores associados ao quadro depressivo (Coyne, 1999;Lewinsohn, 1974;Segrin, 2000). Esta possibilidade de canais não-verbais indicarem situações de conflito/ambivalência, que não são necessariamente percebidas ou relatadas verbalmente pelos pacientes, corrobora a ideia da comunicação não-verbal como veículo privilegiado de transmissão de informações afetivas espontâneas relevantes para o diagnóstico de processos psicopatológicos (Greenberg & Paivio, 1997;Philippot et al, 2003;Scherer, 2003).…”

Section: Preditor Neuropsicológico De Alterações Nos Escores De Satisunclassified

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Comunicação não-verbal e depressão: uso de indicadores não-verbais para avaliação de gravidade, melhora clínica e prognóstico

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The Role of Nonverbal Behavior in Clinical Settings

Cited by 33 publications

References 0 publications

Interpretation and Working through Contemptuous Facial Micro-Expressions Benefits the Patient-Therapist Relationship

Interpretation and Working through Contemptuous Facial Micro-Expressions Benefits the Patient-Therapist Relationship

Automated Depression Diagnosis Based on Facial Dynamic Analysis and Sparse Coding

Comunicação não-verbal e depressão: uso de indicadores não-verbais para avaliação de gravidade, melhora clínica e prognóstico

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