Communication in a chiropractic clinic: How A D.C. treats his patients
- 1 March 1994
- journal article
- research article
- Published by Springer Nature in Culture, Medicine, and Psychiatry
- Vol. 18 (1) , 83-113
- https://doi.org/10.1007/bf01384878
Abstract
This study of a chiropractor and his patients represents the first interaction analysis of an alternative practitioner. Relationships between the types and quantities of communications in clinical exchanges and patient satisfaction with treatment are examined using both quantitative and qualitative analysis of verbal dialogue and clinical observations. Findings suggest that patient satisfaction is enhanced by a practitionerpatient relationship characterized by initial transmission of large amounts of comprehensible information successively supplanted by personal affective dialogue. New patients are usually unfamiliar with the chiropractic belief system and may have special communication needs due to the psychoemotional component to their, often chronic, problems. The chiropractor provides the patient with a structured, supportive environment and theoretical explanations designed to take the mystery out of process and problems. In essence, the chiropractor first manipulates a patient's belief structure before manipulating his or her physical structure, providing an analogous structural realignment in both the mind and body. Contrasts between biomedical and chiropractic clinical encounters are noted.Keywords
This publication has 63 references indexed in Scilit:
- The healing touchThe American Journal of Medicine, 1986
- Patient Satisfaction with Medical Care for Low-Back PainSpine, 1986
- Approaches to the measurement of explanation and information-giving in medical consultations: A review of empirical studiesSocial Science & Medicine, 1984
- The effects of physician communications skills on patient satisfaction; Recall, and adherenceJournal of Chronic Diseases, 1984
- Lay evaluation of medical treatment and competence development of a model of the function of the physician's affective behaviorSocial Science & Medicine, 1982
- The impact of clinical encounter events on patient and physician satisfactionSocial Science & Medicine. Part E: Medical Psychology, 1981
- Nonverbal Communication Between Patients and Medical PractitionersJournal of Social Issues, 1979
- Patient Participation in the Patient-Provider Interaction: The Effects of Patient Question Asking on the Quality of Interaction, Satisfaction and ComplianceHealth Education Monographs, 1977
- Doctor-Patient CommunicationScientific American, 1972
- A Marginal Professional Role: The ChiropractorSocial Forces, 1952