Emotion in the Clinical Encounter >Emotion Dialogue in the Medical Encounter: When and How Often

Does It Happen?
Rachel Schwartz, Judith A. Hall, Lars G. Osterberg+
TABLE 4-1RIAS Composites and Affect Ratings Related to Emotional Dialogue

Provider examples (Note: provider examples are

Code composites Individual codes Patient examples
independent of patient examples)

•Approvals •You’ve been so helpful. •You look great.

Positive talk •Compliments •Your nurse was so kind. •The lab tech was gentle.

•Agreements •Alright, Ok, I’ll do that. •Ok, right. Yes.

•Disagreements •No. I didn’t say that. •Two pounds is not good enough.
Negative talk
•Criticisms •Those people were rude. •I don’t like to rely on that lab.

•Concern •I’m so upset. •Your weight is a problem.

•Reassurance •It is getting better. •You will be successful.

Emotional talk
•Empathy •You must be worried to tell me something. •You sound angry.

•Legitimation •I know a lot of people feel this way. •Anyone coping with all that would feel the same.

•Positive talk (see above for examples)

•Negative talk (see above for examples)

Rapport Statements
•Emotional talk (see above for examples)

•Social talk (e.g., “Nice to meet you”)

GLOBAL AFFECT RATINGS

•Engagement/responsiveness

•Interest/attentiveness

•Friendliness/warmth
Positive Patient Global Affect
•Respectfulness

•Sympathetic/empathetic

•Interactive
 •Irritation/anger

•Nervousness/anxiety

Negative Patient Global Affect •Dominance/assertiveness

•Distress/upset

•Sad/depressed

•Engagement/responsiveness

•Interest/attentiveness

•Friendliness/warmth
Positive Provider Global Affect
•Respectfulness

•Sympathetic/empathetic

•Interactive

•Irritation/anger

•Nervousness/anxiety
Negative Provider Global Affect
•Dominance/assertiveness

•Hurried/rushed

Date of download: 12/29/22 from AccessMedicine: accessmedicine.mhmedical.com, Copyright © McGraw Hill. All rights reserved.