Medical Communication: Physical and Psychological Wellness

Edition: 3

Copyright: 2024

Pages: 468

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New Third Edition Now Available!

Communication-related issues lead to thousands of deaths annually.

The third edition of Medical Communication: Physical and Psychological Wellness creates a more health-conscious society by presenting unique and groundbreaking perspectives on communication in the practice of everyday healthcare – increasing patient safety and literacy.

Medical Communication incorporates cutting-edge information needed to navigate today's dynamic culture of medicine and healthcare. This life skills text educates all individuals, both those within healthcare professions as well as society in general, as every human being will eventually interface with the healthcare system.

An interdisciplinary (i.e., Medicine and Communication Studies) text that brings together authors who delineate the many aspects of communication in the everyday delivery of medical care, Medical Communication: Physical and Psychological Wellness:

  • Covers interpersonal (i.e.., provider-provider; patient-provider) and other communication practices that generally go unrecognized including professionalism, ethics, end-of-life care, and safety in the fast paced world of medicine.
  • Overcomes the existing “turf” wars that currently exist in fields such as health communication and health psychology.
  • Is Student Friendly! The publication includes an Enhanced Online Learning Package seamlessly integrated within the book's pedagogy that includes interactive exercises, interviews, vignettes based on real-life scenarios, flash cards and more.
  • Is Easy to Adopt! Chapter outlines, supplemental teaching materials, PowerPoint™ presentations, and comprehensive test banks are provided to adopting instructors.

 

 

PART I: Foundations of Medical Communication
CHAPTER 1 The Imperative of Medical Communication 
How Safe Is Healthcare?
Healthcare Team
Changing the Culture of Healthcare
Rapid Advancement
The Basics of Communication
Models of Communication
Communication Goals
Misconceptions of Communication
Conclusion
Questions for Discussion/Review

CHAPTER 2 The Neuroscience and Psychology of Communication
The Human Brain
The Evolution and Anatomy of the Brain
Delving Further Into The Brain
Brain-Imaging Technologies
EEG 
CAT 
MRI and fMRI 
MEG
SPECT 
PET 
Conclusion 
Questions for Discussion/Review 
References

CHAPTER 3 Temperaments, Communication Traits, and Predispositions
Human Biology and Communication
Traits and Temperaments 
Communication Tendencies: Apprehension Traits versus Presentation Traits
Psychological Traits and Communication Behavior 
Disorders of the Brain Adversely Affecting Communication 
The Human Brain, Intelligence, and Communication 
Conclusion 
Questions for Discussion/Review 
Delving Deeper: Temperaments, Communication Traits, and Predispositions 
Suggested Readings
Suggested Film 
References 

PART II: Contexts and Types of Medical Communication 
CHAPTER 4 Gender in Communication: The Influence on Competent Communication within Healthcare 
Definitional Issues 
Physiological Differences
Sex and Personality Differences
Gender and the Patient–Provider Dyad 
Male and Female Healthcare Providers 
The Engendered Patient
Building Toward Tomorrow 
Communication Competency and Its Outcomes 
Conclusion 
Questions for Discussion/Review 

CHAPTER 5 Nonverbal Communication in Healthcare 
Brief History of Nonverbal Communication 
Functions of Nonverbal Messages
Components of Nonverbal Communication
Conclusion
Questions for Discussion/Review 
References

CHAPTER 6 Intercultural Sensitivity and Behaviors 
Context and Culture
Culture and Interpersonal Communication 
Cultural Empathy 
Patient and Provider 
Healthcare: The Cultural Mosaic
The Economics of Culture
Conclusion
Questions for Discussion/Review
References 

CHAPTER 7 Health Literacy: The Not So Silent Epidemic 
Illiteracy and Its Ubiquity 
Basic Terminology of Literacy 
Defining Health Literacy 
Demographics of Health Literacy 
Assessing Health Literacy 
Assessment Tools
E-Literacy 
Internet Information Credibility
Identifying and Adapting to Low Health Literacy 
Simplifying the Link between Health Literacy and Outcomes 
Conclusion 
Questions for Discussion/Review 
References 

PART III: Practice of Medical Communication
CHAPTER 8 Humor and Aggressive Communication in Healthcare 
Humor Communication in Healthcare 
The Psychology of Humor 
Humor in the Patient–Provider Relationship 
Aggressive Communication 
The Origins of Aggressive Communication 
Nursing and Verbal Aggressiveness 
Argumentativeness 
Fighting Against Aggressive Communication
Conflict 
Physician–Nurse Power 
Conclusion 
Questions for Discussion/Review
Delving Deeper: Humor and Aggressive Communication in Healthcare 
Suggested Readings 
Suggested Film 
References 

CHAPTER 9 Medical and Relational Information Processing 
The Physiology of Hearing 
Information Processing 
The Hand-Off Process 
Mindfulness 
Narratives in Healthcare 
Information Gathering: The Ultimate Storyteller 
Listening 
Therapeutic Writing 
Conclusion 
Questions for Discussion/Review 
References 

CHAPTER 10 Theories of Health Communication
Functions of Communication in the Health Context 
Communication Contexts within Health Communication 
Relational Control/Compliance 
Communication Traits and Health Behavior
Health Belief Model
Theory of Reasoned Action (TRA)/ Theory of Planned Behavior (TPB)/ Integrated Behavioral Model (IBM) 
Extended Parallel Process Model (EPPM) 
Uncertainty Management Theory 
Diffusion of Innovation 
Transtheoretical Model 
Conclusion 
Questions for Discussion/Review 
References

CHAPTER 11 Assessment and Training within Healthcare: Training the Trainers 
Reasons for Training
Medical Communication Skills Training
Considerations for Effective Training 
E-Learning 
Role of the Trainer
Audience Needs 
Training Objectives 
Types of Training Delivery and Vehicles 
Instructional Aids 
Assessing the Efficacy of Training 
Feedback 
Conclusion 
Questions for Discussion/Review 
References 

PART IV: Medical Communication in Tributary Situations 
CHAPTER 12 Professionalism, Ethics, Informed Consent, Apology, and End-of-Life Care
Defining Professionalism
Professional Ethos
The Professions of Medical Care 
Ethical Practices for Medical Professionals 
Patient Needs 
Professionalism and End-of-Life Issues 
Organ Donation 
Informed Consent 
The Patient-Provider Power Shift: Informed Consent
Informed Consent in Action 
Problems in the Informed Consent Process 
Legal Implications of Informed Consent 
Types of Informed Consent 
Apology 
Philosophical Perspective of Apology 
The Behavior of Apology 
Legal Perspectives of Apology 
Religious Perspectives of Apology
Conclusion 
Questions for Discussion/Review 
References 

CHAPTER 13 Communication and Mental Health: The Role of Talk in Psychological Well-Being
How the Pandemic Changed Mental Healthcare Delivery (Telemedicine/Telehealth)
E-Therapy/Telemedicine/Telehealth 
What is Telemedicine/Telehealth?
The Practice of Mental Health Counseling and Use of Telemedicine/Telehealth before COVID-19
The Practice of Mental Health Counseling and Use of Telemedicine/Telehealth During the Pandemic
E-Training 
E-Patients
E-Patient Perspectives 
Developing Rapport and Therapeutic Alliances with E-Patients 
Patient and Provider Satisfaction with Telemedicine/Telehealth in Mental Health
Federal Changes to Telemedicine/Telehealth Policy
Fee for Service Healthcare System
Expanding Telemedicine/Telehealth Access
Health Insurance Portability and Accountability Act (HIPAA) 
Ethics in Telemedicine/Telehealth
Is Telemedicine/Telehealth Here to Stay?
Conclusion 
References 

CHAPTER 14 Medical Communication Technology: Currents and Futures
Electronic Records 
Complications of EMR/HER
Legal Implications
Other Technological Factors in Healthcare Communication
E-Patients
E-Training 
E-Therapy 
Social Media 
Credibility and Misinformation about Health Online
Biometrics
Telehealth
Robotics in Healthcare Delivery 
The Future of Healthcare Communication: Concluding Thoughts 
Questions for Discussion/Review 
References 

Glossary 

Index 

Theodore A Avtgis

Theodore A. Avtgis, Ph.D. is an Assistant Professor in the Department of Communication at Western Illinois University-Quad Cities. He specializes in medical communication, organizational communication processes and communication predispositions in general business and healthcare organizations. Dr. Avtgis received his Ph.D. in Communication Studies from Kent State University. Dr. Avtgis has authored more than 65 peer-reviewed articles and book chapters focusing on organizational communication, health communication, risk and crisis communication, and aggressive communication. His work has appeared in journals such as Management Communication Quarterly, Journal of Trauma: Injury, Infection, and Critical Care, Communication Education, and Communication Research Reports among many others. He is co-author of fifteen books. Dr. Avtgis was recognized as one of the top 50 most productive researchers in the field of communication studies between 1996-2001 (tied for 12th). Other honors include being named a Centennial Scholar (2009 Eastern Communication Association), Distinguished Scholar (2011 Eastern Communication), Past Presidents’ Award Recipient (Eastern Communication Association), Research Fellow (2012 Eastern Communication Association), Teaching Fellow (2013 Eastern Communication Association), Honoree (2013 Ohio Magazine Excellence in Education), and recipient of the Ashland University Academic Mentor Award (2015). Dr. Avtgis has served as Editor in Chief of Communication Research Reports and has served on the editorial boards of eleven scholarly journals and was recognized as a member of the World Council on Hellenes Abroad (USA Region of American Academics). Throughout his career, Professor Avtgis has served on the faculty of academic institutions including St. John’s University, West Virginia University, Ashland University, and the University of Akron.

Kevin Wright

Kevin B. Wright, Ph.D. is a Professor in the Department of Communication at George Mason University where he teaches undergraduate and graduate classes on health communication, interpersonal communication, life span communication, and social media and health. Dr.  Wright received his Ph.D. from the University of Oklahoma. His research focuses on social support processes, messages, and health outcomes in face-to-face and social media contexts, health-related stigma, cancer caregiving communication, risk and crisis communication, and social media-based health interventions. He is the author or coauthor of 10 books, including Health Communication in the 21st Century, Life Span Communication, and Computer-Mediated Communication in Personal Relationships. He has published over 120 journal articles including in publications such as Communication Monographs, Journal of Computer-Mediated Communication, Journal of Communication, Health Communication, Journal of Health Communication, Journal of Applied Communication Research, and the Journal of Medical Internet Research (JMIR). Moreover, he has presented his research at over 150  papers at regional, national, and international conferences. From 2007 to 2010, Dr. Wright served as editor of the Journal of Computer-Mediated Communication (published by the International Communication Association), and as an editorial board member and reviewer for numerous journals. Additionally, Dr. Wright has been a guest lecturer or visiting scholar at numerous universities in the U.S. and internationally. He has been active in several funded research projects, including funding from NIH, NSF, and the Leukemia & Lymphoma Society (LLS). Dr. Wright also serves a consultant to various health-related organizations in the Washington D.C. area.

Veronica Nuzzolo

Dr. Veronica Nuzzolo is an experienced independently licensed psychotherapist who serves the communities of Maine, Massachusetts, and New Hampshire. She obtained her doctorate in psychology from Grand Canyon University.   Dedicated to her profession, Dr. Nuzzolo is committed to helping her patients enhance their emotional well-being through person centered therapies tailored to their unique needs. Dr.  Nuzzolo is known for her exceptional communication and listening skills and offers quality care that helps her create lasting partnerships with every patient. Dr. Nuzzolo has experience treating severe mental health, substance use, and co-occurring disorders. Her area of expertise is in treating alcohol, opioid, and stimulant use disorders. She has been practicing for 15+ years serving in inpatient/outpatient detox programs, clinical stabilization services, medication assisted treatment programs, and structured outpatient addictions programs. Dr. Nuzzolo has extensive experience delivering these services within the criminal justice system, drug courts, and correctional facilities.  In addition to active clinical practice, she continues to research, educate, and contribute to the development of mental illness and substance disorder related materials and resources.

New Third Edition Now Available!

Communication-related issues lead to thousands of deaths annually.

The third edition of Medical Communication: Physical and Psychological Wellness creates a more health-conscious society by presenting unique and groundbreaking perspectives on communication in the practice of everyday healthcare – increasing patient safety and literacy.

Medical Communication incorporates cutting-edge information needed to navigate today's dynamic culture of medicine and healthcare. This life skills text educates all individuals, both those within healthcare professions as well as society in general, as every human being will eventually interface with the healthcare system.

An interdisciplinary (i.e., Medicine and Communication Studies) text that brings together authors who delineate the many aspects of communication in the everyday delivery of medical care, Medical Communication: Physical and Psychological Wellness:

  • Covers interpersonal (i.e.., provider-provider; patient-provider) and other communication practices that generally go unrecognized including professionalism, ethics, end-of-life care, and safety in the fast paced world of medicine.
  • Overcomes the existing “turf” wars that currently exist in fields such as health communication and health psychology.
  • Is Student Friendly! The publication includes an Enhanced Online Learning Package seamlessly integrated within the book's pedagogy that includes interactive exercises, interviews, vignettes based on real-life scenarios, flash cards and more.
  • Is Easy to Adopt! Chapter outlines, supplemental teaching materials, PowerPoint™ presentations, and comprehensive test banks are provided to adopting instructors.

 

 

PART I: Foundations of Medical Communication
CHAPTER 1 The Imperative of Medical Communication 
How Safe Is Healthcare?
Healthcare Team
Changing the Culture of Healthcare
Rapid Advancement
The Basics of Communication
Models of Communication
Communication Goals
Misconceptions of Communication
Conclusion
Questions for Discussion/Review

CHAPTER 2 The Neuroscience and Psychology of Communication
The Human Brain
The Evolution and Anatomy of the Brain
Delving Further Into The Brain
Brain-Imaging Technologies
EEG 
CAT 
MRI and fMRI 
MEG
SPECT 
PET 
Conclusion 
Questions for Discussion/Review 
References

CHAPTER 3 Temperaments, Communication Traits, and Predispositions
Human Biology and Communication
Traits and Temperaments 
Communication Tendencies: Apprehension Traits versus Presentation Traits
Psychological Traits and Communication Behavior 
Disorders of the Brain Adversely Affecting Communication 
The Human Brain, Intelligence, and Communication 
Conclusion 
Questions for Discussion/Review 
Delving Deeper: Temperaments, Communication Traits, and Predispositions 
Suggested Readings
Suggested Film 
References 

PART II: Contexts and Types of Medical Communication 
CHAPTER 4 Gender in Communication: The Influence on Competent Communication within Healthcare 
Definitional Issues 
Physiological Differences
Sex and Personality Differences
Gender and the Patient–Provider Dyad 
Male and Female Healthcare Providers 
The Engendered Patient
Building Toward Tomorrow 
Communication Competency and Its Outcomes 
Conclusion 
Questions for Discussion/Review 

CHAPTER 5 Nonverbal Communication in Healthcare 
Brief History of Nonverbal Communication 
Functions of Nonverbal Messages
Components of Nonverbal Communication
Conclusion
Questions for Discussion/Review 
References

CHAPTER 6 Intercultural Sensitivity and Behaviors 
Context and Culture
Culture and Interpersonal Communication 
Cultural Empathy 
Patient and Provider 
Healthcare: The Cultural Mosaic
The Economics of Culture
Conclusion
Questions for Discussion/Review
References 

CHAPTER 7 Health Literacy: The Not So Silent Epidemic 
Illiteracy and Its Ubiquity 
Basic Terminology of Literacy 
Defining Health Literacy 
Demographics of Health Literacy 
Assessing Health Literacy 
Assessment Tools
E-Literacy 
Internet Information Credibility
Identifying and Adapting to Low Health Literacy 
Simplifying the Link between Health Literacy and Outcomes 
Conclusion 
Questions for Discussion/Review 
References 

PART III: Practice of Medical Communication
CHAPTER 8 Humor and Aggressive Communication in Healthcare 
Humor Communication in Healthcare 
The Psychology of Humor 
Humor in the Patient–Provider Relationship 
Aggressive Communication 
The Origins of Aggressive Communication 
Nursing and Verbal Aggressiveness 
Argumentativeness 
Fighting Against Aggressive Communication
Conflict 
Physician–Nurse Power 
Conclusion 
Questions for Discussion/Review
Delving Deeper: Humor and Aggressive Communication in Healthcare 
Suggested Readings 
Suggested Film 
References 

CHAPTER 9 Medical and Relational Information Processing 
The Physiology of Hearing 
Information Processing 
The Hand-Off Process 
Mindfulness 
Narratives in Healthcare 
Information Gathering: The Ultimate Storyteller 
Listening 
Therapeutic Writing 
Conclusion 
Questions for Discussion/Review 
References 

CHAPTER 10 Theories of Health Communication
Functions of Communication in the Health Context 
Communication Contexts within Health Communication 
Relational Control/Compliance 
Communication Traits and Health Behavior
Health Belief Model
Theory of Reasoned Action (TRA)/ Theory of Planned Behavior (TPB)/ Integrated Behavioral Model (IBM) 
Extended Parallel Process Model (EPPM) 
Uncertainty Management Theory 
Diffusion of Innovation 
Transtheoretical Model 
Conclusion 
Questions for Discussion/Review 
References

CHAPTER 11 Assessment and Training within Healthcare: Training the Trainers 
Reasons for Training
Medical Communication Skills Training
Considerations for Effective Training 
E-Learning 
Role of the Trainer
Audience Needs 
Training Objectives 
Types of Training Delivery and Vehicles 
Instructional Aids 
Assessing the Efficacy of Training 
Feedback 
Conclusion 
Questions for Discussion/Review 
References 

PART IV: Medical Communication in Tributary Situations 
CHAPTER 12 Professionalism, Ethics, Informed Consent, Apology, and End-of-Life Care
Defining Professionalism
Professional Ethos
The Professions of Medical Care 
Ethical Practices for Medical Professionals 
Patient Needs 
Professionalism and End-of-Life Issues 
Organ Donation 
Informed Consent 
The Patient-Provider Power Shift: Informed Consent
Informed Consent in Action 
Problems in the Informed Consent Process 
Legal Implications of Informed Consent 
Types of Informed Consent 
Apology 
Philosophical Perspective of Apology 
The Behavior of Apology 
Legal Perspectives of Apology 
Religious Perspectives of Apology
Conclusion 
Questions for Discussion/Review 
References 

CHAPTER 13 Communication and Mental Health: The Role of Talk in Psychological Well-Being
How the Pandemic Changed Mental Healthcare Delivery (Telemedicine/Telehealth)
E-Therapy/Telemedicine/Telehealth 
What is Telemedicine/Telehealth?
The Practice of Mental Health Counseling and Use of Telemedicine/Telehealth before COVID-19
The Practice of Mental Health Counseling and Use of Telemedicine/Telehealth During the Pandemic
E-Training 
E-Patients
E-Patient Perspectives 
Developing Rapport and Therapeutic Alliances with E-Patients 
Patient and Provider Satisfaction with Telemedicine/Telehealth in Mental Health
Federal Changes to Telemedicine/Telehealth Policy
Fee for Service Healthcare System
Expanding Telemedicine/Telehealth Access
Health Insurance Portability and Accountability Act (HIPAA) 
Ethics in Telemedicine/Telehealth
Is Telemedicine/Telehealth Here to Stay?
Conclusion 
References 

CHAPTER 14 Medical Communication Technology: Currents and Futures
Electronic Records 
Complications of EMR/HER
Legal Implications
Other Technological Factors in Healthcare Communication
E-Patients
E-Training 
E-Therapy 
Social Media 
Credibility and Misinformation about Health Online
Biometrics
Telehealth
Robotics in Healthcare Delivery 
The Future of Healthcare Communication: Concluding Thoughts 
Questions for Discussion/Review 
References 

Glossary 

Index 

Theodore A Avtgis

Theodore A. Avtgis, Ph.D. is an Assistant Professor in the Department of Communication at Western Illinois University-Quad Cities. He specializes in medical communication, organizational communication processes and communication predispositions in general business and healthcare organizations. Dr. Avtgis received his Ph.D. in Communication Studies from Kent State University. Dr. Avtgis has authored more than 65 peer-reviewed articles and book chapters focusing on organizational communication, health communication, risk and crisis communication, and aggressive communication. His work has appeared in journals such as Management Communication Quarterly, Journal of Trauma: Injury, Infection, and Critical Care, Communication Education, and Communication Research Reports among many others. He is co-author of fifteen books. Dr. Avtgis was recognized as one of the top 50 most productive researchers in the field of communication studies between 1996-2001 (tied for 12th). Other honors include being named a Centennial Scholar (2009 Eastern Communication Association), Distinguished Scholar (2011 Eastern Communication), Past Presidents’ Award Recipient (Eastern Communication Association), Research Fellow (2012 Eastern Communication Association), Teaching Fellow (2013 Eastern Communication Association), Honoree (2013 Ohio Magazine Excellence in Education), and recipient of the Ashland University Academic Mentor Award (2015). Dr. Avtgis has served as Editor in Chief of Communication Research Reports and has served on the editorial boards of eleven scholarly journals and was recognized as a member of the World Council on Hellenes Abroad (USA Region of American Academics). Throughout his career, Professor Avtgis has served on the faculty of academic institutions including St. John’s University, West Virginia University, Ashland University, and the University of Akron.

Kevin Wright

Kevin B. Wright, Ph.D. is a Professor in the Department of Communication at George Mason University where he teaches undergraduate and graduate classes on health communication, interpersonal communication, life span communication, and social media and health. Dr.  Wright received his Ph.D. from the University of Oklahoma. His research focuses on social support processes, messages, and health outcomes in face-to-face and social media contexts, health-related stigma, cancer caregiving communication, risk and crisis communication, and social media-based health interventions. He is the author or coauthor of 10 books, including Health Communication in the 21st Century, Life Span Communication, and Computer-Mediated Communication in Personal Relationships. He has published over 120 journal articles including in publications such as Communication Monographs, Journal of Computer-Mediated Communication, Journal of Communication, Health Communication, Journal of Health Communication, Journal of Applied Communication Research, and the Journal of Medical Internet Research (JMIR). Moreover, he has presented his research at over 150  papers at regional, national, and international conferences. From 2007 to 2010, Dr. Wright served as editor of the Journal of Computer-Mediated Communication (published by the International Communication Association), and as an editorial board member and reviewer for numerous journals. Additionally, Dr. Wright has been a guest lecturer or visiting scholar at numerous universities in the U.S. and internationally. He has been active in several funded research projects, including funding from NIH, NSF, and the Leukemia & Lymphoma Society (LLS). Dr. Wright also serves a consultant to various health-related organizations in the Washington D.C. area.

Veronica Nuzzolo

Dr. Veronica Nuzzolo is an experienced independently licensed psychotherapist who serves the communities of Maine, Massachusetts, and New Hampshire. She obtained her doctorate in psychology from Grand Canyon University.   Dedicated to her profession, Dr. Nuzzolo is committed to helping her patients enhance their emotional well-being through person centered therapies tailored to their unique needs. Dr.  Nuzzolo is known for her exceptional communication and listening skills and offers quality care that helps her create lasting partnerships with every patient. Dr. Nuzzolo has experience treating severe mental health, substance use, and co-occurring disorders. Her area of expertise is in treating alcohol, opioid, and stimulant use disorders. She has been practicing for 15+ years serving in inpatient/outpatient detox programs, clinical stabilization services, medication assisted treatment programs, and structured outpatient addictions programs. Dr. Nuzzolo has extensive experience delivering these services within the criminal justice system, drug courts, and correctional facilities.  In addition to active clinical practice, she continues to research, educate, and contribute to the development of mental illness and substance disorder related materials and resources.