Posted by Dr. Bob on October 9, 2000, at 13:59:17
In reply to Re: Hypotheses about Online Text Communication, posted by Cindy W on October 6, 2000, at 22:39:03
> > I think there's a big danger in exchanging between doctor and patient through internet. The danger is that the doc doesn't see the effect on the patient of what he says, at the moment the patient read the text.
That's right, the doctor gets less information and might misunderstand the patient...
> > As many psychiatric patients tend to make misinterpretations of intentions of others (due to his/her projections linked with bad early experiences), they are prone to misunderstand. For exemple they could interpret a simple neutral message as a rejection. Normally in face to face situation, the intention of the doc can be seen in his non verbal attitude.
And it goes the other way, too, the patient gets less information and might misunderstand the doctor.
> > Normally the sens of a message is at 80% given by non verbal attitude of the speaker.
People have asked me for a percentage, and I've told them I didn't know. Do others agree with 80%?
> > But if he don't have this info, the patient could think: he/she hates me, he don't want to talk with me and so on...and the patient in left alone with these feelings.
> I'd rather see a live human being, f2f, because that adds a lot for me (the unambiguous nonverbal cues, I guess, plus the feeling that a real live human being cares...
Thanks for raising those scenarios. One line of thinking might be that it's *helpful* for those cues to be missing. Because feeling hated or not cared about would be important to address. And if they met in person and there were cues that reassured the patient, those feelings might never be brought up. What do you think?
Bob
poster:Dr. Bob
thread:844
URL: http://www.dr-bob.org/babble/social/20000813/msgs/898.html