Please respond to the following discussion using current references (2014- 2019): Question 3: Differences between verbal and nonverbal communication A positive therapeutic relationship involves verbal and nonverbal communication techniques which foster a therapeutic alliance. Examples of verbal strategies include; adopting an open-ended framework for the promotion of self-understanding, self-acceptance and strength enhancement (Wheeler, 2014). Examples of nonverbal communication which support the therapeutic alliance include, assuming an open, receptive posture without fidgeting nor crossed arms with culturally appropriate level of eye contact (Wheeler, 2014). Question 7: Four communication enhancement techniques Four communication enhancement techniques include assessing patient development level, honoring cultural identification, allowing sufficient communication time and active listening. Communication should be tailored to the patient age and developmental level so that the patient feels supported and competent to communicate. Cultural sensitivity means to be informed of and executing accepted cultural norms. Allowing enough time for communication illustrates that conversations are not hurried that the full measure of information and emotion are accounted for. Active listening involves an intentional process of hearing, identifying the nonverbal context, information processing and verifying meaning. (Burke, 2019) Question 9: Rationales for a) setting, b) seating and c) methods for beginning interaction Rationales for patient encounters are founded on the therapeutic alliance. While this can be in any location, the setting is typically an outpatient office and practitioners should be sensitive to patient confidentiality in common waiting spaces and responding to as opposed to initiating a handshake. Seating should not place the practitioner behind a desk, but rather 3-4 feet apart at a 45-degree angle. Strategies for beginning communication involves asking the patient what name they prefer to be called and asking them where they would like to begin(Wheeler, 2014)
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