Body language.
The process of communication can be divided into 2 components – verbal and non-verbal channels. *
The verbal part comprises of the words that are used, the non-verbal being those aspects of the interaction that do not rely on the use of words (often termed ‘body language’).
In the rapport building phase, and indeed all aspects of the interaction, what we should aspire to achieve is a ‘posture of involvement’ which enables us to demonstrate that we are paying careful attention to the person who is talking. (1)
This process of active listening is achieved through the verbal and non-verbal channels (as opposed to passive, like a telephone call where there is no ‘body language’).
There is a short mnemonic that I teach to remember how to show that you are listening actively through your ‘body language’ – SNORE.
- S = Square – face the patient (remember in dentistry we spend a lot of time behind the patient).
- N = Nod – nods, eye raises … any appropriate facial expression to indicate that you are following.
- O = Open – try to avoid crossed arms and legs.
- R = Relaxed – calm means attentive – patients very quickly pick up on toe tapping, pen clicking, glancing at the clock.
- E = Eye-contact – covered in mini habit #4.
A common example in practice is doing a deep restoration and there is a carious pulp exposure – there is now a conversation to be had about the implications of pulp involvement, possible RCT / exo, costs, follow-up treatments (for example crowns).
This conversation should not be had wearing loupes and mask and sitting behind the supine patient with your hands in their mouth!!
So, next time there is an important interaction, whether it be rapport building small talk, taking a history or discussing treatment – sit the patient up, take your focus away from the computer screen and before doing anything else, your first action should be to SNORE.
References;
- Bolton R., People Skills, 1986
* It is important to note that in our everyday social contact, the verbal and non-verbal components of communication are intertwined in a complex manner and the separation into discrete components is really an academic exercise in order to bring each aspect into sharper focus.