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Patient-directed gaze as a tool for discovering and handling psychosocial problems in general practice.

Bensing, J.M., Kerssens, J.J., Pasch, M. van der. Patient-directed gaze as a tool for discovering and handling psychosocial problems in general practice. Journal of Nonverbal Behavior: 1995, 19(4), p. 223-242.
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Explored the relationship of one form of nonverbal behavior (i.e., patient-directed gaze [PDG]) in relation to the general practitioner's (GP's) performance in psychosocial care. Data were available from 337 videotaped consultations and accompanying questionnaires from both GP and patient. The relevance of GPs' gaze in psychosocial care was demonstrated in several ways: (1) GPs' gaze was associated with affective verbal behavior and with instrumental behavior on psychosocial topics; (2) GPs' gaze was related to patients' share of talking and the number of health problems presented, especially as regards psychological and social health problems; (3) in consultations with a high degree of PDG, GPs were more aware of patients' psychosocial history and were better at identifying patients suffering mental distress. PDG appears to be a useful technique, both for decoding people's mental problems and for showing interest in the patient's story.