Tuesday, February 17, 2015
Medical Professionals: Sensitivity Indicators and the Word, "No"
It may indicate deception, but it may not. This is why context is important.
When someone is truthful, but feels he is not being believed, his language will likely include sensitivity indicators.
When someone feels a need for emphasis, it may also show.
"I am so over him!" is different than "I am over him."
The former has emotion connected to it, while the latter is plain language, and strong. If "he" were to attempt to get her back, the first statement, with emotion, shows a chance, while the second, "I am over him" is stronger, and more confident. It does not mean that the first, "I am so over him" indicates willingness on her part to take him back; it is just not as strong as the latter.
What has caused the sensitivity?
Herein lies a key for therapists and counselors and clergy with training in Statement Analysis: using questions to uncover the cause of sensitivity.
"I am so over him!"
Possibilities to explore:
a. Have you been "over him" before?
b. Is someone (family, perhaps) trying to persuade you?
c. Are you trying to persuade yourself?
d. Have you given him "second chances"?
e. Have you had internal debate?
f. Has he exhibited a pattern of unacceptable behavior?
g. unknown uncovered through appropriate questions.
We have seen little hints within language that indicate various changes in reality, and it is fascinating to "know" what one is 'really thinking' within the words.
In training of medical professionals, an intake nurse now asks a series of questions and is responsible for writing down the exact answers.
1. Do you drink alcohol?
2. How many drinks per week?
3. Do you smoke?
and you can see the basic screening taking place. This particular facility has now added general screening for depression, STD risk, and a new one: Domestic Violence.
4. Are you a victim of Domestic Violence? (DV)
The precise answer is then recorded (in this case, entered into a computer). The nurses were trained to type in and count every word after the word "no" for sensitivity indication.
The training specifically teaches to pause after this question.
Why not pause after each question?
There should be a pause after each question, but when a nurse, as a trained professional, senses that a patient may be a victim of DV, the pause should be an uncomfortable pause in time, so long, in fact, (in seconds) that it has an impolite feel to it. This is the same that detectives should use when:
they have the written statement analyzed before them, and know the sensitive area;
or when the detective has advanced enough in Analytical Interviewing that he is able to discern the sensitivity in the language, as it passes by. This is "Skilled Listening", something that comes to those who practice, repeatedly, the training.
Some answers we explored to
"Are you a victim of Domestic Violence?"
This is a "yes or no" question that does not provoke stress for lying; "yes or no" questions are easy to lie to. By itself, it could go either way. If the subject looks back on his "no" and answer and says, with it in mind, "I told the truth", it is, percentage wise, very likely to be true.
b. "No, no...." shows an increase in sensitivity, as the word "no" is repeated.
c. "No, no, hey, why do you ask?" is important. It could be anything from projection, down to simple curiosity.
d. "oh God! Of course not!"
This sensitivity could be due to:
*Not expecting a nurse to ask this question in a medical appointment
*Being an actual Domestic Violence victim herself
*Mother, sister, or very close friend of a D/V victim in which the subject has had a recent conversation about D/V in general.
One nurse reported that since the questionnaire was put in place, only one male has come forward to acknowledge D/V. She stated that she suspected a few others, (intuitively so, as she was a good listener, and took to training with ease) because the males went beyond the word "no." The training was more of a confirmation of her skill, than a new learning item.
The "uncomfortable pause" should be saved and utilized sparingly. If every question has the pause, there is no 'additional effect' upon the subject. This element of being 'rude' or 'uncomfortable' is also contextual. If the nurse looks away, using the pause time to type, it will not put the subject under a 'burden' of civility to continue the answer.
There must be an expectation of more information.
If you sense there is more, but the subject appears reluctant, pause a moment and ask, "Is there anything you wish to tell me?"
The subject may say:
b. "No, I am not a victim of Domestic Violence" (very strong and likely to be true)
c. "well..." (and the door opens).
Use, "I'm listening" in a polite and perhaps, quieter tone, signaling to the subject that you know that is likely not easy to say, and that you are giving 'reverence' by a hushed tone. It is 'different' or 'special' from the other questions.
Nurses agreed: Do not ask the questions like a machine, where it is easy to 'blow through the questions" quickly. Pressed for time, understanding the dynamics and repercussions of D/V is important and will help the medical professional in serving clients.
I have noted a number of comments regarding deception within relationships. Although some may use the comments section deceptively or for an agenda, seeking to engage others, there are also those who ask genuine questions about discerning deception within relationships I will address this separately in an article.