Friday, April 4, 2014

Research Paper: Nonverbal Communication in Dietetics

Nonverbal Communication in Dietetics
Modern-day dietitians need to have a fortified background knowledge about physical, non-verbal communication just as much as verbal communication to create a client-base that is more committed, loyal, and motivated than the current standard, which would result in a more successful career.   Being educated in the aforementioned topics would lead to a higher success rate over the dietetics profession, leading to an increase in demand from the public due to a higher regard of the profession as a whole, which would consequently lead to more positions in the field.  By examining the experiences of current dietitians alongside studies of how non-verbal communication works, we can evaluate what areas of communication should be focused on while preparing for a career in dietetics.
                To begin with, current dietitians who are practicing in the field have their own ideas about effective communication with clients.  According to the president of the American Dietetics Association, Susan T. Borra, building relationships, reimbursements, and knowing what to improve are all essential to client satisfaction (1).  When she asked a member of the Nutrition Entrepreneurs dietetic practice group about their thoughts on the matter, they said that “a couple of minutes spent asking or answering a simple question communicates caring and competence on my part and increased comfort on the part of the patient when they arrive for the first visit” (1).  In this case, the professionals stress the importance of verbal communication and its effect on the first impression.  Despite the truth behind their thoughts, there is still an underlying power that can be either helpful or detrimental to anything a dietitian says or does.  We can rely on the results of scientific studies to better understand the true driving force behind verbal communication. 
                In a recent study conducted by a team of neurobiologists, psychiatrists, psychotherapists and neural researchers, the scientific explanations of verbal and non-verbal effects on first impressions was analyzed.  The researchers used functional magnetic resonance imaging (fMRI) on participants to carefully observe activity in the brain when stimulated by verbal and then non-verbal communication.   What they found was “evidence for neurofunctional dissociation between the processing of verbal and nonverbal social information during interpersonal impression formation,” (2). Basically, different parts of the brain are activated for each type of communication during the formulation of first impressions.  One of these brain parts is the amygdala, which, in traditional textbooks, is associated with the processing of fear.  When participants of the study were exposed to non-verbal stimuli, it was the amygdala that was always activated.  In tandem with textbook definitions, however, the amygdala DOES play a central role in “automatic, affective processing,” meaning that certain incoming senses are automatically evaluated, yielding a particular association, before the conscious mind has a chance to judge the sense (2).   Based off what they observed when a participant saw a highly trustworthy face versus a highly untrustworthy face, the researchers concluded that positive stimuli, as well as the traditional negative stimuli, could activate the amygdala.  Figure 1 represents the images of the fMRIs, nonverbal (SoE/Val NV) followed by verbal (SoE/Val V), and corresponding exposure to stimuli.  Note the regions of the brain that are activated.
Full-size image (160 K)
Figure 1: Brain Region Response to Verbal or Nonverbal Stimuli (2).

Since this part of the brain is so quick to judge, one can see why preparing for a first impression is so important. 
Professionals are typically expected to dress professionally, but in a career that involves health promotion, fit, athletic-wear can be more popular outfits.  “The nursing, medical and communication literature shows that a professional’s dress attire is relevant to client–professional interactions because it strongly influences clients’ perceptions of their professional’s characteristics,” says Cant, a journalist for the Journal of Human Nutrition and Dietetics (3).  For this reason, it is important for dietitians to know what their clients would prefer.  For some, choosing what to wear will make more of a difference than for others.  To elaborate, we will look at the work ethic of personal trainers in a gym setting.  More often than not, a personal trainer gains less income than the individual they are training.  Despite the economic disparities, personal trainers still have higher authority over their client, not simply because they are paid to do so, but because their appearance says so.  One recent study explains how “possessing a fit-appearing physique—conceptualized in terms of bodily capital—provides a degree of moral authority that lends credibility to interactions in the health and fitness industry,” (4).  David J. Hutson believes that “your body is your business card,” and scholars have always agreed.  Social psychologists have long ago discovered that an attractive physical appeal engenders “assumptions of health, morality, and competence,” (4).   Evidence of this from the study is provided in the form of quantitative data: a high correlation exists between suggested attractiveness and client base.  Whereas those who were considered less attractive had a smaller client base, those who were considered more attractive had a higher client base (4).  Although there is not much we can do about the physical characteristics we are born with, we can at least make the attempt to improve our bodily capital by maintaining a consistent workout regimen and therefore present a physically appealing body. 
                Speaking with the body is no new form of communication, but the issue is that there really isn't any new information on body language communication to begin with, especially in the medical and health fields.  Researchers have made attempts to turn everyone’s attention toward communication within the dietetics profession, but the “difficulty with research in this area is assessing communication skills of dietitians because there are few validated tools available,” (5).  All of the studies mentioned beforehand have expressed a common objective for future research.  For example: while the neurobiologists wish to study the complementary interaction as opposed to the dissociation of the activity in the brain when processing first impressions, the researcher with the “bodily business card” wishes to study how bodily capital is affected by the mentality of differing sexual orientations and various ethnicities. 
                Dietitians could reap a myriad of benefits from further education in communication, especially the nonverbal types.  Current professionals practicing dietetics are cognizant of the importance of communication in their success, and scientific technology has helped us understand that there is actually a difference in how the brain processes different types of communication.  Psychology reminds us that physical appeal does, indeed, have an impact in the decisions we make, and personal trainers have to be well aware of this fact or risk losing their income.  Now, all that is left is to continue studies on the complexities of communication to further the success of dietitians, although it would be of great use to all, regardless of profession.  Who isn’t willing to do what it takes to satisfy their client?  In doing so, “you not only improve your bottom line, but you also help expand the public's appreciation of the dietetics profession,” (1).  In the end, the difference between the nonverbal communication skills of one dietitian and another WILL be what sets them apart, which is exactly why we need to be more educated in the subject area.

Works Cited

1.
McCaffree, Jim. "Client Satisfaction: Turning Referrals into Regulars." Journal of the American Dietetic Association 102.3 (2002): 340-41. Science Direct. Web. 9 Mar. 2014.

2.
2.         Kuzmanovic, Bojana, Gary Bente, Yves Von Cramon, Leonhard Schilbach, Marc Tittgemeyer, and Kai Vogeley. "Imaging First Impressions: Distinct Neural Processing of Verbal and Nonverbal Social Information." NeuroImage 60.1 (2012): 179-88. Science Direct. Web. 9 Mar. 2014.

3.
3.        Cant, R. P. "Communication Competence within Dietetics: Dietitians’ and Clients’ Views about the Unspoken Dialogue – the Impact of Personal Presentation." Journal of Human Nutrition and Dietetics 22.6 (2009): 504-10. 6 Nov. 2009. Web. 9 Mar. 2014.

4. 
4.         Hutson, David J. "“Your Body Is Your Business Card”: Bodily Capital and Health Authority in the Fitness Industry." Social Science & Medicine 90 (2013): 63-71. Science Direct. Web. 9 Mar. 2014.

 5.
5.         Whitehead, K. A., S. C. Langley-Evans, V. Tischler, and J. A. Swift. "Development and Initial Validation of an Assessment Tool for Communication Skills in Dietetics." Journal of Human Nutrition and Dietetics (2011): 406-07. 1 Aug. 2011. Web. 9 Mar. 2014.

*Note:  Transferring from Word to blog messes with layout of works-cited page
*Note:  citations are in APA style



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