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PARAVERBAL COMMUNICATION ‘Paraverbal communication’ describes the process in which significant and powerful information is transmitted from one person to another NOT through words, but through sounds, gestures, attitudes, and shifts in demeanour, all of which can often elicit feelings in the treatment setting. How does it take place? Look at what happens between adults and infants before there is verbal communication e.g. noises, silences, gestures, movements, facial and bodily expressions, along with touching, hugging, squeezing etc. These constitute our earliest and basic modes of communication with one another. With maturity, most of us come to increasingly rely on verbal communication with emotional intonation and expression giving colour and depth to the content. However the unspoken “communications” retain much of their power. We are all constantly scrutinising and analysing the “other” to make sure we understand one other. For “congruent communication” there has to be a degree of intimacy and trust. How will you deal with a patient who suffers from a CHARACTERLOGICAL DISORDER? Eg. Schizophrenia, bi-polar disorder etc. Is DEPRESSED? DISTRACTED? PSYCHOLOGICALLY PREOCCUPIED and CANNOT ENGAGE?? It is often difficult for these people to achieve effective verbal communication and all too often experience has taught them that other people will not be attuned to their thoughts and feelings. Like all of us their ability to relate and engage with the “other” will be coloured by their past relationships. In these cases, as practitioners, we are going to have to use other available sources of information such as paraverbal communication and transference.