A doctor's words and gestures can not only increase their patients' trust and well-being, but also change their treatment expectations. Photo: © javi_indy/Freepik

A doctor's words and gestures can not only increase their patients' trust and well-being, but also change their treatment expectations. Photo: © javi_indy/Freepik

Warmth, competence and more: What practitioners can achieve through communication

How practitioners talk to their patients has a major influence on the course of treatment. Through their words and gestures, they are able not only to increase their patients’ confidence and well-being but also change patients’ expectations about the treatment. This, in turn, can shape the way in which pain, for example, is processed in the brain – and thus influence the success of the treatment.

Does my doctor seem warm, approachable, and competent?

In Project A19, we are investigating the effects of these factors in greater depth. First, we are looking at how a doctor’s choice of words affects our participants: Which words and sentences make a doctor appear competent? What choice of words can convey warmth and kindness? We are conducting a large-scale online study to answer these questions.

In addition, we are also trying to find out how, exactly, speech is understood and how communication influences the perception of pain in the brain. For this purpose, we are using functional magnetic resonance imaging (fMRI), which allows us to visualize the brain processes involved in language processing and the neuronal responses to different communication styles and pain stimuli in the brain.

How does communication act on a neurobiological level?

Our approach combines state-of-the-art imaging technology with the analysis of speech in order to gain a better understanding of how communication acts on a neurobiological level. We hope that this will provide new insights into what manner of communication can contribute to better treatment outcomes.

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Blank H, Spangenberg M, Davis MH. Neural prediction errors distinguish perception and misperception of speech. J Neurosci 2018; 38(27):6076-6089. doi.org/10.1523/JNEUROSCI.3258-17.2018

Blank H, Davis MH. Prediction errors but not sharpened signals simulate multivoxel fMRI patterns during speech perception. PloS Biol 2016; 14(11):e1002577. doi.org/10.1371/journal.pbio.1002577

Garlichs A, Blank H. Prediction error processing and sharpening of expected information across the face-processing hierarchy. Nat Commun. 2024 Apr 22;15(1):3407. doi.org/10.1038/s41467-024-47749-9. Erratum in: Nat Commun. 2024 Aug 8;15(1):6752. doi.org/10.1038/s41467-024-51267-z. PMID: 38649694; PMCID: PMC11035707.

Wiech K. Deconstructing the sensation of pain: The influence of cognitive processes on pain perception. Science 2016; 354(6312):584-587. doi.org/10.1126/science.aaf8934.

Wiech K, Eippert F, Vandekerckhove J, Zaman J, Placek K, Tuerlinckx F, Vlaeyen JWS, Tracey I. Cortico-brainstem mechanisms of biased perceptual decision-making in the context of pain. J Pain 2022 Apr;23(4):680-692. doi.org/10.1016/j.jpain.2021.11.006.

Zaman J, Vlaeyen JWS, Wiech K. When experience is not enough: learning-based cognitive pain modulation with or without instructions. Pain 2022; 163(1):137-145. doi.org/10.1097/j.pain.0000000000002322.

Zika O, Wiech K, Reinecke A, Browning M, Schuck NW. Trait anxiety is associated with hidden state inference during aversive reversal learning. Nat Commun 2023; 14(1):4203. doi.org/10.1038/s41467-023-39825-3.

In close cooperation with these projects:

A01

A01

A02

A02

A03

A03

A04

A04

A09

A09

How do social observations influence the efficacy of antidepressants?

Prof. Dr. Markus Wöhr
Prof. Dr. Rainer K.W. Schwarting

A11

A11

A13

A13

How can expectation effects help to reduce pain after a hip operation?

PD Dr. Regine Klinger
Prof. Dr. Sigrid Elsenbruch

A18

A18

How are other people doing – and what does that mean for me?

PD Dr. Jan Haaker
Prof. Dr. Christiane Melzig

Project Lead

Prof. Dr. Helen Blank - SFB/TRR 289 Treatment Expectation

Prof. Dr. Helen Blank
Psychologist

Prof. Dr. Katja Wiech  - SFB/TRR 289 Treatment Expectation

Prof. Dr. Katja Wiech
Psychologist

Team

Dr. Mai-Carmen Requena-Komuro
Postdoc, Psychologist

Philipp Schumann
PhD student