Objective: Changes in nonverbal behaviors in schizophrenia may have a negative impact on social outcomes. This study investigated whether conversation contents influence nonverbal behaviors in individuals with schizophrenia, the agreement regarding perceived rapport between the individuals with schizophrenia, the therapist, & the observers; and the differences among these three viewpoints. Methods: Participants received a semi-structured videotaped interview with an acquainted therapist. After the interview, the participants and the therapist rated their impressions about rapport respectively. Three research assistants reviewed excerpts of interviews based on the thin-slice methodology to provided ratings on nonverbal behaviors. Six observers reviewed the excerpts to provide ratings on the impressions about rapport. Results: Twenty-eight participants were recruited through the convenient sampling method. The ratings of nonverbal behaviors were significantly higher during the conversation of positive experience, except for movements in upper face and non-communicated expressions. There was a high degree of agreement on rapport impressions between self-reports and therapist's perception. The agreement between self-reported and observers were non-significant, and the magnitudes were near zero or even in a negative direction. Self-reported rapport was significantly higher than observers' perception. Conclusion: Our results suggest that individuals with schizophrenia show different levels of nonverbally expressive behaviors in different conversation contexts. Individuals with schizophrenia tend to overestimate the degrees of rapport as compared to unfamiliar observers. Researchers and therapists should deliberately include social contexts as an important factor that influence clients' nonverbal behaviors in future studies and clinical practice. This study provides insightful evidence for improving current social skill intervention for individuals with schizophrenia. The evidence could also be used for public education to reduce social stigma.
|Translated title of the contribution||Non-verbally Expressive Behaviors of Individuals with Schizophrenia and Perceived Rapport during a Clinical Interview|
|Original language||Chinese (Traditional)|
|Journal||臺灣職能治療研究與實務雜誌 ＝ Journal of Taiwan Occupational Therapy Research and Practice|
|Publication status||Published - 2019 Dec 31|