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A clinical study on nonverbal communication in the orthognathic surgical patients who have experienced changes in their facial appearance

面部外观变化的正颌手术患者非语言交流的临床研究

基本信息

批准号：
16330137
负责人：
KAJIWARA Kazumi
金额：
$ 6.59万
依托单位：
Kagoshima University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2006
项目状态：
已结题

项目摘要

The aim of this study is to investigate the characteristics of nonverbal communicaion in patients with mandibular prognathism who have experienced orthognathic surgery and to examine the way to help them to adapt to interpersonal relationships with their new facial appearances. The main results were as follows: (1) The common opportunity to make the patients to be conscious of postoperative facial change was the utterance of others, and whether they take it to be positive or negative depended on the interpersonal contexts. (2) Facial complaints and the feeling to be handicapped reduce after operation in most patients who emphasized them before operation, while the patients who had experienced severe sufferings or sequela tend to continue complaining of their facial appearances. (3) The changes in nonverbal communication which they were aware of appeared mainly in behavior (stop trying to cover mouse or chin), expression (smile naturally) and hair style. (4) Rigidity in self consciousness, i. e., the tendency to stick to the limited perspective was considered to be focused on in the clinical psychological intervention. (5) Dohsa-hou and the self active relaxation therapy were tried to the cases that showed the rigidity in the interpersonal communication and complained of neck and shoulder discomfort or temporomandibular pain, and in most cases the increase in facial expression and self-reflection were observed. It was suggested that the way to approach the patient's bodily problem and to teach him/her to manage it for themselves is more effective than to make the complaint a topic directly.

本研究的目的是调查经历过正颌手术的下颌前突患者的非语言交流特征，并探讨如何帮助他们适应新面部外观的人际关系。主要结果如下：（1）使患者意识到术后面部变化的常见机会是他人的言语，而他们认为这是积极的还是消极的取决于人际情境。 (2)大多数术前强调过的患者面部表情和残障感在术后有所减轻，而经历过严重痛苦或后遗症的患者往往会继续抱怨自己的面部外观。 (3)他们意识到的非语言交流的变化主要出现在行为(停止试图遮住鼠标或下巴)、表情(自然微笑)和发型上。 (4) 自我意识的僵化，即。即，坚持有限视角的倾向被认为是临床心理干预的重点。 (5)对于人际交往僵化、颈肩不适或颞下颌疼痛的病例，尝试了“多萨胡”和“自我主动放松疗法”，大多数病例的面部表情和自我反省有所增加。有人建议，解决患者的身体问题并教他/她自己处理比直接将投诉作为话题更有效。