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Cambridge: Cambridge University Press. Ekman, P. and Friesen, W. V. (1975). Unmasking the Face. : Prentice-Hall. Fontana, D. ( 1990). Social Skills at Work. Leicester/London: BPS Books (The British Psychological Society) and Routledge. Greenbaum, P. F. and Rosenfeld, H. M. ( 1980). Variation of touching in greeting: sequential structure and sex-related differences. Journal of Nonverbal Behavior, 5, 13-25. Interpersonal skills 37 Hall, E. T. ( 1969). The Hidden Dimension. New York: Doubleday. Jesudason, S.

Kinesis and Context. Philadelphia: University of Pennsylvania Press. Coid, J. ( 1991). Interviewing the aggressive patient. In Corney, R. ) Developing Communication and Counselling Skills in Medicine. London: Routledge. Cook, M. ( 1970). Experiments on orientation and proxemics. Human Relations, 23, 61-76. Davitz, L. L. and Davitz, J. R. (1985). Culture and nurses' inferences of suffering. ) Perspectives on Pain. Edinburgh: Churchill Livingstone. Ekman, P. ( 1982). Emotion and the Human Face. 2nd edn.

Chances are that they will use a whole series of gestures to accompany their conversation even though the person they are talking to cannot possibly see them. The voice The quality of vocal expression produces a wide range of messages. Changes in volume can represent the following meanings: • soft = sadness/ affection • moderate = pleasantness/happiness • loud = dominance/confidence Changes in resonance or tone can represent the following meanings: • sharp voice = complaining/helpless • flat voice = sickly/depressed 24 The psychology of nursing care • breathy voice = anxious • thin voice = submissiveness The pitch of a person's voice often varies with the volume of their voice thus: • • • • high pitch/low volume = submissiveness/grief high pitch/high volume = activity/anger low pitch/low volume = boredom/sadness low pitch/high volume = dominance Clarity of speech is often associated with class differences.

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