Conventional interventions and instruments are hardly effective, often because patients are not being addressed in a way that chimes with their emotional state and motivations. Using the NeuroIPS® method – key to our patient characterization system – and a range of other parameters, MassineBoecker identiﬁes the inner feelings of each individual and helps you communicate with them.
The attitude of chronically ill patients towards their condition is mainly driven by their emotional disposition, which can be determined along two main levers: responsibility and competence. By spanning these factors from low to high, one can construct four quadrants reflecting four distinct emotional types. In order to design proper communication we also consider patient’s particular position.
The positively motivated patients take responsibility and see themselves as proactive managers of their own health. The aim of health management is invariably to communicate with other patient types in such a way that they achieve this “ideal” disposition, which is – sadly enough – not the norm.
The defensive patient (fearful, aggressive) is often highly competent. However, they frequently fail to take responsibility for themselves and their condition. They are passive in terms of acting responsibly and tend towards aggression (aimed at themselves and/or others). In order to get them to listen and ultimately change behavior, one must first get their acceptance through demonstration of superior competence leading to an acceptance of external authority.
The resigned patient, characterized by sadness, often exhibits low competence levels and shows little responsibility (= learned helplessness). They feel powerless and helpless; no longer capable of acting in a purposeful manner, they victimize themselves. The best way to overcome their attitude is to show positive encouragement and direct lead; and maybe later some empathy; all pursued in tiny “baby steps”.
The submissive, serving patient, characterized by a lack of self-confidence, demonstrates a high degree of compliance but little self-determination. They are the classic followers. It takes an empathetic tone, proof of competence and meaningful stimuli to bring about a change from obedience to personal responsibility.
Core emotional state in relation to competence and compliance