The Body's Response to Health Care Provider Communication: The Impact of Dominant Versus Facilitative Styles

Participant responses were compared for cancer genetic counselor provision of information provided in a dominant versus facilitative communication style. Participants watched two different segments of genetic counseling while heart rate (HR) and respiratory sinus arrhythmia were assessed. Communication style was determined by coding with the Roter interaction analysis system. Results supported a consistent contrast effect across measures, which was not moderated by trait emotional control. Individuals presented with the dominant style first exhibited a reduced HR for the facilitative segment as compared with participants who saw the facilitative style first. When viewing the dominant style first, participants rated the subsequent facilitative counselor as more friendly, submissive, and receptive and were more satisfied. An explanation for the findings is supported by positive and negative evaluative processes literature.