Nurturing Patient Expectations to Enhance the Treatment of Tinnitus

Richard Tyler; George Haskell; John Preece; Cynthia Bergan

doi:10.1055/s-2001-13017

Seminars in Hearing, Table of Contents

Semin Hear 2001; 22(1): 015-022
DOI: 10.1055/s-2001-13017

Nurturing Patient Expectations to Enhance the Treatment of Tinnitus

Richard Tyler^1,2 , George Haskell³ , John Preece^1,4 , Cynthia Bergan²

¹The Department of Otolaryngology-Head and Neck Surgery, The University of Iowa, Iowa City, Iowa
²Department of Speech Pathology and Audiology, The University of Iowa, Iowa City, Iowa
³Veterans Administration Medical Center, The University of Iowa, Iowa City, Iowa
⁴University of Rhode Island, Kingston, Rhode Island

Abstract

ABSTRACT

In addition to any direct treatment, the interactions we have with our patients create expectations that can impact the treatment. We cite research that has quantified these effects and shown factors that are important, such as the level of stress experienced by patients. We can improve treatment success by being aware of patient expectations and impacting them in a positive manner. This article reviews eight specific attributes that can contribute to positive patient expectations in the treatment of tinnitus: 1) Be perceived as a knowledgeable professional; 2) Be sympathetic towards the patient; 3) Demonstrate that you understand the problem; 4) Provide a clear therapy plan; 5) Show that you sincerely care; 6) Provide feelings of mastery; 7) Provide hope; and 8) Instill confidence. There are also some risks and ethical issues involved in attempting to influence patient expectations. It is inappropriate to mislead the patient, and patients should not feel like they are being manipulated.

KEYWORD

Tinnitus - treatment - patient expectations - placebo

Full Text

References

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