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Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)


Communication Studies and Theatre

First Advisor

Joshua Westwick


Communication is essential to a successful patient-provider interaction. Within health communication literature, a substantial body of research has focused on verbal communication; however, few studies have fully dedicated to nonverbal communication research. The study examined the relationship between perceptions of client nonverbal immediacy and ratings of the therapeutic alliance. Additionally, the study provided an analysis comparing counselor and client ratings of both client nonverbal immediacy and the therapeutic alliance. Results indicated a significant relationship between counselor ratings of client nonverbal immediacy and counselor ratings of the therapeutic alliance. Counselors and clients also rated client nonverbal immediacy similarly, indicating that the counselors are aware of their client’s behavior. Counselors and clients also rated the therapeutic alliance similarly.

Library of Congress Subject Headings

Counseling in higher education
Counselor and client
Nonverbal communication
Therapeutic alliance
Body language


Includes bibliographical references (pages 78-88)



Number of Pages



South Dakota State University


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