Deep inside Gargas cave in the Pyrenees there are 231 hand stencils, made perhaps 27,000 years ago, and around half appear to be missing fingers. Two linguists have argued the fingers were folded, not lost: hands deliberately shaped to mean something. Whether or not they are right, the oldest marks of visual culture we have are hands, and they may have been talking.
In this Clinical Insight, Dr Jo Abbott follows four languages of the hand into the treatment room. Hands that reveal thought: fifty years of gesture science, the man who could gesture in the dark, and the mismatch between hands and words that shows what someone almost knows. The patient’s hands, which describe pain before anyone touches them, and carry information the words leave out. The clinician’s hands, which can change what a patient hears and what they answer, so that a leading gesture becomes a leading question. Hands that reason and teach. And, in the oldest tradition of all, hands placed deliberately to set the state of the person holding them.
Written for every hands-on clinician, and as a companion to The Hand You Inherited. Fully referenced to the primary studies, with a five-step calibration, “The talking hands”, for the first minutes of any appointment.
Part of the HODA-A™ Clinical Insight Series: concise, research-informed publications on clinical observation, palpation, measurement and reasoning.
Hands That Speak
£6.99
Sign language in more ways than we first think. The patient’s hands describe pain before you touch them; your own hands shape what they say. Gesture science, a Stone Age cave wall and the mudra tradition, brought into the treatment room. For hands-on clinicians; fully referenced, exercise included.
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