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- W989878699 abstract "This chapter describes how various cultural factors can influence relationships, communication, and the interaction between the therapist and patient. Psychiatric practice relies heavily on the face-to-face interaction and relationship between the therapist and the patient. The relationship is itself a therapeutic tool and the outcome of treatment may vary significantly depending on the quality of the relationship. This is particularly true and requires special attention and adjustment when a therapist offer services to a patient with a different cultural background as the relationship between healer and client may vary according to differing cultural attributes. The status and power between therapist and patient can be hierarchical or egalitarian, and the communication between them can be asymmetrical or symmetrical. In America, the predominant form of physician-patient relationship is egalitarian, based on a contractual agreement between the two, influenced heavily by an ideological emphasis on individualism, autonomy, and consumerism. In contrast, in many Asian cultures, the relationship is modeled after the ideal form of hierarchical relationship, where the physician is seen as an authority figure who is endowed with knowledge and experience. So when an Asian patient is seen by an American physician, some intercultural problems may occur. Particularly when expectations are not fulfilled, the patient does not usually express his or her feelings and communicate his or her frustrations. In return, the patient is seen as passive-aggressive and noncompliant by the physician and the treatment is often terminated prematurely, with the patient going for doctor shopping." @default.
- W989878699 created "2016-06-24" @default.
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- W989878699 date "2001-01-01" @default.
- W989878699 modified "2023-10-03" @default.
- W989878699 title "Therapist and Patient" @default.
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- W989878699 doi "https://doi.org/10.1016/b978-012701632-0/50100-5" @default.
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