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    Dr. Indeed, that kind of impropriety will destroy trust and injure communication. It will never hurt the practitioner’s image for the translator to clarify an act by saying, “That is how they show great respect in their culture.” By contrast, it will be particularly injurious to the developing relationship for patients to discover they have been slighted or treated discourteously. Muriel Pettione, a senior attending physician at Harlem Hospital Center, a major hospital serving the black community in New York City, often points out how offensive it is for young residents to show signs of disrespect, such as calling an older woman patient by her first name.

    Because we cannot know the assumptions of all the cultures with which we will interact, it is useful to behave toward the patient as one would behave toward an honored member 636 Psychological Aspects of Women’s Health Care, Second Edition of one’s own culture. Second, practitioners, who perforce must act without a manual of cultures, should use the services of “key informants,” as anthropologists call those members of the community who help them to understand culture.

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    Wessinger CM, VanMeter J, Tian B, Van Lare J, Pekar J, Rauschecker JP viagra discount price. Linear and nonlinear pathways of spectral information transmission in the cochlear nucleus. J Cogn viagra discount price Neurosci 1998;13:l-5.

    Yu JJ, Young ED. Hierarchical organization of the human auditory cortex revealed by functional magnetic resonance imaging.