Communication Barriers

The Salutogenesis theory and its essential component, the sense of coherence (SOC) is an epigenetic concept. The SOC was defined as a 'way of being in the world'. As such it is most important that one's SOC will be intact for healthy mental status. Collisions between western and non-western cultures might interfere in the process of psychiatric and psychotherapeutic treatment. This review demonstrates the importance of a culture-sensitive approach and therapy and the usefulness of specific culture-sensitive services for certain non-western populations.

Received wisdom suggests that boundaries are, or should be, important in intimate relationships. In this essay, we focus primarily upon the beliefs and phenomenology relating to a variety of boundaries, and provide a discussion of some conceptual issues, in order to understand better the development, facilitation, and maintenance of, as well as restraints upon, intimacy. Although we attend mainly to dyadic relationships, we believe that our observations and suggestions have application to larger groups.

BACKGROUND AND OBJECTIVES: There are now more than 100,000 Hmong (Southeast Asian) refugees in the United States. This study examined interactions between Hmong patients and their health care providers and identified specific factors that either enable or obstruct health care delivery. METHODS: We used semistructured interview techniques to investigate patients' and providers' experiences, looking for attitudes, ideas, or behaviors that could be modified to improve health care delivery.

Mutual understanding and trust are most easily attained between persons who share a common cultural background. Persons of color often see physicians as members of an alien culture who are not to be trusted. Physicians can and should transcend cultural barriers and secure the trust of patients of color. To do this, a common culture is not required; effort, kindness and sympathy are.

BACKGROUND AND OBJECTIVES: There are now more than 100,000 Hmong (Southeast Asian) refugees in the United States. This study examined interactions between Hmong patients and their health care providers and identified specific factors that either enable or obstruct health care delivery. METHODS: We used semistructured interview techniques to investigate patients' and providers' experiences, looking for attitudes, ideas, or behaviors that could be modified to improve health care delivery.

Mutual understanding and trust are most easily attained between persons who share a common cultural background. Persons of color often see physicians as members of an alien culture who are not to be trusted. Physicians can and should transcend cultural barriers and secure the trust of patients of color. To do this, a common culture is not required; effort, kindness and sympathy are.

In narratives of displaced Karen women from Burma, both before and after resettlement in Australia, women framed their birthing experiences with those of persecution and displacement. Although grateful for the security of resettlement in Australia, social inclusion was negligible and women's birthing experiences occurred in that context. Women described the impact of the lack of interpreting services in Australian hospitals and an absence of personal and communal care that they expected.

BACKGROUND: The objectives of this analysis were 1) to compare the sociodemographic characteristics of donors and nondonors, 2) to describe the channels through which Dakar's population is made aware of blood donation, and 3) to analyze the motivations and barriers to blood donation expressed by donors and nondonors. STUDY DESIGN AND METHOD: A survey of 600 individuals age 20 and older representative of Dakar's population was conducted in 2009 to analyze awareness of blood donation, donor characteristics, and barriers and motivations to blood donation.

Psychological and psychosocial stressors perceived by the mechanically ventilated patient include intensive care unit environmental factors, communication factors, stressful symptoms, and the effectiveness of interventions. The studies reviewed in this article showed four stressors commonly identified by mechanically ventilated patients including dyspnea, anxiety, fear, and pain. Few interventional studies to reduce these stressors are available in the literature.

BACKGROUND: Mind-body medicine (MBM) approaches to many health problems have been well documented in the literature, including through multiple meta-analyses. Efficacy has been well demonstrated in conditions such as headache, irritable bowel syndrome, anxiety, fibromyalgia, hypertension, low back pain, depression, cancer symptoms, and postmyocardial infarction. However, an apparent disconnect (ie, translational block) prevents more widespread adoption of such therapies into practice.