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Navigating Cultural Challenges in Patient–Clinician Dyads 

Navigating Cultural Challenges in Patient–Clinician Dyads
Chapter:
Navigating Cultural Challenges in Patient–Clinician Dyads
Author(s):

Josepha A. Immanuel

, Chun-Yi Joey Cheung

, and Nhi-Ha T. Trinh

DOI:
10.1093/med/9780190849986.003.0013
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date: 03 March 2021

Studies have proposed that background concordance of the patient and clinician increases the likelihood of a “good fit” and strengthens the patient–clinician relationship, especially in groups who typically do not seek psychiatric care. There are, however, limitations and challenges to the presumed benefit of patient–clinician matching. In this chapter we explore these challenges using three in-depth case vignettes and discuss the effects of over-identification on therapeutic progress, background concordance on rapport-building, and self-disclosure on therapeutic outcome. We briefly describe a workshop for trainees aimed to introduce and to practice interviewing techniques with patients of “similar” versus “different” backgrounds from their own.

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