中西方文化史.ppt

Chapter 9 Cultural Influences on Context: The Health Care Setting He who has health, has hope; and he who has hope, has everything. (Arabian proverb)有健康则有希望，有希望则有一切。 阿拉伯谚语 中西医疗结合成功的病例 Subtle forms of communication behavior can have just as great an impact. (p233.para2) 交流行为中语言形式微小的不同甚至能有巨大的影响。 The use of medical jargon may also complicate the health care interaction. (p233.para4) 医药术语的使用也可能复杂化卫生保健的相互影响作用 nonverbal messages 非语言信息 nonverbal communication can be equally problematic in health care which affect health care communication. Members of P-time cultures would expect the doctor or nurse to take a great deal of time establishing rapport and explaining both the causes and cures for illness. (p233.para5) 同样的，非语言信息的传达在卫生保健中也有疑问并且影响了卫生保健的交流。超时代文化的成员更希望医生和护士花大量时间与之沟通并解释发病的原因和治疗方法。 Formality 礼节 Degrees of formality and informality in communication can affect the health care environment. (p234.para2) 在交流中礼节的程度也能够影响卫生保健的环境。 Many misunderstandings in the health care setting can be traced to miscommunications in language or nonverbal patterns. Although being sensitive to cultural differences is important, health care professionals also need to have excellent intercultural communication skills to be able to handle cultural issues. (p234.para3) 卫生保健方面背景的许多误解应当追溯到语言信息或者非语言模式的误解。尽管对文化差异的敏感新性非常重要，卫生保健专业人员更需要有能够处理好文化问题的卓越的跨文化交流技能。 Understanding Often it is not a lack of shared cultural knowledge that causes the breakdown of communication in the multicultural health care interaction; rather, the failure to use that knowledge tends to cause problems.(P235,para2) 一般情况下引起多种文化结合治疗失败的原因不是我们缺少知识而是不会准确利用 Health care professionals can better understand the problem from the patient’s prospective, and solution that are satisfactory to all can be the result。(P235,Para,2) 医疗专家能够从病人的角度更好的了解问题所在，而能够 acculturation and assimilation Additionally , acculturation and assimilation levels will