What does avoiding eye contact typically indicate in a patient from a different cultural background?

Avoiding eye contact in a patient from a different cultural background often indicates a sign of respect. Many cultures place significant emphasis on non-verbal communication, and in some traditions, direct eye contact can be viewed as confrontational or disrespectful. For example, in certain Asian or Indigenous cultures, maintaining a lower gaze is seen as a way to show deference, particularly towards elders or authority figures, including healthcare providers. Understanding this context is important for healthcare professionals, as it helps them interpret patient behavior accurately and fosters a respectful interaction.

This understanding contrasts with other interpretations of avoiding eye contact, such as shame, embarrassment, or disinterest, which may not apply universally across different cultural groups. Recognizing the meaning behind a patient's non-verbal cues allows for better communication, trust-building, and ultimately improved patient care.