“…In contrast, awareness has recently increased about the need for physicians to possess knowledge and skills related to cultural competence (Barzansky et al, 2000;Dedier, Penson, Williams, & Lynch, 1999;Saha, Komaromy, Koepsell, & Bindman, 1999). Moreover, the influence of patients'cultural factors on their psychiatric symptoms, patient/physician relationships, and adherence to treatment have been recently reported (Cuffe, Waller, Cuccaro, Pumariega, & Garrison, 1995;Helman, 2000bHelman, , 2000cPumariega, Johnson, Sheridan, & Cuffe, 1996;Saha et al, 1999).…”