title: Alma: coping with culture, poverty, and disability.
abstract: This article raises questions about the ways culture affects the nature of health care services. By examining the life story of Alma, a Central American woman who has a daughter with disabilities; her interactions with health care providers; and my own assumptions about cultural differences, I note the impact of cultural differences on coping and adaptation in Alma and in the health care system when working with poor, non-English-speaking clients.
authors.affiliation: Occupational Science Program, University of Southern California, Los Angeles, USA.
authors.forename: E I
authors.initials: EI
authors.lastname: Blanche
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003144:Communication Barriers; D006233:Persons with Disabilities / Q000534:rehabilitation*; D004544:El Salvador / Q000208:ethnology; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007223:Infant; D009788:Occupational Therapy; D011203:Poverty; D011368:Professional-Family Relations; D014481:United States