There are unquestionably cultural patterns that we see emerge among and between patients from various societies.
Asians, for example, are often quite stoic, suffer inwardly and do not readily acknowledge the impact that an injury has upon them. They are less likely to ask for psychological support and/or medication despite having anxiety and depressive symptoms.
Spanish workers, especially those with little English, tend to respond with a sense of defeat. They do not fight against their limitations, often become depressed and withdrawn and dependent upon some perceived authority to make decisions for them. They often do not participate in that decision making.
Workers coming here from the strife encountered in the break up of the U.S.S.R. are often angry and distrustful. Many feel as though they have had enough misery in one lifetime and readily express frustration, anger and distrust.
While all may have similar types of psychological symptoms, they are not equally motivated to address them directly and must be assisted by first accepting their value system and cultural expectations.