Eye Contact Many communication courses teach that effective, engaged conversations include direct eye contact as a form of feedback from an individual who is interested in what you are saying. However, some communities engage with their ears and will look down or away as a form of respect and interaction. This is particularly true of elders and more traditional American Indians/Alaskan Natives. In fact, in some communities, to look directly in someone’s eyes while talking to them can be disrespectful. Actively assess your response with the individual and keep in mind that eye contact might be appropriate if the person is young and “modern”. Please keep in mind that everyone is different and up to 80% of communication can be non-verbal cues.
http://www.ihs.gov/pharmacy/index.cfm?module=awareness
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