“…In the affective domain, studies find that providers' behaviors, including shared laughter and friendliness, are associated with high patient satisfaction (Greene, Adelman, Friedman, & Charon, 1994;Simpson, Mohr, & Redman, 2000) and fewer malpractice suits (Levinson, Roter, Mullooly, Dull, & Frankel, 1997). Affective issues are important for older patients (Snider, 1980) and may be particularly significant for interactions with American Indians (Dean, 2003).…”