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  • Too true. And, there may be a difference between the effectiveness of using rank for a medical/psychological clinician vs. a chaplain. Chaplains have tacit permission to "cross" rank boundaries in building care relationships ... one of the reasons Army and Air Force chaplains aren't addressed by rank, but only as "Chaplain". Therefore a chaplain addressing someone by first name (in counseling) may create a sense of a close and trusted relationship, while using rank (outside of counseling) shows respect for the counselee's military identity and also creates clear boundaries that make counseling time special, distinctive, even sacred time. ...But one size doesn't fit all. Sometimes you would want to use the counselee's rank (or rank-and-last-name) in counseling to add emphasis, or tacitly remind the counselee of a boundary.
    Military services also have distinctive body language that you have to be culturally competent to interpret correctly.

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