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  • I think the relative influence of rank varies by service, military occupational speciality and experience of the provider. For example and arguably, rank seems to carry more weight and influence within the USMC and USA compared to the USN and USAF. Likewise, certain military occupational specialities (e.g. line/infantry) adhere to a more stricter version of the "chain of command" compared to others (e.g. staff/medical community). In either case, I have never found this (rank differential) to be too impairing provided I mindfully adjust my TTP to adapt to the patient I am speaking with. There are any number of potential impediments to rapport development and the strategy for navigating them is essentially the same (e.g. unconditional positive regard, meeting the patient where they are at, and adult/agent to adult/respondent communication).

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