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Comparative Effectiveness Reviews, No. Cultural competence refers to efforts to reduce the cultural and linguistic barriers between patients and medical personnel that interfere with effective health care delivery.

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The American Psychiatric Association and the American Psychological Association have suggested for many years now that there is significant empirical evidence supporting the claim that homosexuality is a normal variant of human sexual orientation as opposed to a mental disorder. This paper summarizes and analyzes that purported scientific evidence and explains that much if not all of the evidence is irrelevant and does not support the homosexuality-is-not-a-mental-disorder claim.

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Homosexuality is romantic attraction, sexual attraction or sexual behavior between members of the same sex or gender. It "also refers to a person's sense of identity based on those attractions, related behaviors, and membership in a community of others who share those attractions.

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He could play the piano by ear in the first grade. His artistic and creative bent set him apart from the other boys, and this sense of being different grew steadily over time.

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