Patrick, who grew up in the new york city, is troubled by his relationship with pahana, who has grown up in a native american family. he is becoming frustrate

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Patrick, who grew up in the New York City, is troubled by his relationship with Pahana, who
has grown up in a Native American family. He is becoming frustrated because he thinks Pahana does not listen to him. Whenever he speaks, she looks down or away from him instead of making eye contact. It seems Patrick does not realize that culture affects

I believe the answer is:  nonverbal listening responses.

Non-verbal listening response refers to the type of response that made through body language or expressions.
In the example, the act of avoiding eye contact conveys that Pahana felt extremely uncomfortable in the communication effort that initiated by patrick. To fix this, patrick also need to change method of communication.