We´ve finished up our week in Armomizar and I think the consesus is that we feel we have gained so much more than we have given. There are so many differences between Canadian and Peruvian culture that have allowed us to see and try things we may never have had the chance to back at home. The biggest contrast I´ve noted is the absence of strict confidentiality rules. We´ve all signed our lives away and made oaths to keep our lips sealed about client matters once we leave work. While I feel protected by the confidentiality laws we have at home, the open clinical environment here has allowed us to feel closer to our clients and given us the opportunity to see much more than we would have in a Canadian clinic. From what we have experienced, a typical Peruvian "consent" consists of a simple "Do you mind if we watch?" en espanol of course while a smile and a "si, si" from the client is the equivalent to their signature. We´ve been lucky enough to get to watch many different professionals, have teams of 3 clinicians working with each client and to involve entire families in therapy sessions. Everyone here has been so open to our presence that it has given us a broad variety of learning opportunities that I´m not sure we could have gained elsewhere. Raul, our Peruvian trip leader has told us many times that Canadians are almost too polite and Peruvians expect much more openness, we shouldn´t been afraid to ask questions. It has been a freeing experience to adopt this Peruvian way for the short time we have been here and to not worry about whether we have formal, signed consent for every client we work with or observe. While we as Canadians, have been careful to post only pictures where clients aren´t identifiable, I´m sure if we asked, we get a simple, "Si, si."