In a large power distance society, parents teach children obedience, while in a small power distance society parents treat children as equals. Subordinates expect to be consulted in small power distance societies, versus being told what to do in large power distance societies.
Clinicians may find that individuals from a high power distance cultural background may refrain from expressing disagreement with goals and/or therapy activities, even if they don't plan to implement suggested goals in the long term. Clients view the clinician as the expert and expect him/her to direct assessment and interventions.