Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking. In the discussion the result was reflected against Social Cognitive Theory (SCT). The main conclusion drawn in this study was that self-reflection and critical thinking is necessary for both personal development, and the development of a workplace. Other findings were the recognition of the importance of an accurate mapping, and humility for the patients‟ view of the world and medical believes, to achieve adherence. The authors also came to the conclusion that there may be an ethical dilemma in compromising with patients regarding treatment. It may be difficult to meet patients in their faith and beliefs, and still work within the frames of the physiotherapists‟ legitimation.