The article reflects about the dynamics of communication between doctor and patient, in particular migrants patient. The analysis starts from considering the possible benefits that the use of pictograms would bring to the goal of enhancing the therapeutic alliance between doctors and patients, positively affecting the processes of attention, comprehension, recall, and adherence. The images used for this purpose, however, have to be culturally sensitive, this can be achieved with a participative process that involves migrant in each step, from the initial drawing to the evaluation of the chosen tools of communication. It is important to emphasize the value of involving migrant in the therapeutic relationship in order to start an empowerment process that will be a significant step towards counterbalancing the evident disparity of migrants’ health.
Keywords: Doctor-patient communication, health literacy, pictorials, migrant patient, empowerment, participation