Answer:
Confrontational, desperate.
Step-by-step explanation:
Kamala Markandaya's Nectar in a Sieve revolves around the unfortunate and sad story of Rukmani's life. Set in a rural Indian village, the whole story depicts how the life of Rukmani has been full of misfortunes and sufferings, which she bravely encounters with hope for a better future each time.
In the given excerpt, Kenny the white doctor is so confused about the belief of the Indian people who were "taught to bear our sorrows in silence, and all this so that the soul may be cleansed". His reaction to that statement shows his confrontational approach, and also desperation in trying to understand how people like Rukmani could bear their situation so silently.