Culture can be defined as unique behaviour, lifestyle and attitudes which are formed as a result of customs, habits, beliefs and values that are common to a group and shape their emotions, behaviours and life patterns; it serves as a core behaviour that regulates life. Culture can be pathogenic, pathoplastic or pathoprotective in mental disorders. There is no doubt that culture will determine how distress is identified and pathologized and how pathways into folk, social or professional care are identified. Culture can also be pathoselective, pathofacilitory or pathodiscriminatory (see Figure 1).

THE 1990 C. CHARLES BURLINGAME, M.D. AWARD LECTURE

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