Bäärnhielm, Scarpinati, Rossi and Pattyi (2007) have written about limitations with the diagnostic manual DSM, about how people from another cultural sphere are at risk of being misjudged, which may also have relevance to this area:
There is criticism of the DSM-IV system. A critical point of view is that it makes no sense to use a Western diagnostic system outside the West or for refugees and minority groups. Kleinman (1977) has coined the term "category fallacy" which refers to the problem of using psychiatric diagnoses for symptoms outside the cultural sphere in which diagnoses were created (Bäärnhielm, Scarpinati, Rossi &. Pattyi, 2007, p. 16).