I think that many cultures have shamanic healers of some sort. Pastoral counseling, psychotherapy, acupuncture, massage therapy, chiropractic intervention, Chinese herbal remedies, all ways to outsource certain needs for physical and emotional caring that are outside of traditional western medical science.

These methods work for many people in many ways.

Also, the concept of emotional scars is cultural. I often think of how mass hysteria, belief in the super natural, and other intangible concepts take hold through the power of suggestion.

I was hit as a child. It never occurred to me to be traumatized by it, and my siblings and cousins often reflect on our beatings with jovial laughter and pride. "Remember that time you threw a rock at that car and Aunt Linda chased you with the wooden spoon?"

Culture matters. Love matters. Context matters. Shared experience matters. Relativity prevails. The whuppin adults cared about us and loved us. I don't need therapy for my beatings.

If you require therapy for childhood trauma, that is not invalidated by the fact that others do not. Similarly, you may not require daily acupuncture for your aches, while someone in another culture might "need" such a thing.

Intriguing thread!