one of the diagnostics is that the problems can not be because of cultural practices. some races are called cultures and have certain practices that go along with those races/ cultures. there is other diagnostic information also that treatment providers must consider when someone is certain races and cultures. they even have to look at a persons religion and rule out things from there too.

example I am native american. my culture / race has some things in it that had to be ruled out before I could be given the diagnostic labeling of DID, one such thing is vision quests, another was some medical issues that are part of my race/ culture, ....

this is one of the reasons some of my posts include the statement that theres more to being DID then what you can find on the internet, in books and movies.

theres so much that goes into what the disorder is and diagnosing it then just looking on the internet and matching your problems. theres things that only treatment providers know about and look for, and treatment providers are constantly given whats called supplemental updates to changes to diagnostics, definitions, and much more that is not open to just anyone. I was just as surprised as you when they had to look at my native american history before diagnosing me as DID.