
07/14/2025
Most of us donât think about culture unless weâre outside of it.
But culture doesnât just shape what we wear or celebrate. It shapes what we believe counts as normal. It shapes how we understand emotion, personality, moralityâeven mental health.
When I was a kid growing up bilingual and bicultural, I learned early that the same behavior could mean different things in different contexts. At school, it was good to speak up and be independent. At home, it was good to listen and contribute.
That wasnât confusing. It was clarifying. It taught me that behavior only makes sense inside a frameâand that frame is culture.
As a psychiatrist, I see this everywhere. Culture shapes how symptoms get described, which emotions get validated, and whose distress gets pathologized. Most of the time, that influence is invisible. But itâs always there.
We often assume psychology is about universal truths. But much of the research behind it comes from WEIRD samplesâWestern, Educated, Industrialized, Rich, and Democratic populations. Thatâs about 10% of the world. And yet, weâve treated those norms as the human default.
The consequences are real. From how we interpret anger in different racial contexts, to how we assess personality, to which syndromes get fully recognized in the DSM and which ones are relegated to the appendixâculture quietly determines the frame. And that frame decides what we see as legitimate.
In my latest essay, I argue that culture isnât an overlay on top of psychologyâitâs the infrastructure underneath it. From the rise of eating disorders in reductionist food cultures, to the different national responses to COVID, to the way emotional expression is rewarded or punished based on race, class, or geographyâwe are all shaped by an environment we rarely see.
This piece is part of my series on The Impact of Environment, but in some ways, itâs the core of the whole project. Because culture is the one environment we inherit before anything else. It defines our defaultsâoften before we even know we have them.
If you've ever felt misread, mislabeled, or misunderstoodânot because something was wrong with you, but because the lens wasnât made for youâthis essay is for you.
Explore how culture influences mental health, shaping emotions, personality, and societal norms beyond WEIRD biases.