Cultural illness or mental illness?

Culture can be defined as a shared set of practices, norms, values and symbols.

It was within the post-Age of Reason developed nation cultures where psychiatric and the biomedical model were born. Before and outside this culture mental illness doesn't exist. As time has progressed this culture, the culture of the developed world where the collective work for mass and the optimum 'individual' is a robot.

How is cultural deviance an illness? It is undesirable to people at the time or in that culture. For example soon what is effectively having too much sex will be a diagnosis in DSM-V. There is no diagnosis for too little sex as far as I am aware because the local prudish attitudes would mean this proposition would sound ridiculous, as ridiculous as a diagnosis of promiscuity. Hypersexuality has been experienced by some people during mania. I recently saw someone out themselves on Facebook as having slept with 200 different men in a few years and the psychiatrists had told them it was because they were bipolar. I have to admit that my cultural abnormality tempted me to friend request them.

In the pre-psychiatric system that governed the experiences that are now considered mental illnesses, or religion, the experience used to have 4 diagnoses. Heresy, witchcraft and possession had a very bad 'prognosis' or expectation of outcome such as death and torture. If the experiences fitted with the fundamental paradigm of the Church and was acceptable the diagnosis could be sainthood because every single person who heard the voice of god was ....schizotypal or in an ego dystonic state and may have experienced psychosis and some of them may also have gotten a diagnosis of schizophrenia or another psychotic disorder.

The typical symptoms of depression have a relatively low stigma when they are understood but the atypical symptoms, for example the "acting out" symptoms that are suggested to be more commonly experience by men, are more stigmatised and would likely have worse outcomes to typical "acting in" symptoms. They are symptoms of the same mental illness but one expression is less culturally acceptable. The modern diagnosis is sensitive of this however clincal and public understanding and acceptance of the more culturally unacceptable 'illness' is significantly less in practice.