 Further evidence of the unsettling of the orthodoxy is that the latest edition of the DSM explicitly dropped the terminology of ‘culture bound syndromes’, replacing it with ‘cultural concepts of disease’. The rationale for this modification was that it “acknowledges that all forms of distress are locally shaped, including the DSM disorders” (American Psychiatric Association 2013, italics in original). Nevertheless, there is reason to think the changes may be merely cosmetic and peripheral rather than indicative of a deeper structural reorientation of Western psychiatric institutions. Philosophical critics have argued that at its heart the DSM remains committed to a biomedical model of disease, still conceptualizing mental disorder via an analogy with somatic disease. This conception remains inadequate, they argue, in no small part because it is unable to capture the deep influence of culture on minds and mental health (Tekin 2011; Tekin, Flanagan, &amp; Graham 2017).