Which photo shows a person more likely to have a psychological disorder based on the voluntary changes made to his/her skin? Answer: It depends on the cultural context. The scarring of the man in the left is intentional and common in his West African tribe, and hence would not be considered a sign of abnormality—but such scarring might be a sign of something abnormal in some Western cultures. However, cultures shift over time, and what is abnormal in one time and place may not be in another. For example, ear gauging (shown on the right) used to be found in African tribes but not in the West, but recently some young people in Western culture have adopted this practice.