It Is Difficult to Use Cultural Norms to Define Psychopathology

It is difficult to use cultural norms to define psychopathology because cultural factors seem to significantly affect how psychopathology manifests itself) Which of the following may be factors?

A) Social and cultural factors will affect the vulnerability of an individual to causal factors
B) Culture can produce 'culture-bound' symptoms of psychopathology which seem confined to specific cultures
C) Culture can produce 'culture-bound' symptoms of psychopathology,which can influence how stress,anxiety and depression manifest themselves)
D) All of the above