Ignacio Comes from a Culture That Frequently Includes Spiritual Possession

Ignacio comes from a culture that frequently includes spiritual possession and altered personas as a part of religious ceremony. Some of his friends are concerned that these practices may actually be an indicator of a dissociative disorder. His friends consult with a psychologist, who informs them that Ignacio could not be diagnosed with dissociative identity disorder. Why not, according to the APA?

A) Symptoms cannot be attributable to the physiological effects of a substance.
B) Dissociative identity disorder is more common in females.
C) Men typically deny these symptoms when they see a mental health professional.
D) Dissociative identity disorder cannot be diagnosed when the disturbance is a part of broadly accepted religious or cultural practice.