PBS is a relatively new concept. We are only beginning to understand its implications for effecting positive change in children, youth, and adults. Following are perspectives from the field. Otherwise, you run the risk of not seeing the true meaning of the behavior, which can lead to misdiagnosis and misguided treatment approaches.
Behaviors can differ from culture to culture.
Valdes-Agrait shares the following example. A child of Puerto Rican background was referred for acting out behaviors. The child was described as irritable and said to report having psychotic hallucinations and visions in which he prayed with deceased Indians. Valdes-Agrait set up an interview with the child and family in their home. It is very important to visit the home to note any cultural signs.