The concept of 'healthy paranoia,' whereby ethnic minorities may develop defensive behaviors in response to discrimination, illustrates this principle. Symptoms include seizure-like behaviors. The disorder is believed by the Navajo to be the supernatural result of incestuous thoughts or behaviors. Both differential diagnosis and intervention should take into consideration the traditional values of Moth Madness. Psychologists respect the roles of family members and community structures, hierarchies, values, and beliefs within the client's culture.
Psychologists identify resources in the family and the larger community.
Psychologists seek to ensure that both the psychologist and client have a clear understanding of what services and roles are reasonable. It is not uncommon for an entire American Indian family to come into the clinic to provide support to the person in distress. Many of the healing practices found in American Indian communities are centered in the family and the whole community. Psychologists interact in the language requested by the client and, if this is not feasible, make an appropriate referral. Problems may arise when the linguistic skills of the psychologist do not match the language of the client.