When in a social context,similar themes to the ones Steve mentioned tend to crop up.
To me the central theme is one of assimilation/accomodation with regard to dominant social paradigms.
There seems to me that in some mainstream therapies,there is a certain disregard as to the persons degree of assimilation(understanding of cultural mores)and increasing insistence on accomodation(adoption of such) whilst any significant deviation from total accomodation is deemed to be pathological.