How did a changing environment put a strain on the people of Ghana?

Which of the following is true of cultural syndromes of distress? a. it refers to attributing pathological symptoms to normative cultural differences. b. refers to misinterpreting culturally sanctioned behavior as expressions of pathological symptoms. c. it refers to the ways that communities and cultural groups communicate and express their distressing thoughts, behaviors, and emotions. d. it refers to patterns of symptoms that tend to cluster together for individuals in specific cultural groups, communities, or contexts.