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▲[[File:Jerome Wakefield Image1.png|thumb|Jerome Wakefield]]
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HDA holds that both harm and dysfunction must be present for a condition to be a mental disorder. The dysfunction element of the theory provides an objective basis for diagnosis, while the harm element allows diagnoses to remain culturally sensitive. As a result, not every dysfunction is a mental disorder, and not every harmful condition is a mental disorder.
An example Wakefield uses to prove this is dyslexia. Essentially, a failure of the language-processing system in the brain, dyslexia counts as a dysfunction. However, whether it is considered a mental disorder depends on the cultural context. In a literate society, where reading is indispensable to daily life, dyslexia leads to clear disadvantages and would therefore be a disorder. In a pre-literate society where reading is not a necessary skill, it would not result in harm or be viewed as a disorder. Wakefield describes such cases as “harmless dysfunctions”, biological failures that do not produce socially meaningful problems
== Criticisms ==
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