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Aldosterone, angiotensin, and hypertension.

The influence of cultural differences in our own society has been elegantly demonstrated by the finding of an association between grandiose delusions and high social class on the one hand, and delusions of inferiority and low social class on the other ;6 it was also found that paranoid delusions were more common among the "immigrants" of West Sussex than among the "natives." Social class may also have an effect on treatment-in New Haven it was shown that therapy was more closely related to the patient's status than to his psychiatric disorder.7 However, the importance attached to cultural stereotypes can mislead and bias clinical perception; if it is to prove valuable, knowledge of the influence of culture on presentation of disease has to be handled with sense and sensibility.