I think beyond it being a taboo, it simply doesn’t enter consciousness in many non-western (or non-US?) countries — maybe kind of like how Asperger’s was discus

I think beyond it being a taboo, it simply doesn’t enter consciousness in many non-western (or non-US?) countries — maybe kind of like how Asperger’s was discussed before it even had a name — it wasn’t, or that person was just a bit “different” in certain ways.