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May seem unrealistic: Difficulty of meeting all criteria, very few people would be able to do so and this suggests that very few people are psychologically healthy.
Cultural relativism:
These ideas are culture-bound, based on a Western idea of ideal mental health, and should not be used to judge other cultures. E.g., In collectivist cultures it is seen as normal to rely on others so self autonomy is less important. Therefore, self-actualisation may be seen as self-indulgent in collectivist cultures where focus is put on the community.
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