Of more practical significance are cultural differences in the response of families to a schizophrenic relative. In families from less-developed societies, with low educational opportunities and expectations, a psychotic sibling or child has less stigma, is more likely to be accepted and supported, and is considered less of a burden. Alternative treatments may be sought and relied upon, before turning to modern psychiatry. In Asian cultures, a psychotic relative is more likely to be sequestered within the family, in some sense protected, but also hidden from others, to prevent the shame of causing discomfort to outsiders. Typically, it is only when the psychotic behavior becomes more than the family can handle that the affected relative is brought for treatment. Once treatment is sought, the family may be very supportive in aiding compliance with treatment recommendations. Thus, cultural issues in schizophrenia are most important when there is a family intimately involved with the patient.