Gender Bias In Diagnosing Personality Disorders

Ever since Freud, more women than men soughtthe diagnostic criteria, the more the diagnostician relies
therapy. Consequently, terms like "hysteria' areon stereotypes (Widiger, 1998).
intimately connected to female physiology and allegedQuotes from the Literature
female psychology. The DSM (Diagnostic and"Specifically, past research suggests that exploitive
Statistical Manual, the bible of the psychiatrictendencies and open displays of feelings of entitlement
profession) expressly professes gender bias:will be less integral to narcissism for females than for
personality disorders such as Borderline and Histrionicmales. For females such displays may carry a greater
are supposed to be more common among women.possibility of negative social sanctions because they
but the DSM is rather even-handed: other personalitywould violate stereotypical gender-role expectancies
disorders (e.g., the Narcissistic and Antisocial as well asfor women, who are expected to engage in such
the Schizotypal, Obsessive-Compulsive, Schizoid, andpositive social behavior as being tender,
Paranoid) are more prevalent among men.compassionate, warm, sympathetic, sensitive, and
Why this gender disparity? There are a few possibleunderstanding.
answers:In females, Exploitiveness/Entitlement is less
Maybe personality disorders are not objective clinicalwell-integrated with the other components of
entities, but culture-bound syndromes. In other words,narcissism as measured by the Narcissistic Personality
perhaps they reflect biases and value judgments.Inventory (NPI) - Leadership/Authority, Self-absorption
Some patriarchal societies are also narcissistic. TheySelf-admiration, and Superiority/Arrogance- than in
emphasize qualities such as individualism and ambition,males - though 'male and female narcissists in general
often identified with virility. Hence the preponderance ofshowed striking similarities in the manner in which most
pathological narcissism among men. Women, on theof the facets of narcissism were integrated with each
other hand, are widely believed to be emotionally labileother'."
and clinging. This is why most Borderlines andGender differences in the structure of narcissism: a
Dependents are females.multi-sample analysis of the narcissistic personality
Upbringing and environment, the process ofinventory - Brian T. Tschanz, Carolyn C. Morf, Charles
socialization and cultural mores all play an importantW. Turner - Sex Roles: A Journal of Research - Issue:
role in the pathogenesis of personality disorders. TheseMay, 1998
views are not fringe: serious scholars (e.g., Kaplan and"Women leaders are evaluated negatively if they
Pantony, 1991) claim that the mental health profession isexercise their authority and are perceived as
inherently sexist.autocratic."
Then again, genetics may be is at work. Men andEagly, A. H., Makhijani, M. G., & Klonsky, B. G. (1992).
women do differ genetically. This may account for theGender and the evaluation of leaders: A meta-analysis.
variability of the occurrence of specific personalityPsychological Bulletin, 111, 3-22, and ...
disorders in men and women.Butler, D., & Gels, F. L. (1990). Nonverbal affect
Some of the diagnostic criteria are ambiguous or evenresponses to male and female leaders: Implications for
considered "normal" by the majority of the population.leadership evaluations. Journal of Personality and Social
Histrionics "consistently use physical appearance toPsychology, 58, 48-59.
draw attention to self." Well, who doesn't in Western"Competent women must also appear to be sociable
society? Why when a woman clings to a man it isand likable in order to influence men - men must only
labeled "codependence", but when a man relies on aappear to be competent to achieve the same results
woman to maintain his home, take care of his children,with both genders."
choose his attire, and prop his ego it is "companionship"Carli, L. L., Lafleur, S. J., & Loeber, C. C. (1995).
(Walker, 1994)?Nonverbal behavior, gender, and influence. Journal of
The less structured the interview and the more fuzzyPersonality and Social Psychology, 68, 1030-1041.