Gender Bias in Diagnosing Personality Disorders

Maybe personality disorders are not objective clinicalless structured the interview and the more fuzzy the
entities, but culture-bound syndromes.diagnostic criteria, the more the diagnostician relies on
Ever since Freud, more women than men soughtstereotypes (Widiger, 1998).Quotes from the
therapy. Consequently, terms like "hysteria' areLiterature"Specifically, past research suggests that
intimately connected to female physiology and allegedexploitive tendencies and open displays of feelings of
female psychology. The DSM (Diagnostic andentitlement will be less integral to narcissism for
Statistical Manual, the bible of the psychiatricfemales than for males. For females such displays
profession) expressly professes gender bias:may carry a greater possibility of negative social
personality disorders such as Borderline and Histrionicsanctions because they would violate stereotypical
are supposed to be more common among women.gender-role expectancies for women, who are
but the DSM is rather even-handed: other personalityexpected to engage in such positive social behavior as
disorders (e.g., the Narcissistic and Antisocial as well asbeing tender, compassionate, warm, sympathetic,
the Schizotypal, Obsessive-Compulsive, Schizoid, andsensitive, and understanding.In females, Exploitiveness
Paranoid) are more prevalent among men.Why thisEntitlement is less well-integrated with the other
gender disparity? There are a few possiblecomponents of narcissism as measured by the
answers:Maybe personality disorders are not objectiveNarcissistic Personality Inventory (NPI) - Leadership
clinical entities, but culture-bound syndromes. In otherAuthority, Self-absorption/Self-admiration, and
words, perhaps they reflect biases and valueSuperiority/Arrogance- than in males - though 'male
judgments. Some patriarchal societies are alsoand female narcissists in general showed striking
narcissistic. They emphasize qualities such assimilarities in the manner in which most of the facets of
individualism and ambition, often identified with virility.narcissism were integrated with each other'."Gender
Hence the preponderance of pathological narcissismdifferences in the structure of narcissism: a
among men. Women, on the other hand, are widelymulti-sample analysis of the narcissistic personality
believed to be emotionally labile and clinging. This isinventory - Brian T. Tschanz, Carolyn C. Morf, Charles
why most Borderlines and Dependents are females.W. Turner - Sex Roles: A Journal of Research - Issue:
Upbringing and environment, the process ofMay, 1998"Women leaders are evaluated negatively if
socialization and cultural mores all play an importantthey exercise their authority and are perceived as
role in the pathogenesis of personality disorders. Theseautocratic."
views are not fringe: serious scholars (e.g., Kaplan andEagly, A. H., Makhijani, M. G., & Klonsky, B. G.
Pantony, 1991) claim that the mental health profession is(1992). Gender and the evaluation of leaders: A
inherently sexist.meta-analysis. Psychological Bulletin, 111, 3-22, and
Then again, genetics may be is at work. Men and...Butler, D., & Gels, F. L. (1990). Nonverbal affect
women do differ genetically. This may account for theresponses to male and female leaders: Implications for
variability of the occurrence of specific personalityleadership evaluations. Journal of Personality and Social
disorders in men and women.Some of the diagnosticPsychology, 58, 48-59."Competent women must also
criteria are ambiguous or even considered "normal" byappear to be sociable and likable in order to influence
the majority of the population. Histrionics "consistentlymen - men must only appear to be competent to
use physical appearance to draw attention to self."achieve the same results with both genders."Carli, L. L.,
Well, who doesn't in Western society? Why when aLafleur, S. J., & Loeber, C. C. (1995). Nonverbal
woman clings to a man it is labeled "codependence",behavior, gender, and influence. Journal of Personality
but when a man relies on a woman to maintain hisand Social Psychology, 68, 1030-1041.Gender and the
home, take care of his children, choose his attire, andNarcissist - click HERE!Homosexual and Transsexual
prop his ego it is "companionship" (Walker, 1994)?TheNarcissists - click HERE!Sex and Gender - click HERE!