PMID: 9661097Jul 14, 1998Paper

Invited essay: sex biases in the diagnosis of personality disorders

Journal of Personality Disorders
T A Widiger

Abstract

One of the more difficult issues in the development of each edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) has been a possible sex bias in the personality disorder diagnoses. A substantial amount of discussion and research on this issue has occurred since the 1980 publication of the third edition of the DSM. It is now apparent that there are a number of different ways in which the differential sex prevalence rates for the DSM-IV personality disorders could reflect a sex bias, including biased diagnostic constructs, biased thresholds for diagnosis, biased population sampling, biased application of diagnostic criteria, biased instruments of assessment, and biased diagnostic criteria. It is important to understand these different forms of sex bias, as each can occur independently of, be confused with, and interact with one another. The purpose of this paper is to differentiate among, and to describe the support for, each of these different forms of sex bias, with the hope of contributing to their recognition and ultimate resolution.

References

Apr 1, 1974·Journal of Consulting and Clinical Psychology·S L Bem

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Citations

Apr 11, 2003·Current Psychiatry Reports·Thomas A Widiger, Kaylynn Chaynes
Nov 1, 2000·Clinical Psychology Review·R F Farmer
Mar 14, 2001·European Psychiatry : the Journal of the Association of European Psychiatrists·J H DowsonJ C Taylor
Nov 3, 2005·Psychological Assessment·Thomas A Widiger, Douglas B Samuel
Oct 3, 2006·Current Opinion in Psychiatry·Nick Haslam
Feb 26, 2000·Journal of Personality Assessment·S J AckermanM J Hilsenroth
Apr 18, 2003·Journal of Personality Assessment·Alexander L ChapmanRichard F Farmer
Dec 20, 2002·Journal of Personality Disorders·Linda Anne CokerThomas A Widiger
Dec 20, 2002·Journal of Personality Disorders·E David KlonskyThomas F Oltmanns
Mar 6, 2003·Journal of Personality Disorders·Andrew J Howell, David C Watson
Apr 1, 2014·Annual Review of Clinical Psychology·Roger K BlashfieldShannon R Miles
Jan 6, 2006·Psychological Assessment·Christina D BoggsJohn G Gunderson
Dec 8, 2005·Behavioral Sciences & the Law·Stacey D BerardinoDelores Jacobs
Sep 21, 2005·Journal of Clinical Psychology·Elizabeth H Flanagan, Roger K Blashfield
Jan 24, 2008·International Journal of Mental Health Nursing·Anne Lise Holm, Elisabeth Severinsson
Jan 3, 2013·Journal of Clinical Psychology·Nathan BachrachMarcel A Croon
May 18, 2017·Journal of Personality Disorders·Amy Paggeot, Steven Huprich
Oct 20, 2004·Journal of Interpersonal Violence·Thomas A Widiger, Stephanie N Mullins-Sweatt
Jun 22, 2018·American Journal of Public Health·Martin A MontoFrank S Deryck
Mar 22, 2014·Harvard Review of Psychiatry·Rachel C Bailey, Brin F S Grenyer
Nov 16, 2001·The Journal of Nervous and Mental Disease·K G AndersonT A Widiger
Mar 13, 1999·Annual Review of Psychology·P E Nathan, J W Langenbucher

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