The Influence of Patient Sex and Clinician Sex and Sex Role on the Diagnosis of Personality Disorder

2001 ◽  
Author(s):  
Jeremy P. Crosby ◽  
June Sprock
Keyword(s):  
Personality Disorder ◽  
Sex Role

The Effects of Sex and Sex Role on the Perception of Personality Disorder Symptoms

1999 ◽  
Author(s):  
June Sprock ◽  
Jeremy P. Crosby ◽  
Britt A. Nielsen
Keyword(s):  
Personality Disorder ◽  
Sex Role

Sex-Role Attitudes and Clinical Appraisal in Psychiatry Residents

1996 ◽  
Vol 41 (8) ◽  
pp. 503-508 ◽  
Author(s):  
Catherine A Belitsky ◽  
Brenda B Toner ◽  
Alisha Ali ◽  
Betty Yu ◽  
Susan L Osborne ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Sex Role ◽  
Psychiatry Residents ◽  
Case Histories ◽  
Sex Role Attitudes ◽  
Educational Tools ◽  
Female Patients ◽  
Histrionic Personality Disorder ◽  
Assessment And Treatment ◽  
Sex Biases

Objective: To measure sex-role beliefs of psychiatry residents and to examine bias in clinical appraisal. Method: Residents (45 female, 51 male) evaluated 1 of 4 possible clinical case histories— a female or male patient with histrionic personality disorder (HPD) or antisocial personality disorder (APD)— and completed the Sex-Role Egalitarianism Scale (SRES). Results: As predicted, female residents were more egalitarian than male residents (P < 0.03) according to the SRES. As expected, significantly more male than female patients received the diagnosis of APD (P < 0.00002). Although it was predicted that female patients would more often be given the HPD diagnosis than males, no significant gender differences were found. Sex of resident was not found to influence clinical behaviour significantly. Conclusions: These results highlight differential sex-role attitudes, as measured by the SRES, between female and male residents and suggest that residents' sex-role biases affect the diagnosis of APD. These results have implications for psychiatric assessment and treatment. Further understanding of these issues is critical to the development of educational tools to address sex biases in psychiatry.

Tools & Resources: Impairment and Disability Web Sites

1999 ◽  
Vol 4 (6) ◽  
pp. 5-6
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Web Sites ◽  
Outpatient Psychotherapy ◽  
Obsessive Compulsive ◽  
Not Otherwise Specified ◽  
Cluster B Personality Disorders ◽  
Clinically Significant ◽  
And Behavior

Abstract Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from those expected by the individual's culture; these inflexible and pervasive patterns reflect issues with cognition, affectivity, interpersonal functioning and impulse control, and lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning. The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, defines two specific personality disorders, in addition to an eleventh condition, Personality Disorder Not Otherwise Specified. Cluster A personality disorders include paranoid, schizoid, and schizotypal personalities; of these, Paranoid Personality Disorder probably is most common in the legal arena. Cluster B personality disorders include antisocial, borderline, histrionic, and narcissistic personality. Such people may suffer from frantic efforts to avoid perceived abandonment, patterns of unstable and intense interpersonal relationships, an identity disturbance, and impulsivity. Legal issues that involve individuals with cluster B personality disorders often involve determination of causation of the person's problems, assessment of claims of harassment, and assessment of the person's fitness for employment. Cluster C personality disorders include avoidant, dependent, and obsessive-compulsive personality. Two case histories illustrate some of the complexities of assessing impairment in workers with personality disorders, including drug abuse, hospitalizations, and inpatient and outpatient psychotherapy.

Geschlechtsspezifische Ideale im Wandel der Zeit

2004 ◽  
Vol 25 (3) ◽  
pp. 165-176 ◽  
Author(s):  
Karl Ralf Swazina ◽  
Karin Waldherr ◽  
Kathrin Maier
Keyword(s):  
Sex Role ◽  
Bem Sex Role Inventory

Zusammenfassung: Ausgehend von vorhandenen Hypothesen einer zeitlichen Veränderung der Sozialen Erwünschtheit der femininen und maskulinen Eigenschaften des Bem Sex-Role Inventory (BSRI; Bem, 1974 ; Schneider-Düker, 1978 ) für Frauen und Männer wurden im Zuge einer ersten Datenerhebung insgesamt 90 Eigenschaften von 42 Studierenden der Universität Wien eingestuft. Für acht feminine und fünf maskuline Eigenschaften des BSRI wurde eine Abweichung zwischen den neu erhobenen Werten und jenen von 1978 festgestellt. Zusätzlich ergaben sich aus diesem und einem zweiten Datensatz für einige weitere Eigenschaften Hinweise eines zeitlichen Wandels der Sozialen Erwünschtheit. Diese wurden im Zuge einer zusätzlichen Datenerhebung überprüft, wobei jene 90 Eigenschaften nun von 314 StudentInnen eingestuft wurden. Die Ergebnisse der ersten Erhebung konnten bestätigt sowie für weitere sieben maskuline und vier feminine Eigenschaften ein Anstieg der Sozialen Erwünschtheit für das jeweils andere Geschlecht festgestellt werden. Die erfassten Unterschiede zu früheren Normen werden im Sinne einer veränderten Auffassung über weibliche und männliche Ideale in unserer Gesellschaft interpretiert.

Test-Retest Reliability of a Self-Report Questionnaire for DSM-IV and ICD-10 Personality Disorders

2000 ◽  
Vol 16 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Hans Ottosson ◽  
Martin Grann ◽  
Gunnar Kullgren
Keyword(s):  
Personality Disorder ◽  
Anxiety Disorders ◽  
Personality Disorders ◽  
Clinical Sample ◽  
Self Report ◽  
Anxiety State ◽  
Short Term ◽  
Retest Reliability ◽  
Axis I ◽  
Test Retest Reliability

Summary: Short-term stability or test-retest reliability of self-reported personality traits is likely to be biased if the respondent is affected by a depressive or anxiety state. However, in some studies, DSM-oriented self-reported instruments have proved to be reasonably stable in the short term, regardless of co-occurring depressive or anxiety disorders. In the present study, we examined the short-term test-retest reliability of a new self-report questionnaire for personality disorder diagnosis (DIP-Q) on a clinical sample of 30 individuals, having either a depressive, an anxiety, or no axis-I disorder. Test-retest scorings from subjects with depressive disorders were mostly unstable, with a significant change in fulfilled criteria between entry and retest for three out of ten personality disorders: borderline, avoidant and obsessive-compulsive personality disorder. Scorings from subjects with anxiety disorders were unstable only for cluster C and dependent personality disorder items. In the absence of co-morbid depressive or anxiety disorders, mean dimensional scores of DIP-Q showed no significant differences between entry and retest. Overall, the effect from state on trait scorings was moderate, and it is concluded that test-retest reliability for DIP-Q is acceptable.

Suicidal Behavior in Patients with Adjustment Disorders

Crisis ◽  
2001 ◽  
Vol 22 (3) ◽  
pp. 125-131 ◽  
Author(s):  
Ludmila Kryzhanovskaya ◽  
Randolph Canterbury
Keyword(s):  
Personality Disorder ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Adjustment Disorder ◽  
Adjustment Disorders ◽  
Involuntary Hospitalization ◽  
Axis Ii ◽  
The Past ◽  
Substance Abuse Disorders ◽  
Axis I

Summary: This retrospective study characterizes the suicidal behavior in 119 patients with Axis I adjustment disorders as assessed by psychiatrists at the University of Virginia Hospital. Results indicated that 72 patients (60.5%) had documented suicide attempts in the past, 96% had been suicidal during their admission to the hospital, and 50% had attempted suicide before their hospitalization. The most commonly used method of suicide attempts was overdosing. Of the sample group with suicide attempts in the past, 67% had Axis II diagnoses of borderline personality disorder and antisocial personality disorder. Adjustment disorder diagnosis in patients with the suicide attempts was associated with a high level of suicidality at admission, involuntary hospitalization and substance-abuse disorders. Axis II diagnoses in patients with adjustment disorders constituted risk factors for further suicidal behavior. Additional future prospective studies with reliability checks on diagnosis of adjustment disorders and suicidal behavior are needed.

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