Effect of patient sex, clinician sex, and sex role on the diagnosis of antisocial personality disorder: Models of underpathologizing and overpathologizing biases

Journal of Clinical Psychology

Volumn 60, Issue 6, 2004, Pages 583-604

  Crosby, Jeremy Paul ^a   Sprock, June ^a  

^a INDIANA STATE UNIVERSITY   (United States)

Author keywords

Antisocial; Diagnostic bias; Personality disorders; Sex bias

Indexed keywords

ADULT; ARTICLE; BEM SEX ROLE INVENTORY SHORT FORM; CLINICAL PROTOCOL; CONTROLLED STUDY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PERSONALITY DISORDER; PSYCHOPATHY; RATING SCALE; SEX DIFFERENCE; SEX ROLE; STATISTICAL MODEL; STRUCTURAL EQUATION MODELING; SYMPTOMATOLOGY;

ADULT; ANTISOCIAL PERSONALITY DISORDER; ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; EDUCATIONAL STATUS; FEMALE; GENDER IDENTITY; HUMANS; MALE; MIDDLE AGED; PREJUDICE; PROFESSIONAL-PATIENT RELATIONS; PSYCHOLOGY, CLINICAL; PSYCHOMETRICS; REGRESSION ANALYSIS; SEX FACTORS;

EID: 2542419037     PISSN: 00219762     EISSN: None     Source Type: Journal    
DOI: 10.1002/jclp.10235     Document Type: Article

References (42)

1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2. Becker, D., & Lamb, S. (1994). Sex bias in the diagnosis of borderline personality disorder and posttraumatic stress disorder. Professional Psychology: Research and Practice, 25, 55-61.
3. Bem, S.L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155-162.
4. Bem, S.L. (1981 a). Gender schema theory: A cognitive account of sex typing. Psychological Review, 88, 354-364.
5. Bem, S.L. (1981b). Bem Sex Role Inventory. Palo Alto, CA: Consulting Psychologists Press.
6. Berzins, J.I., Welling, M.A., & Wetter, R.E. (1978). A new measure of psychological androgyny based on the Personality Research Form. Journal of Consulting and Clinical Psychology, 46, 126-138.
7. Blashfield, R., & Herkov, M. (1996). Investigating clinician adherence to diagnosis by criteria: A replication of Morey and Ochoa (1989). Journal of Personality Disorders, 10, 219-228.
8. Blashfield, R.K., & McElroy, R.A. (1989). A benchmark analysis for personality disorder research: Studies using clinicians. Journal of Personality Disorders, 3(3), 174-179.
9. Campbell, T., Gillaspy, J.A., & Thompson, B. (1997). The factor structure of the Bem Sex-Role Inventory (BSRI): Confirmatory analysis of long and short forms. Educational and Psychological Measurement, 57, 118-124.
10. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159.
11. Ford, M., & Widiger, T. (1989). Sex bias in the diagnosis of histrionic and antisocial personality disorders. Journal of Consulting and Clinical Psychology, 57, 301-305.
12. Garb, H. (1997). Race bias, social class bias, and gender bias in clinical judgment. Clinical Psychology: Science and Practice, 4, 99-120.
13. Golomb, M., Fava, M., Abraham, M., & Rosenbaum, J. (1995). Gender differences in personality disorders. American Journal of Psychiatry, 152, 579-582.
14. Hamilton, S., Rothbart, M., & Dawes, R. (1986). Sex bias, diagnosis, and DSM-III. Sex Roles, 15, 269-274.
15. Harvey, J.A., & Hansen, C.E. (1999). Gender roles of male therapists in both professional and personal life. Sex Roles, 41, 105-113.
16. Henry, K., & Cohen, C. (1983). The role of labeling processes in diagnosing borderline personality disorder. American Journal of Psychiatry, 140, 1527-1529.
17. Hu, L., & Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55.
18. Hudak, M.A. (1993). Gender schema theory revisited: Men's stereotypes of American women. Sex Roles, 28, 279-293.
19. Kaplan, M. (1983). A woman's view of DSM-III. American Psychologist, 38, 786-792.
20. Kaplan, M., & Free, N. (1995). Psychiatrists and non-physician psychotherapists' beliefs about gender-appropriate behavior. American Journal of Psychotherapy, 49, 59-68.
21. Kass, F., Spitzer, R., & Williams, J. (1983). An empirical study of the issue of sex bias in the diagnostic criteria of DSM-III Axis II personality disorders. American Psychologist, 38, 799-801.
22. Kline, R.B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press.
23. Landrine, H. (1989). The politics of personality disorder. Psychology of Women Quarterly, 13, 325-339.
24. Lindner, M.A., Rychman, R.M., Gold, J.A., & Stone, W.F. (1995). Traditional vs. nontraditional women and men's perceptions of the personalities and physiques of ideal women and men. Sex Roles, 32, 675-690.
25. Lippa, R. (1985). Review of Bem Sex-Role Inventory. Mental measurements yearbook (9th ed.). Palo Alto, CA: Consulting Psychologists Press.
26. Lopez, S. (1989). Patient variable biases in clinical judgment: Conceptual overview and methodological considerations. Psychological Bulletin, 106, 184-203.
27. Loring, M., & Powell, B. (1988). Gender, race, and DSM-III: A study of the objectivity of psychiatric diagnostic behavior. Journal of Health and Social Behavior, 29, 1-22.
28. Morey, L., & Ochoa, E. (1989). An investigation of clinical adherence to diagnostic criteria: Clinical diagnosis of DSM-III personality disorders. Journal of Personality Disorders, 3, 180-192.
29. Payne, F.D. (1985). Review of Bem Sex-Role Inventory. Mental measurements yearbook (9th ed.). Palo Alto, CA: Consulting Psychologists Press.
30. Payne, F.D., & Futterman, J.R. (1983). "Masculinity," "femininity," and adjustment in college men. Journal of Research in Personality, 17, 110-124.
31. Rienzi, B.M., Forquera, J., & Hitchcock, D.L. (1995). Gender stereotypes for proposed DSM-IV negativistic, depressive, narcissistic, and dependent personality disorders. Journal of Personality Disorders, 9, 49-55.
32. Rienzi, B., & Scrams, D. (1991). Gender stereotypes for paranoid, antisocial, compulsive, dependent, and histrionic personality disorders. Psychological Reports, 69, 976-978.
33. Spence, J.T., Helmreich, R., & Stapp, J. (1975). Ratings of self and peers in sex role attributes and their relation to self-esteem and conceptions of masculinity and femininity. Journal of Personality and Social Psychology, 32, 29-39.
34. Sprock, J. (1996). Abnormality ratings of the DSM-III-R personality disorder criteria for males vs. females. Journal of Nervous and Mental Disease, 184, 314-316.
35. Sprock, J. (2000). Gender-typed behavioral examples of histrionic personality disorder. Journal of Psychopathology and Behavioral Assessment, 22, 107-122.
36. Sprock, J., Blashfield, R., & Smith, B. (1990). Gender weighting of DSM-III-R personality disorder criteria. American Journal of Psychiatry, 147, 586-590.
37. Sprock, J., Crosby, J.P., & Nielsen, B.A. (2001). Effects of sex and sex roles on the perceived maladaptiveness of DSM-IV personality disorder symptoms. Journal of Personality Disorders, 15, 41-59.
38. Tabachnick, B.G., & Fidell, L.S. (1996). Using multivariate statistics (3rd ed.). New York: HarperCollins.
39. Warner, R. (1978). The diagnosis of antisocial and hysterical personality disorders. An example of sex bias. Journal of Nervous and Mental Disease, 166, 839-845.
40. Westen, D., & Shedler, J. (2000). A prototype matching approach to diagnosing personality disorders: Toward DSM-V. Journal of Personality Disorders, 14, 109-126.
41. Widiger, T. (1998). Invited essay: Sex biases in the diagnosis of personality disorders. Journal of Personality Disorders, 12, 95-118.
42. Widiger, T., & Spitzer, R. (1991). Sex bias in the diagnosis of personality disorders: Conceptual and methodological issues. Clinical Psychology Review, 11, 1-22.