Abstract
Findings that clinicians diagnose Histrionic Personality Disorder more frequently in women may be due to the feminine gender weighting of the criteria or because the diagnostic label elicits a feminine stereotype. Using a method derived from the act-frequency approach, undergraduates generated behavioral examples of the DSM-IIIR and DSM-IV Histrionic criteria without regard to sex or according to sex role instructions that elicited masculine or feminine sex roles. A national sample of psychologists and psychiatrists rated the representativeness of the symptoms for the Histrionic criteria or for Histrionic Personality Disorder. Feminine behaviors were rated more representative of Histrionic Personality Disorder and somewhat more representative of the Histrionic criteria than masculine behaviors suggesting that the feminine sex role is more strongly associated with the label than the criteria. Masculine behaviors were also rated less representative than sex-unspecified examples. Results provide a possible explanation for the higher rates of diagnosis of Histrionic Personality Disorder in women.
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REFERENCES
American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, third Edition. Washington, DC: American Psychiatric Association.
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, third edition—revised. Washington, DC: American Psychiatric Association.
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, fourth edition. Washington, DC: American Psychiatric Association.
Blashfield, R. K., Blum, N., & Pfohl, B. (1992). The effects of changing Axis II diagnostic criteria. Comprehensive Psychiatry, 33, 245-252.
Blashfield, R. K., Sprock, J., Haymaker, D., & Hodgin, J. (1989). The family resemblance hypothesis applied to psychiatric classification. Journal of Nervous and Mental Disease, 177, 492-497.
Bornstein, R. F. (1999). Histrionic Personality Disorder, physical attractiveness, and social adjustment. Journal of Psychopathology and Behavioral Assessment, 21(1), 79-94.
Buss, D. M., & Craik, K. H. (1986). Acts, dispositions, and clinical assessment: The psychopathology of everyday conduct. Clinical Psychology Review, 6, 387-406.
Buss, D. M., & Craik, K. H. (1983). The act frequency approach to personality. Psychological Review, 90(2), 105-126.
Buss, D. M., & Craik, K. H. (1985). Why not measure that trait? Alternative criteria for identifying important dispositions. Journal of Personality and Social Psychology, 48(4), 934-946.
Buss, D. M., & Craik, K. H. (1987). Act criteria for the diagnosis of personality disorders. Journal of Personality Disorders, 1(1), 73-81.
Ford, M., & Widiger, T. A. (1989). Sex bias in the diagnosis of histrionic and antisocial personality disorders. Journal of Consulting and Clinical Psychology, 57, 301-305.
Funtowicz, M. N., & Widiger, T. A. (1999). Sex bias in the diagnosis of personality disorders: An evaluation of the DSM-IV criteria. Journal of Abnormal Psychology, 108 (2), 195-201.
Funtowicz, M. N., & Widiger, T. A. (1995). Sex bias in the diagnosis of personality disorders: A different approach. Journal of Psychopathology and Behavioral Assessment, 17, 145-165.
Hamburger, M. E., Lilienfeld, S. O., & Hogben, M. (1996). Psychopathy, gender and gender roles: Implications for antisocial and histrionic personality disorders. Journal of Personality Disorders, 10, 41-55.
Hamilton, M. C. (1991). Masculine bias in the attribution of personhood. Psychology of Women Quarterly, 15, 393-402.
Hamilton, S., Rothbart, M., & Dawes, R. (1986). Sex bias, diagnosis, and DSM-III. Sex Roles, 15, 269-274.
Kaplan, M. (1983). A woman's view of DSM-III. American Psychologist, 38, 786-792.
Landrine, H. (1989). The politics of personality disorder. Psychology Of Women Quarterly, 13, 325-339.
Merritt, R. D., & Kok, C. J. (1995). Attribution of gender to a gender-unspecified individual: An evaluation of the people = male hypothesis. Sex Roles, 33, 145-157.
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.
Pfohl, B. (1991). Histrionic Personality Disorder: Areview of available data and recommendations for DSM-IV. Journal of Personality Disorders, 5(2), 150-166.
Rienzi, B., & Scrams, D. (1991). Gender stereotypes for paranoid, antisocial, compulsive, dependent, and histrionic personality disorders. Psychological Reports, 69, 976-978.
Shopshire, M. S., & Craik, K. H. (1996). An act-based conceptual analysis of the obsessivecompulsive, paranoid, and histrionic personality disorders. Journal of Personality Disorders, 10(3), 203-218.
Sprock, J., Blashfield, R. K. & Smith, B. (1990). Gender weightings of DSM-IIIR personality disorder criteria. American Journal of Psychiatry, 147, 586-590.
Warner, R. (1978). The diagnosis of antisocial and hysterical personality disorders: An example of sex bias. Journal of Nervous and Mental Disorder, 166, 839-845.
Widiger, T. A. (1998). Invited essay: Sex biases in the diagnosis of personality disorder. Journal of Personality Disorders, 12(2), 95-118.
Widiger, T. A., & Spitzer, R. L. (1991). Sex bias in the diagnosis of personality disorders: Conceptual and methodological issues. Clinical Psychology Review, 11, 1-22.
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Sprock, J. Gender-Typed Behavioral Examples of Histrionic Personality Disorder. Journal of Psychopathology and Behavioral Assessment 22, 107–122 (2000). https://doi.org/10.1023/A:1007514522708
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DOI: https://doi.org/10.1023/A:1007514522708