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Classificatory Systems and Gender

  • Soumya Parameshwaran
  • Prabha S. ChandraEmail author
Reference work entry
  • 23 Downloads
Part of the Mental Health and Illness Worldwide book series (MHIW)

Abstract

Classificatory and diagnostic systems play an important role in helping clinicians make treatment decisions, communicating with each other, supporting medical education, and conducting research. Gender influences multiple aspects of psychopathology, help-seeking, social support, economic status, cultural expectations, and factors such as vulnerability to discrimination and violence. It is therefore essential for the DSM and ICD nosological systems to become gender sensitive. Gender differences are seen in prevalence, risk factors, course, and prognosis of psychiatric illness. The recent revisions in the diagnostic systems have tried to address some of these issues; however, there is still an opportunity to use better gender-sensitive approaches in the classificatory systems. As we move toward newer paradigms in classification, from a descriptive to an etiological approach, we have opportunities to include biological aspects of gender, that is, sex, as well. Various approaches in classification varying from a gender-neutral approach to providing differing diagnostic thresholds for men and women, using diagnostic specifiers, or having gender-specific diagnosis can improve care for both genders. In this chapter, we discuss various gender-based approaches that classificatory systems have used and make suggestions for better classification of psychiatric disorders in women’s mental health based on the influence of gender on psychiatric illness.

Keywords

Gender Classificatory systems Women’s mental health DSM ICD Nosology Diagnosis 

List of Abbreviations

ADHD

Attention deficit hyperactive disorder

AN

Anorexia nervosa

ASD

Autism spectrum disorders

BPAD

Bipolar affective disorder

BPD

Borderline personality disorder

cPTSD

Complex post-traumatic stress disorder

DSM

Diagnostic and Statistical Manual of Mental Disorders

ICD

International Classification of Diseases

ID

Intellectual disability

LLPDD

Late Luteal phase dysphoric disorder

MAD

Mixed anxiety-depression

MDD

Major depressive disorder

PMDD

Premenstrual dysphoric disorder

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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.Department of PsychiatryNational Institute of Mental Health and Neurosciences (NIMHANS)BengaluruIndia

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