What Newtherapisthub learned after he let a patient's gender influence his diagnosis—and why other clinicians should be aware of their bias
If it's a male that presents as Bobby, he noted, chances are it'll be chalked up to narcissism; a female, histrionic. Dr. Gabbard explained the histrionic personality is actually more gender-equal, also noted in the DSM-5, but noted that traditional images favored the diagnosis be reserved for females. Males indeed often meet criteria, but with a different flavor. As I gained more experience, I learned that Bobby's presentation was typical of histrionic males.
Personality expert Stuart Yudofsky, MD continued on this in terms of cases like Bobby's. He explained, that, despite ongoing researcher recognition of gender-equal prevalence in histrionic personalities, the historical lens is likely to continue to present issues. Essentially, there's a strongly-rooted historical tendency to equate histrionic personality with females, and attention-seeking is often through flirtatious/sexualized behavior.
Both genders exhibit unmistakable core features of affective lability and a tendency for over-familiarity. They both are also very attention-seeking and may be interested in superficialities. However, males with histrionic personalities tend to exhibit their attention-seeking through palling around, being the jokester, or trying to impress with superficialities other than looks, though that certainly is not out of the question.
A simple exercise can help prevent gender-based misdiagnosis. If you’re considering ruling in or ruling out any of the five conditions mentioned herein , reflect on whether gender is influencing your decision. It could be the deciding factor if someone receives the intervention they require for success.
France Dernières Nouvelles, France Actualités
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