Ruiz Martín, Vairo María Carolina
Servicio de Psiquiatría Hospital Italiano de Buenos Aires.
Vertex. 2008 Sep-Oct;19(81):303-8.
In the last decade, literature concerning gender and borderline personality disorder has aroused much controversy and little lightness. Recently, borderline personality disorder has been characterized as the "bad girl" of the psychiatric terms; this implies a bigger use of this diagnose in women and a biased gender in the identification of this disorder. The Diagnostic and Statistical Manual of Mental Disorders states that borderline personality disorder is mostly diagnosed in women (75%). The essential question to discuss is whether the larger prevalence in women is due to a biased sample or a biased diagnoses or it reflects a sociocultural and biological difference between men and women. The aim of this paper is to analyze some issues about the difference 3:1 women and men in this disorder.
在过去十年中,关于性别与边缘型人格障碍的文献引发了诸多争议,却鲜有轻松的内容。最近,边缘型人格障碍被形容为精神科术语中的“坏女孩”;这意味着在女性中对该诊断的使用更为频繁,且在该障碍的识别上存在性别偏见。《精神疾病诊断与统计手册》指出,边缘型人格障碍大多在女性中被诊断出来(75%)。要讨论的关键问题是,女性中较高的患病率是由于样本偏差、诊断偏差,还是反映了男女之间的社会文化和生物学差异。本文的目的是分析有关该障碍中女性与男性比例为3:1的差异的一些问题。