Rudden M, Sweeney J, Frances A, Gilmore M
Am J Psychiatry. 1983 Dec;140(12):1575-8. doi: 10.1176/ajp.140.12.1575.
The authors compared delusional disorders in men and women and found that women have more frequent erotic and heterosexual delusions, more affective symptoms, and more interpersonal precipitants and that men have more delusions with a homosexual theme. Perhaps because of these differences in delusional content and affective symptoms, delusional women are more difficult to diagnose within the DSM-III nomenclature than are delusional men. The authors discuss these findings from psychodynamic, ethologic, and sociocultural perspectives and suggest ways of improving DSM-III to make it more representative of female patients.
作者比较了男性和女性的妄想性障碍，发现女性有更频繁的色情和异性恋妄想、更多的情感症状以及更多的人际诱发因素，而男性有更多以同性恋为主题的妄想。也许由于妄想内容和情感症状上的这些差异，与患有妄想症的男性相比，患有妄想症的女性在《精神疾病诊断与统计手册》第三版（DSM-III）的命名体系中更难被诊断。作者从心理动力学、病因学和社会文化角度讨论了这些发现，并提出改进DSM-III的方法，使其更能代表女性患者。
