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Personality Disorders in Women, an Overview

  • Poornima BholaEmail author
  • K Dharani Devi
Living reference work entry
Part of the Mental Health and Illness Worldwide book series (MHIW)

Abstract

Personality disorders represent enduring patterns of difficulties in ways of thinking, feeling, and behaving that deviate from cultural expectations, and typically emerge in adolescence or early adulthood. The associated distress and impairment associated with these complex vulnerabilities impact relationships, work, and the sense of self and present significant treatment challenges. Using a gendered lens can provide a more nuanced view of the interface between gender and personality vulnerabilities. This perspective can reveal the ways in which content and approaches are “gendered”; informed by, shaped by, or biased toward men’s or women’s perspectives or experiences. In this chapter, we use a critical reflective stance to unpack and interrogate the meaning of gender, spanning the process from diagnosis to treatment of personality disorders. The gender inequalities in rates and diagnoses of personality disorders are critically examined. The expressions of personality vulnerabilities and the therapeutic process are viewed through the lens of culture. The importance of understanding developmental psychopathology pathways and intergenerational transmission of personality dysfunction among women is emphasized. Contemporary, and sometimes divergent, perspectives on the diagnostic models and approaches for personality disorders are explored. These include the changes in diagnostic nomenclature and positioning, the pulls between categorical and dimensional approaches, and the emergence of transdiagnostic frameworks. Although the debate on the intersections between PTSD, complex PTSD, and borderline pathology continues, the centrality of trauma in working with these vulnerable women is evident. In thinking about all these questions, we examine the implications for sensitive and informed assessment and intervention frameworks.

Keywords

Personality disorder Women Gender Dimensional personality Culture Developmental psychopathology 

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© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Clinical PsychologyNational Institute of Mental Health and Neurosciences (NIMHANS)BangaloreIndia

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