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Gender bias in psychiatric texts.

R J Leo1, M T Cartagena

  • 1Department of Psychiatry, School of Medicine and Biomedical Sciences, State University of New York at Buffalo Erie County Medical Center, 462 Grider Street, Buffalo, New York, 14215, USA.

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
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Summary

Introductory psychiatric textbooks show gender bias, featuring significantly more male than female subjects in case vignettes. This imbalance persists across multiple editions of diagnostic manuals, impacting medical training.

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Area of Science:

  • Medical Education
  • Psychiatry
  • Gender Studies

Background:

  • Previous research identified gender bias in medical textbooks, with more male than female models.
  • This bias raises concerns about the messages conveyed to medical trainees regarding patient care.

Purpose of the Study:

  • To assess introductory psychiatric texts for gender bias using case vignettes.
  • To examine longitudinal trends in gender representation within diagnostic manuals.

Main Methods:

  • Analysis of five introductory psychiatric textbooks commonly used by medical students.
  • Frequency count of male versus female subjects in case vignettes.
  • Review of three editions of the DSM Casebooks for longitudinal gender trends.

Main Results:

  • A significant predominance of male subjects in case vignettes across the five texts combined.
  • Three of the five texts individually showed significant gender disparities.
  • All three reviewed versions of the DSM Casebooks maintained a significant male subject predominance.

Conclusions:

  • Introductory psychiatric texts exhibit gender bias, with male subjects disproportionately represented in case vignettes.
  • This bias is not explained by disorder prevalence and contradicts psychiatric service utilization trends.
  • The findings highlight potential negative impacts of gender bias on medical trainees' understanding of patient care.