Antisocial Women
By:
THEODORE MILLON and
Seth Grossman
Carrie Millon
Sarah Meagher
Rowena Ramnath
We
have already presented the argument that there are possibly different pathways
for the development of antisocial behavior and personality disorder in men and
women See Gender Bias in the Diagnosis of Personality Disorders, but what are some of the other differences that
distinguish male and female antisocials?
For
one, the rate of antisocial personality disorder is usually considered to be
higher for men than women. In the community at large, the DSM-IV indicates that about 3% of men and 1% of women warrant such a
diagnosis with rates of antisocial personality disorder increasing and the rate
for women increasing faster than for men.
The
rates for conduct disorder (CD) in adolescents are considerably higher. One
large epidemiologic study of 15-year-olds found that 7.5% to 9.5% of girls and
8.6% to 12.2% of boys met criteria for
CD
(Fergusson, Horwood, & Lynskey, 1993).
Despite
the high prevalence rate of females with CD and antisocial personality
disorder, few empirical studies include females in their samples. A few notable
exceptions include Mulder, Wells, Joyce, and Bushnell (1994), who compared the
characteristics of an equal number of women and men who met criteria for
antisocial personality disorder in a community sample. Both groups report
parental disharmony during childhood, although this finding was significant
only for women. In terms of antisocial symptoms, women most commonly reported
relationship problems, job troubles, and violence. In contrast, men reported job
troubles, violence, and traffic offenses.
Other
studies have followed antisocial girls through adulthood and have found that
they have higher mortality rates, are at 10- to 40-fold increased risk for
criminality, have higher rates of other psychiatric disorders, and are in
dysfunctional and often violent interpersonal relationships (Pajer, 1998).
There
have also been arguments that males and females express their antisocial
behavior in different ways. Historically, women who behaved in antisocial ways
were thought to be somehow sicker than their male counterpoints. An old Italian
proverb illustrates this nicely: “Rarely is a woman wicked, but when she is
she surpasses the man” (Lombroso & Ferrero, 1916, p. 147).
Somehow,
because it was more rare than male antisocial behavior, it must be more
aberrant and severe. Alternately, rather than sicker, female deviance was often
viewed as largely sexual misbehavior rather than criminal, and the woman was to
be treated and cured rather than punished. Along these lines, it was widely
thought that when women committed crimes, it was not out of their own impetus,
but rather to aid a male partner, an idea still with us today.
More
recent models have drawn the distinction that males exhibit more verbal and
physical aggression from threatening to hitting while females are more likely
to exhibit what has been termed “relational aggression” such as spreading
malicious rumors and gossip and rejecting other females from their social groups
(Crick, 1995; Crick & Grotpeter, 1995).
However,
in refute of these supposed differences is the finding that if violent crimes
against family members or same-sex peers are analyzed separately, the gap
closes considerably (Balthazar & Cook, 1984). Similarly, although girls
commit fewer overall antisocial behaviors, the rank ordering of the most common
ones are almost identical to those committed by boys (Robins, 1986).
References
Personality Disorders in Modern Life,
second edition, 2000, 2004 by John Wiley & Sons, Inc.
Read Also
Antisocial Personality Disorder, Case vignette (1)
Antisocial Personality Disorder, Case vignette (2)
Antisocial Personality Disorder, Case vignette (3)
Borderline Personality Disorder, Case vignette (1)
Borderline Personality Disorder, Case vignette (2)
Borderline Personality Disorder, Case vignette (3)
Gender Bias in the Diagnosis of Personality Disorders
Antisocial Personality Disorder, Case vignette (2)
Antisocial Personality Disorder, Case vignette (3)
Borderline Personality Disorder, Case vignette (1)
Borderline Personality Disorder, Case vignette (2)
Borderline Personality Disorder, Case vignette (3)
Gender Bias in the Diagnosis of Personality Disorders
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