Social skills and sex‐role functioning in borderline personality disorder: relationship to self‐mutilating behavior

This study compared the social skills functioning and sex role affiliation of female inpatients diagnosed with borderline personality disorder who engaged in self‐mutilating behavior (n?=?30) with female patients with borderline personality disorder who did not engage in such behavior (n?=?18). Patients with borderline personality disorder who engaged in self‐mutilating behavior were found to have relatively poorer skills in communicating non‐verbal emotional information to others and in receiving and interpreting such information from others. In terms of sex role orientation, patients who engaged in self‐mutilating behavior were significantly more likely than non‐mutilators to be typed as undifferentiated using the Bem Sex Role Inventory. These participants were less likely to identify with either masculine or feminine sex roles. Patients who did not self‐mutilate were found to be significantly more likely than those who did self‐mutilate to identify with the masculine sex role.     

The influence of sex and sex role orientation on sexual coercion

One hundred female and 77 male college students completed a questionnaire in which they indicated whether they had ever used physical or verbal coercive strategies to initiate sexual behavior with a partner, or had ever engaged in sexual behavior in response to a partner's coercive initiatives. Results showed that males are far more likely than females to initiate coerced sexual behavior and females are more likely to be victimized. In addition, masculine persons reported using coercive strategies more than other sex role orientation types. However, this was due principally to the fact that males were masculine types much more frequently than females. Therefore, sex (that is, being male or female) seems a more critical factor in determining, initiating, or responding to sexual coercion than sex role orientation.     

Emotional antecedents and consequences of deliberate self-harm and suicide attempts

Emotional experiences immediately prior to (emotional antecedents) and following (emotional consequences) deliberate self-harm and suicide attempts in female inmates (N = 63) were examined. Anger was the antecedent emotion reported by the largest proportion of individuals who had engaged in deliberate self-harm (45.16%), suicide attempts (40.9%), and ambivalent suicide attempts (30%). Relief and other positive emotional shifts were more common in deliberate self-harm (41.94%) (involving no intent to die) than in suicide attempts or ambivalent suicide attempts, particularly for persons with borderline personality disorder. These findings underscore the utility of discriminating between deliberate self-harm and suicidal behavior and highlight the potential role of anger in triggering such behaviors.     

The Szondi Test in a Psychological Battery: Two Case Studies

This study investigated MMPI Characteristics of male and female adolescent inpatients with diagnoses of borderline personality disorder (n = 28) in contrast to adolescent inpatients receiving principal diagnoses of conduct disorder (n = 21), dysthymic disorder (n = 50), other personality disorders (n = 17), and other diagnoses (n = 30). The borderline group has significantly higher elevations than comparison groups on MMPI Scales F, Hs, D, Pd, Pa, Pt, Sc, and Ma. A stepwise discriminant analysis resulted in 82.1%. accuracy in correctly classifying borderline patients and 78.0% accuracy in identifying, nonborderline patients. Findings are discussed in terms of potential uses and limitations in identifying borderline personality disorder with the MMPI.     

Female sexual offenders: Five Italian case studies

Women who sexually abuse children are rare and case histories are scarce; even less is known about sexually abusive mothers. Due to the number of cases in which women sexually abuse minors, more in-depth studies on this subject are needed. This article examines the clinical files of five women who are currently serving time in Italian prisons for the sexual abuse of children. Records of the abuse cases and other records were utilized. The cases involved varying degrees of participation in the abuse by the mothers, and ranged from active sexual engagement to allowing others to abuse their children. Female perpetrators are likely to be experiencing problems in many areas of their life, including relationship dysfunction and psychological impairment. In three cases women revealed an antisocial personality disorder (ASPD), while in two cases a borderline personality disorder (BPD) was diagnosed according with DSM-IV criteria. Possible motivations for women who molest their children are explored and discussed. The current review shows that most female sex offenders fall into several suggested typology models. Therefore, the existing typologies used to classify female child sex offenders may be insufficient, and more comprehensive exploration of this offender population is needed.     

A perceptual defense approach to the study of gender sex related traits,stereotypes, and attitudes1

In the present study men who varied in the degree to which they viewed themselves as relatively masculine and/or feminine and the degree to which they expected others to engage in activities based on their gender sex (sex role attitude) were tachistoscopically presented pictures of a man and a woman engaged in sex role nontraditional activities. A signal detection theory analysis of the data yielded information on two aspects, the sensory (d′) and the nonsensory (β), of the subjects' perceptions of the stimulus material. The major finding was that nontraditional men defended against the anxiety-producing stimuli whereas the traditional man did not so defend. This finding was interpreted to support the concept of the “well-meaning liberal male.”     

Sex role correlates of stress-prone type a behavior in college students

This study considered the direct and interactive relationships between three sex role variables and Type A/Type B behavior in college students of both sexes. As predicted, Type A college women were more masculine than Type B controls; Type A females were not less feminine, however, as had been expected. No relationship was found between masculine or feminine sex role behavior and Type A status in college men, consistent with the results of an earlier study. Both male and female Type As revealed weaker gender schemas than Type B controls. Analysis of the conjoint variation of all three sex role components revealed no relationships for either Type A or Type B men. Type A women presented an unusual asynchrony between these components in light of the expected positive relation between stereotyped sex role identity (femininity) and sensitivity to stereotyped differences between women and men (strong gender-schematic processing). Nontraditional female Type As, who were more masculine than feminine, demonstrated strong gender schemas. Traditional female Type As, more feminine than masculine, displayed weak gender schemas. Type B women did not display these unusual sex role linkages.     

The almost untreatable narcissistic patient

Clinical experience in the Personality Disorders Institute at Weill Cornell Medical College suggests that patients with borderline personality organization and a narcissistic personality disorder have a more serious prognosis than all other personality disorders functioning at the borderline level, and that those who in addition present significant antisocial behavior have an even worse prognosis (Clarkin, Yeomans, and Kernberg 1999; Stone 1990). This negative trend culminates in a group of practically untreatable patients with antisocial personality disorder, who represent the most severe cases of pathological narcissism. There are also patients with severe narcissistic personality disorder, functioning at an overt borderline level with significant antisocial features, but not presenting an antisocial personality disorder proper, who at times respond to treatment, while others do not. These patients are explored here, with a focus on particular psychotherapeutic techniques that have proven helpful, as well as on the limits of these technical approaches.     

An experimental investigation of emotion dysregulation in borderline personality disorder

Despite the prominent role of emotion dysregulation in theoretical accounts of borderline personality disorder (BPD), few studies have examined emotion dysregulation in BPD. This study extends extant research by providing an experimental investigation of emotion dysregulation among outpatients with BPD. Specifically, this study modified an experimental measure of distress tolerance to examine differences between outpatients with BPD (n = 17) and those without a personality disorder (n = 18) in 2 aspects of emotion dysregulation: (a) the unwillingness to experience emotional distress in order to pursue goal-directed behavior and (b) the inability to engage in goal-directed behavior when distressed. As hypothesized, BPD participants were less willing to experience distress in order to pursue goal-directed behavior. However, BPD participants did not evidence greater difficulties engaging in goal-directed behavior when distressed. Results highlight directions for future research and suggest that particular aspects of emotion dysregulation may be more or less relevant to BPD.     

Effects of sex and sex roles on the perceived maladaptiveness of DSM-IV personality disorder symptoms

This study investigated the influence of sex on the perceived maladaptiveness of DSM-IV personality disorder criteria based on previous findings that inconsistency of symptoms with sex roles affects the perception of personality disorder symptoms. The effects of rater characteristics (i.e., sex, sex role) were also examined. A total of 161 undergraduates (65 men, 96 women) rated the diagnostic criteria according to how maladaptive they were for males (male condition), females (female condition), or without regard to sex (neutral condition that served as a baseline) using a 7-point scale. Participants' sex role was determined using the Bem Sex Role (1981a) Inventory. Dependent and depressive personality disorder criteria (trend for borderline) were rated more maladaptive for females than males, whereas obsessive-compulsive personality disorder criteria were rated more maladaptive for males than females. Participant sex and sex role had little or no significant effects on the ratings. Results are compared with those of previous research. Methodological issues and implications for the diagnosis of personality disorders are discussed.     

Gender-atypical personality or sexual behavior: What is disgusting about male homosexuality?

Research consistently finds that homosexuality elicits strong feelings of disgust, but the reasons remain unclear. In the current research, we investigate responses to gay men who violate social norms governing the expression of gender and sexuality. Two hundred forty-three college undergraduates read a vignette about a gay male college student whose personality traits (masculine, feminine, or neutral) and sexual behavior (active vs. passive) varied and reported their affective responses to and cognitive appraisals of the target. The gay target who displayed a feminine personality elicited more disgust and was perceived as lower in gender role conformity than a gay man who displayed a masculine personality. Similarly, the gay target who assumed a passive sex role elicited more disgust and was perceived as lower in gender role conformity than a gay man who assumed an active sex role. The sexual behavior/disgust relationship was mediated by perceived gender role conformity.     

Television sex roles in the 1980s: Do viewers' sex and sex role orientation change the picture?

This study investigated viewer perceptions of female and male television characters as a result of viewer sex and sex role orientation. Young adult viewers (N=677) rated television characters and themselves using the Personal Attributes Questionnaire (PAQ). Viewers were classified as feminine, masculine, androgynous, or undifferentiated in their PAQ orientations. The television characters were four men and four women who shared the lead and a working relationship on crime action shows. Results indicated that viewers rated all the male characters as stereotypical masculine, but only one female character as stereotypical feminine. Viewer sex and sex role orientations did affect ratings. Viewer sex had a greater impact on the ratings of female characters than on the ratings of male characters. Female viewers tended to rate female characters as higher in instrumental and masculine traits than male viewers did. Results based on sex role orientation of the viewer were inconsistent across characters, but in general, undifferentiated viewers rated both male and female characters as low in expressive and instrumental traits compared to how androgynous viewers rated them. Further, a masculine sex role orientation appeared to block perception of expressive traits in both male and female characters.This research was supported in part by a University of Akron faculty research grant.     

Personality disorders associated with substance use among American and Greek adolescents

A study was conducted to investigate the association between personality disorder (PD) symptomatology and substance use among adolescents in community settings in the United States and Greece. The Structured Clinical Interview for DSM-IV Personality Disorders and the Adolescent Health Behavior Survey were completed by 37 male and 84 female adolescents, ages 15 to 18, who were recruited from an adolescent medical clinic and schools in and near New York City (n = 71) and Heraklion, Greece (n = 50). Results indicated that: (1) adolescents with PDs reported more frequent alcohol consumption during the past year than did those without PDs; (2) adolescents with borderline PD reported more cigarette smoking and heavy alcohol consumption than did those without borderline PD; (3) adolescents with antisocial PD symptomatology reported greater alcohol, cigarette, and illicit drug use than did those without antisocial PD symptomatology; and (4) although more American (30%) than Greek (4%) adolescents reported illicit substance use, differences were not observed in the prevalence of alcohol use, cigarette use, or personality disorders as a function of nationality.     

Stereotypic and nonstereotypic sex role trait and behavior orientations, gender identity, and psychological adjustment

This study examines the relations among sex role trait and behavior orientations, gender identity, and psychological adjustment in order to test traditional and contemporary perspectives regarding the adjustment implications of stereotypic and nonstereotypic sex role trait and behavior orientations. Measures of sex role personality traits and behaviors and scales assessing depression, anxiety, and social maladjustment were administered to 235 college men and women. In addition, subjects completed measures of gender identity and gender adequacy. Contrary to traditional perspectives, androgynous men and women and cross-sex-typed women were no less well adjusted than sex-typed individuals. However, consistent with traditional perspectives, men who were low in masculine characteristics (and men and women low in both masculine and feminine characteristics) did appear less well adjusted on measures of depression, anxiety, and social maladjustment. Furthermore, low masculinity men had less secure gender identities. No such gender identity disturbances were found in women.     

Sex role orientation and social skill: A naturalistic assessment of assertion and conversational skill

This study evaluated the relationship between sex role orientation and social skill, improving upon previous research by utilizing a more naturalistic role-play assessment, and by assessing both assertion and conversational skills. Fifty-nine female psychology students were classified as masculine, feminine, androgynous, or undifferentiated based on the PRF-ANDRO scale. These subjects interacted with a confederate who engaged them in a standardized conversation including requests to borrow psychology class notes. The masculine, feminine, and androgynous groups displayed similar levels of assertion and conversational skill, even though masculine subjects rated themselves as more skillful and had fewer negative thoughts associated with being assertive than feminine subjects. Correlational analyses among continuous sex role and behavioral measures revealed that both masculinity and femininity scores were positively correlated with overall conversational skill. These results are interpreted in light of methodological difficulties in previous research, and in light of recent evidence that both masculine and feminine capabilities contribute to social competence in certain behavioral domains.This research was supported in part by a Baylor University sabbatical grant awarded to the first author. Both authors wish to thank Jack Baty for statistical consultation, Ross Williams for serving as the confederate, and Elaine McFarlane for serving as a rater.     

Occupational Achievement Motivation as a Function of Biological Sex, Sex-Linked Personality, and Occupation Stereotype

Predicted sex differences in occupational achievement motivation based on the work of Horner (1968) and Stein, Pohly and Mueller (1971) were examined by administering questionnaires to 87 female and 91 male undergraduate psychology students. Subjects made six achievement related responses to twelve occupations which had been stereotyped by a separate group of subjects as being either high prestige masculine, middle prestige masculine, middle prestige feminine or middle prestige androgynous (appropriate for both sexes). Analyses of variance were performed on all achievement responses with subjects'sex, sex-linked personality (Spence, Helmreich & Stapp, 1974), and occupational stereotype as independent variables. Significant sex by occupation stereotype interactions were found on all six dependent measures supporting the Stein et al. prediction of highest achievement motivation toward sex appropriate occupations. The fact that females did not show significantly lower motivation than males toward high prestige masculine occupations is inconsistent with earlier findings. Sex-linked personality was related to some of the achievement measures but did not interact with either occupation stereotype or biological sex.     

Social perceptions of male and female extreme mesomorphs.

In this study, male and female university students in the United States were exposed to mesomorphic or nonmesomorphic stimuli as reflected by photographs of either male body builders and non-body builders or female body builders and non-body builders. Then they were asked to attribute various personality traits and sex-role behaviors to them. Subjects, irrespective of their sex, perceived male and female body builders as possessing more traditionally masculine and less traditionally feminine personality characteristics than male and female non-body builders. Also, male and female body builders were seen as possessing less socially desirable traits than non-body builders. As predicted, female body builders were perceived generally as being more likely to engage in traditionally masculine sex-role behaviors in their dating and marriage relationships than female non-body builders. Contrary to expectation, however, male body builders were not perceived as more likely to engage in higher levels of masculine sex-role behaviors than male non-body builders.     

A family study of outpatients with borderline personality disorder and no history of mood disorder

While several studies have examined psychiatric disorders in the relatives of individuals with borderline personality disorder, many of these studies have not employed a family study methodology and suffer from other methodological shortcomings. Thus, the conclusions from family data addressing the validity of borderline personality disorder, its relation to other conditions, and its distinction from mood disorders, continue to be debated. The present investigation employed a family study design with direct interviews with relatives, structured diagnostic interviews with both probands and relatives, and blind assessment of relatives. Rates of psychiatric disorders were examined in 563 relatives of outpatients with mood disorders (n = 119), 54 relatives of outpatients with borderline personality disorder and no history of mood disorder (n = 11), and 229 relatives of never psychiatrically ill controls (n = 45). Results indicate increased rates of mood disorders and personality disorders in the relatives of borderline probands compared with never psychiatrically ill controls. Familial aggregation of psychiatric disorders was generally similar for borderline personality and the mood disorder comparison group. The results suggest there may be common etiological factors between borderline personality disorder and mood disorders.     

Androgyny as type and androgyny as behavior: Implications for gender schema in males and females

Blending represents the integration of masculine and feminine behaviors within a discrete social situation. This process represents an alternative view of androgyny, commonly conceived in terms of extensive masculine and feminine repertories allowing flexibility in sex role display from situation to situation. The present study was concerned with the simple relations between each of these two androgyny constructs and gender schema (the perception, processing, and recall of information in terms of conventional sex role stereotypes) as well as higher order relations that consider their interactions. No gender-schema effects of any kind were evident for males. Men were equally sensitive to sex role stereotypes whether they were or were not androgynous types, whether they reported more or less androgynous behavior, or whether they combined the two forms of androgyny or not. Androgynous types of women were the least concerned about traditional sex role distinctions between men and women, just as feminine women displayed the strongest gender-schema effects. However, the lack of concern for sex role stereotypes was restricted to androgynous types of women who did not blend their feminine and masculine attributes into androgynous behavior.