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Bias in Diagnostic Decision Making: ...

Ackerman, Sayde Louise.

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Bias in Diagnostic Decision Making: Borderline Personality Disorder and Gender Minorities.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Bias in Diagnostic Decision Making: Borderline Personality Disorder and Gender Minorities./
Author:	Ackerman, Sayde Louise.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	95 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-04, Section: A.
Contained By:	Dissertations Abstracts International85-04A.
Subject:	Clinical psychology. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30687983
ISBN:	9798380594462

Bias in Diagnostic Decision Making: Borderline Personality Disorder and Gender Minorities.
Ackerman, Sayde Louise.

Bias in Diagnostic Decision Making: Borderline Personality Disorder and Gender Minorities. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 95 p.

Source: Dissertations Abstracts International, Volume: 85-04, Section: A.

Thesis (Ph.D.)--Adelphi University, 2023.

Prior research has generated mixed results when assessing diagnostic decision making for borderline personality disorder (BPD) as a function of client gender (e.g., Henry & Cohen, 1983; Morey & Ochoa, 1989; Sprock et al., 1990; Becker & Lamb 1994; Torgersen et al., 2001; Johnson et al., 2003; Eubanks-Carter & Goldfried, 2006; Woodward et al., 2009; Braamhorst et al., 2015). Additionally, prior studies have only examined differences in diagnostic decisions between cis-gender men and women. The current study aims to fill a gap in the literature by clarifying the role of gender identity, inclusive of non-binary individuals, in the diagnostic decisions that clinicians make, specifically for BPD. Furthermore, this study explores differences in diagnostic decisions as a function of clinicians' demographic and professional backgrounds. A sample of 85 clinicians and clinicians in training, sampled from professional and local listservs, were asked to complete a demographics questionnaire, and make diagnostic decisions for one of three randomly assigned hypothetical clients (a cis-gender male, a cis-gender female, and a nonbinary individual). Most participants provided a diagnosis of BPD to their hypothetical client (76.5%), regardless of the client's gender identity, with no significant differences between groups as a function of clients' or clinicians' gender. However, significant differences in diagnostic decisions were found as a function of clinicians' training background and status. Trainees were more likely to apply a diagnosis of BPD compared to non-trainees. Additionally, individuals who obtained or were in the process of obtaining doctoral level degrees were more likely to apply a diagnosis of BPD than participants who obtained or were in the process of obtaining a master's level degree. Clinical implications, directions for future research, and the limitations of the present study are discussed.

ISBN: 9798380594462Subjects--Topical Terms:

524863
Clinical psychology.
Subjects--Index Terms:

Bias

Bias in Diagnostic Decision Making: Borderline Personality Disorder and Gender Minorities.
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245 1 0 $a Bias in Diagnostic Decision Making: Borderline Personality Disorder and Gender Minorities.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2023
300 $a 95 p.
500 $a Source: Dissertations Abstracts International, Volume: 85-04, Section: A.
500 $a Advisor: Moore, Michael T.
502 $a Thesis (Ph.D.)--Adelphi University, 2023.
520 $a Prior research has generated mixed results when assessing diagnostic decision making for borderline personality disorder (BPD) as a function of client gender (e.g., Henry & Cohen, 1983; Morey & Ochoa, 1989; Sprock et al., 1990; Becker & Lamb 1994; Torgersen et al., 2001; Johnson et al., 2003; Eubanks-Carter & Goldfried, 2006; Woodward et al., 2009; Braamhorst et al., 2015). Additionally, prior studies have only examined differences in diagnostic decisions between cis-gender men and women. The current study aims to fill a gap in the literature by clarifying the role of gender identity, inclusive of non-binary individuals, in the diagnostic decisions that clinicians make, specifically for BPD. Furthermore, this study explores differences in diagnostic decisions as a function of clinicians' demographic and professional backgrounds. A sample of 85 clinicians and clinicians in training, sampled from professional and local listservs, were asked to complete a demographics questionnaire, and make diagnostic decisions for one of three randomly assigned hypothetical clients (a cis-gender male, a cis-gender female, and a nonbinary individual). Most participants provided a diagnosis of BPD to their hypothetical client (76.5%), regardless of the client's gender identity, with no significant differences between groups as a function of clients' or clinicians' gender. However, significant differences in diagnostic decisions were found as a function of clinicians' training background and status. Trainees were more likely to apply a diagnosis of BPD compared to non-trainees. Additionally, individuals who obtained or were in the process of obtaining doctoral level degrees were more likely to apply a diagnosis of BPD than participants who obtained or were in the process of obtaining a master's level degree. Clinical implications, directions for future research, and the limitations of the present study are discussed.
590 $a School code: 0001.
650 4 $a Clinical psychology. $3 524863
650 4 $a Personality psychology. $3 2144789
650 4 $a Gender studies. $3 2122708
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653 $a Borderline personality disorder
653 $a Diagnosis
653 $a Gender identity
653 $a Non-binary individuals
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690 $a 0625
690 $a 0733
710 2 $a Adelphi University. $b Psychological Studies. $3 3436642
773 0 $t Dissertations Abstracts International $g 85-04A.
790 $a 0001
791 $a Ph.D.
792 $a 2023
793 $a English
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30687983