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Sex-Role Stereotypes and Clinical Judgments of Mental Health

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Abstract

Gave a sex-role stereotype questionnaire consisting of 122 bipolar items to 79 actively functioning clinicians with 1 of 3 sets of instructions: to describe a healthy, mature, socially competent (a) adult, sex unspecified, (b) a man, or (c) a woman. It was hypothesized that clinical judgments about the characteristics of healthy individuals would differ as a function of sex of person judged, and that these differences would parallel sterotypic sex-role differences. A 2nd hypothesis predicted that behaviors and characteristics judged healthy for an adult, sex unspecified, which are presumed to reflect an ideal standard of health, will resemble behaviors judged healthy for men, but not for women. Both hypotheses were confirmed. (21 ref.) (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Journal
ol
Consulting
and
Clinical
Psychology
1970,
Vol.
34, No. 1, 1-7
SEX-ROLE
STEREOTYPES
AND
CLINICAL
JUDGMENTS
OF
MENTAL
HEALTH
INGE
K.
BROVERMAN,1
DONALD
M.
BROVERMAN,
FRANK
E.
CLARKSON
Worcester
State Hospital
PAUL
S.
ROSENKRANTZ
AND
SUSAN
R.
VOGEL
Holy
Cross
College
Brandeis
University
A
sex-role
Stereotype Questionnaire consisting
of 122
bipolar items
was
given
to
actively
functioning
clinicians with
one of
three sets
of
instructions:
To
describe
a
healthy, mature, socially competent
(a)
adult,
sex
unspecified,
(6)
a
man,
or (c) a
woman.
It was
hypothesized
that
clinical judgments about
the
characteristics
of
healthy
individuals
would
differ
as a
function
of sex of
person
judged,
and
furthermore,
that these
differences
in
clinical judgments
would
parallel stereotypic sex-role
differences.
A
second hypothesis predicted
that
behaviors
and
characteristics judged healthy
for an
adult,
sex
unspecified,
which
are
presumed
to
reflect
an
ideal standard
of
health, will resemble
behaviors
judged healthy
for
men,
but
differ
from
behaviors judged healthy
for
women. Both hypotheses were confirmed. Possible reasons
for and the
effects
of
this
double
standard
of
health
are
discussed.
Evidence
of the
existence
of
sex-role stereo-
types,
that
is,
highly consensual norms
and
beliefs
about
the
differing
characteristics
of
men
and
women,
is
abundantly present
in the
literature
(Anastasi
&
Foley,
1949;
Fern-
berger,
1948;
Komarovsky,
1950;
McKee
&
Sherriffs,
1957;
Seward,
1946;
Seward
&
Lar-
son,
1968;
Wylie,
1961;
Rosenkrantz,
Vogel,
Bee,
Broverman,
&
Broverman,
1968). Simi-
larly,
the
differential
valuations
of
behaviors
and
characteristics
stereotypically
ascribed
to
men
and
women
are
well established
(Kitay,
1940; Lynn, 1959; McKee
&
Sherriffs,
1959;
Rosenkrantz
et
al.,
1968; White, 1950),
that
is,
stereotypically masculine
traits
are
more
often
perceived
as
socially desirable than
are
attributes which
are
stereotypically feminine.
The
literature also indicates
that
the
social
desirabilities
of
behaviors
are
positively
re-
lated
to the
clinical ratings
of
these same
behaviors
in
terms
of
"normality-abnormal-
ity" (Cowen, 1961), "adjustment" (Wiener,
Blumberg,
Segman,
&
Cooper, 1959),
and
"health-sickness"
(Kogan, Quinn,
Ax, &
Rip-
ley, 1957).
Given
the
relationships existing between
masculine
versus feminine characteristics
and
1
Requests
for
reprints should
be
sent
to
Inge
K.
Broverman,
Worcester State Hospital, Worcester,
Massachusetts 01604.
social desirability,
on the one
hand,
and be-
tween
mental health
and
social desirability
on
the
other,
it
seems reasonable
to
expect
that
clinicians will maintain
parallel
distinctions
in
their concepts
of
what, behaviorally,
is
healthy
or
pathological when considering
men
versus
women.
More specifically, particular behaviors
and
characteristics
may be
thought indicative
of
pathology
in
members
of one
sex,
but not
pathological
in
members
of the
opposite sex.
The
present
paper,
then,
tests
the
hypothe-
sis
that
clinical
judgments about
the
traits
characterizing healthy, mature individuals
will
differ
as a
function
of the sex of the
person judged. Furthermore, these
differences
in
clinical judgments
are
expected
to
parallel
the
stereotypic sex-role
differences
previously
reported (Rosenkrantz
et
al.,
1968).
Finally,
the
present paper hypothesizes that
behavioral
attributes
which
are
regarded
as
healthy
for an
adult,
sex
unspecified,
and
thus
presumably viewed
from
an
ideal, abso-
lute standpoint, will more
often
be
considered
by
clinicians
as
healthy
or
appropriate
for
men
than
for
women.
This
hypothesis derives
from
the
assumption
that
abstract
notions
of
health will tend
to be
more
influenced
by the
greater social value
of
masculine stereotypic
characteristics than
by the
lesser valued
feminine
stereotypic characteristics.
... La littérature scientifique rapporte des inégalités et biais de genre à plusieurs niveaux dans le domaine de la santé mentale [1][2][3]. Ainsi, les femmes seraient globalement en moins bonne santé mentale que les hommes [4], notamment en raison des inégalités qui subsistent encore dans nos sociétés et des déterminants de la santé mentale qui les affectent davantage que les hommes [4][5][6][7][8]. Les femmes seraient aussi plus touchées par certaines maladies psychiques [9], comme la dépression [7,8,10,11], les troubles anxieux [12] ou les troubles de la personnalité borderline [13,14]. ...
... La littérature scientifique tend à confirmer que les préjugés liés au genre chez les pro-fessionnel·le·s jouent un certain rôle dans les diagnostics qu'ils/elles posent en santé mentale [3,9,18,19]. Il reste toutefois difficile d' estimer le poids de ces biais dans le choix diagnostique et si ces biais tirent leur origine des stéréotypes que porte la société en général sur le genre ou s'ils surviennent avec la pratique. ...
... Sur cette base, ils/elles pensent peut-être plus facilement à un diagnostic de dépression ou de TPB s'ils/elles sont confronté·e·s à une femme, et à un TPA s'ils/elles sont con-fronté·e·s à un homme. On parle alors de discrimination statistique [3,9,23] ou de biais de confirmation, soit la tendance de retenir avant tout les informations qui confirment ce que l' on croit ou perçoit. ...
... The primary evidential base for these assertions is a study by Broverman, Broverman, Clarkson, Rosenkrantz, and Vogel (1970). In that stud}', clinicians were asked to describe a mentally healthy adult, man or woman, by using a series of sex-stereotypic adjectives. ...
... In that stud}', clinicians were asked to describe a mentally healthy adult, man or woman, by using a series of sex-stereotypic adjectives. By analyzing the differences in descriptions, Broverman et al. (1970) concluded that a " double standard of health exists for men and women, that is, the general standard of health is actually applied only to men, while healthy women are perceived as less healthy by adult standards" (p, 5). The concepts held by clinicians reflect sex role stereotypes in the society, that is, that healthy women are submissive, subjective, excitable in minor ...
... In the Broverman study (Broverman et al., 1970), practicing clinicians used 122 bipolar adjectives to "describe" a health)', mature, and socially competent person. Each clinician was given one of three sets of instructions: The person described was to be an adult, (sex unspecified), a man, or a woman. ...
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... Conflicting findings. The early studies reporting sex bias (Broverman et, al., 1970;Neulinger, 1968;Thomas & Stewart, 1971) were each demonstrated to be artifactual in my article. However, if these studies served to heighten consciousness of the treatment of female patients, which I suspect they did, I feel they served an important purpose, even though I do not agree with their interpretations of the data. ...
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... In addition to exploring psychotherapy as it is practiced in the field, this work examines the influence of gender in all four client-therapist gender pairings. More specifically, the aim of these studies was to ascertain whether the gender bias reported in studies of therapists' attitudes (e.g., Aslin, 1977;Broverman, Broverman, Clarkson, Rosenkrantz, & Vogel, 1970) are in some manner reflected in clients' experiences in therapy and in treatment outcome. ...
... There has been a fair amount of controversy in recent years concerning sex bias in psychotherapy. Broverman et al. (1970) reported that experienced therapists of either gender hold differing view of mental health for men and women. It has been argued that this and other studies (Aslin, 1977;Neulinger, Schillinger, Stein, & Welkowitz, 1970;Nowacki & Poe, 1973) demonstrate that a double standard of psychological health is operating among mental health professionals. ...
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... A confound not previously discussed is the failure to recognize the difference between sex role stereotyping when only the sex of the stimulus person is provided (as in Broverman, Broverman, Clarkson, Rosenkrantz, & Vogel, 1970) and sex role stereotyping despite the provision of considerable information in addition to sex. The former represents an understandable response to the available information. ...
... Therapists' expectations were significantly influenced by the client's history and symptoms. Thus, the present results provide no support for Broverman et al.'s (1970) claim that clinicians endorse a double standard of mental health for men and women. ...
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