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Sex and Gender in Psychiatry: A View from History
Abstract
Although physicians have attempted for centuries to uncover the biological differences between men and women with regard to mental illness, they continue to face the challenges of untangling biological factors from social and cultural ones. This article uses examples from history to illustrate three common problems in trying to establish biological differences: identifying factors as sex-based when they are really gender-based; overlooking changes in masculine and feminine roles over time; and placing too great an emphasis on hormones. By using the benefit of hindsight to identify problems from the past, we can think more critically about these issues in the present and the future.
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“Literature on women’s mental health clearly points to the fact that psychiatric services have been shaped by a biomedical and androcentric vision that often fails to address the realities and needs of individuals who identify as women [201,202].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [202]
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Cited by
Sorted by citations
Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review
Lessard-Deschênes, C., Pariseau-Legault, P., Billé, V., Sergerie-Richard, S., Hudson, E., Silva, B., Drouin, J.-S., Désilets, M., & Goulet, M.-H. (2025) · Healthcare · doi:10.3390/healthcare13151868 · Cited by 10
Metadata
- Authors
- Hirshbein, L.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Hirshbein, Laura
- ORCID
- Hirshbein, Laura
- Venue
- Journal of Medical Humanities
- Published
- 2010-02-18
- Volume
- 31
- Issue
- 2
- Pages
- 155-170
- ISSN
- 0882-6498 (ISSN-L)
- 1041-3545
- 1573-3645
- OpenAlex
- W2155404589
- Cited by
- 21
- References
- 3
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 1 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 3 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Medical Humanities (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Keywords
- sex differences, gender differences, history of psychiatry, biological basis of mental illness, hormones, masculinity and femininity, sex versus gender
- MeSH terms
- Mental Disorders, Female, Gender Identity, Hormones, Humans, Male, Psychiatry, Sexual Behavior, History, 19th Century, History, 20th Century
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