Methodology

How sources are vetted.

Material on this site is held to a hierarchy of evidence and a small set of editorial rules. The point isn't academic for its own sake; the topic is one where popularizers, influencers, and motivated parties all have something to gain from making things sound either more lurid or more comforting than the literature supports. The methodology below is the line.

The source hierarchy

In descending order of weight:

  1. Primary clinical and research literature. The DSM-5-TR itself; peer-reviewed papers in journals like the Journal of Personality Disorders, Psychological Medicine, the Journal of Abnormal Psychology, the Annual Review of Clinical Psychology; foundational books by clinicians on the underlying disorder (Kernberg, Kohut, Pincus).
  2. Practicing clinicians writing for non-specialist audiences. Books and longer essays by practicing clinicians who treat the population in question — Ramani Durvasula, Wendy Behary, Karyl McBride, Bill Eddy, Lundy Bancroft. Used for clinical observation that hasn't been reduced to controlled-trial form but is consistent across multiple respected practitioners.
  3. Survivor-experience literature, used carefully. First-person accounts and survivor-facing books, used to describe the lived shape of the pattern but not as evidence for clinical claims about its cause or prevalence.
  4. Established secondary sources. Reputable encyclopedias, professional-association explainers (American Psychiatric Association, APA), credentialed journalism. Used for orientation and dating, rarely as the primary evidence for any specific claim.

What does not get treated as evidence

Where the evidence is firm and where it isn't

Some claims on this site are well-supported across multiple lines of evidence:

Other claims rest more on clinical observation than on large-scale studies, and the prose says so:

What is editorially excluded

Corrections

Errors of fact are corrected on identification. Substantive factual changes are noted at the bottom of the affected page. Stylistic edits are not. If you spot a misstatement of the literature or a misquoted source, please flag it through the contact channel listed on the about page.

What this methodology cannot do

It cannot make a topic this politically charged uncontroversial. It cannot guarantee the prose is right in every detail; it can only commit to the line above and to revising when the line is shown to have been crossed. It cannot prevent the material from being misused — by people quoting individual sentences as personal weapons, by litigants trying to repurpose general descriptions as case-specific evidence, by readers who would prefer a tidier story than the literature supports. The site goes ahead anyway because the under-recognition described on the female covert page has its own cost, and it is the larger one.