Which of the Following Is NOT Identified as a Difficulty

Which of the following is NOT identified as a difficulty in diagnosing personality disorders (PDs) ?

A) PD criteria can permit gender biases to influence the assessment process
B) PD symptoms are often not acknowledged by the patient
C) PD symptoms tend to be dormant for long periods of time
D) certain apparently-maladaptive attitudes and behaviours may be appropriate for distinct cultures
E) there is often similarity of symptoms in two or more different PDs