This article explores the ways in which the DSM-IV Casebook constructs gend
er and race/ethnicity in depictions of individuals with mental illness. Ana
lyses indicated that the case studies were gendered in accordance with soci
ally sanctioned descriptions of women and men, with women more likely to be
described negatively and in terms of physical attractiveness, and that wom
en of color in particular were more likely to be sexualized. We argue that
the studies in the Casebook contribute to a gendered and raced conceptualiz
ation of mental illness, and that these explicit definitions of pathology r
eflect implicit definitions of normalcy.