King’s chapter begins by describing the historical context of ‘premenstrual’ symptoms, which were first formally described in 1931. She then questions the prioritization of mood-based symptoms in the diagnostic criteria for Premenstrual Syndrome (PMS). King argues that population studies suggest that mood-based symptoms are not the most common nor most disruptive of menstrual changes. She then proposes that the trend of ‘psychologizing’ premenstrual symptoms is influenced by the sexist historical assumption of ‘the myth of the irrational female’—the idea that women, due to their reproductive biology, are pathologically emotional and thus have a reduced capacity for reason. The author concludes by calling for a more integrated and rigorous approach to PMS definitions and research to support people who experience cyclical symptoms, without unintentionally pathologizing the menstrual cycle or stigmatizing an entire gender.
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