In 1987, a “self-defeating personality disorder” was voted in as a provisional label. Used to describe “self-sacrificing” people, especially women, who supposedly choose careers or relationships that are likely to cause disappointment, the “disorder” met with such protest from women it was subsequently voted out of DSM-IV. Lynne Rosewater, a psychologist who attended a DSM hearing presided over by one of the manual’s leading architects, psychiatrist Robert Spitzer, reported, “[T]hey were having a discussion for a criterion about Masochistic Personality Disorder and Bob Spitzer’s wife, [a social worker and the only woman in that meeting on Spitzer’s side of the debate] says, ‘I do that sometimes’ and he says, ‘Okay, take it out.’