Healthcare Training Institute - Quality Education since 1979
CE for Psychologist, Social Worker, Counselor, & MFT!!
In the last section, we talked about male vs. female patterns of depression. Now let's turn to the causes of masculine depression. Have you found, like I, that family influence can be the most major contributing factor?
In this section, we'll discuss how family relationships particularly affect masculine depression.
Divorced or separated men are more than twice as likely to commit suicide as men who remain married, a US researcher reports. But divorce and separation do not appear to affect suicide risk in women, according to Dr. Augustine J. Kposowa, of the University of California at Riverside. Kposowa examined the link between suicide and marital status using data on nearly 472,000 men and women.
As you know, in a healthy family, both parents are equally close to their children. The parents have struck a balance between their own relationship and the relationship with their children. However, as you are aware, such a balance is often not the case. In reality, many times we see families, such as Mark's, in which the mother is closer to the children and more available both physically and mentally.
In Kilmartin's book, he states traditional fathers are less open, less attentive, and less involved in their children's emotional lives than their mother. If the father is the breadwinner, as our society often dictates, then he is less involved with his children in virtually every aspect of their lives.
♦ Sons and Their Relationships
With Their Fathers
In addition, Mark's sons don't realize that he was actually very insecure. They do not see how angry Mark was about his depressed feelings and avoidance of his problems. They do not ever see their father express his emotions. Nor do they ever see him ask for help with his internal conflicts, or try to work out problems in his relationships.
♦ "Primary Unnamed Difference"
Think of a client you are currently treating whose children rarely see their father express feelings, show internal conflict, or ask for emotional support. Do you feel it would be a good idea to provide this client with the concept of a "primary unnamed difference"? By doing so, I have found the client is able to label, perhaps for the first time, the difference between the powerful man they saw in their father; and the lack of power the client feels within himself.
Regarding female clients, daughters are often able to identify quite well with their mother, who is more open with her emotions than their father. But sons do not recognize their father's actual isolation and try to live up to his perceived pervasive, all-encompassing power.
♦ Technique: The Mommy List & The Dad Zone
As you are aware, many families fall into a pattern in which the mother takes all the responsibility for the everyday things: the health, comfort, appearance, and happiness of the family. The father, on the other hand, often falls into what Lynch would call the "Dad Zone," where he withdraws from the family's needs and leaves the burden on the mother. Because he feels the need to be not-feminine, he stays away from little tasks that seem "motherly."
Daniel was in the "Dad Zone." My colleague, Lee, treated Daniel, a 48-year-old carpenter who seemed to be the epitome of a "man's man." Daniel frequently hunted, fished, and stayed out late at the bars with his fishing buddies. In their first session, Daniel told Lee that he didn't need to participate in the everyday family activities and that his wife, Sharon, always handled those. He stated, "I'm the major money maker in the house and deserve free time with my friends." In a later session, Daniel admitted "I feel inadequate as a father. My kids always turn to Sharon. When they have a problem, I feel kind of useless as a father."
Lee asked Daniel to make a list of tasks that Sharon always did, called the "Mommy List." As you will see, the tasks toward the end of Daniel's Mommy List became increasingly meaningful, shifting from tasks to emotional support.
Here are some of the things Daniel
came up with:
I told Daniel, "Look at the list again. Do any of those activities require breast milk?" Daniel replied, "No, it just always seemed that the kids went to Sharon for those things."
Think of a male client you are currently treating who feels shut out of his children's lives. Would a Mommy List be beneficial in your next session?
Lee told Daniel, "A way you could prevent masculine depression in your sons is to overcome your own depression. When you begin to recognize your emotions and share them, your sons will learn to do the same. The major mechanism for passing down masculine depression is shame, for example, if you were to tell your son you were disappointed that he's behaving in so-called feminine ways. Your most important task as a father may be actively reassuring your children."
Lee then told Daniel, "Instead of being only the disciplinarian, a father could expand his definition of being a good father to one who takes on the nurturing role as well." Think of your Daniel who is experiencing masculine depression. Envision your next session. Would it be beneficial to indicate in your next session that by challenging, encouraging, and nurturing his children, a father can help stop the masculine depression they are experiencing?
Now that we have discussed the "unnamed difference" which may result in a feeling of being an inadequate father. In the next section, I will discuss the "Imaginary Stranger."
Peer-Reviewed Journal Article References: