The Masculinity Trap: What Works for Boys and Men in Therapy - Michael Gurian
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The Masculinity Trap: What Works for Boys and Men in Therapy

June 19, 2023

 Andrew was a 13-year-old boy who walked into my counseling office with a  lot of issues. He had been diagnosed with a learning disorder and ADD,  and his parents felt he might be depressed. Like many male clients, he  would quickly decide if I as his potential counselor knew how to work  with him as a male. If I did not, he would start trying to leave therapy  in a few weeks or less. 

After normal intake, the first thing we did together was walk outside,  talking shoulder-to-shoulder. Because the male brain is often  cerebellum-dependent (it often needs physical movement) in order to  connect words to feelings and memories, we sat down only after our walk  was finished. By then, a great deal had happened emotionally for Andrew.

 Once in our chairs, we talked with a ball in hand, tossing it back and  forth, like fathers often do with children. This cerebellum and spatial  involvement help the male brain move neuro-transmission between the  limbic system and frontal lobe, where word centers are. We also used  visual images, including video games, to trigger emotion centers, and we  discussed manhood and masculinity a great deal, since Andrew, like  every boy, yearns for mentoring in the human ontology of how to be a  man. 

I’ve seen hundreds of girls and women in my therapy practice. Few of  them needed walking, physical movement and visual-spatial stimulation to  help access memories, emotions, and feelings because most girls are  better able to access words-for-feelings than boys and men are while  sitting still. Girls and women have language centers on both sides of  the brain connected to memory, emotion, and sensorial data, while the  male brain mainly has word centers and word-feeling connectivity on the  left side.
 

Without our realizing it over the last fifty years, we’ve set up  counseling and psychological services for girls and women. “Come into my  office,” we say kindly. “Sit down. Tell me how you feel/felt.” Boys and  men fail out of counseling and therapy because we have not taught our  psychologists and therapists about the male and female brain. Only 15%  of new counselors are male. Clients in therapy skew almost 80%  female–males are dragged in by moms or spouses, but generally find an  environment unequipped for the nature of males. 

Male nature, the male brain, and the need to contextualize boyhood into  an important masculine journey to manhood are missing from the American  Psychological Association’s new “Guidelines for Psychological Practice  with Boys and Men.” While the document calls attention to male  developmental needs and crises in our culture, which I celebrate as a  researcher and practitioner in the field, it then falls into an  ideological swamp. 

Males, we are told, are born with dominion created by their inherent  privilege; females (and males) are victims of this male privilege. The  authors go further to discuss what they see as the main problem facing  males—too much masculinity. They call it the root of all or most male  issues including suicide, early death, depression, substance abuse,  family breakups, school failure, and violence. They claim that fewer  males than females seek out therapy or stay in therapy and health  services because of “masculinity.” Never is the skewed female-friendly  mental health environment discussed. The assumption that all systems  skew in favor of males, not females, is so deeply entrenched in our  culture today, the APA never has to prove it. 

Perhaps most worrisome, the APA should be a science-based organization,  but its guidelines lack hard science. Daniel Amen, Ruben and Raquel Gur,  Tracey Shors, Louanne Brizendine, Sandra Witelson, Richard Haier,  Laurie Allen, and the hundreds of scientists worldwide who use brain  scan technology to understand male/female brain difference do not appear  in the new Guidelines. Practitioners like myself and Leonard Sax, MD,  PhD, who have conducted multiple studies in the practical application of  neuroscience to male nurturance in schools, homes, and communities are  not included. 

Included are mainly socio-psychologists who push the idea that boys and  men are socialized into “masculinities” that destroy male development.  Stephanie Pappas on the APA website sums up the APA’s enemy;  “Traditional masculinity—marked by stoicism, competitiveness, dominance,  and aggression—is, on the whole, harmful.” Our job as therapists, the  authors teach, should be to remove all but the ideologically sound  “masculinities” from boys and men, and specifically remove masculinities  that involve competition, aggression, strength, and power. 

How much longer can our society and its professionals pretend we are  developing a saner society by condemning the very parts of males that  help them succeed, heal, and grow? In the same way that it is  misogynistic to claim femininity is inherently flawed, it is misandrist  to claim that masculinity is also thus. 

And it is just plain wrong. Stoicism, aggression, self-reliance, and  strength are helpful to human growth, healing, and self-development.  Steven Pinker recently made this point when he asked the APA to revise  its Guidelines, and put to rest “the folk theory that masculine stoicism  is harmful.” And, a new study published in January 2019 in Psychology of Men and Masculinities,  echoes Pinker, showing that boys and men who adhere to masculine  training do better in life, are happier, and become better husbands,  fathers, and partners. 

I am an example: I was a sexual abuse victim in my boyhood, and a very  sensitive boy. My ten years of healing from the abuse came as much from  tapping into masculine strength as it did from expanding my sense of  self in the 1970s toward the feminine. Both are good; neither is  zero-sum, but I could not have healed without the very masculinity  Pappas finds suspect. 

Part of the problem with the APA guidelines is that, from a neuroscience  point of view, masculinity is not as limited as Pappas’ assessment  would have us believe. Masculinity is a social construct made of  biological material, an amalgam of nature, nurture, and culture that  forms an ontology in which a male of any race, creed, or ethnicity  commits to developing and exercising strength, perseverance, work, love,  honor, compassion, responsibility, character, service, and  self-sacrifice.
 

What professional in the psychology field would not want to embolden  these characteristics? Most fathers and mothers would want counselors to  embolden them because, as the APA authors themselves point out  (somewhat unaware, I think, of their self-contradiction), fathering and  mentoring boys in masculine development has been proven among the most  important determinants of child safety, school success, and emotional  and physical health. 

Not the erasure of masculinity but the accomplishment of it is required  if we are to save our sons from the crises outlined in the APA  guidelines. Without counselors and parents understanding how to raise  and protect brain-based masculine development, boys like Andrew drift in  and out of video games, depression, substances, half-love, and, often,  violence. 

As all of us in our profession know, the most dangerous males in the  world are not those who feel powerful but, rather, those who feel  powerless. “Toxic masculinity” is a convenient academic avenue for  condemning males who search for strength, healing, and love by  conflating things bad men do with an ontology that is necessary for  human survival and thriving. 

The masculine journey is not perfect and expanding what “masculine,”  “male power,” and “man” mean to a given family and person is a point  well made by the APA authors, but trying to hook mental health  professionals into this ideological trinity of false ideas—

*masculinity is the problem, always on the verge of toxicity
*males do not need nurturing in male-specific ways because men have it all in society anyway; and
*masculinity is not an ontology, a way of healthy being, but a form of oppression,

—ignores one of the primary reasons for the existence of our psychology  profession: not just to help girls, women, and everyone on the gender  spectrum be empowered and find themselves, but also to help boys and men  find their strength, their purpose, and their success in what will be,  for them, a complex male and masculine journey through an increasingly  difficult lifespan.
 

Sources:
 

Amen, D.G., et.al., “Women Have More Active Brains Than Men.” August 7, 2017 Journal of Alzheimer’s Disease
 

Halpern, D.F., et.al., “The Science of Sex Differences in Science and Mathematics.” Psychological Science in the Public Interest. August 8, 2007
 

Burman, D., et.al., “Sex Differences in Neural Processing of Language Among Children.” March 2007. Neuropsychologia
 

Benedict Carey, “Need Therapy: A Good Man Is Hard to Find.New York Times. May 21,2011
 

APA Guidelines for Psychological Practice with Boys and Men
 

Stephanie Pappas, “APA issues first-ever guidelines for practice with men and boys.APA Monitor. January 2019
 

Steven Pinker. Male Psychology: What is Wrong with APA’s Masculinity Guidelines.
 

Psychology of Men and Masculinities
 

Coalition to Create a White House Council on Boys and Men’s meta-study

 

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