Addressing Paranoia in Counselling

Finding Meaning: Masculinity in Crisis

Many young men seek counselling because they feel lost (Seidler, et al., 2016). This happens especially in today’s world, where the boundaries of how a man is supposed to behave are shifting rapidly. It’s a difficult time for young men to find their place in life as they struggle to adapt themselves to changing social attitudes and norms; there’s plenty of content in the media illuminating harmful male behaviours, but there isn’t a legitimate mainstream discussion of how masculinity ought to be propagated. As a result, many young men are growing into adulthood without a map – they lack a male voice of compassion and authority to guide them on how to integrate masculinity into their lives.

In our writer’s experience, men who have been referred for counselling often have a very strong underlying sense of purpose and a desire to be good people; their anxiety, depression, and harmful behaviours are often symptoms of feeling unable to actualise their potential. It’s a counsellor’s job to help men articulate this sense of purpose in constructive and positive ways, and offer guidance on enacting their perceived purpose effectively. 

A study from the University of Connecticut has identified three major factors that determine whether men believe their lives are meaningful (George & Park, 2016):

1. They feel that their lives make sense, and have continuity
2. They are directed and motivated by meaningful goals
3. They believe their existence matters to others

Researchers discovered that sources of meaning tend to fall into two main categories: meaningful relationships and a meaningful profession (George & Park, 2016).

There is no doubt that this generation of males is developing a unique relationship with masculinity, and it’s not necessarily for the betterment of their relationships or professions (Black & Westwood, 2012); men’s desire for professional success can be interpreted as a validation of the patriarchal system, while their pursuit of romantic relationships can be perceived as misogynistic (LeanIn, 2019). While some men are certainly exploiting systems which privilege them, often times the prevalence of this attitude discourages “good” men from progressing and developing themselves (Hoff, 2016). This article is not making a stance on any social/political issues: it is merely articulating some causes and concepts that can assist counsellors in understanding this very nuanced issue, so they can help men find meaning in the modern world.

What even is masculinity?

Masculinity and femininity denote sets of attributes that most people can intuitively identify – for example, it doesn’t take a discerning anthropologist to tell the girls section of the toy store apart from the boys section. But regardless of the value of this distinction, what exactly is the nature of it? Defining masculinity and femininity is a little more nuanced than simply referring to their apparent differences; not all people have the same understanding of what masculinity and femininity are, and how they manifest themselves. For example, conceptualisations of masculinity and femininity vary vastly across cultures and historical periods (Reeser, 2010); as such, there can be confusion about what these terms mean, and how we can embody them effectively.

Across time, however, typically agreed-upon standards for masculine conduct involve strength, courage, and leadership (Kimmel, 1994); these traits reflect a desire for meaning – you only inhabit strength and courage when a compelling reason to do so arises. Young men today, knowingly or not, are crying out for responsibilities that offer this type of meaning in their lives (Frankl, 2006). They want to know what it means to be who they are in the world right now – what can they do, and how can they best live? It’s time that we help them find the answers to these questions.

Currently, there is a lot of heated discussion about whether masculinity – or any kind of gender categorisation – is a genuine natural occurrence, or a mere social construction that we can/should dispose of; the question of whether masculinity is inherent in biology or if it arises through socialisation has been debated for hundreds of years (Martin & Finn, 2010). This is a question that does not have a black-and-white answer; studies on prenatal androgen exposure – among other developmental events – have shown biological links to expressions of masculine or feminine traits (Martin & Finn, 2010), however, it can be argued that these differences are exaggerated and articulated further by social influences (Wharton, 2012).

Whichever perspective you align with, an often unacknowledged aspect of these conversations is that while some forms of masculinity are harmful, some are also powerful forces for good. It’s possible (and advised) for men to have a productive and integrated expression of their masculinity (Jung, 2009) – one that allows them to use their strengths to achieve fulfilment. Unfortunately, the current culture is lacking in content which identifies what these strengths are, and thus fails to encourage men to embody them; as detailed above, many young men feel lost because of this.

It should also be stated that masculine traits are not exclusive to men; masculinity and femininity are not synonymous concepts to gender or sexual identity (Butler, 2006). That being said, this article is specifically addressing the mental health of men with masculine attributes. 

Why is masculinity in crisis?

There are a variety of reasons why young men feel uncertain about how to navigate the contemporary world. These include, but are not limited to, the following 3 observations:

1) The increasing separation between traditional male roles and the reality of modern life

The roles of men in the traditional household and workplace are changing. Men are becoming more inclined to be actively involved in child-rearing and housework. However, there is still often an expectation for them to maintain the traditional breadwinner role (Martin & Gnoth, 2009). Men are finding themselves stuck in limbo between the past and the future. Discerning one’s purpose thus becomes difficult, leading to feelings of emptiness (Rogers, 2010); men without a  defined mission will generally find themselves feeling a tremendous sense of lack (Deida, 1997). In this day and age, young men are extremely worried about what they will do after college, and the answer is likely “Go overseas for a few years, then come back.” This reflects a lack of encouragement to make powerful decisions towards meaningful futures.

2) A lack of positive masculine role models in society

For many children, fathers are either absent or not present enough, and this has lasting impacts on the way males view themselves and their sense of meaning/purpose in the world (Single Mother Guide, 2012). Men who grow up without an emotionally involved father has been correlated with long term effects including increased likelihood of dropping out of high school or college, and increased likelihood of substance abuse (McLanahan, Tach, & Schneider, 2014). These problems are exacerbated by the fact that many young men are searching for their place in the world and attempting to figure out what it means to be a man in today’s society – there is not always an adult male figure for them to look up to. 

The men who are often placed in the media limelight are there by way of some transgression or moral failing. While the modern world is rightly campaigning for positive representations of identities in media, it seems as though this effort circumvents men (Tarrant, et al., 2015). It is understood that men have historically tended to see themselves in positions of power and dominance, but this is not a reason to avoid exposing men to genuinely positive role-models in our current time. It is to the detriment of the mental health of many young men that we do not see more positive representations of masculinity (Tarrant, et al., 2015); ones that represent the compassionate and purposeful core of the masculine ideal.

3) Social media content either teaches men harmful ways of interacting with others, or degrades the concept of masculinity in general

The following two types of social media content are tough for today’s men to navigate. Firstly, there is a large online community of content creators calling for men to be ruthlessly successful; young men are bombarded with images of ‘alpha-males’ and are expected to adopt this image into their own definitions of masculinity. This makes it more difficult for boys to embrace their sensitive sides, leading to a lack of emotional literacy (Stratford, 2020). Content creators rarely offer antidotes to this effect, and are failing to provide helpful insights into the psychological reality of becoming a good man with a meaningful life. These online figures often try to convey an image that their life is perfect, when in fact this is often far from the truth; men are being encouraged to strive for false images of fulfilment (Stratford, 2020). This is a major concern for both men and women. 

Secondly, while some men are being plagued by the alpha-male image, others are being exposed to content that degrades masculinity in general. The conduct of certain men has been the object of fair scrutiny over recent years, and there are arguments to be made for how this conduct has been an expression of masculinity. There is, however, no grounds for suggesting that masculinity in general is problematic. This view has created a culture in which masculinity is demonised; while this might be a perceived course-of-action for eradicating its more toxic forms, the more immediate effect is that good men are feeling alienated and ineffectual (Rogers, 2010). Rather than encouraging men to be better, we are constantly reminding them that they are harmful; a result of this is a generation of men who are unmotivated and aimless (Salter, 2019). A study has found that male respondents who have experienced gender-based cyberbullying feel compromised in how they feel they are permitted to exist in society (Chen, et al., 2015). Men are seen as less attractive and less desirable to women when they post images of themselves on their Instagram account, as it is seen as the promotion of male dominance rather than a harmless expression of an individual (Fox & Rooney, 2015). This phenomenon leads to a significant decrease in men’s self-esteem, which results in paralysis and stagnation in their professions and relationships.

So, how can counsellors help men find purpose and meaning?

As counsellors, we can offer strategies to help men identify and organise the meaningful facets of their lives. Viktor Frankl, the author of Man’s Search for Meaning, created logotherapy, which is based on the presumption that a man’s main motivation is to find meaning in life, as opposed to the pursuit of pleasure or power (Marshall & Marshall, 2012). Some techniques he used were dereflection (focusing on high-level goals instead of on themselves) and Socratic dialogue (open-ended questions to uncover dormant aspirations). If, for example, a client is passionate about saving the environment, this type of therapy can assist them in finding a practical way to focus their time and efforts on realising their potential in doing so.

Meaning therapy (Wong, 2010) incorporates aspects of cognitive-behavioural therapy and positive psychology, and helps people take on more meaningful responsibilities in their lives while encouraging them to pursue goals that serve others. It advocates psycho-educational approaches that equip men with the mental toolkit necessary to create a vision of an idealised future for them to begin moving towards.

Similarly, self-authoring is a process by which people organise their lives into a narrative structure, making their past, present, and desired futures more easily understandable (Peterson, 2005). By creating a map of one’s life, it can become far simpler to identify who you are, what you value, and what you need to do to be of most service to yourself and your community. As with most approaches that attend to creating meaning, it is based on reflection and awareness. 

A culture of masculine content creation must be encouraged to counter the fear of being construed as ‘too emotional’, or ‘not manly enough’. It’s time we begin working together to help young men find meaning, and develop a culture which is focused on stopping the cycles of toxic masculinity, whilst encouraging healthy expressions of masculinity in its stead.

In summary… 

Young men today are having a difficult time finding their place in the world. The current cultural climate surrounding masculinity – as well as the absence of positive role-models for younger generations – is leading to a decrease in the quality of mental health. Men must be taught how to integrate their masculine dispositions into their lives; how to lead, how to care, and how to love with purpose and commitment. There is an urgent need for discussion to take place around what masculinity means, and how we can encourage healthy expressions of it; it is my hope that this article has encouraged us all to begin engaging with this conversation. 

Recommended Links: Men In Mind Program (by Movember), Men and Emotions: From Repression to Expression (Article), Men, Emotions and Alexithymia (Article)

References:

1. Butler, Judith (2006) [1990]. Gender trouble: feminism and the subversion of identity. New York London: Routledge. 
2. Cunningham, C. E., Chen, Y., Vaillancourt, T., Rimas, H., Deal, K., Cunningham, L. J., & Ratcliffe, J. (2014). Modeling the anti‐cyberbullying preferences of university students: Adaptive choice‐based conjoint analysis. Retrieved from webpage.
3. Deida, D. (1997). The Way of the Superior Man. S.I.: Sounds True.
4. Fox, J., Rooney, M. (2015) The Dark Triad and trait self-objectification as predictors of men’s use and self-presentation behaviors on social networking sites. Personality and Individual Differences
5. Frankl, V. E., Kushner, H. S., & Winslade, W. J. (2006). Man’s search for meaning. Boston, MA: Beacon Press.
6. Hoff, C. (2016). Five Ways Patriarchy Affects Men and their Relationships. Retrieved from webpage.
7. Jung, C. G., Shamdasani, S., & Hoerni, U. (2009). The red book = Liber novus: A readers edition. New York: W.W. Norton &.
8. Kimmel, Michael S. (1994). “Masculinity as Homophobia: Fear, Shame, and Silence in the Construction of Gender Identity”. Theorizing Masculinities. Thousand Oaks: SAGE Publications, Inc. pp. 119–141. 
9. LeanIn.Org and SurveyMonkey survey (2019)
10. Maria Marshall; Edward Marshall (2012). Logotherapy Revisited: Review of the Tenets of Viktor E. Frankl’s Logotherapy. Ottawa: Ottawa Institute of Logotherapy. 
11. Martin, Brett A.S.; Gnoth, Juergen (2009). “Is the Marlboro man the only alternative? The role of gender identity and self-construal salience in evaluations of male models”. Marketing Letters. 20 (4): 353–367. 
12. Martin, Hale; Finn, Stephen E. (2010). Masculinity and Femininity in the MMPI-2 and MMPI-A. University of Minnesota Press. pp. 5–13. 
13. McLanahan, S., Tach, L., & Schneider, D. (2013). The Causal Effects of Father Absence. Retrieved from webpage.
14. Peterson, J. (2005). Self Authoring. Retrieved from https://www.selfauthoring.com/
15. Reeser, Todd W. (2010). Masculinities in theory: an introduction. Malden, Massachusetts: Wiley-Blackwell. 
16. Rogers, Thomas (November 14, 2010). “The dramatic decline of the modern man”. Salon.
17. Salter, Michael (2019). “The Problem With a Fight Against Toxic Masculinity”. The Atlantic. 
18. “Single Mother Statistics”. Single Mother Guide. (2012)
19. Seidler Z. E., Dawes A.J., Rice S. M., Oliffe J. L., Dhillon H. M. (2016). The role of masculinity in men’s help-seeking for depression: A systematic review. Retrieved from webpage.
20. Stratford, H. (2020). ‘Be a man’ – toxic masculinity, social media and violence: Innovation Unit: Creating impact – reducing inequalities – transforming systems. Retrieved from webpage.
21. Tarrant, A., Terry, G., Ward, M., Are Male Role Models Really the Solution? Interrogating the ‘War on Boys’ Through the Lens of the ‘Male Role Model’ Discourse. (2015). Retrieved from webpage.
22. Westwood, M. J., & Black, T. G. (2012). Introduction to the Special Issue of the Canadian Journal of Counselling and Psychotherapy. Retrieved from webpage.
23. Wharton, Amy S. (2012). The Sociology of Gender, second edition. Hoboken, NJ: Wiley-Blackwell.
24. Wong, P. T. (2009). Meaning Therapy: An Integrative and Positive Existential Psychotherapy. Retrieved from webpage.

All human beings experience anger at least occasionally. It’s a natural emotion helping us recognise that we or someone or something we care about has been violated or treated badly. When we feel threatened or our goals are thwarted, anger is a coping mechanism that enables us to act decisively, especially in situations where there is little time to reason things out. It can motivate problem-solving, goal-achievement, and the removing of threats. It serves a protective function and is not always a problem (Lowth, 2018; Stosny, 2020; Zega, 2009).

But anger is a complex emotion, and all too often manifests maladaptively in clients’ lives, when they perceive excessive need for protection, protect the “wrong” things, or use anger to thwart their longer-term best interests. The result is problem anger.

Perhaps because it is so multi-faceted, misperceptions about anger abound, and the question arises: how shall we regard anger? How do we advise the client to think about it? Folk wisdom often would say that the best thing to do is just let it all out, but is it? Clients complain that they cannot control it, that the tendency to be easily angered is inherited, but again, is there evidence for that? Here are common myths people tend to hold about anger, and factual statements following them that you can use to clarify for the client why learning to deal with problem anger is time well spent.

Myth 1: “Anger is inherited.”

This is the client that may try to claim that their father was short-tempered and they have inherited that trait from him, so there is nothing they can do. Such a stance implies an attitude that the expression of anger is a fixed, unalterable set of behaviours. Research shows, however, that expression of anger is learned, so if we have – say, through exposure to aggressive influential others, such as parents – learned to be violent in our expressions, we can also learn healthier, more appropriate, pro-social ways of dealing with it.

Myth 2: “Anger and aggression are the same thing.”

Fact: Nope. Anger is a felt emotional state. Aggression is a behaviour, sometimes carried out in response to anger, but not the same as it. A person can be angry, yet use healthy methods of expression without resorting to violence, threats, or other aggression. Anger does not always lead to aggression. In fact, some experts claim that most daily anger is not followed by aggression. When it does result in aggression the “I3 Model” (pronounced “I cubed”) is deemed responsible. This suggests that aggression emerges as a function of three interacting factors, which all begin with “I”:

Instigation, an event which instils an urge to aggress as a result of, say, being addressed rudely or learning that one’s partner has had an affair (or a relatively “minor” event, such as being cut off in traffic);

Impellance, meaning a force that increases the urge to act in response to an instigating stimulus. These could be strong hormonal releases or a belief system which says that the instigating event should not be tolerated, or even a sociocultural norm which demands that instigating stimuli be responded to immediately and harshly (such as punching back someone who has hit you);

Inhibition, referring to forces that typically work to counter aggression, such as cultural norms, awareness of negative consequences, or perspective-taking or empathy (Kassinove & Tafrate, 2019).

Myth 3: “Other people make me angry.”

Fact: How often in common parlance do we say things like, “He made me so angry!” or “You make me so mad I could kill you!”? Even though we may occasionally speak about people causing emotions other than anger, it is far more frequent to hear such statements in regard to anger. We can choose whether or not we let someone else’s behaviour make us happy, sad, or something else, but we often think and talk about it as if anger is caused directly by others. With the undiscerning listener, an angry person thus gets to use anger as an excuse for unacceptable behaviour. Ultimately, it is not the other person’s behaviour that causes our anger, and in fact, it’s not even their intention, though that may influence our behaviour. Being precise, we must acknowledge that it is our interpretation of their intention, expressed in their behaviour/language, which is causative.

Myth 4: “I shouldn’t hold anger in; it’s better to let it out” (either by venting or catharsis).

Fact: If by “holding it in” someone means that they suppress anger, it’s true; ignoring it won’t make it go away and squashing it down is not a healthy choice. Neither, however, is venting. Blowing up in an aggressive tirade only fuels the fire, reinforcing the problem anger. Ditto the use of pillow-punching or other means of catharsis; this may come as a surprise to therapists trained a few years ago, when catharsis was an anger management technique in good standing. Now researchers have found that, even though we feel better in the moment after hitting something, our brain notices, subtly changing its wiring. Then the next time we are angry it softly whispers, “Hit something; you’ll feel better”. The time after that, the wiring is stronger in the brain towards a hitting catharsis, and the angry-brain-voice speaks a little louder. Continuing in this vein means that eventually, we could decide to hit something more alive than a pillow. Rather than either angry venting or catharsis is the use of skills to manage the angry impulse.

Myth 5: “Anger, aggression, and intimidation help me to earn respect and get what I want.”

Fact: People may be afraid of a bully, but they don’t respect those who cannot control themselves or deal with opposing viewpoints. Communicating respectfully is a far superior way to get (most) people to listen and accommodate one’s needs. While the momentary power that comes with successful intimidation may feel heady in the moment, it does not help build the healthy relationships that most people coming to counselling yearn to have.

Myth 6: Anger affects only a certain category of people.

Fact: Anger is a universal emotion that affects everyone. It does not discriminate against people of any particular age, nationality, race, ethnicity, socioeconomic status, education, or religion. It is tempting for some people in the educated middle classes to believe that anger is more prevalent among the poor, or those who are less educated or lacking in social skills. Reality does not bear this out, although the expressions of anger do vary among different social groups. Remember, anger is just an emotion, one which does not make people “good” or “bad” for having it.

Myth 7: “I can’t help myself. Anger isn’t something you can control.”

We don’t always get to control the situations of our lives, and some of them may trigger our anger. In fact, it’s also agreed by experts that we don’t (in the short-term) control whether we have angry feelings or not; they just come – although there are longer-term ways to work with clients that see them less easily provoked, and therefore less prone to have the experience of anger. What we do have the short-term choice to control is how we express that anger. Continuing in sessions with you (the therapist) for the purpose of learning how to better handle anger means having more choices of response, even in highly provocative situations.

Myth 8: “When I’m angry I will say what I really mean.”

Fact: This is rarely true. Uncontrolled angry expressions are more about gaining control of or hurting others, not saying what a person’s deepest truth is. 

Myth 9: “By not saying what I’m thinking in the moment, I’m being dishonest and will be even angrier later.”

Fact: There is a strong pull to “speak our mind” when angry. But it is at this time that a person’s judgment is most severely flawed. To speak from anger is to allow the impulsive part of the brain to overrule the rational part. Better for relationships, career, and pretty much everything else to wait until that reasoning part can regain control.

Myth 10: “Men are angrier than women.”

Fact: The sexes experience the same amount of anger, says research; they just express it differently. Men often use aggressive tactics and expressions, whereas women (often constrained culturally) more frequently choose indirect means of expression, such as found in passive-aggressive tactics. This could mean getting back at someone by talking negatively about them or cutting them out of their lives (categories adapted from: Therapist Aid LLC, 2016; Segal & Smith, 2018; Morin, 2015; Morrow, n.d.; Better Relationships, 2021; Gallagher, 2001).

Thought for reflection

Anger has many facets to it, and we have introduced some information here that may seem either startling or counterintuitive. As you think back over the myths we just debunked, which aspect has surprised you the most? Do you have any sense of why that might be? One woman, for example, was very surprised to hear that “men are angrier than women” was only considered a myth; it turned out that in her family, women “never got angry” (we hypothesise that perhaps they were socialised to not show anger), and the men got angry all the time (perhaps more allowed in that woman’s family/culture). In what ways, if at all, might your views about anger have shaped how you behave? How you respond to others? 

And here’s the ultimate question if you share this material with a client: what are their responses to the above questions? How might hearing these myths help them seek more adaptive ways to deal with problem anger? 

The upcoming Mental Health Academy course, “Helping Clients Deal with Problem Anger” draws from numerous therapies and neuroscience to help clinicians and clients collaboratively create a program to address each client’s unique challenges with this universal human emotion.

References:

1. Better Relationships. (2021). Common myths about anger. Anglicare Southern Queensland. Retrieved on 13 April, 2021, from: Website.
2. Gallagher, E. (2001). Anger. eddiegallagher.com.au. Retrieved on 13 April, 2021, from: Website.
3. Kassinove, H., & Tafrate, R.C. (2019). The practitioner’s guide to anger management: Customizable interventions, treatments, and tools for clients with problem anger. Oakland, CA: New Harbinger Publications, Inc. 
4. Lowth, M. (2018). Anger management. Patient. Retrieved on 7 April, 2021, from: Website.
5. Morin, A. (2015). 7 myths about anger and why they’re wrong. Psychology Today. Retrieved on 13 April, 2021, from: Website.
6. Morrow, A. (n.d.). Anger myths. Stress and Anger Management Institute. Retrieved on 13 April, 2021, from: Website.
7. Segal, J., & Smith, M. (2018). Anger management: Tips and techniques for getting anger under control. Helpguide.org. Retrieved on 9 April, 2021, from: Website.    
8. Stosny, S. (2020). Beyond anger management. Psychology Today. Retrieved on 9 April, 2021, from: Website.
9. Therapist Aid, LLC. (2016). Anger warning signs. Therapist Aid LLC. Retrieved on 7 April, 2021, from: Website.
10. Zega, K. (2009). Holistic Psychotherapy (159). Retrieved on 7 April, 2021, from: Website.