Webb Therapy Uncategorized Maybe you should Talk to Someone

Maybe you should Talk to Someone

Author: Lori Gottlieb

Maybe you should talk to someone is a genuine, funny, touching, and realistic memoir of one therapist, as she navigates a difficult time in her professional and personal life. I couldn’t put this book down. As a therapeutic counsellor myself, the book gave me a greater understanding of psychology and human behaviour. It is a vulnerable portrayal of a renowned psychotherapist, her therapist, and the clients lives that she discusses in the book – and how they influence her life. If you have any preconceived bias about the therapy profession, this book might give you a new perspective. I laughed whole-heartedly and I blinked back the tears on one occasion. I’m really pleased I read Maybe You Should Talk About Someone. If you’re a busy person, the audio version may be more practical for you.

Related Post

Addressing Paranoia in CounsellingAddressing Paranoia in Counselling

Retrieved from Issue 346 of Institute Inbrief 20/01/2021

Paranoia: Definition and levels

When a person believes that others are “out to get them”, trying to stalk or harm them, or paying excessive attention to them for no reason, they may be experiencing paranoia. Occurring in many mental health conditions, paranoia is most often present in psychotic disorders. It involves intense anxious or fearful feelings and thoughts, most often related to persecution, threat, or conspiracy (Mental Health America, n.d.). It can be a symptom of illnesses such as schizophrenia, brief psychosis, paranoid personality, psychotic depression, mania with psychotic features, delusional disorders, or substance abuse (chronic or momentary) (Barron, 2016).

Mental health experts have identified three levels of paranoia:

  1. Paranoid personality disorder (PPD): Characterised by odd or eccentric ways of thinking, PPD involves an unrelenting mistrust and suspicion of others when there is no reason to be suspicious. It is one of the personality disorders in the DSM-5’s Cluster A, along with schizoid and schizotypal personality disorders. Thought to be the mildest form of paranoia, a person with PPD may still be able to function in relationships, employment, and social activities. The onset is typically in early adulthood and is more common in men than in women.
     
  2. Delusional (paranoid) disorder: Found in the DSM-5 chapter, “Schizophrenia spectrum and other psychotic disorders”, this is a condition in which an individual holds one major false belief or delusion; it will often be an implausible but not bizarre delusion. A delusional disorder typically occurs without any other signs of mental illness. So a person might think that others are talking behind their back if they have a persecutory delusion, or believe that they need immediate medical attention for a (non-existent) medical problem if they have a somatic delusion. This condition is slightly more common in women than men.
     
  3. Schizophrenia with bizarre delusions: People with this condition do not function well in society and need consistent treatment (Sunrise House, 2018; WebMD, 2018).This is the most severe form of paranoia, involving bizarre delusions without basis, such as that aliens are trying to abduct them, or that an unseen enemy is removing their internal organs and replacing them with others’ organs.


This article is about Levels (1) and (2), the paranoid personality disorder (PPD) and delusional disorder, which you may encounter more commonly, either in your client or the client’s partner.

Identifying paranoia

We have several options for finding out what characteristics should be called “paranoid”: we can assess how we experience the person — how we describe them and what they evoke in us — and/or we can run with DSM-5 descriptions, which outline the clinical symptoms we can observe specifically with the paranoid personality disorder and delusional disorder. Let’s do both.

Descriptions of the paranoid person

Joe Navarro, who has written extensively about mental disorders, asked those who had either lived with or been victimised by paranoid personality types to describe this personality type from their experiences. Here is the list of some of their words:

“Angry, anxious, apprehensive, combative, complainer, contrarian, critical, delusional, demanding, difficult, distrustful, disturbed, eccentric, fanatic, fearful, fixated, fussy, guarded, hard-headed, inhospitable, intense, irrational, know-it-all, menacing, mentally rigid, moralistic, obsessed, odd, offensive, opinionated, sensitive, peculiar, pedantic, quarrelsome, questioning, rigid, scary, strict, stubborn, suspicious, tense, threatening, tightly-wound, touchy, unforgiving, unhappy, vindictive, wary, watchful, withdrawn” (Navarro, 2016).

What they evoke in us:

Experiencing a relationship with someone described by such intense words as those above cannot fail to bring forth a reaction in us. Laurel Nowak (2018) outlines the common feelings evoked by paranoid individuals in those with whom they are in relationship. She talks about: “feeling weighed down, negative, stressed, isolated from the people and activities you used to enjoy, and like you’re walking on eggshells”. Some have noted that it can feel to the other person like they are not being seen — ever — for who they truly are. The exaggerated negative spin on events or in response to statements occurs in the context of relating which lacks tenderness, humour, or comfort (Navarro, 2016). While these authors are describing feelings evoked in intimate relationships with paranoid individuals, they could have been talking about how therapists feel when faced with a client with this condition. Dealing with such a person eats away at the most robust sense of happiness and self-esteem. Here are the DSM-5 symptoms.

Paranoid Personality Disorder: DSM-5 symptoms description

According to the DSM-5, there are two primary diagnostic criteria for Paranoid Personality Disorder, of which Criterion A has seven sub-features. Four of these must be present to warrant a diagnosis of PPD:

Criterion A is: Global mistrust and suspicion of others’ motives which commences in adulthood. The seven sub-features of Criterion A are:

  1. Belief others are using, lying to, or harming them, without apparent evidence thereof
  2. Doubts about the loyalty and trustworthiness of friends and associates
  3. Inability to confide in others due to the belief that their confidence will be betrayed
  4. Interpretation of ambiguous or benign remarks as hurtful or threatening
  5. Holding grudges (being unforgiving of insults, injuries, or slights)
  6. In the absence of objective evidence, belief that their reputation or character are being assailed by others; retaliation in some manner
  7. Being jealous and suspicious without cause that intimate partners are being unfaithful.


Criterion B is that the above symptoms will not be during a psychotic episode in schizophrenia, bipolar disorder, or depressive disorder with psychotic features (American Psychiatric Association, 2013).

Delusional Disorder: DSM-5 definition and types

According to the DSM-5, this condition is characterised by at least one month of delusions but no other psychotic symptoms. Delusions are false beliefs based on incorrect inference about external reality that persist despite the evidence to the contrary; these beliefs are not ordinarily accepted by other members of the person’s culture or subculture. In delusional disorder (a moderate level of paranoia), a person experiences non-schizophrenic (i.e., not bizarre) delusions, such as that they are that they are being spied on. Because only thoughts are affected, a person with a delusional disorder can act normal and function in everyday life, although they may display paranoia or other symptoms related to their delusion. The five types of delusions people with this disorder have are:

  1. Erotomanic, where there is a belief that a person with higher social or financial standing (such as the president or a movie star) is in love with them; it can lead to stalking and obsession.
     
  2. Grandiose, involving the false belief that the person has a special power or ability not shared by anyone else (such as that they are extremely lucky and will always win at the casino).
     
  3. Jealous: a mistaken belief that a current or former loved one is unfaithful or even harmful. Paranoia about the loved one’s words or actions can be a symptom of these delusions.
     
  4. Persecutory, in which the common sense of the paranoia is that someone is out to get the individual, because the person believes they are being threatened, mistreated, or that they will be harmed in the future.
     
  5. Somatic: a delusion in which the individual believes that they have an illness, disability or physical defect (Sunrise House, 2018; Mental Health America, n.d.; Bourgeois, 2017).


Treating and coping with paranoia

For the therapist

First, we must note the common advice: a person suffering from either PPD or a delusional disorder needs to seek professional help, although most such individuals do not believe that they are paranoid; rather, they think they are perceptive, noticing things that no one else sees. In this sense, it can be difficult to get such a person to therapy, as the condition tends to be ego syntonic. If such an individual turns up in your therapy rooms, however, note that a referral to a medical doctor is in order to determine if medication is needed.

Medication generally is not a major focus of treatment for PPD; therapy is. However, medications, such as anti-anxiety, antidepressant, or anti-psychotic drugs, might be prescribed if the person’s symptoms are extreme, or if he or she also suffers from an associated psychological problem, such as anxiety or depression (WebMD, 2018).

With delusional disorders, the diagnosed individual begins a combination of medication and psychotherapy. The anti-psychotic medication helps the individual improve enough to be able to understand reality and the need for therapeutic help. In milder cases, the individual may receive anti-anxiety medications or anti-depressants, which allows them to undergo therapy, where they learn coping skills, how to recognise delusions as false, and how to manage stress or difficult feelings. Hospitalisation may sometimes be indicated to stop the person from harming themselves or others during violent delusions (Sunrise House, 2018).

As the condition affects the client’s thought patterns and beliefs, it can be worked with effectively using cognitive behavioural therapy, which transforms the unrealistic, maladaptive thoughts by replacing them with more helpful, realistic adaptive thoughts. In addition, some therapists have observed that psychodynamic work, such as object relations, can help paranoid clients look into reasons for becoming mistrustful and suspicious which arise from early childhood relationships (Everyday Health, n.d.).

You might be asking, “Wait a minute; chief symptoms are a tendency to be suspicious and an inability to trust. How, then, can a therapist make any reasonable headway with such a client, given that trust is the basis for any solid therapeutic alliance?” If you twigged to this issue, congratulations; you have nailed the problem: how to keep the paranoid client in therapy long enough for enough trust to be built so that real progress can be made. Building trust is where the challenge is, no matter what modality is being used with the client.

To help a client in relationship with a person living with paranoia

You are likely to see the partner of a person acting paranoid. Once it is established that some form of paranoia is indeed the diagnosis, some clear guidelines exist for helping the partner. Some of the following tips also hold true for therapists working with this client population.

Setting boundaries. The paranoid person needs compassion and understanding, true, but that does not equate to acceptance of poor treatment on the grounds that the person has a disorder and is frustrated. Clear lines of what is acceptable and what is not must be drawn; those expectations for decent treatment must be communicated clearly, including around the issue of refusing to collude with delusional thinking (compromising one’s own needs) because of the person’s paranoia or fear.

Practicing self-care. For therapists and partners alike, this one is paramount! Dealing with this disorder is exhausting and sometimes heart-breaking. Those in close relationships (whether intimate or therapeutic) with paranoid individuals must have regular, solid habits of self-care. All the usual practices go into this category: relaxation/meditation, exercise, decent diet, support systems activated, and perhaps journalling or creative work to vent frustrations. Particularly for partners of those with PPD or a delusional disorder, maintaining a healthy social life — not allowing oneself to become isolated — is important.

Don’t abandon own stance, but empathise with their fear. If either the partner of the paranoid person or you, as therapist, hear an accusation that seems really “off” — totally unfounded — you can employ the tactic of empathising with the feeling, but not necessarily agreeing with the facts (though outright disagreeing doesn’t work, either). Carrie Baron, M.D., and Director of the Resilience Program at Dell Medical School in Texas, explains that consoling the person and refuting what they have said will not likely alter any paranoid convictions or delusions. What works better is “observation, reflection, curiosity and openness without judgment”, which lead to better understanding (Barron, 2016). Thus, the partner could say to the paranoid person, “I can imagine you’re worried if you think that the inheritance you counted on for your retirement might be taken away through your dad marrying. Have you observed any behaviour that made you question her motives?” (curiosity). However they do it, partners of people with any form of paranoia must look beneath the surface before getting swept up in the partner’s claims (Barron, 2016).

Recognise that the paranoid person can still contribute to life. Because of the fact that mild or moderate forms of paranoia are circumscribed, showing up only in particular thoughts and delusions, only those involved or accused may be aware of the psychopathology of the condition. The person can thus contribute to family life, work, and aspects of social life in positive ways, which you as therapist can help highlight for the partner.

Having either a client or a client’s partner who is paranoid is not easy, but the worst heartbreak and chaos can be avoided if the person can engage treatment, including medication when necessary.

References:

  1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders.(5th Edition). Washington, DC.: APA.
  2. Barron, C. (2016). 7 Tips for coping with a paranoid partner. Psychology Today. Retrieved on 4 December, 2018, from: Website.
  3. Bourgeois, J. (2017). Delusional disorder. Medscape. Retrieved on 9 December, 2018, from: Website.
  4. Everyday Health. (n.d.) Coping with paranoia in a loved one. Everyday Health. Retrieved on 4 December, 2018, from: Website.
  5. Mental Health America. (n.d.). Paranoia and delusional disorders. Mental Health America. Retrieved on 6 December, 2018, from: Website.
  6. Navarrro, J. (2016). The paranoid partner: Identifying the paranoid personality in relationships. Psychology Today. Retrieved on 4 December, 2018, from: Website.
  7. Nowak, L. (2018). Paranoid personality disorder and relationships: Moving past fear, together. Bridges to Recovery. Retrieved on 4 December, 2018, from: Website.
  8. Sunrise House. (2018). Is there a difference between paranoia and delusional disorders? American Addiction Centers. Retrieved on 9 December, 2018, from: Website.
  9. WebMD. (2018). Paranoid personality disorder. WebMD LLC. Retrieved on 9 December, 2018, from: Website.

Australian Institute of Professional Counsellors. (2021). Finding Meaning: Masculinity in Crisis (Issue 358 // Institute Inbrief). Retrieved from https://mailchi.mp/aipc/institute-inbrief-179116?e=5e8ce9018dAustralian Institute of Professional Counsellors. (2021). Finding Meaning: Masculinity in Crisis (Issue 358 // Institute Inbrief). Retrieved from https://mailchi.mp/aipc/institute-inbrief-179116?e=5e8ce9018d

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.

Welcome to Webb TherapyWelcome to Webb Therapy

Webb Therapy is a casual and confidential, talking therapeutic process dedicated to supporting people who are experiencing anything, and want to talk about it.

I specialise in substance use disorder (addiction) and recovery, emotion regulation, general stress and behavioural change.

Location: Sydney City

Please Phone 0488 555 731 to schedule a booking.
Price: $120.00 for a 60 minute session.
Please enquire if you are a low income earner or receiving Centrelink benefit.