the online magazine about life as a creative process

 

The art & science of
psychotherapy with men

Part 2 of a 2-part series

 

by Edward M. Stephens, M.D.

 

 

     
 

Read Part 1 of this article.

The corollary of the cult of motherhood is the exclusion of fatherhood and the forced expulsion of the man from the family. Sometimes this happens in the mother child primary care taker mythology. Primary care taker mythology may be offensive to some who consider it fact and not myth. Those who insist that primary care taker means mother and child have not done their homework on father as a primary caretaker and choose to believe rather than inquire.

The changed role of men and women's expectations of men can be deduced from the fact that 70% of the time, requests for divorce are initiated the by the woman. The forced expulsion of men from their families can be deduced from the fact that the award of full custody to women is made 90% of the time, nationwide, and the father is relegated to the exercise of liberal visitation.

In other words, that male patient who comes to see us, whether contemplating marriage or married is facing an uncertain emotional future where any primary bonds he establishes can be cut and burned before his eyes. Our male patients are imbedded in this context of maternal cultism, feminism and uncertainty.

For example, from the time the sperm leaves a man's body he has no control over the future of the pregnancy. His determination about the future of that sperm is dependent upon his partner's consent. He can masturbate, use condoms with the hope that they work, have a vasectomy or abstain. He can operate only in the negative, but not in the positive. His emotional investment is considered to be minor compared to the child bearing role of the woman but his full commitment is expected should the woman go forward with the pregnancy. In other words, full responsibility without control.

Thus far I have focused on some of the cultural forces shaping men's awareness of their place in the world. Our psychological model builders don't seem to factor these into a relevant psychology for men. They don't seem to grasp that men are developing their sense of manhood in the world around them where they face uncertain futures. As an example, by way of explanation for men's alleged wordlessness and anger as a primary emotion, two popular concepts have been put forward as genetic explanations: Gender bifurcation and unconscious psychological hurt.

In gender bifurcation, we take a rather strict account of highly selective, sex stereotyped behaviors and see them as fixative for later male or female behaviors and predilections, i.e. doll play for girls and trucks for boys. Very often these caretaker reinforced stereotypes are turned into the mantras, "Boys don't cry","Take it like a man", and a homophobic aversion to less rugged interests. The postulated net emotional effect is to produce an action/anger prone adult male who is relatively alexithymic.

In unconscious psychological hurt, some theorists postulate a traumatic disruption of the early holding environment, i.e. the boy child leaves his mother prematurely. The cultural aphorism states that the "apron strings have to be cut" in order to produce a real boy/man. This model says that boys need more time with their mothers in order for boys to develop properly. This premature psychic separation from the mother, and in many cases from the father, is postulated to be a later source of hurt, yearning and a determining factor in the man's longing for a mate, choice of mate and ambivalence or even antipathy toward women in general.

As contemporary therapists of men, it is important to understand the myopic character of this type of male psychological model building. It is equally important that we apply the same energy to men's psychological evolution as we have paid to the women's issues aspect of psychotherapy. Then, for example, we can ask ourselves what model of early male infant development creates a positive role for the father as well as the mother? Or what does separation and individuation refer to for men? What are the current cultural attitudes forming the psyche of boys, adolescent males and men?

In addition to conceptual and developmental modeling difficulties, what chance is there for men to come into an atmosphere in therapy that maintains a premium on a relevant psychotherapy for men? Seventy-percent of counselors are women with their own counter-transferential reactions to their fathers. And, there are the male therapists who haven't figured these dynamics out for themselves, caught in the maelstrom of cultural change.

Stephanie Koontz in her aptly titled book, The Way We Really Are (Note 5), describes a large part of our current sense of ourselves as men and women as a product of misinformation and misinterpretation of our own societal change. In the midst of the white noise of domestic violence and feminist emergence, there is hardly a bleep from our professions addressing the unique contributions of men to family life and the liberation of women.

Until recently, with the studies of Kyle Pruett from the Yale Child Study Center, and other like minded researchers, the actual effect of fathers in early infant development was unknown. (Note 3)

Now, with the emergence of single parent families headed by men, we have, for the first time, a basis for analyzing the psychological outcome for children raised by men. Major parameters of personal and social adjustment, show boys and girls raised by men only to have equal or higher scores. Perhaps Send Your Daughters to Work Day should be augmented by Let Fathers Go Home from Work Day so that Dad as caretaker of hearth and home becomes a respected choice for men.


In conclusion:
When the male patient enters our office, he needs to be met by a therapist who holds a relevant psychology for contemporary men. The yang of women's liberation as it effects the development of uncertainty in boys, adolescents and men must be factored into treatment. The unique expression of symptoms, or lack of symptomatology in men who are truly upset, needs to be seen in the context of our times. Perhaps, the most important prevailing attitude in therapy can be a sense of new possibility.

 
     
 

 


Notes
4) Gardner, Richard, A.
The Parental Alienation Syndrome.
New Jersey: Creative Therapeutics Inc., 1998.

5) Koontz, Stephanie.
The Way We Really Are.

 

     
 

Edward M. Stephens, M.D., is the originator of the concepts of the Paternal Instinct and the Paternal Grief Syndrome. He is planning to bring a broad range of mental health issues in men's lives into the open, in The First World Congress on Men's Mental Health, to take place in New York City in 2004.
Dr. Stephens is a Board Certified Psychiatrist, member of The American Psychiatric Association; member of The American Academy of Child and Adolescent Psychiatry; Director, American Association of Practicing Psychiatrists; a Director of The On Step Institute for Mental Health Research; and the President of The Greater New York Chapter of The National Coalition of Free Men.

 
     

 

     
   
     

 

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