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Program helps men reach out in times of
stress, need

(November 2007 Issue)

By Jennifer Chase Esposito

Pop-culture has waxed poetic about the difference between men and women going back to Adam and Eve. And though some are lighthearted referrals to up-or-down toilet seats and the female predisposition for shopping, men and women are fundamentally different, right down to how they cope with stress.

But that simplistic view isn't what Michael Addis, Ph.D., wants to promote about the Men's Coping Project, the research study he initiated at Clark University that delves deep into understanding the well-being of men and how they cope with stress in their lives.

"We've known for more than 30 years of previous research that men are less likely to seek help than women," says Addis, a 12-year professor and chair of the psychology department at Clark University in Worcester, Mass. "In my trials, men display more shame associated with seeking help and I've always wondered what it is about seeking help that men find so difficult. I developed this intervention to reduce the stigma and shame with depression, stress and dealing with them."

Funded by the National Institute of Mental Health, Addis's two-year-long program appears part research, part therapy, part self-help, as he and his staff have helped some 70 men understand that reaching out for help in times of great need is often the strongest choice to make.

"Some men associate masculinity with extreme self-reliance and that self-reliance is the mark of a good man," says Addis. Similarly, he says, one of the hallmarks of masculinity is the male perception of always being on top of things and in control; for many men, seeking help and not figuring out a problem on their own is the antithesis to being the Superman who gets it all done.

So Addis works toward dispelling the Superman myth, showing his clients that reaching out, not in, is not as weak as they think. And that, he says, is where his research and reaching out to his clients gets interesting.

"Are there differences between treating men and women? Yes and no," he says. On the one hand, on average, men are less likely to seek help. But within the male gender there are tremendous variables. Many men seek help for depression and anxiety. But many don't.

"Some men view the successful aspect of being a man, being in control. So for some men, seeking medicine and therapy [for their depression] helps them succeed at finding a workable solution toward getting control.

"For others," Addis continues, "they view getting help as giving up control. So the question of the individual difference between men is a great separator."

Clients come to Addis most often through advertisements the program places, asking men if they feel "stressed," as opposed to reaching out to men who think they're "depressed."

A common phrase used to get to the heart of men's problems is asking "how much private trouble on the inside" they're experiencing. "As a culture, we don't talk about the inner lives of men - not on television, not as boys," says Addis. "There's no language for it." And with 90 percent of violent crimes committed by men, there's strong evidence for the need of a language and a way to tap into the hurt so many men feel and can't express.

So the Men's Coping Project asks participants to fill out assessments asking a number of questions whose answers give insight into their personal perception of their stress and how they deal with it. During interviews following the assessments, staff from the project provide feedback to the men based on their answers in a "this is what we learned from you," sort of way.

"For some men, this has no effect," says Addis, "and for others, it's a transformation," as they learn more about the ways in which they view their coping mechanisms.

"Understanding men's well-being helps researchers to see that men do have inner emotional lives. They do want to talk about it, if you can find a way to do it that's non-shaming."

At the end of the two-year run, Addis will present the results of his program in a scientific journal that strives to help researchers, clinicians, and laymen better understand what it really feels like to be a man.