Eating Disorders in Men: Current Considerations

Over the past two decades, there has been a change in the way men think about their bodies. The media portrays images of men with muscular bodies and a six pack abdomen. These images can create body dissatisfaction in males. With the change in the way that the media and society in the United States look at men, so has the drive for men to achieve this ideal body image. Eating disorders, body dysmorphia, and strict exercise and diet regimens seem to plague young men as do the images in advertisements. Although eating disorders in men are similar to what women experience, men seem to strive for more body mass whereas women try to obtain thinness. Gay men and heterosexual men seem to experience eating disorders in the same way although there are differences between how they perceive their bodies. This paper outlines how the media contributes to body dissatisfaction in men. In addition to understanding how the media affects men, it is important to review and possibly revise out understanding of eating disorders and body dysmorphia symptoms to gain a solid understanding of how these symptoms appear in men today.     

Mapping Men's Mental Health

The central theme of this paper is that men are at one and the same time both damaged and damage-doing. The process of being damaged through the agency of masculinity predisposes men to exploit, dominate and abuse—not only as boys, as partners and fathers, but as priests, teachers, therapists, lawyers, nurses, psychologists and psychiatrists. Mental health services need to see both aspects of this male equation: a focus on male abuse alone leads to punishment, containment and, very likely, the continuation of abuse; a focus on male damagedness alone preserves the ideology of male unaccountability. However, evidence reviewed here suggests that most traditional psychiatric services fail to acknowledge the impact of inequalities on men's mental health as comprehensively as they fail to acknowledge the impact of these inequalities on the mental health of women. This is a significant problem, and we suggest ways that a gendered analysis of masculinity can be used to help address this deficit. This analysis is used to develop a map of men's mental health that not only accommodates traditional categories of mental health difficulty, but other important consequences of the close association between masculinity and sexuality inequality, especially the use of violence and the capacity to do harm. This analytical framework also invites consideration of the invisibility of male distress, the disallowing and desensitizing of ‘vulnerability, and their submersion in a kind of psychology of entitlement. Finally, we consider the implications of this mapping exercise for mental health services and for working with men.     

Developmental Relational Counseling: Applications for Counseling Men

Developmental relational counseling (DRC) is a conceptual model designed to help people gain a deeper awareness of their relational functioning. DRC is informed by relational‐cultural theory and influenced by the Enneagram personality typology and cognitive and narrative theories. This article outlines the DRC model in counseling practice with men. Men involved in counseling services may use this approach to expand their personal awareness and promote mutual understanding in their relationships.     

“Appearance potent”? A content analysis of UK gay and straight men's magazines

With little actual appraisal, a more ‘appearance potent’ (i.e., a reverence for appearance ideals) subculture has been used to explain gay men's greater body dissatisfaction in comparison to straight men's. This study sought to assess the respective appearance potency of each subculture by a content analysis of 32 issues of the most read gay (Attitude, Gay Times) and straight men's magazines (Men's Health, FHM) in the UK. Images of men and women were coded for their physical characteristics, objectification and nudity, as were the number of appearance adverts and articles. The gay men's magazines featured more images of men that were appearance ideal, nude and sexualized than the straight men's magazines. The converse was true for the images of women and appearance adverts. Although more research is needed to understand the effect of this content on the viewer, the findings are consistent with a more appearance potent gay male subculture.     

Sexual Identity,Mental Health,HIV Risk Behaviors,and Internalized Homophobia Among Black Men Who Have Sex With Men

The purpose of this study was to determine the relationships between sexual identity, depression, self‐esteem, HIV risk behaviors, HIV status, and internalized homophobia in Black men who have sex with men. Results demonstrated a positive relationship between depression, HIV risk behaviors, and internalized homophobia; a negative relationship with self‐esteem; and differences in internalized homophobia by HIV status (i.e., positive, negative, or unknown). Counseling recommendations are provided for working with this population.     

The relationship between personality organization and sexual life in a community sample of men

Contemporary object-relation theory of personality postulates that the level of severity of personality organization parallels the nature and extent of problems in the patient’s sexual life. The study aims at exploring the relationship between dimensions of Borderline Personality Organization (BPO) (as assessed according to Otto Kernberg’s model), sexual functioning, quality of sexual life and paraphilias in a community sample of men. One-hundred and thirty-six healthy men were asked to complete a set of questionnaires including the Inventory of Personality Organization (IPO), the International Index of Erectile Function, the Sexual Quality of Life Questionnaire, and a checklist to assess the prevalence of paraphilias. High scores on IPO subscales were significantly associated with low overall satisfaction in sexual functioning, low quality of sexual life, and the presence of paraphilias. Results expand previous findings on the relationship between features of BPO and core components of sexual life and support the need for an assessment of personality functioning in subjects reporting sexual problems.     

Somebodiness and Its Meaning to African American Men

The psychological functioning of African American men is often described in negative terms. One way to correct these distorted depictions is to identify culturally grounded concepts that can make a fair‐minded assessment of their psychological functioning. The literature has suggested that “somebodiness” is a culturally relevant, but understudied, concept. In this investigation, an interpretive phenomenological analysis approach was used to explore somebodiness and its meaning to African American men.     

Training Young Adult Peers in a Mobile Motivational Interviewing‐Based Mentoring Approach to Upstream HIV Prevention

Mentoring relationships are characterized by a sustained, high quality, and skill‐building relationship between a protégé and mentor (Handbook of Youth Mentoring, Los Angeles, SAGE, 2014). Within prevention science, youth mentoring programs emphasize creating a specific context that benefits a young person. Program‐sponsored relationships between youth and adults allow for creating a mentor–mentee partnership, but do not require the establishment of a strong bond in order to deliver prevention‐focused activities and experiences (Handbook of Youth Mentoring, Los Angeles, SAGE, 2014). Motivational Interviewing (MI) is a counseling style used widely to promote health behavior change and in prevention interventions. As part of an upstream approach to HIV prevention, we combined mentoring and MI by training peer mentors to use MI skills in their interactions as part of a large RCT of a mobile life skills intervention for adolescent men who have sex with men (AMSM). Our training model developed for training peer mentors in MI skills resulted in peers reaching and exceeding established MI fidelity thresholds (e.g., mean percentage of complex reflections = 80%, mean reflection to question ratio = 2.2:1). We offer reflections on lessons learned and future directions for those researchers and practitioners who may benefit from adapting this blended approach for mentoring AMSM.     

Development and psychometric evaluation of the Male Body Attitudes Scale (MBAS)

A measure of men's attitudes toward their body (MBAS) was developed and evaluated via three independent samples of college men. In Studies 1 and 2, factor analyses determined and cross-validated the MBAS's underlying structure. Three factors emerged from the items: muscularity, low body fat, and height. Studies 1 and 2 provided construct (i.e., convergent, concurrent, and discriminant) validity evidence for the MBAS total scale and subscales; they were related or not related as expected to drive for muscularity, body esteem, internalization of the muscular ideal, pressures for muscularity, pressures for thinness, self-esteem, body comparison, eating disorder symptomatology, and impression management. Study 3 revealed that the MBAS total score and subscale scores were stable over a 2-week period. The internal consistency reliabilities for the total score and subscale scores were high across all three studies. The MBAS should prove useful for researchers and clinicians interested in men's body image assessment.