Anxiety experiences of male psychotherapists: A hermeneutic phenomenological study

Aims: There is currently a lack of clarity surrounding how men experience anxiety. This is caused by epistemological limitations with the perspectives employed to explore male anxiety, but equally by a lack of empirical research and uncertainty of how to define masculinity. In order to explain male anxiety more effectively this study needed to overcome these limitations by both incorporating the notion that there are multiple masculinities, through which men experience specific anxieties, and allowing men to talk directly about their experiences. This study focused on one kind of masculine identity: that of male psychotherapists. Research design: A hermeneutic phenomenological method was employed. Eight male psychotherapists of various modalities were interviewed who work in a number of therapeutic contexts. Results: Anxiety patterns are complex and comprise of feelings that are very difficult to deal with. Yet, anxiety is also an impetus for learning and improvement. Conclusions: The few existing ideas of male anxiety fail to capture the complexity of how men experience anxiety. Concepts of male anxiety need to be defined with more accuracy.     

An Exploration of Rapists' Motivations as Illustrated by Their Crime Scene Actions: Is the Gender of the Victim an Influential Factor?

An aim of this paper was to examine if the rapist's motivations of anger and power as inferred from rape crime scene behaviours differentiates between rape victim genders. In addition, it was sought to analyse the resistance strategies employed by rape victims to investigate whether gender influences victim–offender behavioural interactions. A sample of 24 female and 12 male rape victims aged from 13 to 39 years were analysed. The data were extracted from the US National Crime Survey, which contained 12 reported cases of male rape. It was hypothesised that the theme of power would be evident from the rapists' behaviour as illustrated by the crime scene actions and victim–offender interaction. Smallest Space Analysis, a multi‐dimensional scaling technique, was employed to identify the themes present in the perpetration of rape. The crime scene actions illustrated several distinctions relating to the theme of power present in the offender's motives irrespective of the victim's gender. An additional finding was that victim resistance strategies differentiated between male and female rape victims. Copyright © 2014 John Wiley & Sons, Ltd.     

Effects of Group Status and Victim Sex on Male Bystanders’ Responses to a Potential Party Rape

This study examined male bystanders’ responses to risk for party rape. Undergraduate men (N = 77) imagined attending a party (either alone or with 3 friends) where a sober man led an intoxicated potential victim (either a man or woman) into a bedroom. After random assignment to 1 of these 4 conditions, participants completed measures of behavioral inaction and barriers to action. Bystanders in groups were more inactive than lone bystanders. Compared to bystanders who saw a woman at risk, bystanders who saw a man at risk reported greater inaction and greater barriers to action, including risk uncertainty, lack of responsibility to help, and skills deficits. Results highlight social factors that inhibit male bystanders’ prosocial responses to high-risk situations.     

Use of Erectile Prostheses in Patients with Free Forearm Flap Phalloplasty

ABSTRACT

Today, the free radial forearm flap phalloplasty is the method of choice for most surgeons engaged in female to male sex reassignment surgery. However, one of the main disadvantages of this procedure is the patients' inability to have sexual intercourse, due to their missing ability to have an erection. In this paper, we present our experiences with more than 100 patients that we provided with erectile prostheses that were originally designed for the use in biological males suffering from erectile dysfunction. We will show that the complication rate in transsexual patients is not significantly higher than in biological males. We therefore recommend the use of erectile prostheses in transsexual patients as a safe, reliable and successful way of obtaining the ability to have sexual intercourse.     

Heterogeneity in Transgender: A Cluster Analysis of a Thai Sample

ABSTRACT

An analysis was performed of data from an Adjective Checklist (ACL) study of identity and gender-trait stereotype in Thai MtF transgenders (Winter and Udomsak, 2002a, 2002b). Contrary to previous analyses, the current analysis employed the participants (rather than the ACL traits) as the unit of analysis. For each participant a calculation was made of the extent to which traits endorsed for actual self were also those endorsed as stereotypically male (masculine) or stereotypically female (feminine) traits. In this way gender-in-self scores (indices of masculinity, femininity, and non-differentiation) in actual self-concept (MASC, FASC, and NASC respectively) were calculated. A similar matching procedure involving ideal self led to the calculation of indices for masculinity, femininity, and non-differentiation in ideal self-concept (MISC, FISC, and NISC respectively). A cluster analysis was then performed, using these six gender-in-self scores in order to identify any groups within our sample.

Participants clustered into three substantial groups, together accounting for 98% of the data. The largest (69.9% of the sample) endorsed stereotypically male and female as well as undifferentiated traits. It could therefore be described as an androgynous group. The next, accounting for 21.4% of the sample, endorsed overwhelmingly undifferentiated traits. It was accordingly labelled the undifferentiated group. The last, accounting for 6.6% of the sample, endorsed overwhelmingly female-stereotyped traits and. in view of the fact that they had constructed for themselves such a highly stereotypically female self-concept, was labelled the feminine group. All six gender-in-self scores played a part in distinguishing the groups from each other.

For all three groups discrepancies between actual and ideal self were found, suggesting personal growth goals that led away from female stereotype.

Traits endorsed for actual self were further examined for any sign of group differences in terms of scores for 14 underlying features, as well as loadings on four higher-order factors, as employed in the Winter and Udomsak (2002b) analysis. Traits endorsed for ideal self and for gender-trait stereotyping were examined in the same way and for the same purpose.

For actual self no significant group differences were found. In contrast, several differences were found for ideal self. Trails endorsed by the undifferentiated group stood out from the others by being higher on adult ego state, conscientiousness, and emotional stability, and lower on adapted child ego state. All this was reflected in stronger loadings on resourcefulness/dependability.

Numerous group differences were identified for gender-trait stereotyping. The feminine group (compared to the other two groups) considered stereotypically female traits to be (a) higher on strength, favourability, adult and free child ego states, extraversion, agreeableness, conscientiousness, emotional stability, openness, and psychological importance, and (b) lower on adapted child ego state. All this was reflected in a stereotypical view of the female as both more caring/harmonious (a stereotypically “female” factor), as well as more resourceful/dependable (usually a stereo-typically “male” factor) than how she was viewed by the other groups. The undifferentiated group's view of the female was at the other extreme, providing a mirror image effect.

In conclusion, three groups of MtF transgenders were identified, differing from each other in terms of the degree of gender stereotypy evident in their actual and ideal self-concepts. The three groups also differed in terms of the underlying elements of the traits that they had endorsed for ideal self, as well as for gender-trait stereotypes.     

Infertility: Couples' experiences and the use of counselling in treatment centres

Abstract

Infertility can have profound effects on couples, who may spend years in an increasingly stressful quest for conception; by law, counselling must be offered to those undergoing licensed treatments. This study found that such couples relied on their own partnership as their main resource for managing stress. Predominantly the partnership was organized in a psychological division of labour -the woman experiencing emotional pain, the man supporting and seeking positive solutions. Normally a functional joint defence, this could become a dysfunctional split under excessive stress. Where counselling was offered directly, with a couple approach, couples who took it up were enabled to re-establish their own defences more adaptively. However, where access to counselling was by clinical referral - often of a distressed woman partner alone - the couple approach was more difficult to apply though apparently no less relevant. The counsellor-clinician partnership could mirror the ‘division of labour’, with a similar tendency towards dysfunctional splitting under stress.     

One size does not fit all: Exploring how the five-factor model facets predict disordered eating behaviours among adolescent and young adult males and females

There is a wealth of research that has highlighted the relationship between personality and eating disorders. It has been suggested that understanding how subclinical disordered eating behaviours are uniquely associated with personality can help to improve the conceptualization of individuals with eating disorders. This study aimed to explore how the facets of the Five-Factor Model (FFM) predicted restrictive eating, binge eating, purging, chewing and spitting, excessive exercising and muscle building among males and females. An online survey assessing disordered eating behaviours, FFM and general psychopathology was completed by 394 females and 167 males aged between 16 and 30 years. Simultaneous equations path models were systematically generated for each disordered eating behaviour to identify how the FFM facets, body dissatisfaction and age predicted behaviour. The results indicated that each of the six disordered behaviours were predicted by a unique pattern of thinking, feeling and behaving. Considerable differences between males and females were found for each path model, suggesting differences between males and females in the personality traits that drive disordered eating behaviours. It was concluded that it is important to take personality into account when treating males and females who engage in disordered eating behaviours.     

Coronavirus: does its activation of archetypes of evil cause added psychological suffering?

Fear and grief caused by the pandemic have produced a powerful unconscious narrative in the collective psyche that the coronavirus is driven by an innately evil, and possibly divine, force. The resulting archetypal dimension of fear causes an extra layer of psychological suffering in individuals. This paper discusses how and why this narrative was created and why it is so compelling by looking at 1) the myth-making nature of the human psyche, 2) the psychodynamics of fear that drive the narrative, 3) the properties of the coronavirus and the pandemic that activate negative poles of some archetypes, in particular, archetypes of evil, and 4) asking how analytical psychology can help ease psychological suffering caused by these negative narratives, where one possibility is to invoke the transcendent function. The author’s personal experiences as both biochemist and analytical psychologist elucidate how the transcendent function can promote healing.     

Perceived control over the medical procedure and its association with adjustment to a low-control situation: the case of infertility

Illness perceptions were shown to be related to emotional and physical outcomes, as proposed by Leventhal’s self-regulation model. These perceptions include the illness identity, its timeline, consequences, causes, and controllability, which later research found to include self-control and treatment control. The current study aimed to examine the role of a third type of perceived control: Control over the treatment procedures. We hypothesized that this type of control would be important for women undergoing infertility treatments, which are characterized by high uncertainty and low personal control. The sample included 194 Israeli women who were undergoing infertility treatments, 70% recruited in hospitals and the remainder in a fertility counseling center and website. All participants were married religious Jewish women, which added to the stress inherent in infertility. Study measures included the Illness Perception Questionnaire-Revised (IPQ-R), adapted to infertility, with an additional subscale assessing control over the procedure, and infertility-specific distress and well-being scales. Exploratory and confirmatory factor analyses supported the factor structure, including the distinct new subscale. A structural equations model showed that perceived consequences were most strongly related to distress and well-being. The three types of control were positively intercorrelated but differed in their associations with distress and well-being: Self-control over the problem and treatment control were unrelated to either measure while self-control over the procedure was related to greater well-being. These findings suggest that when control over the condition or the treatment outcomes is impossible, individuals may still benefit from control over external factors such as their health care. Healthcare providers can support them by seeking ways to increase their control over their treatment procedures, which may contribute to better psychological adjustment. Future studies should examine the role of perceived control over the procedures in other low-control situations (e.g., newly diagnosed cancer; aging-related declines).