School of Nursing, University of British Columbia, 302-6190 Agronomy Road, Vancouver, British Columbia, V6T 1Z3, Canada.
Health (London). 2013 Jan;17(1):75-92. doi: 10.1177/1363459312447256. Epub 2012 Jun 6.
Depression is a significant problem among college men that can be complicated by masculine ideals of stoicism, reluctance to seek help, and risky self-management strategies. Underpinning these issues are complexities in recognizing what behaviors might be indicative of college men's depressive symptoms. Findings drawn from a qualitative study of 25 Canadian-based college men who self-identified or were diagnosed with depression revealed three predominant masculine identities: the angry man; the solitary man; and the risk-reliant man. Within each of these themes men embodied aspects of idealized masculinity that were difficult to distinguish as symptoms of depression or as representative of the activities with which many college men partake. The angry man identity described men who expressed anger, at least in part, to dissipate depression invoked pain and emotional distress. The solitary man category included men who self-isolated, fearing that others would recognize and judge them as harboring depression. Risk-reliant men employed strategies including alcohol and other drug overuse rather than relinquish control by engaging with professional health care providers and services. Guided by the overall findings we argue this phenomenon as 'faux masculinities' - characterized by men's engagement in practices consistent with idealized masculine identities but that emerge from and/or in response to the experience of depression. Faux masculinities are discussed within the context of the challenges posed for college men and their health care providers in pointing toward targeted depression interventions.
抑郁是大学生群体中一个严重的问题,由于男性坚忍克己、不愿寻求帮助以及冒险的自我管理策略等观念,使得问题更加复杂。这些问题的根源在于难以识别哪些行为可能表明大学生存在抑郁症状。本研究对 25 名加拿大籍自认为或被诊断患有抑郁症的大学生男性进行了定性研究,结果揭示了三种主要的男性身份认同:愤怒的男人;孤独的男人;和依赖风险的男人。在这些主题中,男性体现了理想化男性气质的某些方面,这些方面很难被区分是抑郁症状的表现,还是许多大学生参与的活动的代表。愤怒的男人身份描述了至少部分通过发泄愤怒来消解抑郁所带来的痛苦和情绪困扰的男性。孤独的男人类别包括那些自我孤立的男性,他们担心别人会发现并评判他们患有抑郁症。依赖风险的男性则采用了包括酗酒和滥用其他药物在内的策略,而不是通过寻求专业的医疗保健提供者和服务来放弃控制。基于这些总体发现,我们认为这种现象是“虚假的男性气质”——其特点是男性从事符合理想化男性气质身份的实践,但这些实践源于或应对抑郁体验而产生。本文在指向有针对性的抑郁干预措施的背景下,讨论了虚假的男性气质对大学生及其医疗保健提供者所带来的挑战。