Kivari Carson A, Oliffe John L, Borgen William A, Westwood Marvin J
1 The University of British Columbia, Vancouver, British Columbia, Canada.
Am J Mens Health. 2018 Mar;12(2):241-251. doi: 10.1177/1557988316630538. Epub 2016 Feb 4.
Ex-military men have emerged as a vulnerable subgroup for mental illness amid long-standing trends signaling men's reticence to seek professional help. Less explored is how men engage or disengage when they actually do enter helping programs. Contrasting decades of quantitative research pairing masculine ideology with low help seeking (i.e., describing the problem), this article draws on qualitative data to distill factors that help men become engaged and committed to counseling (i.e., identifying solutions). Shared is an evaluation of a treatment program with high success rates and virtually no dropouts-a unique occurrence in men's counseling. Enhanced Critical Incident Technique data suggest that helping men feel competent and free from judgment in the company of down-to-earth peers and genuine practitioners are instrumental in helping men draw benefit from counseling. While appealing to male gender roles may be critical in recruiting men to counseling, men can transition to embrace virtues (i.e., that might be shared by men and women alike) and universal human needs as counseling progresses.
在长期存在的男性不愿寻求专业帮助的趋势中,退役军人已成为精神疾病的一个脆弱亚群体。较少被探讨的是,当男性实际进入帮助项目时,他们是如何参与或退出的。与几十年来将男性意识形态与低求助率联系起来的定量研究(即描述问题)形成对比的是,本文利用定性数据来提炼有助于男性参与并坚持咨询的因素(即找出解决方案)。文中分享了对一个成功率高且几乎没有辍学者的治疗项目的评估——这在男性咨询中是一种独特的情况。增强的关键事件技术数据表明,帮助男性在脚踏实地的同伴和真诚的从业者陪伴下感到有能力且不受评判,有助于男性从咨询中受益。虽然在招募男性参与咨询时,迎合男性性别角色可能至关重要,但随着咨询的推进,男性可以转而接受美德(即可能为男性和女性所共有的美德)和普遍的人类需求。