On this track, we will discuss the difference between masculine depression and feminine depression, Dissociation
or Disconnection, and the Lynch and Kilmartin concept of direct expression, indirect expression, and physical expression.
Far more women suffer from depression
that men do, so it seems odd that women would commit suicide at only one-fourth
the rate of men. The key difference between the two sexes may be that women talk
out their problems. George E. Murphy, an emeritus professor of psychiatry at Washington
University School of Medicine in St. Louis, says that women may be protected because
they are more likely to consider the consequences of suicide on family members
or others. Women also approach personal problems differently than men and more
often seek help long before they reach the point of considering suicide. As a
result, women get better treatment for their depressions.
you know, we typically recognize people as being depressed if they exhibit feelings
of sadness and hopelessness, a low of self-esteem, changes in diet and sleeping
patterns, and tendencies toward isolation. What my colleagues and I have found,
though, is that these characteristics describe a typical depressed female. Do
you agree that you are more likely to diagnose women with depression because you
see these symptoms as classic signs of depression?
Masculine Depression vs. Feminine Depression
According Dr. Caroline Dott, when women are depressed, they often avoid conflict, blame themselves, and feel
as though they were born to fail. Men, on the other hand, will often create conflict,
place the blame on others, and feel as though the world set them up to fail. Do
you agree that what we sometimes fail to see is that these criteria for depression
are partial to our cultural and social expectations of how men and women should
behave? Women are more likely than men to worry, cry, and mope when they are depressed,
while men will more often act out aggressively.
be asking yourself then, "How is masculine depression different from
feminine depression?" Masculine depression involves emotional pain similar
to that of feminine depression, but I have found that the pain is manifested in
different ways. For instance, as mentioned earlier, instead of crying or talking
about his emotions, a man might demonstrate anger and self-destructiveness in
response to painful feelings. He might distract himself by drinking, gambling,
womanizing, or working. According to Overcoming Masculine Depression,
males complete suicide four times more often than females in the United States.
Lynch and Kilmartin Concept
Lynch and Kilmartin have come up with a different viewpoint
regarding distinctions between feminine and masculine depression. Feminine depression
is characterized by direct expression of feelings, like telling others about their
pain. It is also characterized by "acting in" behaviors, which could
be crying, moping, loss of pleasure, and insomnia. Masculine depression, on the
other hand, features dissociation from feelings.
You already know men and women are conditioned in
our society to behave in certain ways according to their sex, referred to as gender
socialization. Women, of course, are raised to be feeling oriented and self-reflective,
and they often look within themselves first when they feel depressed. Men, on
the other hand, learn to look for answers to their depression outside of themselves.
They seek to control their emotions rather than express them. Such reactions are
common because our society expects men to be powerful at all times, extremely
independent, and virtually numb to their emotions.
of a male client you are currently treating in which emotional dissociation
occurs when he detaches himself from his emotions and cuts off any awareness of
what he is feeling. Would it be helpful to share with your client the following
information as outlined by Lynch and Kilmartin? I found it helpful to discuss
with Foster, a 42-year-old warehouse worker, Lynch and Kilmartin's concept that
feelings can be expressed in three ways.
Technique: Three Ways Feelings can be Expressed
Foster hated his job, and his wife Laura
had left him for an old high school boyfriend. I explained to Foster:
-- Step 1 - "One
way to express feelings is direct expression. An example of direct expression
is when you would tell Laura you are feeling worried or angry.
-- Step 2 - The second way
to express feelings is an indirect response. An example of an indirect response
is when you yell at your children because you are angry with Laura.
-- Step 3 - The third way an emotion can be expressed is in physical body symptoms. A physical body
symptom of expressing feelings could be when you feel that pain in your back."
you have a client who might benefit from the Lynch and Kilmartin concept of direct
expression, indirect expression, and physical expression? You might consider replaying
this track prior to your next session.
On the next track I will discuss perceived
Peer-Reviewed Journal Article References:
McCullumsmith, C. B., Clark, C. B., Perkins, A., Fife, J., & Cropsey, K. L. (2013). Gender and racial differences for suicide attempters and ideators in a high-risk community corrections population. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 34(1), 50–62.
Sadeh, N., & McNiel, D. E. (2013). Facets of anger, childhood sexual victimization, and gender as predictors of suicide attempts by psychiatric patients after hospital discharge. Journal of Abnormal Psychology, 122(3), 879–890.
Sexton, M. B., Davis, M. T., Anderson, R. E., Bennett, D. C., Sparapani, E., & Porter, K. E. (2018). Relation between sexual and gender minority status and suicide attempts among veterans seeking treatment for military sexual trauma. Psychological Services, 15(3), 357–362.
Online Continuing Education QUESTION
According to George E. Murphy, a professor of psychiatry at Washington
University School of Medicine, what are two reasons women commit suicide at a
rate of one fourth less than men? To select and enter your answer go to .