Cited by 96Psychotherapy Techniques and ApplicationsGender Roles and Identity StudiesMental Health Treatment and Access

Men In and Out of Treatment for Depression: Strategies for Improved Engagement

Seidler, Zac E., Rice, Simon M., Oliffe, John L., Fogarty, Andrea S., Dhillon, Haryana M.·2018·Australian Psychologist

Abstract

ObjectiveWhile the prevalence of major depressive disorder continues to rise, many men are reticent to seek and sustain psychotherapy. The current study explored Australian men's experiences with treatment for depression with a view to guiding recommendations for improving treatment engagement.MethodTwenty men (23–64-years) who had received psychotherapy for depressive symptoms in the past 3-years took part in individual, semi‐structured interviews. Interviews were transcribed verbatim and coded in line with interpretive descriptive methodologies.ResultsFindings suggested men's preference for a transparent orientation to treatment, including the provision of a clear structure for therapy. Men's preferred structure included focusing on individualised goals and expected progress, establishment of trust, and a sharing of decisional control. Providing an action‐oriented functional treatment with targeted skills attainment was recommended as most engaging. The focus on “doing” in treatment, as distinct from pure talk therapy, engendered feelings of strength and empowerment in the men, bridging self‐management of symptoms and wellness. Most participants, however, did not receive a treatment style that properly engaged them, and articulated clear recommendations for changes needed.ConclusionsFindings highlight the potential for development and dissemination of gender sensitive, strength‐based clinical training and treatment options for better engaging men in psychotherapy for depression.

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Registry

Crossref · 10.1111/ap.12331

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54 of 54 references verified0 citation errors · 0 not checkable

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  • Individuals who identify as male have expressed hesitation around psychotherapy and help-seeking for psychological distress in past literature, including those with IBD.

    “Individuals who identify as male have expressed hesitation around psychotherapy and help-seeking for psychological distress in past literature, including those with IBD (Dober et al., 2021; Seidler et al., 2018).”

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Authors
Seidler, Z. E., Rice, S. M., Oliffe, J. L., Fogarty, A. S., & Dhillon, H. M.
Affiliations
  • The University of Sydney (AU)
  • The University of Melbourne (AU)
  • University of British Columbia (CA)
  • UNSW Sydney (AU)
Venue
Australian Psychologist
Published
2018-10-01
Volume
53
Issue
5
Pages
405-415
ISSN
  • 0005-0067 (ISSN-L)
  • 1742-9544
OpenAlex
W2765589571
Cited by
96
References
54
Citations by year
2026: 7 · 2025: 9 · 2024: 7 · 2023: 12 · 2022: 25 · 2021: 16 · 2020: 11 · 2019: 4 · 2018: 3 · 2017: 2
FWCI
6.78
Type
journal article
Language
en
Open access
closed
Locations
Australian Psychologist (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Gender Studies › Gender Roles and Identity Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
male depression, treatment engagement, psychotherapy, gender differences in help-seeking, treatment preferences, treatment structure, trust in therapy, shared decision-making, skills training, empowerment, strengths-based approach, self-management

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