Real's Men and Depression

Posted by JohnD Sat, 04 Oct 2008 23:55:00 GMT

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The other day I looked back at a couple of posts by Therese Borchard at Beyond Blue about the behaviors that distinguish men and women in their responses to depression. She quoted two different studies in posts she published about a year apart, and that’s how long I’ve been mulling over writing about this subject.

I’m less interested these days in explanations and studies than in looking directly at experience, but in this case important questions come to mind. What would set men and women apart in their behaviors? How much of the difference is due to our being conditioned to behave in certain ways to fit the social role of a man or a woman?

You can read the full posts and citations to the studies they draw on here and here. I won’t repeat the differing behaviors of men and women in full.

One of the basic contrasts is that men are more likely to blame other people or external circumstances for inner turmoil and to act out in overt, often violent or abusive ways. They self-medicate with alcohol, sex or other addictions and feel they aren’t loved or appreciated enough. Women are more likely to blame themselves and ask how they can be better as a spouse, parent or worker. They tend to self-medicate with food, friends and love and ask themselves how they can be more lovable.

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Depression Against Life

Posted by JohnD Sun, 30 Mar 2008 22:25:00 GMT

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WARNING: THIS POST HAS POSSIBLE TRIGGERS

Anon for Now recently commented on the sense of renewal in life that served as a deterrent to suicide. This struck me as capturing the most baffling aspect of the temptation to end life. For what does the evidence of life on earth point to but the endlessly inventive will to survive? There is no more fundamental drive than the will to adapt, change, reproduce one’s kind under any circumstances. Yet so many in the grip of major depression or bipolar depression act against that drive toward life and destroy themselves. As Kay Redfield Jamison points out in Night Falls Fast, the presence of mental illness and/or substance abuse, or worse, the two together, vastly increases the likelihood of suicide. It’s among the top five causes of death in the United States for men and women between the ages of fifteen and forty-four.

What I have seen and sorrowed at is the cool determination of more than one friend to plan and carry out his own destruction. Karl Menninger described the drive to suicide as taking many forms in his classic study, Man Against Himself. These included self-defeating behavior, dangerous addictions, certain types of self-mutilation, aggressive and violent outbursts, purposive accidents and many other variations. Some of these can lead directly to premature death; many set the stage in a person’s mind as justification for ending a life regarded as failed or too painful or destructive to others.

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