Challenges working with men: Australian therapists' perspectives

J Clin Psychol. 2021 Dec;77(12):2781-2797. doi: 10.1002/jclp.23257. Epub 2021 Oct 2.

Abstract

Objective: Emerging research highlights that therapists experience difficulty engaging and retaining male clients in talk therapy. Understanding therapists' challenges when working with men can inform gender-specific training efforts.

Methods: Open-ended qualitative survey data were collected from a sample of 421 Australian-based therapists. Participants described that which they find most challenging about therapeutic work with men. Responses were analyzed using inductive thematic analysis.

Results: Three themes were revealed: (1) men's wavering commitment and engagement; (2) males as ill-equipped for therapy; and (3) therapists' uncertainty. Contrasting state and trait constructs, much of the men's state-based wavering commitment and engagement was positioned as amenable to change whereas traits assigned men as ill-equipped for therapy and unreachable.

Conclusion: These findings underscore a clear need to better target training efforts to directly respond to the needs of therapists working with men, such that all therapists are well-equipped to meet men with gender-sensitive therapy.

Keywords: gender; masculinity; men's health; qualitative methods; self-efficacy; therapist.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Australia
  • Humans
  • Male
  • Professional-Patient Relations*
  • Psychotherapy*
  • Racial Groups
  • Surveys and Questionnaires