Men are underrepresented among depression diagnoses, yet are more likely to engage in self-harm. Masculinities research has sought to better understand the mechanisms through which men may conceal or suppress depression, and has suggested that traditional diagnostic criteria may fail to recognize the many ways that gender may influence the presentation of negative affect. Ideals of hegemonic masculinity dominate military culture, making mental health treatment in a veterans’ hospital an ideal setting to work through the influence of rigid gender norms on interpersonal relationships. Relational therapy can be particularly useful to help some men reconstruct their sense of self in relation to their own rigid gender norms. Dynamic interpersonal therapy is a powerful therapeutic modality that can help men recognize and connect with parts of themselves that have been previously disowned. By giving voice to these more vulnerable affects, men may be freed up to connect to and communicate their own longing for care in relationships. We will present three case vignettes to illustrate this approach among American male veterans seeking psychotherapy at a Veterans Administration (VA) Hospital in New York City.

中文翻译：

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男性的秘密悲伤：动态人际关系治疗对“男性抑郁症”的影响

男性在抑郁症诊断中的代表性不足，但更容易自我伤害。男性气质研究试图更好地理解男性隐藏或抑制抑郁的机制，并建议传统的诊断标准可能无法认识到性别可能影响负面影响的多种方式。霸权男性气质的理想支配着军事文化，这使退伍军人医院的心理健康治疗成为通过严格的性别规范对人际关系产生影响的理想环境。关系疗法对于帮助某些男人根据自己严格的性别规范重建自我感特别有用。动态人际关系治疗是一种强大的治疗方式，可以帮助男人认识自己并与之前被剥夺的部分联系起来。通过对这些较脆弱的情感表达声音，男人可以得到释放，以联系和交流自己对人际关系的渴望。我们将介绍三个案例，以说明在纽约市退伍军人管理局（VA）医院寻求心理治疗的美国男性退伍军人的这种方法。