Men battling depression or other psychological issues or mental health professionals working with male clients should take a look at the classic book Reality Therapy by Willima Glasser, M.D. which offers an alternative, and very masculine, approach to mental health and emotional well-being. The book is named for Glasser’s theory of counseling, which he called Reality Therapy.

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Men are often uncomfortable with the deeply introspective and indirect nature of counseling, because traditional theories of mental health start with a highly theoretical worldview that goes against the practical, solution oriented way that most men live their lives, regardless of their immediate mental state. ?However, Glasser developed his theories during the late 1950’s and early 1960’s while working at a Veterans Administration hospital with almost an exclusively male clientele. His approach is a simple, practical, results oriented and it is clearly a backlash against the Freudian psychoanalytic approach to psychotherapy that was dominant during the decades after the Second World War.?

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Glasser lays out six major points of disagreement with the between Reality Therapy and the psychoanalytic approach, all of which work well with the basic attitude of most men. First, Glasser doesn’t accept the idea of mental illness.?Second, since Reality Therapy focuses on the present and the future, there is no need to probe deeply into a patient’s life history, which men often find annoying and unhelpful.?Third, he believes that the therapist should not be a transference figure. Fourth, Reality Therapy does not focus on unconscious reasons for a patient’s behavior, because Glasser believes these are simply excuses for irresponsibility. Fifth, and perhaps most shocking, Glasser “emphasizes the morality of behavior” and “the issue of right and wrong.”?Sixth, Reality Therapy believes in the value of teaching patients how to deal with their problems. ?Also, though Glasser does not mention it in that list, he also believes that therapy should last anywhere from one session to perhaps a few months - not the years of traditional psychoanalysis common at the time.

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Reality Therapy dovetails well with what men have heard all of their lives from their best coaches, teachers, and role models: “Work hard, do the right thing, learn from your mistakes, and take responsibility for your actions.” ?Instead of discussing a patient’s Oedipal desires or the trial and tribulations childhood bowel movements Reality Therapy focuses on helping, “. . . all patients toward reality, toward grappling with the tangible and intangible aspects of the real world. . . .”?Glasser wants to help patients meet their two essential “. . . psychological needs: the need to love and be loved and the need to feel that we are worthwhile to ourselves and to others. ????????

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Reality Therapy is simple, pragmatic, and focused on measurable changes in actual behavior.?Glasser was born and educated in Ohio, and Reality Therapy is probably the most American of psychotherapies, because it rejects the over-intellectualization of Freudian psychoanalysis and instead offers a heavy dose of old fashioned Midwestern common sense.?Reality Therapy is the sort of clear, simple book that a good engineer would write to explain the basics of an engineering project to a client, and, not surprisingly, Glasser was initially educated as a chemical engineer. ?Glasser’s theories are also of course applicable to women or anyone who has had a difficult time making progress using more traditional approaches to battle depression and other mental health issues.

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Reality Therapy was first published in 1965. It has influenced literally hundreds of books on depression and mental health and the entire field of pop psychology. Furthermore, Glasser has expanded on the book and theory himself numerous times, but the original 1965 edition is in many ways still the best because it is short, simple, and unadorned. ?It is the sort of book men can appreciate and keep a guy’s attention.

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