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Men's Health

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Time to stop believing this myth once and for all

Who decided "big boys don't cry"?

It's not rare to see powerful and high profile men overcome with emotion at times, but when they do, it's usually met with some form of criticism or seen as a display of weakness. Simply put, in today's world boys and men are simply not expected to display vulnerable emotions like sadness and grief. (But anger is usually A-OK!)

When we think of the founding pillars of "manliness," we think of strength, bravery, and stoicism, and we often assume that it's just always been that way. After all, ancient Greek warriors didn't cry! Medieval knights didn't cry! Men just don't cry! It's, like, biology or something! Right? Right?


Well, actually...

A couple of historians recently took to Reddit to debunk this myth once and for all.

A user named Sassenacho prompted the thread on the r/AskHistorians subreddit with a simple question: "Today, there are voices that call for (much needed) acceptance of men's emotionality, but it is still kind of taboo. I was wondering when and why this changed in western society."

Photo by Luca DG Photography on Unsplash

The explanations that ensued were fascinating.

Cassidy Percoco, a curator and historian at the St. Lawrence County Historical Association and author of "Regency Women's Dress" kicked things off, explaining that "masculinity and tears have not always been at odds."

Those rough and tumble medieval knights with their shiny armor and big swords? Percoco says they were actually expected to weep on occasion.

"In the Middle Ages there was a trope of masculine weeping being a mark of religious devotion and knightly chivalry; by the sixteenth century it was well-established that a masculine man was supposed to have deep emotions and to show them — in some cases, through tears."

It was a part of the whole chivalry thing and a sign of religious devotion.

As far back as Biblical times and in the age of Greek and Roman heroes, crying out of grief or sadness was just something men were expected to do.

From there, Percoco jumped forward to 17th and 18th century England. Hundreds and hundreds of years later, men crying and sharing their feelings — a gentlemanly trait known as "sensibility" — still hadn't gone out of style.

"A gentleman was to be courteous to women and other men, to talk problems out, to keep from bursting into loud displays of anger or drunkenness. You might think that that would also put the kibosh on weeping — giving way to feelings of all sorts — but this was not the case. Another gentlemanly trait of the eighteenth century was sensibility, which today sounds like it ought to mean "rationality" but is actually being aware of and susceptible to one's finer emotions."

Alex Wetmore, assistant professor in the English department at University of the Fraser Valley, chimed in as well to explain that in the mid-to-late 1700s, popular fiction often celebrated male leads who cried "a lot"!

"People are often interested to hear that there was a period of time of a few decades (1740s to 1770s) where fiction devoted to men who cry (a lot!) was not only acceptable, but, in fact, tremendously popular and widely celebrated."

Wetmore identified an archetype, which he calls "The Man of Feeling," who appears in a ton of novels from that era. (Wetmore even wrote a bookon the subject.)

"When I try to explain this recurring character type to students, I usually describe him as like a comic book superhero ... BUT with the notable exception that the 'superpower' of men of feeling is an ability to spontaneously shed copious amounts of tears."

It's quite the contrast to the unflinching action heroes we see today.

Photo by Sander Sammy on Unsplash

It wasn't until the early 1800s that things began to change, and men started feeling the pressure to hold those tears in.

Percoco and Wetmore were both hesitant to prescribe a definite cause and effect relationship, but they do suspect the Industrial Revolution played a big part in turning the tide. (Reportedly, some factory managers actually trained workers, usually men, to suppress their emotions in order to keep productivity high.)

The age of the stoic and emotionless cowboy (a la John Wayne, who most people agree never cried in a movie) wasn't far behind, followed by the gun-wielding "Die Hard"-ian action heroes of modern cinema.

But ... while fictional macho men may have been suppressing their tears, the real men of the real world were doing the same thing they'd always done: wearing their hearts on their sleeves.

For instance: General Ulysses S. Grant cried when the Civil War finally ended. President Eisenhower cried on the eve of D-Day. And baseball legend Lou Gehrig cried when the Yankees retired his number.

And, yet, since it took hold about 200 years ago, the expectation that "boys don't cry" persists.

Today's world is certainly not one that celebrates open displays of emotion from men, often to their detriment.

Research shows that these repressed feelings can often come out in unhealthy and harmful ways, and it's all so we can meet a standard of masculinity that, likely, never truly existed.

Next time you catch someone bemoaning the "wussification of American boys" and yearning for a time "when men were men," it might be worth asking them when, exactly, they think that was.

This article originally appeared on 11.20.17

Health

New first-of-its-kind treatment for alopecia that triggers hair growth approved by FDA

The current treatment for alopecia is painful and long—this could change lives.

New treatment for alopecia.

Alopecia is something that affects people of all ethnicities, all over the world, and unfortunately effective treatment has been scarce. But there's potentially good news on the horizon for hair loss suffers. The FDA recently approved a drug called Olumiant, a systemic treatment for alopecia areata, the autoimmune disorder that causes hair loss. The drug works by interfering with the body’s confused messaging that tells it to attack hair follicles.


The world became instantly familiar with the word alopecia after the 2022 Oscars, where Will Smith infamously defended his wife, Jada Pinkett Smith, after Chris Rock made a joke about her baldness. Pinkett Smith has alopecia and decided to forego treatment and instead to simply shave her head. She talked about how painful the treatments are on a recent episode of Red Table Talk. On the episode, a dermatologist explained the localized treatment, which involves needle pricks directly into the scalp with a needle containing medication. The process is lengthy and painful, and requires frequent visits for these scalp jabs in an attempt to stave off further hair loss. It’s no wonder that many people decide to embrace balding and shave their head instead.

The newly approved drug has been on the market in the U.S. since 2018 as a treatment for rheumatoid arthritis, and while it does have several mild to moderate side effects, one of them, hair regrowth, is what drew attention to it as a treatment for alopecia areata. The best news is that it's taken orally, and doesn’t involve any tiny jabs in the scalp.

In the FDA's announcement, Dr. Kendall Marcus, director of the Division of Dermatology and Dentistry in the FDA’s Center for Drug Evaluation and Research, said, “Access to safe and effective treatment options is crucial for the significant number of Americans affected by severe alopecia. Today's approval will help fulfill a significant unmet need for patients with severe alopecia areata."

In the clinical trials, between 32% and 35% of patients who received the higher of two tested doses had enough hair to cover 80% of their scalp after 36 weeks (compared with between 3% and 5% of patients who received a placebo). This definitely shows promise, despite observed side effects such as respiratory infections, acne, high cholesterol, headaches, fatigue, urinary tract infections and more. If you’ve ever watched a commercial for a new medication, these side effects shouldn’t come as a surprise, nor should they derail the excitement of a medication that could boost so many people’s mental health.

To date, there hasn't really been an effective noninvasive treatment for alopecia areata and while the condition isn’t life threatening, the mental effects can be detrimental. On the episode of Red Table Talk, the mother of 12-year-old Rio Allred told of how her daughter died by suicide, which she believed was linked to the bullying she received due to her alopecia. Depression, anxiety and negative body image are all risks associated with having the hair loss condition, especially in women.

While this new treatment won't be effective on everyone and it comes with a daunting number of potential side effects, it certainly offers hope for many as an improvement over the standard "needle" treatment. Hopefully researchers will continue to make progress on treatments for alopecia that are readily available and safe.

Chris Blattman shares the results of a 10-year study on crime.

"What if I told you that roughly $500 for therapy + a little cash helped the most troubled young men in West Africa drop their crime and violence by half. For at least 10 years," Chris Blattman, professor of global conflict studies at the University of Chicago, opens a stunning tweet thread introducing the results of a study he began 13 years ago.

Blattman traveled to Liberia in 2009 with his wife as she did research on reintegrating ex-fighters from the war. Blattman had free time so he met up with Johnson Borh.

“He was a combatant in the war and now ran some kind of NGO. He seemed to know everyone and be able to go everywhere. So I asked him to show me around how the crime and drug markets worked,” Blattman tweeted.

Blattman couldn’t get over the fact that wherever they went, men would run over to Borh and give him a big hug. “How do you know Borh?” he asked them and every time he heard a similar response.

“I used to be like them,” and they’d point to the drug den or pickpockets. “But then I went through Borh’s program.”


For 15 years, Borh and his colleagues ran the STYL: Sustainable Transformation of Youth in Liberia program to help transform the most dangerous men in the city. “They met in abandoned buildings, in groups of maybe 20, for a couple of hours a day. Johnson trained some counselors, and they eked out a living on the program,” Blattman wrote.

Blattman got his team of researchers together to do a larger version of a similar program using the cognitive behavioral therapy techniques used by Borh. Cognitive behavioral therapy (CBT) is an approach for reducing self-destructive beliefs and behaviors and promoting positive ones.

“Things looked really good. So I recruit my coauthors to help run a large-scale study,” Blattman tweeted. “We scaled up, raised a million dollars, and ran a huge randomized controlled trial with 999 of the toughest men in Monrovia.”

The therapy sessions focused on three types of behavioral change. The first was an attempt to get the men to “behave and self-identify as normal society members rather than as an outcast or criminal.” The second was to foster future orientation over present-biased behavior. The program taught skills to “manage emotions, reduce impulsivity, become more conscientious and persevering, and become more planful and goal-oriented in their daily activities.”

Finally, the team worked to teach the men how to deal with anger, interpersonal violence and threatening situations.

The researchers also held a cash lottery where some men were randomly selected to win $200. The men were told they could do anything with the money but were encouraged to use it to start a business or make home improvements.

The team followed up a year later and the results were inspiring.


Those who received the CBT and the cash slashed their antisocial behaviors by 50%. Those who had just therapy saw decreasing results over time, but those who received the cash and therapy had their new, positive behaviors more deeply entrenched.

Ten years later, the team was a little uneasy about seeing if the impact had lasted.

“I was pessimistic,” Blattman said. “We surveyed experts in advance. Almost all expected CBT Only or Cash Only to have no effect whatsoever after 10 years. For Therapy plus Cash, one-third of the experts predicted no effect at all. 2/3 predicted steeply diminished impacts.”

However, the researchers found that crime and violence were still down by 50% with those who got the CBT and cash.

“The therapy helped participants change their intentions, identity and behavior, and provided almost daily commitment and reinforcement,” the study’s conclusion states. “After eight weeks of therapy, the grant provided some men with the cash they needed to maintain their new identity—to avoid homelessness, to feed themselves, and to continue to dress decently.”

Blattman believed that his team’s findings are important and should be put into practice today in America for two reasons. “Gun violence is spiking in the Americas,” he tweeted. “Cities need solutions. They’re searching for ones that don’t involve coercion.”

Second, it works.

“All the evidence suggests CBT-informed programs are fast, effective, hyper-targeted, non-coercive ways to reduce violence,” he wrote.

Johnny Depp.

The world takes a collective breath as the dumpster fire that was the Depp v. Heard trial has come to an end. While some people had no interest in watching the trial, others set up tents in the camps of the actor they found most believable. One conversation emerging from the trial, no matter which side you’re on or how indifferent you feel about the verdict, is that men can be victims of domestic violence too.

If you’re a fan of "Law & Order SVU," you’ve heard of the perfect victim idea. It’s that if the victim isn’t absolutely and unequivocally perfect, they won’t be believed in court or in the public eye. There is some truth to that. Victims come in all shapes and sizes and from many different backgrounds, and the same is true regarding domestic violence victims. Women report being victims of domestic violence at a higher rate and are more likely to die at the hands of their perpetrator than anyone else, especially when they are leaving the relationship or pregnant.


Knowing that women are the most likely victims of domestic abuse doesn’t negate that men can also be abuse victims. For so many people, the perfect victim thought happens automatically—if the man claiming abuse isn’t small framed and timid, they have a hard time being believed. But abuse doesn’t usually start out as physical violence—abuse starts psychologically. The abuser typically starts by saying small things to slowly break a person’s spirit only to gaslight them into believing they’re overreacting. Before long, abusers tend to isolate you from your family and friends as they continue to slowly chip away at your self-confidence. Once they’re sure you aren’t leaving, that’s when the physical abuse starts and the cycle of abuse intensifies.

While for some people it may be difficult to imagine a woman being the abuser of a much larger man, it’s not unheard of. Men are victims of domestic violence and they don’t have to be smaller than their abuser for it to be true. Male victims of intimate partner violence (IPV) are much less likely to report their abuse to the authorities, which makes data a little scarce. But, according to the CDC, approximately 1 in 10 men in the United States experienced sexual violence, physical violence and/or stalking. It reports that 97% of men that reported domestic violence only had female partners.

Photo by Salman Hossain Saif on Unsplash

The statistics are staggering, and the CDC is calling IPV against men a significant public health problem. Domestic violence is an issue that needs to be talked about, but we can’t let our bias allow us to jump to conclusions about who the victim is. All victims deserve to feel heard. They deserve to know that people are in their corner and will believe their story, even if the victim doesn’t fit into the image we’ve painted in our minds.

Believing men can be abused by their female partners does not mean that we have to stop believing female victims. Abusers do not care what anatomy you possess. Anyone can be a victim of domestic violence. Men, women and gender nonconforming people can all be victimized, and this trial has ignited a much-needed conversation on the topic.