| Jed
                  Diamond is the internationally best-selling author
                  of eight books including Male
                  Menopause, now translated into 17 foreign
                  languages and his latest book, The The
                  Irritable Male Syndrome:
                  Managing. The 4 Key Causes of Depression and
                  Aggression and Mr.
                  Mean: Saving Your Relationship from the Irritable
                  Male Syndrome For over 38 years he has been a leader in the
                  field of men's health. He is a member of the
                  International Scientific Board of the World
                  Congress on Mens Health and has been on the
                  Board of Advisors of the Mens Health Network
                  since its founding in 1992. His work has been
                  featured in major newspapers throughout the United
                  States including the New York Times, Boston Globe,
                  Wall Street Journal, The Los Angeles Times, and USA
                  Today. He has been featured on more than 1,000 radio
                  and T.V. programs including The View with Barbara
                  Walters, Good Morning America, Inside Edition, CBS,
                  NBC, and Fox News, To Tell the Truth, Extra, Leeza,
                  Geraldo, and Joan Rivers. He also did a nationally
                  televised special on Male Menopause for PBS. He
                  looks forward to your feedback. E-Mail
                  You can visit his website at www.menalive.com
                   Take The Irritable Male Syndrome quiz.  
 Ten Things You
                  Must Do To Save Your Mid-Life Marriage and Live
                  Happily Ever After, Part II
 1. When you hunger for your partner to do
                  something for you, do something for them.
 I made an interesting discovery. When I am
                  hungry for love and affection or want my partner to
                  treat me better, I lock myself into a quandary. The
                  more I want and dont get, the more resentful
                  I become and the less likely it is that my partner
                  is going to want to give me anything good. The more
                  resentful I become, the more needy and hungry I
                  get, and the more miserable I am. Ive found
                  when I am the most in need, it is the best time to
                  put my needs aside and give her something that will
                  bring joy to her life. I used to think that when I
                  was nice to her when she wasnt being nice to
                  me, it would encourage her to withhold her
                  affection. Ive found when I give, even when I
                  dont get, I feel better inside. The better I
                  feel, the more joy I exude, and the more likely I
                  am to get an unexpected gift of warmth and
                  love. 2. Learn about the science of
                  happiness. Are you living a productive and meaningful life?
                  Do you work on a cause that is important to you?
                  Are you really passionate about something and are
                  you bringing your personal strengths to bear on it?
                  Do you know why you are here? Do you feel you are
                  going somewhere wholeheartedly? According to the psychologist Martin Seligman,
                  author of Authentic Happiness, if you answer these
                  questions in the affirmative, chances are that you
                  are already a happy person. Recent studies have shown that subjective
                  well-being depends little on such "good things" of
                  life as health, wealth, good looks or social
                  status. Happiness seems to relate more directly to
                  how you live your life with what you have. So if
                  you want to have a happy marriage, forget about
                  trying to improve your marriage (i.e. get the other
                  person to change) and learn to improve your
                  happiness. 3. Slow down, you move to fast. Youve
                  got to let the moment last. I know it sounds like an old Simon and Garfunkle
                  song, and the advice is good. We all know we are
                  living life too fast. But like the frog in the
                  water, the speed of life has increased slow enough
                  that most of us arent aware of how fast we
                  are going. A number of years ago I found out I had an
                  adrenal tumor. After having it removed, I asked the
                  doctors why I got it. I received the traditional
                  medical answer, who knows, you just got
                  it. That wasnt good enough for me, so I
                  consulted my 2 million year old, inner doctor. When
                  I asked Guntar (thats what he calls himself),
                  he told me that I needed to slow down. Adenal
                  tumor, adrenaline, speedI was beginning to
                  get the picture. I protested to Guntar that I had slowed down. I
                  had moved from New York City to Los Angeles, a
                  clear move to the slower lane, and had then moved
                  to mellow Marin, a large detour around the fast
                  lane. Guntar answered, Yes, Jed, thats
                  great. You changed your speed-o-meter from 100 down
                  to 94 and then to 86. Not bad. But what you need to
                  do is get it down to about 9.
                  Nine, I sputtered and screamed back.
                  Id have to
change my whole
                  life. Guntars only reply was
                  yep! A month later, Carlin and I moved
                  to Willits. 4. Talk less, listen more, sit close, and
                  watch the stars. After spending 2 months in Australia and 5 weeks
                  in New Zealand, I realized that Carlin and I had
                  stopped talking to each other. Well, not totally
                  stopped, but we spent long times together in
                  silence. For most of my life, silence scared me. My
                  parents got silent when their marriage was in
                  trouble. My mother got silent when I did something
                  wrong. My father got silent just before he left.
                  Silence was never my friend. My friends will tell you that I can talk up a
                  storm, anywhere at any time. I embarrass them often
                  talking about the most personal things in public,
                  usually too loudly. I like to talk and writing is
                  just talking with my fingers. But down
                  under I learned the joys of quietude.
                  Listening to the sounds of the wind and the bell
                  birds and breeze gave me great joy I had never
                  known. With my mouth shut my mind was allowed to
                  quiet down as well. I could enjoy my thoughts
                  without the pressure of having to say something.
                  Carlin and I found ourselves glancing at each other
                  and smiling with such warmth, it melted our hearts.
                  We enjoyed the stars in the southern sky and the
                  look of light we were seeing in each others
                  eyes. 5. Stop having sex and begin enjoying sensual
                  pleasure. One of my major complaints through the years,
                  and the complaint I hear from many men, is that
                  were not getting enough sex. As Ive
                  gotten older and erections are a bit harder to come
                  by, I found Viagra was a helpful aid. Carlin and I
                  made an interesting discovery when we had time to
                  go slow. Although Viagra was helping with
                  erections, it didnt seem to be enhancing our
                  enjoyment of each other. As soon as Id take
                  the little blue pill, it felt like I was on a time
                  clock. All our attention seemed to be directed to
                  Mr. P. Is he hard yet? Shall we start having
                  intercourse now or play around longer? If we wait
                  too long, will I lose my erection? We finally decided to get off the pill. When we
                  did, we discovered something quite amazing. When
                  erections werent the primary focus,
                  sex wasnt the outcome we were
                  after. For me, sex and intercourse were always
                  synonymous. Everything else was either foreplay or
                  after-play, sandwiched around the main event. Lately weve been having a lot more fun
                  doing whatever we think would give us sensual
                  pleasure. This has ranged from rubbing
                  Carlins feet each night, to sensual massage,
                  touch, tongue, and yes, intercourse is still part
                  of the mix. Its just not the main event. If
                  we dont have intercourse I dont feel
                  like a failure or frustrated because
                  were not having sex. Were
                  just enjoying each others bodies a whole lot
                  more. We are more like playful adolescents than
                  serious adults. Maybe well grow out of it.
                  But I hope not.
 Ten
                  Things You Must Do To Save Your Mid-Life Marriage
                  and Live Happily Ever After, Part I
 Developing a successful mid-life marriage is one of
                  the most difficult tasks human beings ever engage.
                  Its also the most rewarding. Whether we are
                  straight or gay, legally married or living
                  together, these are difficult times for long-term
                  relationships. In 1996 the census bureau recorded a
                  significant spike in divorce rates among
                  leading-edge Baby Boomers born between 1945 and
                  1954. Although we think of mid-life men leaving
                  their middle-aged wives for a younger woman, it is
                  actually the women who are leaving in increasing
                  numbers.
 According to Gail Sheehys new book, Sex
                  and the Seasoned Woman, among women who left their
                  first marriages sometime between the ages of 40 and
                  74, almost three-quarters left in their 40s. A 2004
                  AARP study found the following surprising facts
                  about mid-life divorce: 
                     Two-thirds of divorces among couples over
                     age 40 are initiated by the wives.One-third of divorced or single women over
                     40 are dating younger mena reversal of
                     past behavior.The single woman in their 50s is much more
                     likely to be divorced or never married than
                     widowed. But most of us would still prefer to find a good
                  partner, get married, have a relationship that
                  continues to grow closer and more intimate as we
                  age, and remain together until at death we do part.
                  So how do we accomplish this seemingly impossible
                  task? Here are my suggestions: 1. Recognize the hidden stressors that keep
                  us hypersensitive and irritable. There is a reality we learned in biology class.
                  If you put a frog in boiling water, he immediately
                  jumps out. However, if you put him in cool water
                  and slowly heat it up, he swims around until he
                  cooks to death. The truth is we live in a world
                  that is slowly (well, not so slowly any more)
                  heating up. Global warming and all the attendant
                  stresses of modern life are building up in us. We
                  often arent consciously aware of the
                  heat, but deep inside, we know. We
                  become more sensitive and irritable, frustrated and
                  worried. Not realizing it is our deteriorating
                  environment that is stressing us, we often get down
                  on our partner. When we recognize the real source
                  of the problem, we can focus our energies in the
                  right direction and quit blaming each other for our
                  unhappiness. 2. Run for your life and give thanks. For most of human history stresses came from
                  such things as wild animals coming into the camp to
                  eat us. We dealt with those crises by running away
                  and climbing a tree or chasing after the animal and
                  killing him if we could. Either way, we got our
                  body moving, burned up the stress chemicals in our
                  systems and our body/mind/spirit returned to
                  normal. We sat around the fire at night and told
                  stories about how lucky we were to still be alive.
                  The stressors are different today, but the need to
                  run off the tension and give thanks every day for
                  being alive hasnt changed. 3. Tend and befriend for a long life and
                  joyous relationship. A landmark UCLA study conducted by Drs. Shelly
                  Taylor and Laura Klein found that the classic
                  fight/flight response, thought to be a universal
                  reaction to stress, was how men responded to
                  stress. They found that women usually responded
                  quite differently. Under conditions of stress they
                  reached out to other women and children. The
                  researchers called this the tend and
                  befriend response. As we get older and the
                  world becomes ever more complex, the fight/flight
                  response doesnt work so well. Men need to
                  learn how to make and maintain deep friendships if
                  we are to have successful marriages. Carlin and I
                  are both convinced that one of the main reasons we
                  have a wonderful relationship after being together
                  for over 25 years is that we are each in a
                  gender-specific support group. She is in a
                  womens group and I have been in a mens
                  group for over 26 years. 4. Give up being right and begin being
                  happy. If youve lived more than 40 years you know
                  that we develop a sense of whats right and
                  wrong. Life teaches us many lessons and we believe
                  we have a pretty good idea of whats right,
                  right? Wrong! I cant tell you how many fights
                  Carlin and I have had when one of us was sure we
                  were right and felt it our marital duty (for the
                  others own good, of course) to point out the
                  error of their ways. The longer I live, the less
                  sure I am of what is right or wrong. I can tell you
                  what feels right for me in this moment, what I
                  believe will make me happy. When I tell you
                  my truth not the truth and
                  listen to your truth, I find I am much happier and
                  enjoy our relationship much more fully. 5. Know that no one else can make you
                  happy. This is one that has taken me a long time to
                  learn. For most of my marital life I was convinced
                  that the only way I could be happily married was if
                  my wife did things that made be happy. I
                  wasnt asking for the moon. Just basic things
                  that any good wife would want to do for the man she
                  loved. Like have sex whenever I wanted. O.K., I
                  didnt need it whenever I wanted, but most of
                  the time. It would make me happy if she would get ready so
                  that we could leave on time for the party. She
                  knows how I hate to be late. It would make me happy
                  if she would rub my back without having to be
                  asked. She knows how much I like my back rubbed and
                  after all, I rub her back a lot more than she rubs
                  mine. I knew if she didnt do
                  these kind of simple things to make me happy, she
                  probably didnt really love me, or at least
                  not in the way I needed to be loved. It was a great
                  revelation to me when I discovered that there were
                  times that she would do all the right things and I
                  still wasnt happy and times when she
                  didnt do the things I wanted her to do and I
                  was happy anyway. What have you found that is most helpful in
                  enhancing mid-life marriages? Stay tuned next week
                  for my other 5 suggestions including why I think
                  you should stop having sex.
 Man Therapy: Why
                  Gender-Specific Health Care is Good for Men, Women
                  and The World
 When I began medical school in 1965 I had a vague
                  notion that I wanted to become a healer and a
                  subconscious desire to help men. It soon became
                  clear that the medical education at U.C. San
                  Francisco was more limited than I had hoped and I
                  transferred to U.C. Berkeley where I eventually
                  received a masters degree in social work.
                  During my three years in graduate school, I not
                  only broadened by knowledge of the psychological,
                  interpersonal, social, cultural, and spiritual
                  aspects of health, I also better understood my
                  interest in mens health.
 I was five years old when my father took an
                  overdose of sleeping pills because, as I would
                  learn later, he had become increasingly depressed
                  because he couldnt make a living doing what
                  he loved to support his family. He was committed to
                  the state mental hospital in Camarillo, north of
                  our home in Los Angeles. It is the same hospital
                  where the 1948 movie, The Snake Pit,
                  starring Olivia de Havilland, was filmed. I still
                  remember the terror I felt going every Sunday with
                  my uncle to visit my father in 1949. Over the year
                  I went, I watched as his depression worsened and
                  his mental health declined. I grew up wondering what happened to my father,
                  whether it would happen to me and what I could do
                  to help other men and their families. I graduated
                  from U.C. Berkeley in 1968 and started MenAlive in
                  1969 following the birth of our first son. I became
                  a psychotherapist and soon specialized in working
                  with men and their families. After practicing for
                  34 years, I returned to graduate school and earned
                  a PhD in International Health in 2008, at age 65
                  (we joked that my retirement party was
                  also my coming-out party as a doctor.) My
                  dissertation study, published with the title,
                  Male vs. Female Depression: How Men Act Out and
                  Women Act In, answered many of the questions I
                  had been wrestling with since childhood and
                  expanded my focus on gender-specific health
                  care. The Emerging Field of Gender-Specific
                  Medicine and Health Care Marianne J. Legato, MD, is an internationally
                  renowned academic, physician, author and lecturer.
                  She pioneered the new field of gender-specific
                  medicine. She is a Professor Emerita of Clinical
                  Medicine at Columbia University College of
                  Physicians & Surgeons and an Adjunct Professor
                  of Medicine at Johns Hopkins Medical School. Dr.
                  Legato is also the founder and director of the
                  Foundation for Gender-Specific Medicine, which she
                  created in 2006. In her 2002 book, Eves Rib: The New
                  Science of Gender-Specific Medicine and How It Can
                  Save Our Life, she says, Eves Rib is not just
                     about womens health, but about the health
                     of both sexes and the new science of
                     gender-specific medicine. Until now, weve
                     acted as though men and women are essentially
                     identical except for the differences in
                     reproductive function. In fact, information
                     weve been gathering over the past ten
                     years tells us that this is anything but true,
                     and that everywhere we look, the two sexes are
                     startlingly and unexpectedly different not only
                     in their normal function but in the ways they
                     experience illness. Although Dr. Legatos first book focused
                  more on womens health, her subsequent books
                  expanded her focus to men. Why Men Never
                  Remember and Women Never Forget was published
                  in 2008 and explored the ways men and women are
                  different and how those differences impact our
                  relationships. She acknowledges the ways in which
                  discussing sex and gender differences can be
                  misunderstood. I have taken a number of risks
                     in writing this book, says Dr. Legato,
                     
                     and I wish to acknowledge them right
                     at the outset. For instance, there is a
                     tremendous risk in categorizing certain
                     behaviors as male or
                     female, as I do throughout the book.
                     There is a cautionary skit in Free to Be You and
                     Me in which two babies (played to great effect
                     by Marlo Thomas and Mel Brooks) argue about
                     whether theyre boys or girls. Boys can
                     keep secrets, and theyre not afraid of
                     mice, so the Mel Brooks baby, who cant and
                     is, must definitely be a girlright? The
                     debate continues until the nurse comes to change
                     their diapers, which settles the matter once and
                     for all. Legato obviously was willing to take the risks.
                  She concluded in the books introduction, Whatever speculation I have
                     engaged in over the course of the pages that
                     follow is in the service of a larger concept:
                     the ideas that, whatever our differences, there
                     is much that men and women can learn from one
                     another. Dr. Legato is not the only clinician and
                  researcher to take the risk to tackle sex and
                  gender issues. There are many, including David C.
                  Page, MD. Dr. Page is professor of biology at the
                  Massachusetts Institute of Technology (MIT) and
                  director of the Whitehead Institute, where he has a
                  laboratory devoted to the study of the
                  Y-chromosome. It has been said that our
                     genomes are 99.9% identical from one person to
                     the next, says Dr. Page. It turns out that this
                     assertion is correct as long as the two
                     individuals being compared are both men.
                     Its also correct if the two individuals
                     being compared are both women. However, if you
                     compare the genome of a man with the genome of a
                     woman, youll find that they are only 98.5%
                     identical. In other words, the genetic
                     difference between a man and a woman are 15
                     times greater than the genetic difference
                     between two men or between two women.  Dr. Page, like Dr. Legato, demonstrates that
                  even small differences can be important. There are 10 trillion cells in
                     human body and every one of them is sex
                     specific, says Dr. Page. So, all your cells know on a
                     molecular level whether they are XX or XY. It is
                     true that a great deal of the research going on
                     today which seeks to understand the causes and
                     treatments for disease is failing to account for
                     this most fundamental difference between men and
                     women. The study of disease is flawed. In looking ahead to the future of
                  gender-specific healthcare, Dr. Paige is
                  hopeful. Heres what I think. We
                     need to build a better tool kit for researchers
                     that is XX and XY informed rather than our
                     current gender-neutral stance. We need a tool
                     kit that recognizes the fundamental difference
                     on a cellular, organ, system, and person level
                     between XY and XX. I believe that if we do this,
                     we will arrive at a fundamentally new paradigm
                     for understanding and treating human
                     disease. Man Therapy: A New Approach For Addressing
                  Mens Health Issues When I began working in the field of
                  Gender-Specific Medicine and Mens Health,
                  there were very few programs that addressed the
                  unique health issues facing males. Now there are
                  many. One of the new programs that I feel is making
                  a positive difference in the world is Man
                  Therapy. I first heard about the work of Man
                  Therapy when I met its founder and creator, Joe
                  Conrad in November, 2021. We realized early on that if
                     we waited until men were in crisis, we would be
                     too late, says Grit Digital Health Founder and CEO, Joe
                  Conrad. I have always felt that
                     creativity, innovation, and communication could
                     solve any challenge. From the beginning, our
                     team set three goals for Man Therapy:
                     
                     1) Break through the stigma surrounding
                     mental health by making it approachable. 2) Encourage help-seeking
                     behavior. 3) Reduce suicidal ideation. Through research, men told us to
                     just give them the information they needed to
                     fix themselves, so we built a website that
                     provides a broad range of information,
                     resources, and tools to do just that. It is
                     extremely rewarding to know that we are
                     accomplishing our goal of positively impacting
                     and changing mens lives. Man Therapy has been doing great work for some
                  time. Man Therapy was launched in
                     2010, says Joe Conrad, and has had more than 1.5 million
                  visits to the site. Visitors have completed 400,000
                  head inspections and there have been
                  40,000 clicks to the crisis line. A recent A CDC-funded study shows that men who
                  access Man Therapy, as a digital mental health
                  intervention, experience a decrease in depression
                  and suicidal ideation, a reduction in poor mental
                  health days, and an increase in help-seeking
                  behavior. Additionally, this study shows that men
                  in the Man Therapy control group reported
                  statistically significant improved rates of
                  engaging in formal help-seeking behaviors through
                  tools like online treatment locator systems, making
                  or attending a mental health treatment appointment,
                  or attending a professionally led support
                  group. Dr. Jodi Frey, chief investigator of the study,
                  concluded, Interventions that can be offered
                     online and scaled up to reach men throughout
                     communities, including workplaces, are important
                     additions to comprehensive suicide prevention
                     programming. Dr. Frey goes on to say, Web-based resources, such as
                     Man Therapy, can play an important role in
                     suicide prevention to engage men in considering
                     risk and help-seeking, and this study shows that
                     programs like Man Therapy should be part of a
                     comprehensive, community-based intervention to
                     reduce suicide and depression risk and increase
                     resilience. The world needs better approaches to health care
                  for both men and women. A gender-specific approach,
                  I believe, will become standard care for men and
                  women throughout the world. You can learn more about Man Therapy at
                  https://mantherapy.org/.
                  You can learn more about my own trainings and
                  upcoming events at https://menalive.com/.Source: menalive.com/why-gender-specific-health-care-is-good-for-men-women-and-the-world/
 Related Articles:  Effectiveness
                  of man therapy to reduce suicidal ideation and
                  depression among working-age men: A randomized
                  controlled trial Help-seeking
                  and Man Therapy: The impact of an online suicide
                  intervention - 112222
 Deaths of Despair: Are
                  Males More Vulnerable?
 The end of the year can be a time of joy or one
                  of deep anguish. We need to talk about the things
                  we often try and hide. There were times in my life
                  I wasnt sure I wanted to go on living. When I
                  was five years old, my mid-life father took an
                  overdose of sleeping pills in despair because he
                  couldnt find work to support his family. I
                  grew up wondering what happened to my dad and
                  worried that it would happen to me. I vowed that I
                  would never be out of work and nearly worked myself
                  to death to keep my promise. I was in my
                  mid-fifties when my company was downsized and I
                  lost my job. I fell into despair and death seemed
                  my best option. I was lucky. I had a supportive
                  wife who encouraged me to get professional help,
                  even though I was resistant. Many others are not so
                  lucky.
 Men arent the only ones who lose hope and
                  think about ending their lives, but males are at
                  higher risk than females, and our risk is highest
                  when we are younger and when we are older. In his
                  book, Dying to Be Men, Dr. Will Courtenay
                  alerts us to the troubling fact that too many males
                  are killing themselves, sometimes slowly over the
                  course of their lifetime or abruptly through
                  impulsive risk-taking, violent encounters, and
                  suicide. According to the National Center for
                  Health Statistics at the CDC, age-adjusted death
                  rates per 100,000 U.S. population (2019): 
                     
                        | Age Group | Male Rate | Female Rate | Ratio |  
                        | 15-24 | 22.0 | 5.5 | 4.0 |  
                        | 25-44 | 28.0 | 7.4 | 3.8 |  
                        | 45-64 | 29.9 | 9.6 | 3.1 |  
                        | 65-74 | 26.4 | 3.9 | 4.5 |  
                        | 75+ | 39.9 | 4.3 | 9.3 |  The ratio statistics mean that for every 100
                  females between the ages of 15-24 who died by
                  suicide, 400 males died. For every 100 women over
                  the age of 75 who died, 930 men died by
                  suicide.   Clearly males as a group are more susceptible to
                  deaths of despair than are females. Suicide rates among middle-aged
                     white Americans are rising rapidly, say Anne Case and Angus Deaton, in their book,
                  Deaths of Despair and The Future of Capitalism.
                  Both Case and Deaton are Professors of Economics
                  and Public Affairs Emeritus at Princeton University
                  and go on to say, We found something else that
                     puzzled us. Middle-aged white Americans were
                     hurting in other ways. They were reporting more
                     pain and poorer overall health. They detail a number of causes and demonstrate
                  that our current economic system is one of the
                  primary factors. They note that men without prospects do not make
                     good marriage partners and marriage rates among
                     less educated whites fell, and more people lost
                     out on the benefits of marriage, of seeing their
                     children grow, and of knowing their
                     grandchildren. When my father couldnt find work, he
                  blamed himself. I did the same, as do many men,
                  even when they sense that it is the system that is
                  broken. In a society based on values of
                  rugged individualism, being out of work
                  feels like a personal failure. We often dont
                  realize the importance of jobs until we lose
                  them. Jobs are not just the source of
                     money, say professors Case and Deaton. They are the basis for the
                     rituals, customs, and routines of working-class
                     life. Destroy work and, in the end,
                     working-class life cannot survive. It is the
                     loss of meaning, of dignity, of pride, and
                     self-respect that comes with the loss of
                     marriage and of community that brings on
                     despair, not just or even primarily the loss of
                     money. In looking at suicides, Case and Deaton note
                  that Suicide, like other deaths of
                     despair, has been increasing among white
                     not-Hispanics in the United States since the
                     late 1990s. This is true at all ages from
                     fifteen to seventy-four, and it has led to the
                     U.S., whose suicide rate used to be
                     unexceptional with those of other rich
                     countries, now having one of the highest rates
                     among them. Women are much less likely to kill
                     themselves than men, in part because they choose
                     less effective meansdrugs versus
                     gunsand in part because they are less
                     susceptible to social isolation than men. Addressing Americas Crisis of
                  Despair Suicide is the ultimate indicator of despair.
                  Why do young males 15 to 24 years old have suicide
                  rates 4 to 5.4 times higher than females of the
                  same age? Why do older males 65 to 85 kill
                  themselves at rates 6.3 to 17.5 times higher than
                  females of the same age? Human beings are complex
                  and there is no simple reason that explains why
                  males give up on life more often than females. But
                  one word stands out as I reflect upon my fifty plus
                  years working with men. That word is
                  loneliness. In my most recent book, 12 Rules for Good Men, I
                  quoted social scientists John Cacioppo and William
                  Patrick. In their book, Loneliness: Human Nature
                  and the Need for Social Connection, they say, When people are asked what
                     pleasures contribute most to happiness, the
                     overwhelming majority rate love, intimacy, and
                     social affiliation above wealth, or frame, even
                     above physical health. Males seem to have more difficulty with love,
                  intimacy, and social affiliation than do women.
                  When Ive spoken to large groups of men and
                  women, Ill often ask how many of you
                  have a number of close friends you confide
                  in? Most of the women have at least three,
                  other than their spouse. Most men have none.
                  Thats why my first rule in 12 Rules for Good
                  Men was for guys to join a mens group. It is
                  one of the best ways to address the loneliness
                  epidemic. Ive been with the same group of
                  guys now for forty-two years. In his book, Lonely at the Top: The High Cost of
                  Mens SuccessLonely at the Top: The High Cost
                  of Mens Success, Dr. Thomas Joiner says, Mens main problem is not
                     self-loathing, stupidity, greed, or any of the
                     legions of other things theyre accused of.
                     The problem, instead is loneliness. He goes on to offer this chilling example from a
                  postmortem following a suicide of a man in his
                  60s. He did not have friends
He
                     did not feel comfortable with other men
he
                     did not trust doctors and would not seek help
                     even though he was aware that he needed
                     help. I thought of my father. I thought of myself when
                  I felt deep despair. I think about the millions of
                  men in the world who are disconnected from others
                  and feel forgotten and passed over by society. I
                  think about the millions of men who will lose their
                  jobs and an economic system that is based on wealth
                  for a few at the expense of jobs for the many. Mens main problem is not
                     self-loathing, stupidity, greed, or any of the
                     legions of other things theyre accused of.
                     The problem, instead, is loneliness. The Brookings Institution is an American
                  research group founded in 1916 and has been rated
                  by the University of Pennsylvania as the top
                  Think Tank in the world. They are bipartisan
                  and are cited equally by conservative and liberal
                  politicians. In a recent report, Addressing
                  Americas Crisis of Despair and Economic
                  Recovery, they offer important insights about
                  deaths of despair, their causes, and potential
                  solutions. According to the Brookings report, From 2005 to 2019, an average of
                     70,000 Americans died annually from deaths of
                     despair (premature self-imposed deaths due to
                     suicide, drug overdose, and alcohol and other
                     poisonings), with the numbers increasing
                     gradually over the period. These deaths are
                     concentrated among less than college educated
                     middle aged whites, with those out of the labor
                     force disproportionately represented. The report also notes that the problem has
                  gotten worse since Covid-19 arrived. The COVID-19 pandemic was a
                     fundamental shock, exacerbating an already a
                     growing problem of despair, says the report. Before the pandemic, the U.S.
                     boasted robust stock markets and record low
                     levels of unemployment. Yet those numbers masked
                     the roughly 20 percent of prime aged men (ages
                     25-54) who had permanently dropped out of the
                     labor force (OLF)i.e., neither employed
                     nor searching for work. Male deaths of despair not only impact millions
                  of men and their families, but also undermines the
                  very foundations of American democracy. White despair contributes to
                     decreasing levels of geographic mobility, it
                     reflects in our cognitive skill
                     deserts, and has political
                     spillovers, says the report. For example, counties with more
                     respondents reporting lost hope before 2016 were
                     more likely to vote for Donald Trump. We also saw the anger and despair in action on
                  January 6, 2021. White males out of the labor
                     force, middle class whites with high levels of
                     debt, and whites from towns with high levels of
                     fear of being replaced by growing
                     minority populations were disproportionately
                     represented among the protestors who stormed the
                     U.S. Capitol on January 6th, says the Report. The report concludes that there is the need for a new
                     federal interagency task force to coordinate
                     existing and new efforts to address addiction,
                     despair, and economic recovery as a critical
                     first step. Given the state of conflict and paralysis in our
                  Federal government, Im not holding my breath
                  waiting for government response. Over the last fifty-plus years since I founded
                  MenAlive, we have become a world-wide leader in
                  addressing these issues. In a recent article on
                  MenAlive, The
                  Man Kind Challenge: Why Healing Men Will Do More
                  Good Than Curing Cancer, I described
                  the efforts of a group of colleagues who, like me,
                  have been working in the field for many years. We
                  had a kickoff event on International Mens Day
                  on November 19th and are planning further events in
                  2022. If youre interested in getting more
                  information, please send me an email to Jed@MenAlive.com
                  and put Man Kind Challenge in the
                  subject line. In the meantime you dont have
                  to wait to start a mens group. Just reach out
                  to a guy who you like who may need some extra
                  support. It will be good for you both. Lets
                  make 2022 a year of greater connection man to
                  man. ©2022 Jed Diamond See Books,
                  Issues*    *    * Wealth can't buy health, but health can buy
                  wealth. - Henry David Thoreau
  
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