men
alive
2023

 

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 He looks forward to your feedback. E-Mail You can visit his website at www.menalive.com Take The Irritable Male Syndrome quiz.

 

The Two Competing Systems That Will Determine the Future of Our Love Lives, Work Lives, and the Survival of Our Children


I have been a marriage and family therapist for more than fifty years. I help men and women address two areas that most everyone must deal with these days—Our love lives and our work lives. Sigmund Freud recognized the importance of these two areas many years ago when he famously said,

“Love and work are the cornerstones of our humanness.”

Over the years I have been in practice I have learned that we can’t heal individual lives without addressing issues that impact couples. Further, I have come to see that we can’t heal couples relationship without addressing family dynamics, including our wounding in our families of origin. We know, too, that families don’t exist in isolation, but are members of communities, countries, and members of the community of all life on planet Earth.

I believe that all people, with the exception of those who refuse to accept the realities of life in today’s world, would agree that humans are out of balance with life on Earth. Existential problems such as the climate crisis, the loss of biodiversity, an economic system that is dependent on exponential growth, and the continuing threat of wars that could kill us all, are not being adequately addressed.

We all have experienced two forces working in each of us. One force is based on love, trust, and a belief that we can solve our problems. The other force is based on fear, anger, and a belief that nothing we do will succeed and we might as well just give up.

The beginning of a solution to our dilemma comes from a Native American story that has many variations. It is a story of the two wolves and is an ancient tale that has been a part of traditional wisdom stories for generations. Historians typically attribute the tale to the Cherokee or the Lenape people.

The story features two characters: a grandfather and his grandson. The grandfather says, “I have a fight going on in me between two wolves. One is evil – he is anger, envy, regret, and sorrow. The other one is good—he is joy, peace, hope, and love.

The grandson takes a moment to reflect on this. At last, he looks up at his grandfather and asks, “Which wolf will win?” The old Cherokee grandfather gives a simple reply. “The one you feed.”

Domination and Partnership: Which One Will We Feed?

I first met Riane Eisler in 1987 shortly after the publication of her book, The Chalice & the Blade: Our History, Our Future. I was moved by their simplicity, vision, and truth:

“Underlying the great surface diversity of human culture are two basic models of society. The first, which I call the dominator model, is what is popularly termed either patriarchy or matriarchy—the ranking of one half of humanity over the other. The second, in which social relations are primarily based on the principle of linking rather than ranking, may best be described as the partnership model. In this model—beginning with the most fundamental difference in our species, between male and female—diversity is not equated with either inferiority or superiority.”

Eisler has written numerous books that have expanded on these ideas including her most recent, written with anthropologist, Douglas P. Fry, Nurturing Our Humanity: How Domination and Partnership Shape Our Brains, Lives, and Future. In their chapter, “The Original Partnership Societies,” they recognize that the roots of our partnership lives go back nearly two-million years to a time when we were all hunter-gatherers.

“Nomadic foragers—also called nomadic hunter-gatherers—constitute the oldest form of human social organization,” say Eisler and Fry, “predating by far the agricultural revolution of about 10,000 years ago as well as the rise of pastoralists, tribal horticulturalists, chiefdoms, kingdoms, and ancient states.”

They go on to explore the reasons humanity shifted away from partnership towards a domination model.

“There are a number of theories about how and why domination systems originated,”

say Eisler and Fry.

“One theory, which recently seems to have received some support from DNA studies of prehistoric European populations, is based on the proposal of archeologist Marija Gimbutas that in Europe the shift was due to incursions of Indo-European pastoralists originating in the Eurasian steppes who brought with them strongman rule, male dominance, and warfare.”

This theory is consistent with the work of historian and natural scientist, Dr. James DeMeo, whose research indicates that the origin of our disconnection and resulting alienation occurred 6,000 years ago in the Middle East.

The Original Dominator Societies Emerged in Middle-East as a Result of Environmental Trauma

In his well-researched treatise, Saharasia: The 4000 BCE Origins of Child Abuse, Sex-Repression, Warfare and Social Violence in the Deserts of the Old World, Dr. DeMeo says,

“My research confirmed the existence of an ancient, worldwide period of relatively peaceful social conditions, where warfare, male domination, and destructive aggression were either absent, or at extremely minimal levels. Moreover, it has become possible to pinpoint both the exact times and places on Earth where human culture first transformed from peaceful, democratic, egalitarian conditions, to violent, warlike, despotic conditions.”

Dr. DeMeo found that the trauma resulting from

“repeated drought and desertification, which promotes famine, starvation, and mass migrations among subsistence-level cultures, must have been a crucial factor”

in changing the way we related to the Earth and each other from one of partnership to one of domination.

“Once so anchored into social institutions, the new draught-and feminine-derived behavior patterns reproduce themselves in each new generation, irrespective of subsequent turns in climate towards wetter conditions,”

says DeMeo.

Once the domination system is introduced, it spreads. Violence begets violence. As social scientist, Andrew Bard Schmooker reminds us in his prophetic book, The Parable of the Tribes: The Problem of Power in Social Evolution,

“Power is like a contaminant, a disease, which once introduced will gradually yet inexorably become universal in the system of competing societies.”

That is certainly what we have seen as Indigenous, partnership cultures, throughout the world have been wiped by the power of what we euphemistically refer to as “civilization.” Schmooker said it simply and powerfully:

“Civilized society in general has been like a rabid dog. Its bite infects the healthy even though it contains the germ of its own destruction.”

Similar views have been voiced by geography professor Jared Diamond and historian Yuval Noah Harari.

Restoring Our Partnership Future: Indigenous Wisdom and Worldview Can Guide Us

Drawing on their own research and the wisdom of Indigenous people from around the world, Wahinkpe Tope (Four Arrows) and Darcia Narvaez, Ph.D, have written an important book, Restoring the Kinship Worldview: Indigenous Voices Introduce 28 Precepts for Rebalancing Life on Planet Earth.

In the book’s introduction, they draw on the experience of environmentalist and author Paul Shepard who said,

“When we grasp fully that the best expressions of our humanity were not invented by civilization but by cultures that preceded it, that the natural world is not only a set of constraints but of contexts within which we can more fully realize our dreams, we will be on the way to a long overdue reconciliation between opposites which are of our own making.”

In Restoring The Kinship Worldview, Wahinkpe Tope and Darcia Narvaez share a chart by Wahinkpe Tope, originally published in The Red Road (chunku luta): Linking Diversity and Inclusion Initiatives to Indigenous Worldview. He contrasts what he calls the “Common Dominant Worldview Manifestation” and the “Common Indigenous Worldview Manifestation” which are very similar to the contrasts Riane Eisler describes between Dominator and Partnership systems and James DeMeo describes as Armored Patrist and Unarmored Matrist behaviors, attitudes, and social institutions.

Winkpe Tope’s original chart had forty contrasting manifestations.

Only the Partnership/Indigenous Worldview Can Save Humanity

Thomas Berry was a priest, a “geologian,” and a historian of religions. He spoke eloquently to our connection to the Earth and the consequences of our failure to remember that our survival depends on accepting our place as one member, among many, in the community of life.

“We never knew enough. Nor were we sufficiently intimate with all our cousins in the great family of the earth. Nor could we listen to the various creatures of the earth, each telling its own story. The time has now come, however, when we will listen or we will die.”

Our only way forward, I believe, is the Partnership/Indigenous pathway. Native Americans have long understood the destructive nature of the Dominator system that has infected our Dominant worldview. According to Native American scholar Jack D. Forbes, in his book, Columbus and other Cannibals: The Wetiko Disease of Exploitation, Imperialism, and Terrorism,

“For several thousands of years human beings have suffered from a plague, a disease worse than leprosy, a sickness worse than malaria, a malady much more terrible than smallpox.”

Native peoples call the disease Wetiko and Forbes describes it as the cult of aggression.

“Indians are murdered,” he says, “in order to force impoverished mixed-Indians to gather rubber in the forest under conditions that doom the rubber-hunters themselves to miserable deaths. Small countries are invaded so that an entire people and their resources can be exploited. Human beings of all colors are seized or insnared in debts and are forced to live out their brief lives as slaves or serfs. Boys are raised to obey orders and serve as cannon-fodder, while girls are raised to give their children over to armies, factories or plantations.”

Forbes says it is an insidious disease that has become so pervasive it is seen as normal.

“I call it cannibalism…but whatever we call it, this disease, this wetiko psychosis, is the greatest epidemic sickness known to man.”

Indigenous peoples refuse to be wiped out. Their communities and the Indigenous wisdom, and worldview they embrace, may well be the hope for all humanity. As Thomas Berry reminds us, we will listen, learn, and act on that wisdom, or we will die. Our Moonshot for Mankind and Humanity is bringing together leaders from around the world to help us all heal. Please join us.

The End of the U.S. and the World as We Know It and The Truth About Our Collective Future - Part 1


It is not easy to accept, but it is becoming more and more obvious that our country and our world are not doing well. Some believe the U.S. is falling apart and the humans have made such a mess of the environment that we should call it quits, go out in a blaze of destruction, and leave planet Earth in the hands of species who are better able to be good partners in the community of life on Earth. Others believe that human ingenuity and innovative technologies will fix things and we have a bright future ahead. I have a different vision that was given to me in a sweat lodge in 1993 at a men’s gathering in Indianapolis, Indiana:

We are all on a huge ocean liner. It is the Ship of Civilization. Everything that we know and have ever known is on the ship. People are born and die. Goods and services are created, wars are fought, and elections are held. Species come into being and face extinction. The Ship steams on and on and there is no doubt that it will continue on its present course forever.

There are many decks on the ship starting way down in the boiler room where the poorest and grimiest toil to keep the ship going. As you ascend the decks, things get lighter and easier. The people who run the ship have suites on the very top deck. Their job, as they see it, is to keep the ship going and keep those on the lower decks in their proper places. Since they are at the top they are sure that they deserve to have the best that the ship has to offer.

Everyone on the lower decks aspires to get up to the next deck and hungers to get to the very top. That’s the way it is. That’s the way it has always been. That’s the way it will always be. However, there are a few people who realize that something very strange is happening. What they come to know is that the Ship of Civilization is sinking. At first, like everyone else, they can’t believe it. The Ship has been afloat since time before time. It is the best of the best. That it could sink is unthinkable.

Nonetheless, they are sure the Ship is sinking. They try and warn the people, but few believe them. The Ship cannot be sinking and anyone who thinks so must be out of their mind. When they persist in trying to warn the people of what they are facing, those in charge of the Ship silence them and lock them up. The Ship’s media keep grinding out news stories describing how wonderful the future will be and technology will solve all our problems.

The Captains of the Ship smile and wave and promise prosperity for all. But water is beginning to seep in from below. The higher the water rises, the more frightened the people become and the more frantic they scramble to get to the upper decks. Some believe it is the end of the world and actually welcome the prospect of the destruction of life as we know it. They believe it is the fulfillment of religious prophecy. Others become more and more irritable, angry, and depressed and use alcohol, drugs, and other forms of self-medication to escape the pain.

But as the water rises, those who have been issuing the warnings can no longer be silenced. More and more escape confinement and lead the people towards the lifeboats. Though there are boats enough for all, many people are reluctant to leave the Ship of Civilization. “Things may look bad now, but surely they will get better soon,” they say to each other.

Nevertheless, the Ship is sinking. Many people go over the side to the boats. As they do so, they are puzzled to see lettering on the side of the ship, T-I-T-A-N-I-C. When they reach the lifeboats, many are frightened and look for someone who looks like they know what to do. They’d like to ride with those people.

However, they find that each person must get in their own boat and row away from the Ship in their own direction. If they don’t get away from the Ship as soon as possible they will be pulled under with it. Though each person must row their own boat, they must stay connected to others. As people row away from the Ship, they connect with each other in a new, yet ancient, network. A new way of life is created that is much better than the Ship of Civilization which continues to sink.

Here are a few things I have thought about over the years that gives me hope for the future:

1. “Civilization” is a misnomer. Its proper name is the “Dominator culture.”

As long as we buy the myth that “civilization” is the best humans can aspire to achieve, we are doomed to go down with the ship. In The Chalice & the Blade: Our History Our Future first published in 1987, internationally acclaimed scholar and futurist, Riane Eisler first introduced us to our long, ancient heritage as a Partnership Culture and our more recent Dominator Culture, which has come to be called “Civilization.” In her recent book, Nurturing Our Humanity: How Domination and Partnership Shape Our Brains, Lives, and Future, written with peace activist Douglas P. Fry, they offer real guidance for creating a world based on partnership.

Historian of religions, Thomas Berry, spoke eloquently to our need to be honest about our present situation.

“We never knew enough. Nor were we sufficiently intimate with all our cousins in the great family of the earth. Nor could we listen to the various creatures of the earth, each telling its own story. The time has now come, however, when we will listen or we will die.”

2. There is a better world, beyond civilization.

 

When I was given the book Ishmael, by Daniel Quinn, I got a clear sense of the two worlds that are competing for our attention: A world where hierarchy and dominance rule (Quinn calls it the world of the Takers) and a world where equality and connection rule (Quinn calls it the world of the Leavers). In his many books Quinn offers a clear contrast in worldviews.

In his book, Beyond Civilization: Humanity’s Next Great Adventure, Quinn says,

“I can confidently predict that if the world is saved, it will not be because some old minds came up with some new programs. Programs never stop the things they’re launched to stop. No program has ever stopped poverty, drug abuse, or crime, and no program ever will stop them. And no program will ever stop us from devastating the world.”

Quinn goes on to quote Buckminster Fuller who said,

“You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete.”

3. All Civilizations Come to an End, Most Within Ten Generations (250 years)

In her powerful and important book, Who Do We Choose to Be? Facing Reality, Claiming Leadership, Restoring Sanity, social scientist Margaret J. Wheatley shares the findings of historian Sir John Glubb.

“Glubb studied thirteen empires in the Middle East, Asia, and Europe, from Assyria in 859 BCE to modern Britain in 1950,”

says Wheatley.

“The pattern of the decline and fall of these superpowers was startingly clear. It didn’t matter where they were or what technology they had or how they exercised power. They all declined in the same stages and it always took ten generations, about 250 years.”

Wheatley concludes,

“The deceit we are engaged in is that we think we’re special, that we can transcend history, alter the seasons, and step off the Arrow of Time. Surrounded by technology that dazzles us with its capabilities and techno-optimists who confidently promise ever more wonders, we believe that even as other civilizations failed, ours will not.”

4. Understanding the Reality of Collapse.

The thought of our country collapsing or humanity becoming another species that becomes extinct is terrifying to most. One response is to deny the reality of our situation, to lose ourselves in the latest escape or addiction. Another is to falsely believe that some technological fix will magically save us from ourselves.

When I hear the word “collapse,” I can’t help becoming terrified and wanting to run away from the truth. I picture a freeway collapsing and crushing cars with people inside or the twin towers collapsing floor by floor and killing hundreds.

The truth is that even during these disasters, not everyone died. Many more people walked out of the twin towers than died inside. When civilizations collapse, it doesn’t mean that everyone dies. When the British empire collapsed, it didn’t mean all Brits lost their lives. Some did, indeed, die. Death is something we all must accept, but collapse can signal a transformation.

In describing the reality of collapse, Margaret Wheatley draws on the work of Joseph Tainter, as well John Glubb. Tainter’s book, The Collapse of Complex Societies, published in 1987, is acknowledged to be the seminal work in establishing the pattern of collapse that is the fate of all complex societies.

“He is a superb and dedicated scholar,”

says Wheatley,

“both humble and clear. Over several years he studied in depth many different societies; as he did so, the pattern became so clear that he felt no need to continue to study others in detail.”

Tainter’s description gives a more accurate, and less terrifying, description of the reality we are living through. Tainter defines “collapse,” as primarily a political phenomenon with consequences in all other spheres such as economics, art, and culture.

“A society has collapsed when it displays a rapid, significant loss of an established level of sociopolitical complexity.”

This fits well with the descriptions I have offered by sociobiologist and futurist Rebecca Costa. In her book, The Watchman’s Rattle: A Radical New Theory of Collapse, Costa examines the rise and fall of multiple civilizations including Mayan, Khymer, and Roman empires. She found that the underlying cause of collapse had not been fully understood or addressed. What she discovered was that a societies inability to deal with complexity was the root cause of collapse.

As Costa’s mentor, the world-renowned sociobiologist Edward O. Wilson said in the books foreword:

“The clash of religions, and civilizations, Costa argues, is not the cause of our difficulties but a consequence of them. The same is true of the global water shortage, climate change, the decline of carbon-based energy, our cheerful destruction of the remaining natural environment, and all the other calamities close to or upon us. The primary cause of all threatening trends is the complexity of civilization itself, which cannot be understood and managed by the cognitive tools we have thus far chosen to use.”

But transformation is inevitable and we have an opportunity to create a different way to live, one that is more sustainable and supportive of life. Our ancestors go back millions of years and humans have lived sustainably on the planet for much of that time. But getting from here to there is a long journey requiring a new kind of leader, which Margaret Wheatly describes as a “warrior for the human spirit.” I will describe her ideas more fully in part 2 of this series.

As Wheatly reminds us, “The Warriors arise when the people need protection. The human spirit needs protection. May the Warriors arise.” As I am learning, getting older and dealing with disability and death, have some similarities with the transformations going on in the larger world. It takes the best of our warrior spirit to meet the challenges of life in the 4th quarter of life.

I appreciate your comments and support. I will post part two in an upcoming article.

What I’m Learning About Being a Male Caregiver - Part 3


More and more of us are being called to be Caregivers for loved ones as well as helpers and healers for those we are called to serve in a world out of balance. In Part 1 I described the call that changed my life. “Jed, I’ve fallen,” Carlin’s words on my cell phone got me running for the keys to the car. “I need help. I’m near the corner of North Street and Mendocino.” We quickly went from a stable and familiar life to one that involved the local emergency room at the hospital, partial hip replacement surgery, a stroke that occurred during surgery that resulted in some cognitive and speech problems, three days of hospital stay, and return home to a new configuration in our home (hospital bed downstairs, bedrooms are upstairs) and our lives. In Part 2, I talked about the intimacy and exhaustion that comes with 24/7 home health care.

Although I had done some family caregiving for my mother, father, and Carlin’s mother; my caregiving was mostly focused “out in the world” with clients I saw for healing in my psychotherapy practice and in programs to help men and the families who loved them throughout the world. My website MenAlive.com has been my window to the world where I have been helping men and their families live fully, love deeply, and make a positive difference in the world for more than fifty years now.

When I reached out for support to help me with the 101 things that needed to be done when Carlin was in the hospital and the many more that needed to be one when she came home, I found that a number of women friends had experience caring for older family members. Certainly caretaking is not limited to women, but women seem to be called upon more and step up for this kind of personal care more often than men do.

When all this began I panicked. How am I ever going to do all the things I need to do to take care of Carlin? The first thing I did was to call our son Aaron whose partner, Jennifer, is fortunately a Home Health-Care Nurse. They immediately flew from their home in Alabama and stayed with us for ten days. Jen was well-versed in caregiving, both professionally and taking care of aging parents. She helped me make sense of all the medications Carlin needed and set up some structure of what was needed. Aaron provided additional support. Our friend Yvonne, who was also experienced in caregiving, helped me with all the hospital contacts with doctors, nurses, and other personnel, as well as helping organize food support when we came home and other things we needed.

I never knew there was so much work that women do. I have gained a whole new level of respect, appreciation, and gratitude for work that I have taken for granted and I often overlooked in my desire to do the “important” work out in the world. I also re-remembered skills I had developed helping our daughter Angela when she was a baby.

My first wife, Candace, and I had adopted Angela when she was 2 ½ months old. She had a cleft palate at birth and had trouble sleeping the first year and caring for her required the best of both of us. When she was one-year old she had surgery to repair the palate and she didn’t sleep much the second year. Both my wife and I were beyond exhausted, but we learned to care for someone in need. There was no way I could turn over the caretaking to my wife. I was needed and I needed to learn how to nurture and care. Now Angela is a mother herself and has four beautiful children. She is a great caregiver and I continue to learn from her every day what it means to love deeply and well and care for those in need.

I’ve come to realize that too many men never learn the joys of intimate caregiving. Too many of us are taught that caretaking is women’s work, so when caregiving is needed we look the other way and hope a woman will step up who knows what to do. As a result we often don’t learn good caregiving skills and don’t take good care of ourselves or each other. It is one of the reasons, I believe, that men die sooner and live sicker than women. We don’t learn to nurture ourselves and we don’t learn to care for other men friends. It is also one of the reasons that men are so irritable, angry, and lonely.

I’ve written extensively about these issues in books and articles. In a recent article, “Why Are Men So Angry and What Do They Really Need?” I said,

“researchers have found that men have significantly fewer friends than women, especially close friendships or best friends. Instead, men often have ‘activity friends’ such as a weekly tennis partner or drinking buddy. The friendship is often based on the exchange of favors rather than emotional support. Men often are able to advance their careers with these kinds of friendships, but they fall short of what most of us need. As a result, many men feel isolated and angry.”

I remember the first time I realized that men could be caregivers. I was in my 20s, had been in and out of multiple relationships and was between girlfriends. I lived alone and got very sick with bronchitis that turned into pneumonia. In the past when I was sick I would reach out to a girlfriend or my mother when she was alive. It never occurred to me to call a male friend. I only did thaBut I was desperate. I called David and told him I was sick and needed help. He immediately came over with homemade chicken soup. He also gave me a massage and offered to come back and see me again. I literally couldn’t believe that I had male friends who could nurture and care for me and were not only open, but willing to offer a helping hand and could also listen to my fears and worries. It opened me up a whole new world.

Later I joined a men’s group. Our group has been meeting now for a long time. My wife, Carlin, says one the main reasons we have had a great 43-year marriage is that I have been in a men’s group for 44 years. I’ve learned more about caretaking over the years and these guys, particularly, Tom, Denis, and Tony, have been there for me over the years as I have been there for them.

Tom Mattlack is also a friend and fellow writer. I have truly appreciated his regular articles on men. I particularly appreciated his recent article, “How Many Guys Do You Have in Your Corner?” He begins the article with a series of provocative and important questions:

If you woke up in the middle of the night upset, or you had an emergency, or your wife told you she wanted a divorce…how many guys do you have in your contacts that you could call, no questions asked? The answer is the most significant determinant of your physical and emotional well-being. The number of men who say “none” is staggering. To be healthy, you need three. To be really healthy, you need five or more.

I used to be the one of the many guys who had none. Now I can confidently say I have more than five. It has taken me forty-four years to get there. It is never too late to begin wherever you are. It is not easy, believe me, but the payoff is huge. It is truly lifesaving.

We need more male caregivers in the world. Are you one? Do you know one? Will you become one? I look forward to hearing from you. Please share your experiences, thoughts, and feelings. If you like these kinds of article, please subscribe to my free weekly newsletter.

Caregiving: Intimacy and Exhaustion Part 2


In Part 1, I talked about Carlin’s slip on the wet sidewalk and subsequent events of her hip surgery. Here I would like to talk about caregiving. For those who have done full-time caregiving for a loved one, you know how rewarding and exhausting it can be. I had never been a full-time caregiver before. The only thing that came close was taking care of our daughter Angela when she needed surgery on her cleft palate when she was one-year old.

It has been more than fifty years since I was up nights with Angela. After her surgery she was terrified to sleep. I think it brought back trauma, so she fought sleep like it would kill her. So, we took turns singing to her, rocking her, walking with her, even driving around (it seemed to be the only thing that put her to sleep, but she’d wake up as soon as we turned off the engine.)

If you’ve gone a few nights without sleep, you know how it impacts our emotions, thinking, and overall brain function. It can be debilitating. One of our biggest challenges has been to get back in a normal sleep pattern. For Carlin it has been most difficult. She went from a special bed in our upstairs bedroom to a hospital bed set up downstairs in the living room. She would usually watch some T.V. until 10:00 or 11:00, get to bed, and I would wake her up at 7:00 AM. My schedule was slightly different. I would go to bed at 9 PM, read until 10:00, then lights out and up in the morning at 5:00 AM. Getting our routine back on schedule has been a major challenge.

The first night I brought Carlin back from the hospital on Saturday, March 30th. I got her settled in her new hospital bed which was delivered and set up in the living room after getting four strong neighbors to move out the huge dining room table that had occupied the site by the front window.

Our son, Aaron and his wife Jen, wouldn’t be arriving until the next day, so I sat with Carlin until she was ready to sleep. A neighbor had brought a bell she could ring if she needed help, but I was afraid I might not hear her from the upstairs bedroom so I reclined in my office chair downstairs where I knew I would hear her if she rang the bell we had gotten for her. She slept soundly, me not so much.

Aaron and Jen were with us for ten days before returning to their home in Alabama and I became the full-time caregiver. Change is always difficult until we develop a new structure and get used to the new normal. We’re still in process, but damn, I never realized there was so much to do and so little time in the day to do it all.

The days weren’t so bad. I immediately devised a system to keep track of the 18-20 medications the doctor ordered, some old ones, many new ones. With Jen’s assistance, I numbered each bottle and we put them all in pill boxes with morning, evening, and bedtime pills, along with their names and what they were for. Carlin always wants to know what she is putting in her body, and though she trusts me and the doctors, she still knows she is the ultimate one in charge of her own health.

Then there were the follow-up doctors’ appointments along with lining up help to assist me in getting her in and out of the car. Luckily Home Health Services were available within the week so I talked to and scheduled physical therapy, nursing follow up, and speech therapy. Carlin can’t bath yet due to the hip surgery, but with the help of a special in-tub chair and some great women friends who both help her in and out of the tub, help her wash, Carlin is getting support with the basics we most often take for granted, until we don’t have them.

We’ve been blessed with lots of friends who are bringing dinners (enough for lunch then next day), but still there is shopping to do, dishes to wash, including dishes brought with the food that needs to be washed and put outside in a collection container where people can pick up their washed dishes. Yvonne and Lu-Ann have been particularly helpful in helping organize all that is needed and giving Carlin regular showers.

Plus, I still work full time as a counselor, writer, and therapist. I’ve cut down on a lot of it to take on the added challenges of keeping up on all the house duties—washing clothes, doing dishes, paying bills, cleaning floors, bathrooms, etc. A lot of these things Carlin used to do, but now fall to me. It can be overwhelming at times.

We don’t have any family living close by so friends are stepping up big time. Everyone wants to help and be supportive, but some are more helpful than others. Most of the focus is on Carlin, which is the way it should be, but few people tune in to me and my needs. I’m doing a pretty good job at reaching out, yet there are times I wish there were a few more people tuning into me.

Luckily my men’s group has been supportive. These are guys who have been together for 44 years and are like brothers to me. As an only child, I’ve longed for sibling support and these guys have always been there for me, as I have been for them. The problem is that we are all getting older. There were seven of us when we started. I was the middle one in age, three older than me and three younger.

Each of the elders died in order of age—John, Dick, Ken. Now I’m the “old man” of the group, and there are three younger than me—Tom, Tony, Denis. I will be 80 in December and the younger guys aren’t far behind me.

I have some other men friends who are local and younger that I’m calling on for support. When I can stay in the present moment and not ruminate about the future, I can deal with what I have to deal with day by day. I got a good night’s sleep last night. Today is Easter Sunday, and the season of Passover and Ramadan. I’m Jewish by birth, with roots in our cultural history, but not religious. Today, it is supposed to be sunny and warm. Carlin and I are looking forward to getting out of the house, maybe a drive in the valley, and a walk around Haehl Creek area near the hospital.

Your comments and sharing are always welcome. If you would like to subscribe to me weekly posts at MenAlive.com, you can do so here.

Falling in Love in the Second Half of Life Part 1


Many of us are living in the second half of life. My wife, Carlin, and I have been married for 43 years, which is more than half our lives. She will be 85 in July and I will be 80 in December. Our love has deepened since we were first married in 1980, but it has taken us even deeper since her slip and fall on March 20th.

Both of us are very physically active. We do a morning series of exercises. I do a morning walk through the neighborhood and Carlin gets on her treadmill, walking forward and backwards in ways I wouldn’t even try. Well, I did try doing her backwards walking a few times and almost fell off the treadmill.

It was an unusually warm and sunny day on Monday, March 20, 2023 in Willits, California. Following our regular meditation group, I went into my home office to talk to a counseling client on Zoom. When I got out, there was a note from Carlin that she was out for a walk. A half hour later I received a call from her on my cell phone with words no one wants to hear. “I’ve fallen. I need help. I’m near the corner of North street and Mendocino,” she told me. “Hang on, I’m on my way,” I told her, as a grabbed my car keys and ran out the door.

I was by her side in less than two minutes. She had slipped on a wet spot on the sidewalk and was still down in a puddle of water. A woman from across the street was by her side trying to assist but was agitated and it took me a little time to calm her and access Carlin’s condition. She was clearly in pain and she couldn’t get up.

Just then a young man came from across the street, said his name was Brian, and identified himself as an EMT and Paramedic. He was very professional and respectful. He asked Carlin if it was OK for him to touch the area on her right hip where she identified the pain. He was soon clear, as was I, that she needed to get to the ER at the local hospital as soon as possible. We could either call an ambulance and wait for their arrival or he could gently lift her into my car and I could drive her myself and get there much faster since the hospital was five minutes away.

I got her into the ER and the nurses took over, getting her into a bed, and quickly got an X-ray that confirmed a broken hip. “I was surprised that it was broken,” the nurse told us. “You didn’t seem to be in that much pain, but it is broken, and you will need surgery as soon as possible.

In that moment of truth our worlds changed. I went from thinking my wife fell, bruised her butt, and we’ll laugh about it as I rub on healing creams for a week to Carlin needs hip replacement surgery and flashes of media stories of a broken hip being the beginning of the end for older people.

It took all my relaxation and meditation skills to calm my run-away anxieties and worst-case stinkin’ thinkin’ to calm myself and realize that it was much more likely that the surgery would be successful and Carlin would fully recover.

The next few days were a whirlwind of activity—driving back and forth bringing her things she needed and medications that the doctors wanted me to bring from home. The surgery was scheduled for Wednesday, March 22nd and fortunately I knew the surgeon to be top quality and highly trained. I had consulted him a few years back when I tore ligaments in my shoulder.

We were told she would be in surgery for a few hours, more or less, depending on how things went and whether he would need to replace just the ball of the femur or also the joint in the pelvis. The nurse said he would call me half way through and give me the progress report. I walked the hospital grounds along the trail I had helped build with a whole lot of others in our community.

The call came an hour later and I was pleasantly surprised by the report. “Things went more quickly than expected. She only needed a partial hip replacement and there was very little loss of blood. She will be a bit woozy for some time after she comes out of surgery but she should be back in her room in a few hours.” I was elated, top of the world, relieved and did a little prayer of thanks to all those who brought her through this ordeal, including her own higher power and deep spirit of healing. The doctor told us she would likely be released in a few days and we would start home care.

The crash came the next day following the surgery when I expected we could talk about what she would need coming home. But when Carlin tried to talk, she couldn’t complete a sentence and she couldn’t find simple words to say. I was terrified. How can I take care of my wife if she can’t tell me what she needs? Again fears of a future life together going downhill to the end began to overwhelm me.

Gaining control of a mind that is lost in worse-case what ifs takes discipline that was hard to apply, but I got a little help from neuroscientist Jill Bolte Taylor and her book, Whole Brain Living: The Anatomy of Choice and the Four Characters That Drive Our Life. I had watched her TED talk and enjoyed her earlier book. This one helped me engage my Character 2, which tends to focus on all the things that can go wrong in life, to reassure this brain Character that I would take his worries seriously and do everything I could to keep him safe.

The doctors and nurses reassured us. “Carlin didn’t have a stroke,” they told us. “Her speech problems are likely the result of aphasia, which is the loss of ability to understand or express speech. This is not uncommon following surgery with anesthesia medications, lower oxygen levels, and other things. It will likely clear up gradually and she should fully recover.”

I was reassured, but facing the reality of her coming home and I wanted to know when she would be back to normal. “I can’t give you a firm answer,” the doctor told me. “The brain heals when the brain heals.” Fortunately, it continues to heal and we are learning new things about life, love, resilience, and community. Often life crises can bring out the best in each other and deepen our love and connection. This is happening, big time, for Carlin and me.

I look forward to your comments. Come visit me at http://www.Many of us are living in the second half of life. My wife, Carlin, and I have been married for 43 years, which is more than half our lives. She will be 85 in July and I will be 80 in December. Our love has deepened since we were first married in 1980, but it has taken us even deeper since her slip and fall on March 20th.

Both of us are very physically active. We do a morning series of exercises. I do a morning walk through the neighborhood and Carlin gets on her treadmill, walking forward and backwards in ways I wouldn’t even try. Well, I did try doing her backwards walking a few times and almost fell off the treadmill.

It was an unusually warm and sunny day on Monday, March 20, 2023 in Willits, California. Following our regular meditation group, I went into my home office to talk to a counseling client on Zoom. When I got out, there was a note from Carlin that she was out for a walk. A half hour later I received a call from her on my cell phone with words no one wants to hear. “I’ve fallen. I need help. I’m near the corner of North street and Mendocino,” she told me. “Hang on, I’m on my way,” I told her, as a grabbed my car keys and ran out the door.

I was by her side in less than two minutes. She had slipped on a wet spot on the sidewalk and was still down in a puddle of water. A woman from across the street was by her side trying to assist but was agitated and it took me a little time to calm her and access Carlin’s condition. She was clearly in pain and she couldn’t get up.

Just then a young man came from across the street, said his name was Brian, and identified himself as an EMT and Paramedic. He was very professional and respectful. He asked Carlin if it was OK for him to touch the area on her right hip where she identified the pain. He was soon clear, as was I, that she needed to get to the ER at the local hospital as soon as possible. We could either call an ambulance and wait for their arrival or he could gently lift her into my car and I could drive her myself and get there much faster since the hospital was five minutes away.

I got her into the ER and the nurses took over, getting her into a bed, and quickly got an X-ray that confirmed a broken hip. “I was surprised that it was broken,” the nurse told us. “You didn’t seem to be in that much pain, but it is broken, and you will need surgery as soon as possible.

In that moment of truth our worlds changed. I went from thinking my wife fell, bruised her butt, and we’ll laugh about it as I rub on healing creams for a week to Carlin needs hip replacement surgery and flashes of media stories of a broken hip being the beginning of the end for older people.

It took all my relaxation and meditation skills to calm my run-away anxieties and worst-case stinkin’ thinkin’ to calm myself and realize that it was much more likely that the surgery would be successful and Carlin would fully recover.

The next few days were a whirlwind of activity—driving back and forth bringing her things she needed and medications that the doctors wanted me to bring from home. The surgery was scheduled for Wednesday, March 22nd and fortunately I knew the surgeon to be top quality and highly trained. I had consulted him a few years back when I tore ligaments in my shoulder.

We were told she would be in surgery for a few hours, more or less, depending on how things went and whether he would need to replace just the ball of the femur or also the joint in the pelvis. The nurse said he would call me half way through and give me the progress report. I walked the hospital grounds along the trail I had helped build with a whole lot of others in our community.

The call came an hour later and I was pleasantly surprised by the report. “Things went more quickly than expected. She only needed a partial hip replacement and there was very little loss of blood. She will be a bit woozy for some time after she comes out of surgery but she should be back in her room in a few hours.” I was elated, top of the world, relieved and did a little prayer of thanks to all those who brought her through this ordeal, including her own higher power and deep spirit of healing. The doctor told us she would likely be released in a few days and we would start home care.

The crash came the next day following the surgery when I expected we could talk about what she would need coming home. But when Carlin tried to talk, she couldn’t complete a sentence and she couldn’t find simple words to say. I was terrified. How can I take care of my wife if she can’t tell me what she needs? Again fears of a future life together going downhill to the end began to overwhelm me.

Gaining control of a mind that is lost in worse-case what ifs takes discipline that was hard to apply, but I got a little help from neuroscientist Jill Bolte Taylor and her book, Whole Brain Living: The Anatomy of Choice and the Four Characters That Drive Our Life. I had watched her TED talk and enjoyed her earlier book. This one helped me engage my Character 2, which tends to focus on all the things that can go wrong in life, to reassure this brain Character that I would take his worries seriously and do everything I could to keep him safe.

The doctors and nurses reassured us. “Carlin didn’t have a stroke,” they told us. “Her speech problems are likely the result of aphasia, which is the loss of ability to understand or express speech. This is not uncommon following surgery with anesthesia medications, lower oxygen levels, and other things. It will likely clear up gradually and she should fully recover.”

I was reassured, but facing the reality of her coming home and I wanted to know when she would be back to normal. “I can’t give you a firm answer,” the doctor told me. “The brain heals when the brain heals.” Fortunately, it continues to heal and we are learning new things about life, love, resilience, and community. Often life crises can bring out the best in each other and deepen our love and connection. This is happening, big time, for Carlin and me.

I look forward to your comments. Come visit me at MenAlive.com and please subscribe to our free weekly newsletter if you like to read articles about life, love, resilience, and community. and please subscribe to our free weekly newsletter if you like to read articles about life, love, resilience, and community.

Donna’s Law: A New Suicide Prevention Tool


I wept when I heard Katrina Brees share the story of her mother’s death on the CBS Morning Show. For more than a decade, Katrina and her mother, Donna, worked side-by-side producing parades in New Orleans. Her fond memories of her mom include “just her dancing in a parade, just her feeling the music, feeling the audience, giving love.”

But the person who seemed so carefree was a tormented soul, in a constant battle with bipolar disorder. In 2018 she wrote a letter to her psychiatrist:

“Dear Doctor, it has been nine months since this episode began. I am not doing well. How long must I endure this?”

Katrina’s mother answered her own question just a few days later. On June 26, 2018, she bought a gun and fatally shot herself. She did it beneath the Tree of Life, a New Orleans landmark.

  1. “It was the most special spot she could choose,” said Katrina. “It’s where many of our friends have had weddings. We’ve had funerals there. The space is so sacred. It feels to me like she laid herself on the cathedral of our community and died there.”

My tears were for Katrina, her mother, and all those who have experienced deaths of despair. I am all too familiar with those feelings. Following years of depression and feelings of hopelessness my father took an overdose of sleeping pills. Fortunately, he didn’t have a gun. He was hospitalized and eventually recovered. I grew up wondering what happened to my father, when it would happen to me, and what I could do to prevent it from happening to other families.

I faced my own dark night of the soul when my mental illness caused me to temporarily lose hope in ever feeling good again. Fortunately, with my wife’s support, I was able to reach out for help and get into therapy. I wrote about my experiences in an article, “Being Bipolar: Living in a World of Fire and Ice.

Professor Mike Anestis, who appeared with Katrina on the CBS Sunday Morning show, heads up the New Jersey Gun Violence Research Center at the Rutgers School of Public Health, said that many people survive suicide attempts using other methods.

“Intentional overdose? Only 2% to 3% of the folks who attempt suicide using an overdose die,”

said Anestis.

“Almost 95% of folks who use a firearm do. They don’t get a second chance.”

When we think of guns and violence, we often think of homicide deaths, mass killings, and horrible tragedies like school shootings.

“Suicide accounts for anywhere from 60% to 65% of all the gun deaths in the United States in any given year,”

said Professor Anestis.

“Guns are the main cause of suicide deaths. More than half of all suicide deaths in any given year are caused by self-inflicted gunshot wounds. So, that’s somewhere in the vicinity of 25,000 firearm suicide deaths in the U.S. every single year.”

According to University of Alabama law professor Fred Vars,

“In 2020, there were 66 gun suicides every day, which is more people than died in the worst mass shooting in U.S. history. And we don’t see it. You know, it doesn’t make the news. It happens one person at a time. Unless it’s a celebrity, we just don’t hear about it.”

But Vars is trying to change that, raising awareness while pushing for new gun legislation. He says there is “absolutely” a correlation between stricter gun laws and fewer suicides. He’s working with Katrina Brees on legislation called Donna’s Law, named after her mother. It would allow potential gun buyers to put themselves on a “do not sell” list.

“An individual would have the opportunity to suspend their ability to buy a gun, voluntarily, confidentially put their name into the already-existing background check system,” said Vars. “And if they attempted to buy a gun, that transaction would be denied.”

When asked by the CBS Morning Show’s interviewer,

“Do you have confidence that people who are suicidal would voluntarily request not to be sold a gun?”

Professor Vars replied,

“During a suicidal crisis or depressive episode, I think it is unlikely that anybody would sign up. But there are a lot of people who’ve been in that dark place who come out the other side and know they’re a danger to themselves. It’s more like an advance directive. Here, while I’m feeling better, let me prepare myself for that, and just get the gun out of the equation.“

Dr. Vars speaks from personal, as well as professional, experience. In his book, Weapon of Choice: Fighting Gun Violence While Respecting Gun Rights, he shares his own experience with depression, bipolar disorder, and thoughts of suicide earlier in his life.

“I sank into a deep depression,”

he remembers.

“It was months before I could go back to work full time. Because I feared hurting myself, I stayed away from the apartment windows and kitchen knives. Since that time, I have been back on the psych ward only once more, another manic episode, confirming my diagnosis of bipolar disorder.”

This makes very good sense to me. I would absolutely put my name on a “do not sell” database to protect myself and my loved ones from the danger of my making an irrational decision at the depth of despair rather than when I was feeling more hopeful. I believe many clients I work with who are dealing with depression, addictions, and other health challenges, would also want the option of this kind of protection.

So far, Donna’s Law advocates have not yet convinced Congress to act, but three states, Washington, Utah and Virginia, have passed it, and Maryland recently held hearings. Mental health advocate Bryan Barks testified in favor of the law, saying,

“This bill would give people prone to suicidality the agency to make decisions about their own access to guns when they are not actively suicidal.”
Katrina Brees says there are also other tools we could use to lower the risk of suicides. In reflecting on her mother’s death following a 30-year battle with bipolar disorder, she wondered why her mother had gone out and purchased a gun, since all her life she had been vehemently opposed to them.

In an Op Ed she hopes to have published she wrote in part:

“My mom died by gun suicide, and she couldn’t have done it without Google. The day she died, my mom searched how to hang herself. She had been struggling with suicidal ideation brought on by a medication side effect and was under the care of a psychiatrist. A top recommended article by Google explained that suicide by handgun is statistically more reliable.

“In a fragile state, my mom took Google’s advice and searched for gun stores near her. Google then provided directions to a gun store a couple miles away. She bought the only gun she would ever own and shot herself. After her death, I searched Google myself for information on gun suicide. I was bombarded by targeted advertisements encouraging me to buy a gun. Even the news article about my mom’s death presented an algorithm-derived advertisement telling me where I could buy a gun. As if that weren’t enough, I saw advertisements suggesting I could get a free gun — and “Buy Now” options with local pickup.

“Google’s business model is earning revenue by maximizing click-throughs. It’s not a passive bystander in the business of selling guns and other dangerous weapons, it is an active participant.

“When considering whether tech companies should be legally liable for the harmful content their algorithms promote, I hope the Supreme Court will consider that even if Google may not be technically liable, its failure to direct suicidal searchers to the National Suicide Prevention Lifeline (988) is a failure of moral responsibility and a danger to society.”

For more information:

Saving Lives: Why Gender-Specific Medicine Will Transform Healthcare For Men and Women - Part 3


In parts 1 and 2, I talked about the biological basis of gender-specific healthcare and quoted Marianne J. Legato, M.D., founder of the Foundation for Gender-Specific Medicine. She said,

“We’ve acted as though men and women were essentially identical except for the differences in their reproductive function. In fact, information we’ve been gathering over the past ten years tells us that this is anything but true and that everywhere we look, the two sexes are startingly and unexpectedly different not only in their normal function but in the ways they experience illness.”

In part 3, I will explore the evolutionary basis of our differences and describe our Moonshot for Mankind mission to improve the lives of men and the families who love them.

The Evolution of Males and Females: Warriors and Worriers

Joyce Benenson is a lecturer of Human Evolutionary Biology at Harvard University. In her ground-breaking book, Warriors and Worriers: The Survival of the Sexes, Dr. Benenson, who considers herself a human primatologist, presents a new theory of sex differences, based on thirty years of research with young children and primates from around the world. Her innovative theory focuses on how men and women stay alive.

“Men and women have evolved to specialize in preventing death from different causes,”

says Benenson.

“That way, their children had two parents who could cover more forms of danger and thus be able to keep them alive.”

One of the world’s leading experts evolution, biologist and naturalist Edward O. Wilson called Warriors and Worriers,

“brave, thoroughly documented, and written with unusual clarity. It explains more about the fundamentals of gender differences—and the meaning of human nature—than a library of conventional social science.”

Dr. Benenson calls the primary, evolutionary-based role of males, to be warriors, while the complementary role for women is to be worriers. These two words summarize and simplify very complex, evolutionary successful survival strategies. For the maximum benefit of all, women and men assume different roles. Women’s first job is to take care of themselves. If they die, their children are likely to die. Then, they must take care of the children. Hence, it is good if they think of all possible dangers to their health and well-being. In other words, they worry about everything.

Men must protect the women and children against attack from other groups of men. They must always be on guard and be willing to be prepared to fight. From an early age, males practice being warriors.

Benenson concludes,

“We are not conscious of being warriors or worriers. Rather being a warrior or a worrier is like having a special program continually running in the background of our mind.”

She makes clear that we are not prisoners of our evolutionary past. War is not inevitable, and societies can learn more peaceful ways to solve problems. But in order to change, to reduce male violence in the world, we have to understand the evolutionary drives that operate, often in our subconscious minds.

Men’s True Strength and Resilience Begins With Accepting and Having Compassion for Our Weaknesses

Too many men who feel weak and powerless inside, act out their fear and vulnerability by becoming aggressive and dominating. In her powerful and important book, Strongmen: Mussolini to the Present, internationally acclaimed historian Ruth Ben-Ghiat lays bare the blue-print that authoritarian leaders have followed over the past hundred years and empowers us to recognize, resist, and prevent their disastrous rule in the future.

She details the rule of leaders from the past including Benito Mussolini and Adolph Hitler as well as modern authoritarian leaders including Jair Bolsonaro in Brazil, Vladimir Putin in Russia, and Donald J. Trump in the United States.

“For ours is the age of authoritarian rulers,”

says Ben-Ghiat,

“self-proclaimed saviors of the nation who evade accountability while robbing their people of truth, treasure, and the protections of democracy.”

I’ve learned that men’s real strength and power comes from accepting our weakness. The fear many of us have if I accepted my weakness I would be dominated by others. The truth is that accepting ourselves for who we are is our real superpower and this begins with accepting our biological weakness.

Sex and Gender, Nature and Nurture: They Can Never Be Separated

In our complex world we all look for ways to understand and simplify things. When I was in college there was a running debate about whether we were most influenced by our biology or our environment. More recently there is great confusion about whether the differences between men and women can best be understood as biologically based sex differences or more environmentally determined social differences.

In an article titled, “Nature or Nurture, Sex and Gender,” Lloyd Minor, MD, dean of the Stanford School of Medicine, helps clarify these important issues.

“In recent years, both sides have capitulated to what seems like an obvious compromise: It’s both. Our genes and our environment play leading roles in shaping who we are. But to Siddhartha Mukherjee, physician and author of The Gene, this compromise is ‘an armistice between fools.’ The answer — nature or nurture — depends on the question.”

Dr. Minor goes on to discuss Dr. Mukherjee’s understanding of sex and gender issues. The genes that govern gender identity are hierarchically organized, Mukherjee argues. At the top, nature acts alone. A variation in a single chromosome determines whether our sex is male or female.

Gender, on the other hand, is determined lower in Mukherjee’s hierarchy. There, genes interact continually with the forces of history, society and culture, making gender and gender identity not an either/or, but a spectrum based on an infinite number of influences and interactions. Being clear about what questions we are trying to answer can help us best understand sex and gender issues.

Our Moonshot Mission for Mankind

Although I have been focused on healing men and their families since 1972 when I launched MenAlive, my work took a new turn twenty years ago when I read a research study by Randolph Nesse, MD and Daniel Kruger, PhD who examined premature deaths among men in 20 countries. They found that in every country, men died sooner and lived sicker than women and their shortened health and lifespan harmed the men and their families.

Their conclusions were a call to action for me:

  • “Being male is now the single largest demographic factor for early death.”
  • “Over 375,000 lives would be saved in a single year in the U.S. alone if men’s risk of dying was as low as women’s.”
  • “If male mortality rates could be reduced to those for females, this would eliminate over one-third of all male deaths below age 50 and help men of all ages.”
  • “If you could make male mortality rates the same as female rates, you would do more good than curing cancer.”

At MenAlive I developed new programs that address issues including male suicide, violence, irritability, depression, and loneliness—all issues that we know if treated can improve the health and well-being of men and their families. After doing clinical research for many years, Dr. Marianne Legato wrote the book, Why Men Die First: How to Lengthen Your Lifespan. She concluded,

“The premature death of men is the most important—and neglected—health issue of our time.”

In 2021 I invited a group of colleagues who have been doing ground-breaking work in addressing men’s health issues and together we launched our Moonshot for Mankind and Humanity. My forthcoming book, Long Live Men! The Moonshot Mission to Heal Men, Close the Lifespan Gap, and Offer Hope to Humanity, describes our work in more detail. We believe that “hurt men, hurt themselves, women, and the world” and “healed men, help themselves, women, and the world.” Together we can change the world for the better.

The MenAlive Academy of Gender-Specific Healthcare

I estimate there are 1,000 organizations that are doing important work in the area of gender-specific medicine and men’s healthcare. There are millions of men and their families who need help and support. I will be partnering with Ubiquity University to offer a complete training program for individuals who want to improve their own health as well as support men they know and love. We will also educate practitioners who want to develop their skills in this emerging and important field of health care.

There will be four levels of study that we will be offering:

Foundational Level—Before we can help others, we have to help ourselves. Everyone must start with the basics. You will learn why men are the way they are and how to improve men’s health. You will be able to take your own life experience and learn how to better understand yourself and others by looking at your health successes as well as your health problems through the various classes that will focus on physical, emotional, and relational health of men.

Intermediate Level—For those who would like to increase your knowledge and skills so that you can help others professionally, you will gain additional skills. If you are already in the helping professions, you will develop the added skills you need to expand your practice to include men’s mental, emotional, and relational health. If you come to this work from other professions, it will help you integrate your previous work with new skills in the area of gender specific practices that focus on men’s health.

Advanced Level—This level is for those who want to advance in the field, increase your reach and effectiveness, and specialize in working with certain specific populations such as young men and boys, mid-life men, or older men. It is also for those who want to focus on more specific issues like male anger or depression.

Master Level—For those who want to reach the pinnacle of this emerging new field of sex and gender-specific health care, this will help you focus your skills and practice to help more and more people. You may want to write a book or consult, teach, or train. I believe the world will need more and more experts at this level and will be reward both in satisfaction of helping many more people and also in the monetary compensation that goes with mastery at the highest level.

The programs with Ubiquity will allow you to receive certification at the various levels and for those interested, also opportunities to receive college degrees at bachelors, masters, and doctoral levels for those want their training to go beyond certification in sex and gender-specific healing to include bachelors, masters, or doctoral level degrees. If you would like more information, please drop me an email to Jed@MenAlive.com and put “MenAlive Academy of Gender-Specific Healthcare” in the subject line and I will send you more details.

Saving Lives: Why Gender-Specific Medicine Will Transform Healthcare For Men and Women - Part 2


In Part 1, I described my own experiences with mainstream medicine and my interest in developing a more personalized way of offering healthcare for men and their families. I learned about the work of Dr. Marianne J. Legato when I read her book, Eve’s Rib: The New Science of Gender-Specific Medicine and How It Can Save Your Life.

Dr. David C. Page’s work at the Massachusetts Institute of Technology on the genetics differences between males and females opened up new avenues for exploration. He said,

“We’ve had a unisex vision of the human genome. Men and women are not equal in our genome and men and women are not equal in the face of disease.”

In part 2, I will continue to explore the value of a gender-specific approach to men and women and how we can develop better healthcare for all.

XX and XY: On The Genetic Superiority of Women

While Dr. Page was conducting genetic research with a particular interest in the Y chromosome, Sharon Moalem, MD, PhD, was looking at sex differences that related to the X chromosome. In his book, The Better Half: On the Genetic Superiority of Women, Dr. Moalem begins by offering the following basic facts:

  • Women live longer than men.
  • Women have stronger immune systems.
  • Women are less likely to suffer from a developmental disability.
  • Women are more likely to see the world in a wider variety of colors.
  • Women are, overall, better at fighting cancer.
  • Women are simply stronger than men at every stage of life.

Dr. Moalem’s research points to the benefits that accrue to females because they have two X chromosomes in every cell of their bodies where males have only one. Dr. Moalem’s interest in the benefits of the X chromosome came home to him when he and his wife were in a serious automobile accident.

“So, you know what I was thinking while strapped to a spine board in the back of the ambulance hurtling toward the hospital? I was thinking about how grateful I was that my wife, Emma, was a genetic female with two X chromosomes.”

He goes on to say,

“I knew from my clinical work and research that even if my wife’s injuries were the same as mine, given the odds, she was likely to make a better and faster recovery than I was. Her wounds would heal faster, and she would have less of a chance of subsequent infections because of her superior immune system. All in all, her prognosis was almost assured to be better than mine.”

Melvin Konner, MD, PhD, applies science to human nature and experience, exploring the links between biology and behavior, medicine and society, nature and culture. In his book, Women After All: Sex, Evolution and the End of Male Supremacy, he says,

“Women are not equal to men; they are superior in many ways, and in the most ways that will count in the future. It is not just a matter of culture or upbringing, although both play their roles. It is a matter of biology and of the domains of our thoughts and feelings influenced by biology. It is because of chromosomes, genes, hormones, and nerve circuits. It is not mainly because of what your mother taught you or how experience shaped you. It is mainly because of intrinsic differences in the body and the brain.”

In their book, Gender Gap: The Biology of Male-Female Differences, evolutionary psychologist David P. Barash, PhD. and his wife, Judith Eve Lipton, MD, who is a medical doctor and psychiatrist, offer similar conclusions based on their extensive experience.

“When it comes to human nature, the differences between males and females must be acknowledged as real, important, and downright fascinating. Moreover, when it comes to understanding those differences, there is no better guide than evolution.

The Telomere Effect: Living Younger, Healthier, Longer

Dr. Elizabeth Blackburn, PhD, received the Nobel Prize in Physiology and Medicine in 2009 alongside two colleagues for the discovery of the molecular nature of telomeres, the ends of chromosomes that serve as protective caps, and for discovering telomerase, the enzyme that maintains telomeres.

Dr. Elisa Epel, PhD, is a leading psychologist who studies stress, aging, and obesity. She is a professor in the Department of Psychiatry and the University of California San Francisco, and directs UCSF’s Aging, Metabolism, and Emotions (AME) Center.

In their book, The Telomere Effect: Living Younger, Healthier, Longer, they say,

“We now have a comprehensive understanding of human telomere maintenance, from cell to society, and what it can mean in human lives and communities.”

In a research study “Sex Differences in Telomeres and Lifespan,” published in the journal, Aging Cell, Emma L B Barrett and David S. Richardson, say,

“Males and females often age at different rates resulting in longevity ‘gender gaps’, where one sex outlives the other. Why the sexes have different lifespans is an age-old question, still fiercely debated today. One cellular process related to lifespan, which is known to differ according to sex, is the rate at which the protective telomere chromosome caps are lost. In humans, men have shorter lifespans and greater telomere shortening. This has led to speculation in the medical literature that sex-specific telomere shortening is one cause of sex-specific mortality.”

In a 2022 research paper by Ericka Méndez-Chacón, “Gender Differences in Perceived Stress and Its Relationship to Telomere Length in Costa Rican Adults,” she says,

“Telomere length differs by sex, with women having longer telomeres on average. It is believed that estrogen has antioxidant properties that can protect the telomeres and that testosterone lacks these properties.”

The good news, as Drs. Blackburn and Epel point out, is that we can actually change the length of our telomeres.

“You can make simple changes to keep your chromosomes and cells healthy. You can use telomere science to support your cells. Begin with changes that you can make to your mental habits and then to your body—to the kinds of exercise, food, and sleep routines that are best for your telomeres.”

In Part 3, I will explore the evolutionary basis of our differences and describe our Moonshot for Mankind mission to improve the lives of men and the families who love them.

The Hubris of Mankind: Our Survival May Depend on The Secrets We Can Learn From The Animals


Hubris is a Greek word that originally meant defiance of the gods, nearly always resulting in divine retribution. Its modern meaning is “extreme arrogance, a combination of foolish pride and dangerous self-confidence. It aptly describes mankind’s attitude towards the natural world.”

Jan Bee Landman, Editor-in-Chief, of Aftermath magazine says,

“We humans have always had a hugely inflated opinion of ourselves. Our ability to outsmart other animals made us believe that we were unique, superior to all other beings, not bound by the laws of nature but free to do anything we wanted. We imagined that we were supernatural, the center of the universe, pinnacle of creation, darlings of our imagined gods, destined for eternal life, partly divine and sometimes even entirely so. This delusion of grandeur blinded us to the grave errors that marked our reign, the worst–and now seemingly fatal–error being our disregard for nature.”

Prosanta Chakrabarty explores the roots of our dis-ease and calls us to reconnect with the natural world. Dr. Chakrabarty is one of the world’s leading experts on ecology, evolution, and, interestingly, fish. He says,

“I have described 15 new species of fishes from almost as many countries and I’ve been lucky enough to have worked in more than 35 countries doing natural history research.”

He was a Program Director for the National Science Foundation and is a TED Senior Fellow. He teaches one of the largest evolutionary biology classes in the United States where he dispels many myths about evolution and the place of humans in the community of life.

We’ve all seen images like this one that purport to summarize the path of evolution with modern humans being the last stage of our advance from monkey to modern man.

In his powerful and important TED talk, “Four Billion Years of Evolution in Six Minutes,” Dr. Chakrabarty begins with a provocative question.

“If we evolved from monkeys, why are there still monkeys?”

His answer is even more surprising.

“Because we’re not monkeys, we’re fish.”

In his 5 minute and 41 second talk, he dispels some hardwired myths about evolution, encouraging us to remember that we’re a small part of a complex, four-billion-year process, and not the end of the line.

“We’re not the goal of evolution,”

Chakrabarty says.

“Think of us all as young leaves on this ancient and gigantic tree of life — connected by invisible branches not just to each other, but to our extinct relatives and our evolutionary ancestors.”

Animal Secrets: Nature’s Lessons For a Long and Happy Life

Another man with a unique perspective on human wellbeing is David B. Agus, M.D. Dr. Agus is the author of the international bestsellers The End of Illness, A Short Guide to a Long Life, and The Lucky Years. He is a professor of medicine and engineering at the University of Southern California and founding director and CEO of the Lawrence J. Ellison Institute for Transformative Medicine.

He is also the author of the new book, Animal Secrets: Nature’s Lessons for a Long and Happy Life. There is a myth that Homo sapiens (Latin: “wise man”) are the end product of evolution. This myth, he believes, blinds us to the reality that rather than being the pinnacle of evolutionary progress, we are a very young, outlier, species, in danger of being blown off the tree of life like a diseased leaf unless we wake up and learn from our elders.

In the Introduction to Animal Secrets, Dr. Agus quotes Albert Einstein:

“Look deep into nature, and then you will understand everything.”

He goes on to pose several hopeful health-related questions:

“What if, for the rest of your life, your body could be ten to fifteen years younger than your birth certificate says? What if you could safely edit your genes to avoid getting Alzheimer’s or heart disease that notoriously runs in your family? What if I could assure you that you’d never develop cancer or some rare, abominable illness with no meaningful treatment? What if you could know exactly which diet and exercise regimen to follow to stay lean and fit? What if you could avoid ever feeling depressed, achy, foggy, and ‘old’?”

I think most of us would pay a good deal of money if we could get positive answers to even one of these questions. We’d probably pay even more if we didn’t have to wait in line to enroll in some high-tech scientific study testing a new drug that had been recently discovered after billions of dollars invested by a multi-national pharmaceutical company with a dubious reputation.

What if we could get introduced to these healthcare miracles from an expert that lives very close to us?

“Seventy-eight million households in America,” say Dr. Agus, “have four-legged, fleecy family members. My family is one of them.”

In his chapter, “Oh My Dog! More Than Man’s Best Friend,” Dr. Agus gives us the first of many stories in the book that offers wisdom to create a life of health from our evolutionary elders in the animal kingdom.

I grew up in a family with dysfunctional parents. My father had become increasingly stressed and depressed when he couldn’t find work. He took an overdose of sleeping pills and was committed to the state mental hospital. My mother lost her own father when she was young and had become obsessed with death ever since. She was convinced she would die soon and bought life insurance policies she couldn’t afford so that I would have money when she died. When I was five years old she bought life insurance policies on me “so your family will have money in case you die.”

My refuge from the craziness of life was with my dog Spotty. He was playful, full of energy, loved me unconditionally, and was always ready for romp in the yard. At night he would sleep at the foot of my bed. He was my friend and companion and the only being I felt I could trust. Dr. Agus says that domesticated dogs have been found with human groups that go back at least 130,000 years into our hunter-gatherer past, long before we domesticated other animals like sheep, goats, and cattle.

Dr. Agus describes many ways that dogs contribute to our health, not the least of which is their ability to heal our emotional wounds.

“A pet pooch,” says Dr. Agus, “provides comfort, cuddles, and unconditional love. And because dogs know only how to live in the present, they can help us all focus on the now, sometimes hard to do. Even the bond we feel when we play with our dogs and enjoy those almost inevitable licks is like therapy on the brain and the nervous system.”

I have spent a lot of money on therapy in my own life, and as a psychotherapist offered my care and support to thousands of men, women, and children, but I have never forgotten the great healing that comes from animals.

There are many other animal secrets the good doctor shares with us. These include head-bobbing pigeons that offer creative strategies for preserving our memories and warding off dementia, bold squirrels and pigs that harbor secrets for managing chronic pain, elephants that help unlock insights into preventing cancer, giraffes who offer solutions to cardiovascular issues, and many animal secrets that provide health-promoting wisdom we can all use.

Humans have been on planet Earth a comparatively short time. Our animal elders have been here much longer. We would do well to listen to what they can teach us and stop pretending that we have nothing to learn from the animal partners who are with us in the community of life. As the cultural historian and religious scholar Thomas Berry so eloquently warned us:

“We never knew enough. Nor were we sufficiently intimate with all our cousins in the great family of the earth. Nor could we listen to the various creatures of the earth, each telling its own story. The time has now come, however, when we will listen or we will die.”

You can learn more about David B. Agus, M.D. and his work here. If you would like to read more articles on ways to stay healthy in body, mind, and spirit, please join me at MenAlive.com

Four Play: How Your Core Brain Characters Drive Your Love Life


In 2008 Harvard trained neuroanatomist, Jill Bolte Taylor, gave a talk, “My Stroke of Insight.” It has now been viewed over 25 million times and remains one of the most popular TED talks ever. It was the first TED talk to go viral on the Internet and as a result both TED and Dr. Taylor became globally famous. Within three months of delivering the talk, she was chosen as one of Time magazine’s 100 Most Influential People in the World for 2008. She was the premier guest on Oprah’s Soul Series webcast, her memoir was published by Penguin Books, and it spent 63 weeks on the New York Times bestseller list.

In the talk she shared with the audience her story of surviving a massive cerebral hemorrhage in which the left hemisphere of her brain shut down and the right hemisphere became dominant. She described how she, through the eyes of a neuroscientist, watched with fascination as her circuits and faculties went off-line. She took the audience on a mind-expanding journey into the deterioration of her own left brain whereby she shifted into a state of peaceful euphoria and oneness with the universe, unlike anything she had ever known.

“Underlying the functional differences between our two hemispheres,”

says Dr. Taylor

“are neurons that process information in unique ways. The left hemisphere works linearly and methodically and is all about the past and the future, while the right hemisphere functions like a parallel processor bringing multiple streams of data that simultaneously reveal a single complex moment of experience.”

It took her eight years to fully recover and her journey opened my heart, mind, and soul to the beautiful and mysterious power of our brains. Dr. Taylor offers a window into how we can get to know the four main Characters in our brain that guide our destiny. But she didn’t stop there.

“In my heart the talk failed to accomplish the one thing I had hoped I would do. I wanted us, as human beings, to recognize that we are connected as part of a whole, and I wished for us to treat one another with a higher degree of respect and kindness. Instead, our civility toward one another has clearly decayed over the past decade or more.”

In her new book, Whole Brain Living: The Anatomy of Choice and the Four Characters That Drive Our Life, Dr. Taylor offers hope that we can reclaim our partnership roots with ourselves, our family, friends, communities, and life on planet Earth. As a psychotherapist, who specializes in helping men and the women who love them to live fully and love deeply, I find Dr. Taylor’s work profoundly important.

Our Four Characters: How We Think, Feel, and Love

“I am a brain enthusiast,”

says Dr. Taylor.

“But, beyond the beauty of this amazing organ we all have inside our heads, it is our remarkable brain cells that manifest our choices and abilities. When we understand which cells manifest which of our abilities, the more power we have to choose who and how we want to be in any moment.

She goes on to say,

“I learned the hard way that we each have four distinctive groups of cells in our brains, divided between our two brain hemispheres, that generate four consistent and predictable personalities. Neuroanatomically these four groups of cells make up the left and right-thinkingcenters of our higher cerebral cortex, as well as our left and right emotional centers of our lower limbic system. I consider my new book, Whole Brain Living, to be a roadmap to the four different ‘Characters’ inside your brain. The better you know your Four Characters, the easier your life will become.”

Since all information comes into the brain first through our emotional centers, Dr. Taylor says we are all “feeling beings who think, rather than thinking beings who feel.” The philosopher, René Descartes’ dictum cogito, ergo sum, (Latin: “I think, therefore I am), whose views have greatly influenced our culture, demonstrates the imbalance towards our thinking centers which have come to overshadow our emotional centers.

Character 1. This rational character in your left-brain thinking is amazingly gifted at creating order in the external world. This part of your brain defines what is right/wrong and what is good/bad based upon its moral compass. It is also our left-brain Character 1 that triggers our stress response since it is a perfectionist in all it does.

Dr. Taylor suggests we name each of our brain characters as a way to begin to become intimate with these unique characters within us. She calls her Character 1, Helen.

“She is Hell on wheels and gets things done.”

I call my Character 1, Jaydij for Just Do It, Jed. This character is action oriented, takes no prisoners. He is impatient and jumps to creating solutions, often before he gets all the facts. Rather than taking his time–On your mark, get set, go–he often “goes off” quickly, never needing to get ready or set. This can, and often, does cause problems with relationships.

As you get to know your own Character 1, you will come up with your own name and learn his or her characteristics. Dr. Taylor lists some of the characteristics of Character 1 as follows:

  • Organizes and categorizes everything.
  • Divides people into we and they.
  • Is protective of our people and suspicious of those people.
  • Plans well.
  • Respects authority.
  • Critically judges right and wrong, good and bad.
  • Interested in details and differences.
  • Counts everything.

Character 2. The left-brain emotional character is preoccupied with one vital question: “Am I safe?” This is the core issue for any intimate relationship as well as our very survival through our long evolutionary history. Making a wrong decision was literally a life and death issue, particularly for women. Picking a partner who was not safe put women at risk of sudden death from predators, from males from other tribes who might cause harm to her or her children, as well as from a potentially untrustworthy partner. For men, the risk was also there, but the threat of death was less imminent.

Character 2 is often powered by a familiar feeling of unease that stems from either a traumatized or out-of-control past. As a result, this Character 2 part of our brain may end up feeling either “less than” or “not worthy.” It can also bring up fears of abandonment. That’s why I call the Character 2 part of my brain, Aban.

A great deal of the conflicts I have had in relationships can be traced back to my fears that my safety and security needs were being threatened.

Dr. Taylor says some of the most important characteristics of Character 2 include:

  • Anger and name-calling when upset.
  • Feels guilty.
  • Internalizes shame.
  • Loves conditionally.
  • Negative self-judgment.
  • Experiences a great deal of anxiety and worry.
  • Egocentric.
  • Blames others.

Where Characters 1 and 2, address issues of our past and future, our right brain Characters 3 and 4 are all about the present moment.

Character 3. The right-brain emotional, is our experiential self that seeks similarities rather than differences with other people. It wants to connect, explore, and go on adventures with others. The way the present moment feels is delicious, and sharing time, having fun, or deeply connecting through empathy can be gratifying for everyone.

I call my Character 3, Jeddy, the endearing name my wife, Carlin, calls me when we are feeling the most connected and playful. Jeddy is like a big joyful puppy dog. He is spontaneous, exuberant, unrestrained. He may unexpectedly jump into your lap and lick your face. He also can overwhelm you with his barks of delight and may even pee here and there when he is overly excited.

Dr. Taylor says some of the most important characteristics of Character 3 include:

Forgiving.

Awe-inspiring.

Playful.

Empathic.

Creative.

Joyful.

Curious.

Hopeful.

Character 4. The right-brain thinking character which exists as our most peaceful, open, and loving self. Our Character 4 is right here, right now, and completely invested in celebrating the gift of life with immense gratitude, acceptance, openness, and love. I call my Character 4, Lovers. My Tarot deck says the card VI, Lovers, is “symbolized by the conjoined male and female, is the law of union—oneness through the marriage of opposites.”

Along with the right-brain feeling Character 3, Character 4 is what Dr. Taylor experienced in all its magnificence when the left-side of her brain was incapacitated due to the brain hemorrhage.

“This is the part of our consciousness, right thinking brain that we share with one another and all other life,”

says Dr. Taylor.

“I see the brain cells underlying our Character 4 as the portal through which the energy of the universe enters into and fuels every cell of our body. It is the all-knowing intelligence from which we came, and it is how we incarnate the consciousness of the universe.”

Dr. Taylor says some of the most important characteristics of Character 4 include:

  • Aware: I am connected to all that is.
  • Expansive: I am open to possibilities and value the big picture.
  • Accepting: I am curious about what is and accept all of life’s experiences.
  • Embraces change.
  • Authentic.
  • Generous of Spirit.
  • Vulnerable.
  • Connected: In the consciousness of the cosmic flow I embrace the timeless, all-knowing part of myself that is connected to all that is.

The Brain Huddle: Your Power Tool for Peace

One of the challenges of life is being able to balance our individual me-ness with the larger we-ness that is required to have a successful relationship with another person as well as all parts of ourselves. Dr. Taylor says that bringing our Characters together can help, particularly when Character 2 is terrified and acts out.

In my book, The Enlightened Marriage: The 5 Transformative Stages of Relationships and Why the Best is Still to Come, I talked about the importance of understanding Stage 3, Disillusionment, which is where many couples get off track. Before that happens most often the couple have Character 2s that are freaking out and in conflict.

What Dr. Taylor calls a “brain huddle” enables us to bring each of our Characters together to figure out what is best. When Character 2, Aban, is terrified, irritable, and angry when he feels uncared for, we can meet with Character 1, Jaydij, my playful and interactive, Character 3 Jeddy, along with the Character 4, Lovers. The more we get to know our various brain Characters, the more we learn how we can work together to heal the inevitable conflicts that arise in our relationships.

Dr. Taylor’s book has a whole chapter on The Brain Huddle and much more detail about the Four Characters. You can learn more here. If you’d like to receive my free weekly newsletter with articles and opportunities to live fully, love deeply and make a positive difference in the world, you can do so here. I enjoy hearing from you. Please send your comments and questions.

The Evolution of Desires: The 4 Universal Conflicts That Undermine Men’s and Women’s Relationships


“When it comes to human nature, the differences between males and females must be acknowledged as real, important, and downright fascinating. Moreover, when it comes to understanding those differences, there is no better guide than evolution.” — David P. Barash, PhD. and Judith Eve Lipton, MD.

Biologists have a very simple and useful definition of what is male and what is female, whether we are fish, ferns, or human beings. An individual can either make many small gametes (sex cells) or fewer but larger gametes. The individuals that produce smaller gametes are called “males” and the ones that produce larger gametes are called “females.”

Many men believe that size matters. Yet, most of us are not aware of the difference in size and number between a sperm and an egg. A human egg is 85,000 times larger than a sperm. Each man produces 100 to 300 million sperm per ejaculate.

Dr. Steve Jones is professor of genetics and head of the prestigious Galton Laboratory, University College of London.

“The cellular imbalance is at the center of maleness,”

he says.

“It confers on males a simpler sex life than their partners, together with a host of incidental idiosyncrasies, from more suicide, cancer, and billionaires to rather less hair on the top of the head.”

“Generally, it is easier to move the smaller sperm to the larger egg than vice versa, and so it is the male that seeks out the female and the female who makes the selection from those males that come courting”

Dr. Jones concludes.

“From the greenest of algae to the most blue-blooded of aristocrats their restless state hints at an endless race in which males pursue but females escape.”

Of course, if females escaped completely, there wouldn’t be babies and that would be the end of that species. Yet, it does help us to recognize the different challenges males and females face in the mating process.

According to Dr. David Buss, author of the textbook Evolutionary Psychology: The New Science of the Mind,

“Human sexual psychology evolved over millions of years to cope with ancestral adaptive problems before the advent of modern contraceptive technology. Humans still possess this underlying sexual psychology, even though the current environment has changed.”

What competing is to males,” say Dr. David Barash and Dr. Judith Eve Lipton, authors of The Biology of Male-Female Differences, “choosing is to females.

In a TED talk on “Sexuality Conflict in Human Mating” Dr. Buss begins with a thought experiment: I’d like you to imagine an attractive person of the opposite sex walking up to you and saying, “Hi, I’ve been noticing you lately and find you very attractive.” They then ask you one of three questions:

  • Would you go out on a date with me?
  • Would you come back to my apartment with me?
  • Would you have sex with me?

These experiments were carried out numerous times in a variety of settings and, as you might expect, the answer given were different depending on whether those being asked were male or female. Here were the results:

Of the women approached by the attractive male experimenter, 56% agreed to go on a date with him, 6% agreed to go back to his apartment, and 0% of the women agreed to have sex with the attractive male stranger.

Of the men approached by the female experimenter, about 50% agreed to go out on a date with her, 69% agreed to go back to her apartment, and 75% of the men said they would be happy to have sex with her. Of the 25% who declined, many were apologetic, citing a girl friend or fiancé and asking for a raincheck in case things changed.

This evolutionary-based difference between men and women is at the root of much of our sexual conflicts.

Conflicts Between the Sexes Are Tied to Different Evolutionary-Based Desires of Males & Females

Conflict #1: Desire for Sexual Variety

In experiments with males and females they were asked, if given your choice, how many sexual partners would you like to have over the next month, six months, or over your lifetime. Think about it yourself. How many would you like to have?

  • Women, on average, said they would like to have 0.7 sex partners over the next month. One partner in the next six months. And 4-5 over a lifespan.
  • Men, on average, thought 2 in the next month would be about right, 8 in the next six months, and 18 in the lifespan. Dr. Buss noted that this was after eliminating 3 outlier males who wanted to have 1,000 sex partners over the lifespan.

As you might imagine, this difference between males and females is often a potent source of conflict.

Conflict #2: Sexual Over-Perception Bias

In this experiment males and females are shown a video of a man and woman sitting across from each other and interacting. At a certain point, the woman smiles at the man. The video is stopped and subjects are asked, “Why did the woman smile? What was she thinking? What signals was she sending?”

Men are more likely to say, “It was obvious. She was sending sexual signals.”

Women seeing exactly the same film say, “She was just being friendly, being polite.”

This over-perception bias is a source of conflict with men assuming sexual interest that isn’t there. It is most prevalent with attractive women, the ones who are most often hit on by men and the least likely to be reciprocating a sexual desire. You see the potential for conflict, I’m sure and have likely experienced it yourself.

Also, men who are high on narcissism are particularly prone to this bias, assuming, mistakenly, that they are God’s gift to women. They think they’re hot, but they’re not.

Conflict #3: Deception

All of us are prone to deception, but the sexes lie in different, albeit predictable ways. Men lie about their height (always want to be a bit taller), their income, and status. Women lie about their weight (by about 15 pounds on average, lower). Both men and women post photos that make them look more attractive than they are.

So, we need to see people and get to know them, not just trust social media connections. But even when couples meet, men tend to lie about the depth of their feelings. I remember being very drawn to a young woman, becoming sexual and then responding much more positively about our potential for a more in-depth relationship than I actually felt at the time. Studies show that I was not alone in what I said. Men often profess love when they are really talking about lust. We even tend to fool ourselves, which adds additional levels of conflict.

Conflict #4. Mate value discrepancies

I was asked by a female colleague, “Jed, why is it that all the guys that I’m interested in don’t seem very interested in me, but I’m pursued by all these guys who are interested in trying to ‘chat me up,’ but I have no interest in them?”

I told her honestly, “On the mating market you are an 8 seeking 10s, being lusted after by guys who are 5s and 6s.” Many of us seek a partner for short-term or long-term relationship that is at an evolutionary higher value than we are. We all want a high-quality mate, but even if we’re successful, we may still lose. Higher quality mates tend to have affairs more often and more often leave their partners over time. Some of us underestimate our value and are drawn to those below us. Best to seek a mate with relatively equal mate value.

This is one of the most common, and misunderstood, sources of conflict I see as a clinician who specializes in sex, love, and relationship issues. One of the greatest services I offer clients who are looking for a great partner is to be realistic about our evolutionary-based mate value as well as the value of those who may be interested in us.

We might tell ourselves that it shouldn’t matter, that we should see the whole person below the external indicators of desire, but we can’t ignore evolution.

My wife, Carlin, and I have been together for 43 years now. We had both been through two marriages and divorces before we met. But when we first got together there was clearly some attraction, but there were strong evolutionary pressures that told us that “the chemistry just didn’t feel right.”

I was a few inches shorter than her, which usually ruled me out with many women I found attractive. She was five and half years older than me, which was usually a deal-breaker for men she might be interested in getting to know better. Fortunately, we were smart enough to talk about our feelings of attraction as well as the discomforts we were experiencing.

Ultimately, we found that we were totally right for each other and have continued to be even more in love with each other through the years.

Here’s a take-home bit of wisdom we’ve learned:

  • We can’t ignore the forces of evolution.
  • Evolution has little interest in our happiness, just in our reproductive success.
  • We have to explore outside the evolutionary box of what drives our initial attraction.
  • We need to take our time before we get too involved with Mr. or Ms. Right or to exclude someone where there were lots of Mr. or Ms. Right signs, but the “chemistry” wasn’t there initially.
  • If we want to be happy for the rest of our lives, we need to listen to our evolutionary-driven desires but decide for ourselves who would be the best mate for us.

You can learn more about what we learned in our on-line course: “Navigating the 5 Stages of Love.” If you’d like to read more articles like these, please join our free newsletter list.

Why Men Are the Key Factor for Marriage Success or Failure


VIDEO

I have been a marriage and family counselor for more than fifty years. There is a saying in the field, “Happy wife, happy life,” that suggests that women’s wellbeing is the key to a relationship’s success. But research from the emerging field of gender-specific medicine indicates that men’s health and wellbeing is the key factor that determines whether relationships grow stronger through time or go under.

Dr. John Gottman is one of the world’s leading experts on sex, love, and marriage. At his famous center at the University of Washington, he has been meeting with couples for more than thirty years and can predict with 94% accuracy whether a couple will get divorced. His findings may surprise you. In his book, written with his wife Julie, The Man’s Guide to Women: Scientifically Proven Secrets from the “Love Lab” About What Women Really Want, he says:

“Men, you have the power to make or break a relationship. What men do in relationships is, by a large margin, the crucial factor that separates a great relationship from a failed one. This does not mean that a woman doesn’t need to do her part, but the data proves that a man’s actions are the key variable that determines whether a relationship succeeds or fails, which is ironic, since most relationship books are for women. That’s kind of like doing open-heart surgery on the wrong patient.”

Gender-Specific Healing: Why Men Die Sooner and Live Sicker Than Women

In a recent podcast interview I conducted with Marianne J. Legato, M.D., Founder and Director of the Foundation for Gender-Specific Medicine, we explored the emerging field of gender-specific health care and the importance of men’s health and wellbeing. Dr. Legato is regarded by both the medical and research communities as one of the world’s leading experts on gender differences.

One of the prevailing myths about sex and gender is that men are the dominant sex, occupying positions of power throughout the world. Dr. Legato’s research over the years has demonstrated that this “top dog” position of men is misleading at best.

“If it is true that men rule the world,” says Dr. Legato, “it comes at a heavy cost.”

In her book, Why Men Die First: How to Lengthen Your Lifespan, Dr. Legato says that the biggest surprise from the research coming in from all over the world is that

“From conception until death, men are inherently more fragile and vulnerable than women. In virtually every society in the world, men die first. Women have a hardiness that men simply don’t possess.”

Speaking directly to men she offers these facts of life:

  • The fundamental male biology makes you an underdog.
  • You are less likely to survive the womb than your sisters.
  • You are six weeks behind in developmental maturity at birth compared to girls.
  • Men have four times the developmental disabilities of females.
  • Men suffer more severely than women from seven of the ten most common infections that humans experience.
  • Men are likely to experience the first ravages of coronary artery disease in their mid-thirties, a full 15 to 20 years before women.

The Number One Killer of Men and Destroyer of Relationships

Like millions of others, I grew up in a family with a father who became increasingly irritable, angry, and depressed. His depression undermined my parents’ marriage, eventually led to my father taking an overdose of sleeping pills and being committed to the state mental hospital, and our family fell apart.

I grew up wondering what happened to my father, when it would happen to me, and what I could do to prevent it from happening to other families. It was the underlying reason I went into the field of gender-specific medicine and men’s health. In my book, The Irritable Male Syndrome and later in my book, Male vs. Female Depression: Why Men Act Out and Women Act In, I described my own research and the reasons that male depression is mis-diagnosed and mis-treated.

I said,

“Many studies show depression affects women about twice as often as men. This is surprising since suicide rates are 3 to 15 times higher in men. My own research, and that of a number of scholars in the field of men’s health, indicates that men suffer depression much more than previously thought. I believe we have been missing many depressed men because we haven’t been asking the right questions.”

I went on to develop a new questionnaire that addresses symptoms, such as male irritability and anger, that often underlie male depression.

Dr. Legato also addressed these issues in her book, Why Men Die First.

 

“One of the most important issues that face us all is the subject of depression: Women are said to suffer from this disease twice as often as men in virtually every country in the world. I think this is because men hide their pain…’Suck it up,’ men are told by their parents, teachers, and sports instructors—and by the commanders who send them into battle. I have asked many men if they think women underestimate the extent and depth of their sadness and the resounding answer is ‘yes.’”

I believe that untreated depression is one of the prime causes of relationship stress and breakdown. Healing men can go a long way in healing our love lives.

Healing Men, Healing Relationship: Navigating the 5 Stages of Love

Often unhealed wounds from childhood can contribute to later problems in our adult relationships. This was certainly true for me as I share in my welcome video on MenAlive, “Confessions of a Twice-Divorced Marriage Counselor.” It took me many years to heal the early wounds in my family and to create real lasting love in adult life. I am more than pleased to say, my present wife, Carlin, and I have been happily married for 43 years.

We share our story in my book, The Enlightened Marriage: The 5 Transformative Stages of Relationships and Why the Best is Still to Come which you is part of my special on-line course, “Navigating the 5 Stages of Love.” The course is for men and women who still believe in love, but don’t have a lot of time to waste. It brings together what I’ve learned over the years in a self-paced course you can do as an individual or as a couple.

I look forward to hearing from you. If you’d like more information about how to have the relationship you’ve always wanted, drop me a note to Jed@MenAlive.com and put “Healthy relationships” in the subject line and I’ll send you the latest information.

The Days of Love and Roses Are Wonderful if You Have a Mate —What to Do When You Don’t?


This was one of my most memorable Valentine’s days ever. My wife, Carlin, and I went into town. I dropped her at her hairdresser and I went and bought a new pair of shoes. I had worn my Keens down to the bone and I was pleased to find what I wanted on sale. I picked Carlin up and she looked fabulous, but she always does, even after being married for 43 years. We went out to one of our favorite restaurants, got a private table on the second floor, had a glass of wine and a fabulous meal. Next day, which was February 14th, I picked up the gluten-free cake I had specially baked for her with a special hand-made card from a local artist. We enjoyed a lunch of our leftovers from the night before and had a quiet day at home. To top it off, it snowed, beautiful, floaty flakes. A rarity in Willits, California.

But my romantic life wasn’t always like this. If you have ever visited me at MenAlive.com you will see my welcome video, “Confessions of a Twice-Divorced Marriage Counselor.” Before I got married the first time I was too young and crazy to think much about Valentine’s Day. Towards the end of my first marriage, I still bought my wife a nice card every year, but the stresses of earning a living and raising two children had taken a lot of the passion, creativity, and caring out of our marriage. We were still a family, but we had lost something that we never were able to retrieve.

After the divorce all I wanted to do was work and forget the pain of a failed marriage and the strain of being a part-time father with an ex-wife who never seemed to be able to forgive me for not being the man she wanted and needed. Truth be told, she also couldn’t forgive me for my inability to fill the hole in her soul that was left by her father who had died of a heart attack when she was seven years old.

Loneliness is a great motivator, but not always a healthy one. After a short time I met a sexy, exciting woman in the tubs at Harbin Hot Springs and after a whirlwind courtship I asked her to marry me. My close friends tried to talk me out of it, but I didn’t listen. They were probably jealous that I had…well who really knows what they were really thinking. I should have listened to my intuition that warned me that a woman who slept with a gun under her pillow might not be the ideal mate for an anti-war, peace-loving pacifist.

But loneliness has a way of blinding us to what is in our best interests. Falling in love is not always easy to distinguish from falling in lust. Love may not be blind, but my one-eyed friend, particularly when he was aroused, was not always a good guide to a hearts and flowers marriage that grows stronger through the years.

In my book The Enlightened Marriage and my course based on the book, “Navigating the 5 Stages of Love,” I talked about the challenges of Stage 3, Disillusionment, and how loneliness can cause us to feel alone even when we are in a relationship and can cause us to go “looking for love in all the wrong places,” the title of another book I wrote when I was trying to figure out why my first marriage had ended.

By now you’ve probably figured out that I write in order to sort out my feelings and make sense of my love life. It is a tradition I have grown to love and respect. One of my friends, and fellow writers, John David Mann, quoted Joan Didion in a recent mailing.

“I write to find out what I think,”

said Didion.

He also quoted William Faulkner:

“I never know what I think about something until I read what I’ve written on it.”

The quote I like best is from Ann Morrow Lindbergh:

“Writing is thinking. It is more than living, for it is being conscious of living.”

How the Loneliness Epidemic is Undermining Our Relationships

Vivek Murthy, MD, MBA, the US surgeon general, released a book early in the pandemic. He said that the coronavirus pandemic has created a loneliness epidemic.

“Social distancing, while necessary from a public health standpoint, has caused a collapse in social contact among family, friends, and entire communities — one that is particularly hard on populations already most vulnerable to isolation.”

Those who have been following this trend have recognized that Americans were experiencing high degrees of loneliness well before the coronavirus resulted in greater levels of social isolation. In a 2018 report by the Kaiser Family Foundation, 22 percent of all adults in the US — almost 60 million Americans — said they often or always felt lonely or socially isolated. The problem is even more concentrated among older adults: A major National Academies of Sciences report found that a little more than a third of adults over the age of 45, and 43 percent of adults over 60, felt lonely (other surveys have returned similar results).

The problem is even more pervasive and destructive. In her most recent book, The Lonely Century: How to Restore Human Connection in a World That’s Pulling Apart, Noreena Hertz, one of the world’s leading thinkers says,

“Even before a global pandemic introduced us to terms like ‘social distancing,’ loneliness was well on its way to becoming the defining condition of the twenty-first century.”

In the book she shares stories of pervasive loneliness: Carl, the Los Angeles executive so lonely he pays to be cuddled. Eric, the Parisian baker finding community in the political far right. Peter, the London schoolboy distraught because no one ‘likes’ his Instagram posts. Although as a group males seem to be more isolated and lonelier than females, this problem impacts both sexes. The CDC released a report that shows that teen girls across the United States are “engulfed in a growing wave of violence and trauma, as well as record levels of feeling sad or hopeless.”

“This is not merely a mental health crisis,” says Hertz. “Loneliness increases our risk of heart disease, cancer, and dementia. Statistically, it’s as bad for our health as smoking fifteen cigarettes a day. This is not just a crisis for individuals. Equally to blame are the dismantling of civic institutions, the radical reorganization of the workspace, the mass migration to cities, and decades of neoliberal policies that have placed self-interest above the collective good.”

Noreena Hertz concludes saying,

“All around us, the fabric of community is unraveling and our personal relationships are under threat.”

In a Time magazine article, “It’s Harder Than Ever to Care About Anything,” Hertz says,

“It’s almost like we have a choice to make. Are we going to consign and resign ourselves to a life of increasingly contactless encounters, in which we become ever more isolated and ever lonelier? Or are we going to commit to reconnect? My hope is that it’s the latter. This demands action not only by us as individuals, but also by businesses and governments.”

The Evolutionary Purpose of Loneliness and Its Solution

For most of human history humans were embedded in a rich network of interpersonal relationships. We had families of mothers, fathers, and children who received support from extended family and community. Times were often tough, but everyone had a purpose in life and everyone felt connected to others. That is how our ancestors survived over millions of years.

Any disconnections that lasted more than a short time created acute feelings of loneliness. Like hunger that would get us up looking for food and thirst that would send us searching for life-sustaining water, loneliness was a signal to reconnect. The problem in our modern world is that loneliness feeds on itself. We become increasingly fearful of others, afraid to trust others who could give us the life-preserving connections we need.

Here are my suggestions for healing:

  • Recognize that loneliness is a call to action. It is not a personal failing.
  • We can begin immediately to reach out to friends and family we trust.
  • When we’re most lonely, we can help someone else in need. Helping others reconnects us to the world.
  • Start small and build up your confidence. Even small gestures of kindness, care, and support can help you feel more connected.
  • Together we can expand our circle of care, connection, and love.

If you feel so moved, drop me a note to Jed@MenAlive.com and tell me what you are doing to combat loneliness in your life. If you’d like to stay connected, join our community to receive free weekly articles. https://menalive.com/email-newsletter/

Are You a Master at Work but a Disaster at Love?


I’ve always been successful in my work life, but my love life has been a challenge. I had my first job when I was eight years old. I recognized that everyone I knew sent out Christmas or holiday cards in December and I figured that I could make some money selling cards to my neighbors. I found a company that sent me a book of sample cards that people could choose from, fill in the personalized greeting they wanted, and pay me for the quantity of cards they wanted. I sent half the money to the card company and got to keep the other half. I made enough money to buy presents for family and friends and have a little left over to start the new year off right.

That led to bigger and better jobs, first as a paperboy and later I learned that I could make money buying and selling coins. At age nine I took the bus from our home in the San Fernando Valley into Hollywood to go to coin shows. When I learned that coin dealers at the shows got a discount buying coins from other dealers, I had business cards printed. “Jed Diamond, Dealer in Rare Coins” and demanded my dealer discount when I attended the next coin show.

I could go on and on about my business ventures including becoming a successful marriage and family therapist and author of seventeen books on various aspects of relationship health including international best-sellers such as Looking for Love in All the Wrong Places: Overcoming Romantic and Sexual Addictions, my first widely read book that spoke to problems I had gone through in my personal life and what I had learned that would help others.

In Looking for Love, I said:

“When we find that our romantic relationships are a series of disappointments yet we continue to pursue them, we are looking for love in all the wrong places. When we are overwhelmed by our physical attraction to a new person, when the chemistry feels ‘fantastic,’ and we are sure that this time we have found someone who will make us whole, we are looking for love in all the wrong places. When we are in a committed relationship but find ourselves constantly attracted to others, we are looking for love in all the wrong places. When our desire for more sex, different sex, or hotter sex, keeps us looking on-line for our latest fix, we are looking for love in all the wrong places.”

Like many of you, I did my share of looking for love in all the wrong places. I even developed a mathematical representation of it. We often view marriage as a way to make us whole and complete. The formula is ½ to ½ = 1. But I learned that trying to get another person to complete you actually creates a formula for disaster: ½ x ½ = ¼.

When you visit my website you’ll see my introductory video, “Confessions of a Twice-Divorced Marriage Counselor.” I share what I went through with a first marriage and couldn’t survive the stresses of raising children and attempting to stimulate our flagging sex lives by exploring the world of polyamory and open marriage. My second marriage was to a woman who slept with a gun under her pillow…”to protect myself from men,” she told me, should have been a tip off to run the other way. But when you become addicted to the rush of excitement and danger, we become like confused homing pigeons flying headlong in the opposite direction and soon crash.

The 5 Stages of Love and Why Too Many Relationships Crash at Stage 3

Rather than follow my old pattern of going through the grief of an ending, burying myself in my work, eventually getting lonely, and going out looking for love again; I tried something new. I decided to do some serious reflecting on my love life. I found a good therapist, attended a number of retreats on trauma, healing, and how we can find real lasting love, and took the time I needed to sort things out.

Looking back, I realize I had taken the skills that allowed me to be successful at work—Learning from experts, engaging what I learned, getting support, and creating a new way of looking at my life—and applying them to my love life. I’m more than happy to report that “the third time was the charm.” Carlin and I have been together for 42 wonderful years. I wrote about what we learned in my book, The Enlightened Marriage: The 5 Transformative Stages of Relationships and Why the Best is Still to Come.

We all want real, lasting love, whether we are in our 20s, 30s, 40s, 50s, or beyond. Yet too many marriages fall apart and most people don’t know why. They mistakenly believe that they have chosen the wrong partner. After going through the grieving process, they start looking again. But after more than forty years as a marriage and family counselor I have found that most people are looking for love in all the wrong places. They don’t understand that Stage 3 is not the end, but the real beginning for achieving real, lasting love:

  • Stage 1: Falling In Love
  • Stage 2: Becoming a Couple
  • Stage 3: Disillusionment
  • Stage 4: Creating Real, Lasting Love
  • Stage 5: Using the Power of Two to Change the World

Like many people I grew up thinking that love and marriage were easy and straightforward. You had fun dating until you met that special someone and magically fell in love. You became a couple and lived happily ever after. Clearly, real-life wasn’t like that. After a certain amount of time, we become disillusioned with our partner and the way we are in the relationship, eventually become more distant, and eventually things break down.

Yet, it doesn’t have to be that way.

A Retreat for Men Who Have Gone Through a Breakup, But Want to Learn the Secrets of Real Lasting Love

For years, I offered counseling for men who had gone through a breakup and wanted to come through the grieving process with new understandings about what went wrong and what they could do to create a better future. I also counseled women, but I seemed to attract many men. They were mostly over 40 and pretty successful in their work lives but were struggling in their love lives.

I also offered retreats for guys who wanted to give themselves a true gift of love: Learning from one who has been there the secrets of creating an intimate partnership that not only lasts through the years but becomes better and better.

Then Covid came to visit our world and we couldn’t do our retreats. Now, for the first time in a while, I will be offering a retreat for a small group of men. And I will be joined by two experienced colleagues, one male and one female, to give the men an experience they have never had, in a beautiful, and relaxed setting where they can learn the skills they will need to have the relationship they’ve always dreamed of having.

The retreat will take place March 16-19, 2023 and will be for men who:

  • Have been through a breakup, which could be recent, or sometime in the past.
  • May still be going through the disorientation, pain, and confusion or may be coming through to the other side.
  • Are starting to reach out again or may even be in a new relationship.

What you have in common is that you still believe in love, but don’t have a lot of time to waste. If this sounds like you, drop me a note to Jed@Menalive.com and put “retreat” in the subject line. I will get back to you and set up a time to talk in person, to hear more about your needs, and tell you more about the retreat. We are limiting the group to 12 men so you will get the personal attention you deserve.

If this sounds like something you’d like to do or if you know someone who might like to join us, please pass this on. I look forward to hearing from you. If you are thinking “next year, I’m going to have the relationship I need and want,” 2023 could be the year for you.

Navigating the 5 Stages of Love & Surviving the Turbulent Waters of Stage 3 Disillusionment


Valentine’s Day is celebrated as a day of love. For those who are in a loving, committed, relationship it is a time of special gifts, cards, and chocolates. For others, it is a time when we dream about real lasting love and hope it will be ours someday. Like many I grew up in a family with a mother and father who had serious wounds in their own families and the lessons I learned distorted my love map.

For more than fifty years I have been helping men and women learn from my mistakes as well as my successes as a marriage and family counselor. If you have visited me at www.MenAlive.com you have seen my welcome videos, “Confessions of a Twice-Divorced Marriage Counselor.” You also know that I finally learned the secrets of real lasting love and have been joyfully married to my wife, Carlin, for 43 years now.

I share what we learned in my book, The Enlightened Marriage: The 5 Transformative States of Relationships and Why the Best is Still to Come. This is the time of year where I get a lot of calls for private counseling. Women and men in a relationship where they have been struggling decide that this year things are going to get better, or I’m getting out. Single men and women decide, I’m going to find that special someone that I can spend my live loving and being loved.

I’ve developed a self-guided on-line course for those who don’t need, or can’t afford, private counseling but know that they want more from their love lives than they are getting and want to give more than they are currently giving.

We all want real, lasting love, whether we are in our 20s, 30s, 40s, 50s, or beyond. Yet too many relationships fall apart, just when the couple could be enjoying their marriage the most. Most people don’t know why. They become disillusioned, frustrated, and lost. They have fallen out of love and mistakenly believe that they have chosen the wrong partner. After going through the grieving process, they start looking again; but often, their efforts end up in disappointment.

Those who have been in a relationship that has gone bad still want love but don’t want to repeat the same mistakes.

I’ve counseled thousands of individuals and couples over the years. I’ve gathered together everything I would have liked to have learned when I was struggling in my past relationships and what I wished I had learned before I jumped into a second marriage. I put it all into a course, “Navigating the 5 Stages of Love.” You can learn more here. In this season of love and romance, many would like some real guidance to unlock the mysteries of love.

The 5 Secrets For Finding Real Lasting Love

Have you ever wondered why finding the right partner and having a love life that is passionate, nurturing, loving, and joyful has been so difficult?

Do you ever feel like you repeatedly pick the wrong person to fall in love with?

Have you ever felt like you are looking for love in all the wrong places?

Are you in a relationship that started off great, but seems to have lost something vital?

If you answered “yes” to any of these questions, you are not alone. I’ve been there myself. Here are five secrets I’ve discovered that helped me find real lasting love.

~ Love Secret #1: There are 5 Stages of Love Not Just Two.

Many of us have come to believe that finding the right person (Stage 1) is the most important stage (Hence all the programs and dating sites that promise to help you find your soul mate). Once you’ve found that special someone, Stage 2 begins and you build a life together. We are told we are then entitled to live happily ever after. But that is not the case for most of us. Here are the 5 Stages:

Stage 1: Falling In Love

Stage 2: Becoming a Couple

Stage 3: Disillusionment

Stage 4: Creating Real, Lasting Love

Stage 5: Using the Power of Two to Change the World

~ Love Secret #2: Stage 3, Disillusionment, is Not the Beginning of the End But the Entre to Real Lasting Love.

If we believe there are only two stages for having the relationship we’ve always wanted when things start to go south we ignore the signs or try to fix what is wrong. When things don’t get fixed we often blame ourselves or our partner and real we must get out of the relationship because it seems that no matter what we do, things don’t get better.

There is an old saying that can help us at this point, “When you’re going through hell, don’t stop.” Most people either stay stuck in their pain or bail out. What is called for here is to keep going. One of the most important things I teach people when they come to me for counseling is how to understand the value of Stage 3.

~ Love Secret #3: Stage 3 Teaches Us to Be Real.

Falling in love is by necessity deceptive. We so want to find that right person, we all project our unmet needs and desires on them. We don’t see the real person, we see what we want and hope to see. We don’t fully share our real selves. We share the parts of ourselves we think will be most attractive to a potential partner.

In Stage 3 we learn to recognize our projections and take the risk to slowly reveal who we really are and accept the gift of who our partner really is. We also recognize that there are unhealed wounds from our past relationships, most importantly from our first relationships—the ones we had growing up in our first family with our parents. We must get real with our past in order to have the future we all want.

The famous psychiatrist Carl Jung said, “The privilege of a lifetime is to become who you truly are.”

This is never an easy task. Stage 3 can help us release the illusions that keep us from our true selves.

~ Love Secret #4: We All Have Faulty Love Maps That Must Be Corrected.

Most of us grew up in families where we got a distorted map of what real lasting love was all about. There were beliefs about ourselves and others that were implanted in our brains and became mostly unconscious. We were implanted with internalized messages that told us things like:

I am not safe.

I am worthless.

I am powerless.

I am not lovable.

I cannot trust anyone.

I am bad.

I am on my own.

As a result we become like confused homing pigeons always flying ever faster towards addictive and disastrous relationships and away from good people and potentially wonderful relationships. It is like having a compass that always seems to take us South when we want to go North. Does that sound familiar?

~ Love Secret #5: Real Lasting Love Requires Three Simple Ingredients.

Most of us have no idea how to nourish a healthy relationship. It’s as though we are given a beautiful and rare flower, but me mistakenly give it too much water or not enough. I thought all I need to do when I got married was to be a good provider and refrain from being mean and nasty (Oh, and remember to shower regularly). But it took me a long time to learn the simple, yet necessary ingredients for real lasting love to flourish.

Psychologist, Dr. Sue Johnson, offers guidance in her book, Hold Me Tight: Seven Conversations for a Lifetime of Love. She helps us remember these three ingredients with one simple word: ARE.

  • A is for Accessibility: Can we reach each other? This means staying open to your partner even when you are tired, hurt, or insecure. Answering “yes” to questions like: Can I get my partner’s attention easily? Is my partner easy to connect with emotionally?
  • R is for Responsiveness: Can we rely on each other to respond to our emotional needs? Answering “yes” to questions like: If I need connection and comfort, will you be there for me? Does my partner respond positively to my signals that I need them to come close?
  • E is for Engagement: Do we trust our partner to value us and stay close even when we are out of sync with each other? Answering “yes” to questions like, Do I feel very comfortable being close to and trusting my partner? If we are apart, can I trust that we are still connected and cared for?

Most of us didn’t learn how to give and receive real lasting love. We forget that like food, we need these three types of nourishment often, many times a day. A big splurge on anniversaries and special occasions never makes up for what we miss if we don’t get these regular gifts of love every day.

I hope this was helpful to you. If you’d like to receive the gift of having my on-line course “Navigating the 5 Stages of Love,” I think you will find it’s a gift that keeps on giving long after you get it.

If you want to learn more about counseling or to subscribe to my free weekly newsletter, come visit me at www.MenAlive.com.

Saving Lives: Why Sex and Gender-Specific Medicine Will Transform Healthcare For Men and Women Part I


“We’ve had a unisex vision of the human genome. Men and women are not equal in our genome and men and women are not equal in the face of disease.”—David C. Page, MD, Massachusetts Institute of Technology

In September 1965 checked into my room at U.C. San Francisco Medical School. I had just graduated with honors from U.C. Santa Barbara and had received a four-year, full-tuition, fellowship to study medicine. I had planned to become a psychiatrist and secretly hoped I would learn why my father took an overdose of sleeping pills when I was five years old and why my mother was preoccupied with death, hers as well as mine. Though neither my father nor my mother died back then (they have since passed on), I never lost my desire to understand men’s and women’s physical, emotional, and relational illness and health.

However, medicine at the time was too restrictive for me. It assumed that the only differences between males and females had to do with our genitals and it totally neglected any psychosocial factors that impacted our health and wellbeing. I soon dropped out of medical school, graduated from U.C. Berkeley’s school of Social Welfare, and began working in the healthcare field in 1968. I later returned to school and earned a PhD in International Health.

Following the birth of our first son in 1969 and our daughter in 1972, I stared MenAlive.com as my “window to the world” for improving the health and well-being of men and their families. I read widely and shared what I was learning in books and articles. My first book, Inside Out: Becoming My Own Man was published in 1983. My seventeenth book, Long Live Men! The Moonshot Mission to Heal Men, Close the Lifespan Gap, and Offer Hope to Humanity will launch later this year.

The Emergence of Gender-Specific Medicine

 

Marianne J. Legato, M.D. is regarded by both the medical and scientific communities as one of the foremost experts on gender differences in the world. I first became acquainted with Dr. Legato and her work in 2002 following the publication of her book, Eve’s Rib: The New Science of Gender-Specific Medicine and How It Can Save Your Life. “Until now,” said Dr. Legato,

“we’ve acted as though men and women were essentially identical except for the differences in their reproductive function.”

Research findings and Dr. Legato’s own experience as a clinician and scientist were showing that these assumptions were not true.

“In fact, information we’ve been gathering over the past ten years tells us that this is anything but true and that everywhere we look, the two sexes are startingly and unexpectedly different not only in their normal function but in the ways they experience illness.”

Dr. Legato notes that it wasn’t only the medical and scientific communities that were challenging the old paradigms, but women were calling for changes as well.

“It has been women themselves,” says Dr. Legato, “who have demanded a change in the way American scientists and doctors do business. With an increasingly more coherent and powerful voice, women have forced the federal government and the biomedical establishment it supports to define the differences between males and females.”

There Are 10 Trillion Cells in Human Body and Every One is Sex Specific

I learned in biology class that all humans have 23 pairs of chromosomes. The first 22 are identical. The 23rd set are the sex chromosomes. If we are biologically male, our 23rd pair are XY. If we are biologically female they are XX. The scientific assumption until recently was that any differences between males (XY) and females (XX) were limited to differences related to our sex organs.

Another biomedical researcher who has been working to better understand sex differences is David Page, M.D. Dr. Page is a biologist and professor at the Massachusetts Institute of Technology (MIT). After Dr. Page won the MacArthur “Genius Grant” in 1986, he was promoted to the faculty of the Whitehead Institute and the MIT Department of Biology in 1988. In 1990, Page was named a Howard Hughes Medical Institute Investigator. In 2005 he was named as director of the Whitehead Institute where he and his colleagues have been studying the genetic differences between men and women.

His particular interest and expertise has been in studying the Y chromosome.

“There are 10 trillion cells in human body and every one of them is sex specific,” says Dr. Page.

I first heard about Dr. Page’s research when I viewed a TED talk called “Why Sex Matters,” which has now been viewed by more than 2 million people. He contends that medical research is overlooking a fundamental fact with the assumption that male and female cells are equal and interchangeable in the lab, most notably because conventional wisdom holds that the X and Y chromosomes are relevant only within the reproductive tract.

“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. It’s 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, you’ll find that they are only 98.5% identical. In other words, the genetic differences between a man and a woman are 15 times greater than the genetic difference between two men or between two women.”

If we think that a 1.5% difference in our genomes, isn’t a big deal, think again. Dr. Page says I am as different from my wife genetically as I am from a male chimpanzee, and so are all other men. And my wife is as different from me genetically as she is from a female chimpanzee, and so are all other women. Being aware of our differences and similarities are important.

“Men and women are also not equal in the face of disease,” says Dr. Page.

“For instance, take the case of rheumatoid arthritis. For every man with rheumatoid arthritis, there are two to three women that are affected by this disorder. Is rheumatoid arthritis a disease of the reproductive tract? No. Let’s flip the tables and consider Autism Spectrum Disorders. For every girl with this disorder there are about five boys. Let’s look at Lupus, a long term, autoimmune disorder with devastating consequences that can result in death. For every man suffering from Lupus there are six women suffering from this disorder.”

Dr. Page goes on to say,

“Even when disease occurs in both men and women with equal frequency, that disease can have more severe consequences in one sex or the other.”

We know, for instance, that with the Covid epidemic, although both men and women could become infected, men were more likely to require hospitalization and more men died.

“So, all your cells know on a molecular level whether they are XX or XY,” says Dr. Page. “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.”

“We’ve had a unisex vision of the human genome,” says Dr. Page.

“Men and women are not equal in our genome and men and women are not equal in the face of disease.” Dr. Page concludes saying,

“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.”

The Future of Healthcare:

I believe that gender-specific health care will transform our world. I will be offering a training program later this year for healthcare practitioners who want to improve their skills and expand their practice. If you are interested in learning more, please send me an email to Jed@MenAlive.com and put “Gender-Specific Healthcare” in the subject line.

Is Your Love Life in Transition? Make 2023 the Year of Real Lasting Love


If you have been following my writing, you know that I am a marriage and family counselor who specializes in working with men. That reality is surprising to many. When we think of love and marriage, most people think, consciously or subconsciously, that this is the province of women. But here is a secret I’ve learned after more than 50 years working with men, women, and couples. Whether a relationship is successful and leads to real lasting love or crashes in disillusionment is primarily dependent on what the man does. That’s right guys, you can make or break your relationship.

One of my colleagues, Dr. Marianne J. Legato, herself an expert on men’s and women’s relationship, says,

“What men do in relationships is, by a large margin, the crucial factor that separates a great relationship from a failed one. This does not mean that a woman doesn’t need to do her part, but the data proves that a man’s actions are the key variable that determines whether a relationship succeeds or fails, which is ironic, since most relationship books are for women. That’s kind of like doing open-heart surgery on the wrong patient.”

I went through two marriages and divorces before I understood that having a successful relationship depended on me. Up until then, I assumed that if I found the right woman then worked hard to be a good breadwinner, that everything would take care of itself. Or at least that my wife would know what to do. I imagined that women, because of being women, knew the secrets of love. My job was to find the right one and then to live happily ever after.

Relationships don’t just fall apart. There are always warning signs. But when we’re busy working and we assume that relationship success is women’s work, we miss the warning signs until it is too late. I talk about my own failures when people visit my website and see my introductory welcome “Confessions of a Twice-Divorced Marriage Counselor.”

Although marriages can end at any time, they are becoming increasingly common at mid-life. My colleagues Jeff Hamaoui and Kari Henley at the Modern Elder Academy have written a wonderful article, “Anatomy of a Transition,” that captures the craziness and confusion of what we go through when a relationship has ended.

They describe 3 Stages: (1) The End, (2) Messy Middle, and (3) New Beginnings. In each stage there are three steps we must navigate. Together they constitute a map that can help us navigate the journey from an ending to a new beginning:

Stage 1: The End

  • External Kick or Internal Shift

Some relationships end when we are kicked in the teeth (or somewhat lower in our anatomy. “I’m no longer in love with you. It’s over. I want a divorce.” Or it can happen with a more gradual internal shift when the negative aspects of our love lives build up until we can no longer ignore them and we know we have to change or die inside.

  • Denial

We have invested a lot of our hearts, souls, hopes, and dreams in our relationship and we all go through a phase of denial as we try and convince ourselves that it isn’t as bad as we think or surely things will turn around soon.

  • Emotional Bath

Our feelings go up and down. One minute we’re sure its over, but something good happens and we’re sure things are turning around and everything is going to be all right. There is a line from a song that captured this time for me. “We’re walking the wire of pain and desire, looking for love in between.”

Stage 2: Messy Middle

This is the period of being in between. It’s called liminal space. We know an important part of our old life has ended but don’t know what lies ahead.

  • Being drawn back to what is familiar

Even when we know a relationship has ended, we are drawn back to what we know. “Be it ever so shitty, there’s no place like home.” Even after I knew my relationship was over I kept being drawn back in. This is particularly true if we have children. They want us together, no matter what.

  • In The Soup

When we’re in the soup, we feel like we are coming apart. What we know has disappeared and who we are is frightening and unfathomable. It takes real courage, and more than a little help from our friends, to keep us afloat and moving ahead.

  • Find the Thread

This is the key to our survival. The thread is our connection to our True Selves which is connected to Source or Soul. When we are deeply connected to the Life Force, we can never get lost. We never lose the thread, but it can be hard to find when we are in the soup.

Stage 3: New Beginnin

Beginnings are exciting and fragile things. We are learning to get to know ourselves anew and are ready for a new relationship with ourselves and someone else.

  • Becoming

After the end of a relationship, we realize we are becoming a new person to ourselves and we need to take time to get to know ourselves. This often means reflecting on our lives, including our past relationships and understanding why we got in them and why we had to leave (even when we weren’t the ones who initiated the ending).

  • Taking Flight

You are in a new world. You’ve found your wings and you are flying. You feel more complete, whole, and healthy. You are in love with life and you’re ready to share your love with others. You’re in no hurry. You’re not starving for love. You have love in your life, but you know you want to share it.

  • Finding Flow

We’ve all had that feeling when you know everything is as it is supposed to be. There are no mistakes in our lives. Everything is part of the journey. What we thought was a disaster turns out to be the gift of rebirth.

Looking back I realize I went through these stages with my first two divorces. But I also have come to realize that in a long-term marriage, we can go through them with the same person. My wife, Carlin, and I have been together now for 43 years. We both realized that we change and become different people and so our relationship has to change.

We decided we needed to review and renew our relationship every 15 years. This allows us to let the old relation go and create a new one that fits who we are now. We’re coming up on our fourth marriage to each other. It is wonderful to know we can go through the stages together.

Starting Over: Create an Inspiring New Story After Your Relationship Ends

In March, I will be offering a 4-day retreat just for men. I’m excited to be joined by two colleagues and friends, Shana James and Mark Pirtle. This retreat is for men who have been through an ending and are ready to start anew. Your ending may have been the end of a marriage or it may have been the end of an old relationship, but one where you two are still together, but ready for renewal.

This four-day retreat is for any man who may be…

In shock about what happened and why his relationship ended.

  • In shock about what happened and why his relationship ended.
  • Stuck in a loop and can’t stop thinking about his former partner.
  • Grieving, feeling the intense pain of the ending of a cherished relationship.
  • Trying to ground himself before he starts to think about dating again.
  • Exploring a new relationship but being careful.
  • Wanting to learn more about sex, love, and intimacy.
  • In a relationship that needs to end or transform.
  • Wanting to ensure that he has real lasting love in the future.

Are you a man who is ready to have the relationship of your dreams? Do you know a man who is ready to learn about real lasting love? If you are interested in knowing more about this retreat, I will answer all your questions. We are limiting the retreat to just 15 men and it is filling up fast. Drop me a note to Jed@MenAlive.com and put “men’s retreat” in the subject line.

How to Become the Man All Women Wish They Had


I was a junior in college at U.C. Santa Barbara in 1964 when I saw Anthony Quinn in the movie Zorba the Greek. I went to college to fulfill my parents dream that they never achieved, but really to learn the mysteries of life—in other words, sex, surfing, and what it meant to be a guy who could attract a girl who would be willing to have wild sex in the surf with him. Zorba was my role model. Let me confess at the outset, I failed at finding a girl who would have wild sex with me (that would come much later), but I never forgot what I learned from Zorba.

There are four things Zorba loved more than anything: Life, women, music, and his latest scheme to succeed against all odds. At a time when most film heroes were characters like James Bond who killed bad guys and was only interested in women for one thing (his love interest in Goldfinger was named Pussy Galore. How did that get past the censors?). Zorba was refreshingly different.

James Bond was one dimensional, Zorba was complex. He was the kind of man all women wanted, young, old, and in between. But he was also a man’s man, and genuinely wanted to help his stiff, young, English boss. Zorba (the character based on the book from Greek writer Nikos Kazantzakis) offers wonderful bits of advice that have stuck with me for almost sixty years:

  • “Since we cannot change reality, let us change the eyes that see reality.”
  • “The only thing I know is this: I am full of wounds and still standing.”

And the one that still guides my life:

  • “A man needs a little madness, or else he never dares cut the rope and be free.”

Becoming the Man You Always Wanted to Be

I fell in love and got engaged during my last year in college (I was 21, she was 18). We were both naïve (how could we not be?) believing that we had found everlasting happiness. Without thinking about it consciously, we assuming there were two stages for a successful relationship:

1. Fall in love.

2. Build a wonderful life together.

There was no need for more stages. We just assumed we would live happily ever after. Life had other ideas for me.

We had two children and got divorced just before our tenth anniversary following three years of conflict and recriminations. I quickly remarried and was soon divorced again. Divorce is painful for everyone. Our hopes and dreams of love everlasting are dashed. For me, who had become a successful marriage and family counselor, it was devastating. How could I expect anyone who pay me for counseling when I couldn’t even keep my own relationship together? How could I keep saying I was a therapist if my own love live wasn’t working?

I made a decision that changed my life. I decided to quit my job as a professional counselor, go back to basics and see if I could figure out what it really meant to be a man and to have the kind of relationship that I had dreamed of having. I needed to make a living while I was figuring it out, so I got a job at Howard Johnson’s restaurant doing the early morning shift that no one wanted.

I stopped looking for women. What woman would be interested in having a man whose job was serving coffee and serving food to travelers who were still asleep when they stumbled in? I also went into therapy myself and read everything I could find from experts who actually were practicing what they preached to others.

I also reflected on what Zorba taught me. After a lot of dark and depressing times feeling like a failure at the two things that Sigmund Freud said were the cornerstones of our humanness, “Love and Work,” I got back in touch with Life. I went for long walks on the beach and learned to meditate. I read “The Course in Miracles” and joined a weekly group of people who sang together. All of these things were a bit crazy for me.

I was a city kid who was uncomfortable in nature. I thought meditation was boring and couldn’t keep my eyes closed for more than a few seconds, a racing mind, I believed, would somehow get me someplace worthwhile. I didn’t believe in miracles or God. My parents were Jewish by birth and culture, but political activists by inclination and atheists by training. If you can’t see him, touch him, prove him—believing in God or Goddess is unscientific and a waste of time.

I began writing my thoughts and feelings in a journal, which really seemed crazy to me. It eventually turned into a book, my first, called Inside Out: Becoming My Own Man. Instead of going out looking for women, I joined a men’s group, which was really crazy. What heterosexual man would rather be in a men’s group than chase women? Being in the group changed my life and we’ve continued to meet regularly since we began in 1979.

Finding My Soul Mate Instead of a Playmate

I was ten years old in 1953 when a twenty-seven-year-old nerdy sociology student at Northwestern University named Hugh Hefner started Playboy magazine. He put a racy picture of Marilyn Monroe on the cover and added some philosophy about sexual freedom. The first printing of 50,000 copies sold out overnight. Playboy bunnies and Playmates of the Month became the dream lovers of boys and Peter-Pan men who never wanted to grow up.

By the time I met Carlin, I had gone through two marriages and divorces (Check out my “Confessions of a Twice-Divorced Marriage Counselor” at MenAlive.com). I had given up the search for the perfect partner, but I retained my vision of the kind of girl who had the right chemistry to turn me on—younger than me, shorter than me, if not a Playmate of the Month, at least one of the cute bunnies (I mean, if a nerd like Hugh Marston Hefner could spend his adult life surrounded by bunnies, I could find at least one for myself, I hoped).

Carlin and I met at the dojo in Mill Valley. I had begun practicing the non-violent martial art of Aikido (most of my macho friends went in for more kick ass practices like karate or Kung Fu). She was introduced to me by a mutual friend. I was friendly, but clearly she wasn’t my type. She wasn’t cute or bunny-like. She was pretty in an exotic kind of way that was attractive, but confusing. But she had one quality that was clearly a deal-breaker. She was a few inches taller than me (and I found out later that she was also a few years older than me).

But a very strange thing happened. We ended up going to the same retreat (turned out the friend who introduced us, knew I was going to this retreat and suggested it to Carlin). We kept running into each other and some crazy magic began happening. I put my conscious mind to sleep (really a crazy thing to do for me), quit ruminating, comparing her to others, comparing myself to some ideal, and just lived in the moment and enjoyed being alive.

Without judgement about her or about me, whether she was sexy enough or if she was my type, or mine hers, we just got to know each other (and in the process ourselves). We even talked about our judgements and the stereotypes that told us who we should be attracted to and how we should feel. We stopped trying to be the people we were supposed to be and started enjoying being ourselves.

We’ve been married now for 43 wonderful years. We’ve had our ups and downs, like all couples, and we are still learning about love. I wrote a book about our continuing journey. The Enlightened Marriage: The 5 Transformative Stages of Relationships and Why the Best is Still to Come.

If you are a man, or know a man, who has been through a relationship breakup (or more than one) and is ready to explore and learn what it really means to become a man who can attract a true soul-partner, I will be leading a 4-day retreat in March, along with two colleagues, I’ve known for years. If you are interested in learning more, let me know. It will be limited to a small group of men who are ready for real lasting love. It is for a few good men who aren’t afraid to explore their little bit of madness. If this sounds like it might be you, drop me a note to Jed@MenAlive.com and put “Soul-Mate Man” in the subject line. I’ll send you all the details.

You might also enjoy my recent article, “Are You a Master and Work, But a Disaster at Love?

Man Therapy: Training Health Practitioners For the Future


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 master’s 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 men’s 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 couldn’t 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 the mental hospital beginning in 1949. 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 also the founder and director of the Foundation for Gender-Specific Medicine, which she created in 2006.

In her 2002 book, Eve’s Rib: The New Science of Gender-Specific Medicine and How It Can Save Our Life, she says,

 

“Eve’s Rib is not just about women’s health, but about the health of both sexes and the new science of gender-specific medicine. Until now, we’ve acted as though men and women are essentially identical except for the differences in reproductive function. In fact, information we’ve 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. Legato’s first book focused more on women’s 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 they’re boys or girls. Boys can keep secrets, and they’re not afraid of mice, so the Mel Brooks baby, who can’t and is, must definitely be a girl—right? 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 book’s 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. It’s 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, you’ll 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.

“Here’s 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.”

The Moonshot Mission for Mankind and Humanity

Our Moonshot Mission for Mankind and Humanity launched in November 2021 when I invited seven colleagues who lead programs focused on men’s health to join me and work together to improve men’s health. The mission was inspired by the research of two colleagues, Randolph Nesse, MD and Daniel Kruger, PhD examined premature deaths among men in 20 countries. They found that in every country, men died sooner and lived sicker than women and their shortened health and life-span harmed the men and their families.

Based on their research Drs. Nesse and Kruger concluded with four powerful statements:

  • “Being male is now the single largest demographic factor for early death.”
  • “Over 375,000 lives would be saved in a single year in the U.S. alone if men’s risk of dying was as low as women’s.”
  • “If you could make male mortality rates the same as female rates, you would do more good than curing cancer.”

Drawing on my own clinical experience and research over the last fifty-plus years, I wrote, Long Live Men! The Moonshot Mission to Heal Men, Close the Lifespan Gap, and Offer Hope to Humanity. In it I detail the reasons why I think improving men’s health is not only good for men, but also good for the well-being of women and children. In order to achieve our Moonshot Mission, I believe we will need to train 1,000,000 more practitioners who are skilled in treating men’s mental, emotional, and relational health. Here are some of the courses that I would hope would be included in such a training.

  • How to Be A Good Man In Today’s World.
  • The World We Live In: Chaos, Collapse or Transformation.
  • Why Men Live Sicker and Die Sooner Than Women and How We Can All Live Fully Healthy Lives.
  • Keeping Your Balance in a World Turned Upside Down.
  • Tipping the Scale Towards Partnership and Away From Domination.
  • Man Therapy: A New Gender-Specific Approach For Healing Men’s Mental, Emotional, and Relational Problems.
  • Breaking Free From the Man Box of Restricted Beliefs About Being Male.
  • Accepting the Gift of Maleness in a World Confused About Sex and Gender.
  • Why Men Are the Weaker Sex and How Our Strength Comes From Accepting Our Vulnerabilities.
  • Testosterone: The Holy Grail of Manhood For Better or Worse.
  • Accepting the Biological Differences Between Males and Females Can Liberate and Empower Us All.
  • Loneliness: The Male Malady That is Killing Millions Every Day and How to Heal.
  • Joining a Men’s Group: The First Step For Reconnecting With Our Manhood.
  • Healing Our Anger Towards Women and Recognizing Our Fear of the Feminine.
  • Embracing the 5 Stages of Love and Why Too Many Men Get Lost at Stage 3.
  • Recognizing Our Adverse Childhood Experiences (ACEs) and Addressing Old Wounds.
  • Healing Our Inner Trauma as We Heal The Environmental Trauma We Have Created.
  • Understanding and Healing the Father Wound and Becoming the Father and Man We Were Meant to Be.
  • Warriors Without War: Finding the Path of Courageous Action For Good.
  • Accepting the Increasing Pain and Suffering of Many as We Continue to Do Our Part to Heal Ourselves and Others.
  • Embracing Our Unique Mission in Life at This Time in Our Evolutionary History.

If you would like more information about upcoming trainings for practitioners working in the field of men’s health, drop me an email to Jed@MenAlive.com and put “Man Therapy” in the subject line.

Help Us Heal The Males


For more than fifty years, I have had one goal: Healing men and the families who love them. I founded MenAlive in 1972 following the birth of our son Jemal and our daughter Angela. Like all parents I wanted my children to grow up in a world where fathers were fully healed and involved with their children throughout their lives. In 2019 I invited a small group of colleagues to join me in creating a Moonshot for Mankind and Humanity.

When I began my work there were very few programs that specialized in gender-specific health care and we the information we had about how to help men was limited. That has changed. There are literally thousands of programs that specialize in helping men and their families and we know a great deal about how to address many of the major problems facing humanity.

In a recent article, “The Man Kind Challenge: Why Healing Men Will Do More Good Than Curing Cancer,” I said that male violence was one of the most significant problems facing humanity and preventing male violence was one of the most important things we could do to improve our world and make it safer for our children, grandchildren, and future generations.

There is an African proverb that says,

“The child who is not embraced by the village will burn it down to feel its warmth.”

We don’t have to wait for the next mass shooting to be reported in the news to know that there are a lot of wounded, angry, and violent males who don’t feel hope, love, and support from their society.

A number of years ago, The World Health Organization issued a report, “World Report on Violence and Health” that took a comprehensive look at violence world-wide. In the Foreword to the report Nelson Mandela says,

“Many who live with violence day in and day out assume that it is an intrinsic part of the human condition. But this is not so. Violence can be prevented. Violent cultures can be turned around. In my own country and around the world, we have shining examples of how violence has been countered.”

 

The report breaks down violence into three main categories:

  • Self-directed violence.
  • Interpersonal violence.
  • Collective violence.

Self-directed violence primary involves death by suicide. Interpersonal violence occurs most often in families, but also includes violence in communities. Collective violence involves conflicts between groups and includes genocide, terrorism, and war. Women certainly can be driven to violence, but violence is primarily a problem for men. Males do most of the killing and males are the majority of those killed.

Male Violence and Mass Shootings in America

Although mass shootings constitute a small part of the violence in the world, understanding them is important because they can help us better understand violence of all types. Perhaps more than any man, Mark Follman can help us understand male violence. He is a longtime journalist and the national affairs editor for Mother Jones magazine and author of the influential book, Trigger Points: Inside The Mission to Stop Mass Shootings in America.

I recently interviewed Follman and gained new insights about what how we can prevent male violence. You can watch the full interview here.

Follman just wrote a new article, “The Truth About Stopping Mass Shootings, From Sandy Hook to Uvalde” which offers new insights that can help us create a more peaceful world in the coming years. He says,

  1. “Progress begins with rejecting the longstanding narrative that mass shootings are inevitable and will never cease, a theme reliably delivered after each horrific tragedy with the political cri de coeur that ‘nothing ever changes.’ The assertion that mass shootings are an inherent feature of our reality is in its own right fueling the problem, in part by validating this form of violence in the eyes of its perpetrators, who seek justification and notoriety for their actions.”

He goes on to say,

“Now, a decade after Sandy Hook, a spate of gun massacres in 2022—including another nightmare at an elementary school—has only further clarified how America can and should think more broadly about confronting this distressing problem.”

Preventing Male Violence Begins With New Hope and Real Facts

“A decade after Sandy Hook, a spate of gun massacres in 2022—including another nightmare at an elementary school—has only further clarified how America can and should think more broadly about confronting this distressing problem,”

says Follman.

If we think mass shootings are an inevitable part of life and nothing can be done to prevent them, we will mourn our dead, look for someone to blame, and go back to business as usual. If we refuse to see violence as a male problem, we will fail to address issues of male hopelessness, depression, and rage.

Mark Follman offers the following facts and some specific solutions.

  • There have been five devastating gun massacres since May 2022.
  • All five attacks—in Buffalo, New York; Uvalde, Texas; Highland Park, Illinois; Colorado Springs; and at the University of Virginia in Charlottesville—were carried out by deeply troubled and aggrieved young offenders, ages 18 to 22.
  • All showed various combinations of the following warning signs ahead of time.

Aggression and other behavioral and mental health troubles.

  • Observable deterioration in life circumstances.
  • Various forms of communicated threats.
  • Focus on graphic violence, misogyny, and ideological extremism.
  • Planning and preparation for the attacks.

Follman offers following solutions:

1. Shift away from the heavy overemphasis on active shooter response—lockdown drills and the various “target hardening” measures of physical security—to a greater emphasis on active shooter prevention.

  • Invest in mental health care and community-based violence prevention, including behavioral threat assessment programs, which can have a broader benefit of helping foster a climate of safety and well-being, from corporate and college campuses to K-12 classrooms.
  • Raise the age requirement for gun buyers from 18 to 21.
  • Expand the use of extreme risk protection orders, a policy known as red flag laws, for temporarily disarming individuals deemed through a civil court process to pose a danger to themselves or others.

Man Therapy: An Innovative Community Mental Health Program

Man Therapy is a unique and innovative program that addresses these issues. 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 men’s lives.”

Those of us who work in the field of men’s mental health, know there is a strong relationship between violence turned outward that leads to problems like mass shootings and the violence turned inward that leads to suicide.

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.

For more information: Man Therapy: https://mantherapy.org/, Mark Follman’s work: https://markfollman.com/, my free weekly newsletter, https://menalive.com/email-newsletter/.

©2023 Jed Diamond

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©2023 Jed Diamond

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