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 Section 
1Shame and Masculine Norm
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 In this Section, we'll look at 
  ten rules that sustain shame in your depressed male clients.  For 
the male, depression carries so much of a burden of shame that it is hidden--sometimes 
so well it fools those who have it. Depression and the resulting shame often masquerade 
as drinking and lashing out at others, and subverts relationships.  
 Ten Rules that Sustain Shame These rules, compiled by Everingham, surface again and again in the lives of depressed 
men because shame is a major factor in many cases of depression. Basically, these 
rules are habitual shaming acts that evoke natural, but often shielded, feelings 
of shame. This will sound familiar to you, but we'll also look at particular ways 
to break these rules and, consequently, stop the cycle of shame. Now let's look 
at the ten rules the sustain shame and depression in your male client.
 ♦  Rule 
1: ControlI
have found oftentimes males who feel shame feel the need to be in control of all behavior, interactions, and feelings. Understanding 
this underlying desire for control is key to understanding each rule on Everingham's 
list. Power struggles result from a man needing to control his emotions and the 
situation in general. I feel most male clients can never fully eliminate power 
struggles, and exercising control is perhaps part of the vitality and masculinity within a man. But if a man feels ashamed of competing for control, which can lead 
to depression, he can help by being honest and open about his feelings of needing 
control.
 ♦ Rule 2: Blame Another rule that 
shaming men follow is to blame somebody, including themselves, if something goes 
wrong. They never blame the shame-generating system or their rules, although that 
would be more appropriate. Either taking on too much or too little can cause shame, 
either through feelings of inadequacy or feelings of "innocence."
 
 Often, 
men will blame themselves for war, crime, "patriarchy," or sexism. Whenever 
you hear this, consider pointing it out to your client, thus helping your client 
to explore whether that blame is warranted. In cases where my male client seems 
to blame others, I ask him to use more "I-messages," rather than "you-messages" 
or "they-messages."
 
 ♦ Rule 3: Perfectionism
 Shame is generated when men always are, do and "feel" right. They don't 
try if it means they might make a mistake, and they justify everything. They are 
often over-competitive and are either trying to cover up a perceived deficiency 
or believe that a mistake will mean the "end of the world." It may be 
that men who are perfectionists withhold feelings, especially in men's groups. 
When I see this in my depressed shame-based clients, I like to tell the client,"You don't have to be right. You just have to be honest." Are there 
some clients that you can say this to?
 ♦ Rule 4: IncompletenessI find depressed shame-based male clients are easily shamed if they feel incomplete 
in some way, like if they haven't resolved disagreements with others, especially 
their partners. When they keep feuds and resentments going, not daring to confront 
the problem, I tell my clients to again start with being honest. It may take awhile 
to completely resolve the issue because more superficial problems may first divert 
attention from the real issues. I find clients experience a sense of relief when 
they realize they don't have to give up themselves in order to be loved.
 ♦ Rule 
5: DenialAs we've discussed, many men easily deny feelings, needs 
and desires, both their own and those of others. They especially deny feelings 
they consider "inappropriate," like sadness or fear, and they'll deny 
even the obvious. They may feel the only "acceptable" emotion is anger. 
But when they dissociate from their feelings in this way, an inherent shame sets 
in. Just letting them know that their feelings are legitimate can help them open 
up and explore all of their feelings.
 ♦ Rule 6: No Talk.In addition to control, blame, perfectionism, incompleteness and denial is Rule 
6. No Talk.
 Related to the concept of denial, men might bottle up their feelings 
and hide secrets with a strict code of silence. So you agree your clients keep 
quiet on personal secrets, taboo subjects, and resentments. Particularly, men 
are often too humiliated to talk about money, insecurities about their body, anger 
towards women, feelings of superiority or, conversely, intimidation, addictions, 
or disappointments. Do you agree? I find the best way to crack the shell is to 
let them know their feelings are "okay" and "acceptable."
 ♦ Rule 
7: DisqualificationI have found shame is generated when men deny 
their feelings by disguising them. They'll "spin" the shameful incident 
around and distort it in the process. They try to avert their focus from the shameful 
part and focus attention instead on the positive part. While to an extent, this 
is a healthy practice, it's important for men to truly recognize when they feel 
shamed.
 
 Otherwise, as you are aware, disqualification will only maintain the status 
quo so he doesn't have to confront the serious, shameful content. In our society, 
men are so accustomed to disqualification in the media, politics, the law, and 
so on, that we forget something is being disguised. Once again, honesty is the 
most effective way to begin breaking down this shame-perpetuating rule.
 ♦ Rule 
8: UnreliabilitySometimes, male clients create shame by being unreliable or untrustworthy. They don't act in a predictable way, keeping the people they 
love guessing about their actions. Consequently, they begin to expect the same 
unreliability from others. And others begin to distance themselves, afraid of 
his reactions to certain mistakes. He feels shame because he isn't close to anyone, 
when what he really needs is intimacy. Often, he is unreliable even to himself 
and doesn't view himself as a good friend. If have found client confrontation 
seems to help in many of these cases. Hopefully, if he perceives someone else 
or himself as unreliable, he can call it out and begin to change it.
 ♦ Rule 
9: Not Allowing the Five FreedomsThe five freedoms I'm referring 
to are the power to perceive, to think and interpret, to feel, to want and choose, 
and the power to imagine. Shamed men don't allow their children, or often their 
partners these freedoms. And just as important, they often don't allow them for 
themselves. Often, the rule of perfectionism prevents these freedoms from being 
fully expressed. Personal confrontation, independent of control, is the best way 
to introduce the freedoms back into depressed men's lives. If they stop feeling 
the shame of being themselves and of causing hurt to other people, they can feel 
these freedoms again.
 ♦ Rule 10: Moral IntimidationToo often, men shame by assuming the right to decide what and who are right, appropriate, 
enlightened, professional, mature, humane, or politically correct. They might 
enforce moral authority with shaming threats, rhetorical questions, or name-calling. 
And depressed men can either be the perpetrators or the object of this shame-reinforcing 
rule. They'll either judge other people's values and drive them away or feel naturally shamed by having their own values frowned upon.
 As you know, 
everyone follows these shaming rules from time to time. The trick is to recognize when shamed, depressed male clients are following these rules. They can then begin 
to break them. Think of a male client you are currently treating 
who feels shame. Does he exhibit the shaming rules of control, blame, perfectionism, 
incompleteness, denial, no talk, disqualification, unreliability, not allowing 
the five freedoms, and moral intimidation? Would it be beneficial to talk about 
any of these with him? Would it be beneficial to play this portion of section one 
in a session with this client? In the next section, we will discuss 
the "Shame Release" technique.Reviewed 2023
 
 Peer-Reviewed Journal Article References:
 Cole, B. P., & Davidson, M. M. (2019). Exploring men’s perceptions about male depression. Psychology of Men & Masculinities, 20(4), 459–466.
 
 Eterović, M. (2020). Recognizing the role of defensive processes in empirical assessment of shame. Psychoanalytic Psychology. Advance online publication.
 
 Kim, S., Thibodeau, R., & Jorgensen, R. S. (2011). Shame, guilt, and depressive symptoms: A meta-analytic review. Psychological Bulletin, 137(1), 68–96.
 
 Reilly, E. D., Rochlen, A. B., & Awad, G. H. (2014). Men’s self-compassion and self-esteem: The moderating roles of shame and masculine norm adherence. Psychology of Men & Masculinity, 15(1), 22–28.
 
 Sullivan, R., Green-Demers, I., & Lauzon, A. (2020). When do self-conscious emotions distress teenagers? Interrelations between dispositional shame and guilt, depressive and anxious symptoms, and life satisfaction. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement, 52(3), 210–219.
 QUESTION 
1What are the ten shaming rules? To select and enter your answer go to 
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