Considering men in distress : masculinity, mental health and barriers to care

This thesis explores a number of areas related to men who experience distress in mental health or physical care. Chapter one, the literature review, considers research that has examined the impact on masculinity when men experience a debilitating healthcare event, such as chronic illness or a mental health condition. Despite the wide variety of healthcare events considered, this critical review finds many similarities in the experiences of men and proposes a conceptual model for the renegotiation of masculinity. Considerations for further research are suggested. Chapter two, the empirical paper, is a grounded theory study of the experiences of male military personnel with emotional distress. Seven participants reflected on their psychological wellbeing and considerations about accessing mental healthcare within the military. A process model was developed from analysis of the interviews which placed military culture as a key consideration for personnel. Other categories, including a number of conflicting perceptions, are discussed. Considerations for further research and implications of the findings for clinical services are offered. Chapter three, the reflective paper, provides the author’s reflections of the research process with specific attention to the area of conducting sensitive research. Consideration is given to how the research carried out as described in chapter two might be considered sensitive and personal reflections are offered that might be of use to other researchers using qualitative methods or researching similar sensitive topics. The author’s reflections on the research process are considered in relation to key literature on sensitive research