Psychotherapists' endorsement of traditional masculinity ideologies and their assessment of gender differences in the treatment of depressive disorders

Background: Psychotherapists differ in treatment success depending on the patient’s gender, suggesting men to be a challenging patient group for many psychotherapists. On the patient’s side, traditional masculinity ideologies (TMI) have been linked to differing symptom presentation in depression, reduced psychotherapy use, poorer therapy engagement and increased risk for psychotherapy dropout. However, the association between therapists’ endorsement of TMI and their assessment of gender differences in the treatment of depressive disorders has never been investigated. Methods: A total of 438 therapists (psychological psychotherapists or psychiatrists) from Switzerland, Germany and Austria completed an online questionnaire about their endorsement of TMI and their perceived differences in psychotherapy success in female and male depression patients. Results: Most therapists indicated no difference in their perceived treatment success for depression therapy with men and women (n=283, 65%). However, the vast majority of the 155(35%) psychotherapists who reported a difference in treatment success disfavored men (n=118,27%) as compared to women (n=37, 8%). Psychotherapists who disfavored men also showed higher endorsement of TMI as compared to psychotherapists who reported no perceived gender-differences in psychotherapy success. Conclusion: Our results suggest that there might be a group of psychotherapists (high in TMI)that perceive men with depression as harder to treat than female depression patients. Previous findings on therapist effects suggest that this bias could negatively influence psychotherapy outcomes in male patients. Clinicians should recognize that endorsing TMI may bias their perception of treatment success, potentially disadvantaging male depression patients

How do traditional masculinity ideologies and emotional competence relate to aggression and physical domestic violence in cisgender men?

BackgroundMen are disproportionately often perpetrators of physical domestic violence (DV). Gender role constructs, such as traditional masculinity ideologies (TMI), are broadly accepted as an explanation for this effect. Emotional competence further constitutes an important role in TMI and the prevention of DV. However, the interactions between these constructs remains unclear.ObjectiveThe present study aims to investigate associations of TMI with aggression, DV perpetration, and emotional competence, while also examining emotional competence as a potential moderator.MethodA sample of 428 cisgender men (M$_{age}$ = 43.9 ± 15.3) from German-speaking countries in Europe completed an anonymous online survey that assessed TMI, aggression, and DV perpetration as well as alexithymia, emotion regulation, and self-compassion as indicators of emotional competence.ResultsStrong TMI were associated with high levels of aggression and overall reduced emotional competence, as reflected by high levels of alexithymia, frequent use of expressive suppression, and low levels of self-compassion. Strong conformity to TMI was associated with a higher likelihood for DV perpetration when considering relevant sociodemographic covariates. Moderation analyses revealed that expressive suppression buffered the association between TMI and DV perpetration.ConclusionMen with strong TMI report high levels of aggression and impaired emotional competence. While strong conformity to TMI was associated with more frequent perpetration of DV, higher expressive suppression seems to buffer the association between TMI and DV perpetration. The present study highlights the importance of addressing gender ideologies when working on aggression, DV perpetration and emotional competence in men

Men’s Psychotherapy Dropout is Associated with Conformity to Traditional Masculinity Ideologies

Objective: High conformity to traditional masculinity ideologies (TMI) is associated with lower use of psychotherapy, higher self-stigmatization and poor mental health outcomes amongst men. However, the role of conformity to TMI in relation to psychotherapy dropout is still unclear. Aim: The present study aims to clarify the relationship between conformity to TMI and premature termination of psychotherapy (dropout) in men. Method: Data was used from an anonymous online survey in German-speaking Europe. Participants with previous psychotherapy experience provided information on sociodemographics, mental health, TMI, and their past experiences with psychotherapy. Discontinuation of psychotherapy was assessed by self-report and further differentiated into discontinuation with or without consulting the therapist. Men with an unconsulted therapy ending were defined as psychotherapy dropouts. Conformity to TMI was assessed using the Conformity to Masculine Norms Inventory. Results: Of the 266 men (mean [SD] age, 46.1 [13.6]) with psychotherapy experience, 30.5% (n = 81) reported having discontinued psychotherapy at least once, whereas 17.7% (n = 47) of the total sample reported dropout. These 47 men showed significantly higher conformity to TMI than men who did not report past dropout. The sub-scales of self-reliance and playboy showed the strongest associations with psychotherapy dropout. Conclusions: Dropout from psychotherapy was significantly associated with higher conformity to TMI. Therapists should consider, and where necessary, work to flexibly adapt to TMI which may influence how men engage in mental health care. Such an approach would likely improve men’s ongoing engagement in psychotherapy, promoting opportunities to prevent avoidable psychotherapy dropout for men most at risk of deleterious mental health outcomes

Men’s Use of Cosmetic Surgery and the Role of Traditional Masculinity Ideologies

Background: In western countries, men are increasingly using cosmetic surgery. However, despite this trend, there remains a dearth of information on the prevalence, acceptance, and motivations behind men's use of cosmetic surgery. Furthermore, the potential association between men's use of cosmetic surgery and in particular male-specific cosmetic surgery procedures such as head hair transplant or penis enlargement and traditional masculinity ideologies (TMI) has not been investigated so far. Methods: A cross-sectional anonymous online survey was conducted among 241 self-identifying men aged 18 years or older from the German-speaking part of Europe. Participants responded to questions about cosmetic surgery use and experiences, and completed the Conformity to Masculine Ideologies - Short Form (CMNI-SF) and Male Role Norms Inventory - Short Form (MRNI-SF) questionnaires to assess conformity with and endorsement of TMI. Results: Of the 241 men, 47 (19.5%) have undergone cosmetic surgery. The most common types of cosmetic surgeries reported were wrinkle treatment, eyelid correction, and head-hair transplant. Penis enlargement procedures were reported by three (6.4%) of the 47 men that have performed cosmetic surgery procedures. The main reasons for undergoing surgery were to feel better (72.3%) and look better (55.3%), while to increase sexual success (17.0%) and to increase manliness (14.9%) were also reported. Logistic regression models showed that higher conformity to TMI (CMNI-SF) was associated with higher odds of having undergone cosmetic surgery. Specifically, an increase of one standard-deviation in the CMNI-SF increased the odds of having undergone cosmetic surgery by a factor of 2.29, and the odds of having undergone head-hair transplant surgery by a factor of 3.84. Conclusion: The results highlight overall increased use and specific characteristics of men’s cosmetic surgery use. The significant positive association between conformity to TMI and men's use of cosmetic surgery points towards men’s use of cosmetic surgery as increasingly used mean to assert power, success, dominance and sexual success

Short-term effect of whole milk and milk fermented by Pseudomonas fluorescens on plasma lipids in adult boars

The short-term effects of whole milk and milk fermented by Pseudomonas fluorescens, of the amino acid composition of the diet and of feeding frequency on the level of plasma lipids, were investigated in six 1-year-old adult boars. The experimental diets contained equal amounts of protein, carbohydrates, fat and cholesterol. After an adaptation period of 5 d for each experimental treatment, blood was collected at regular intervals during 48 h and plasma levels of cholesterol, triacylglycerol, high-density-lipoprotein (HDL)-cholesterol and low-density-lipoprotein (LDL-cholesterol were examined). All variables except HDL-cholesterol showed distinct diurnal fluctuations, which were substantially influenced by feeding frequency. Variations in the amino acid composition of the experimental diets, which were within a physiological range, had no effect on the level of plasma lipids. Plasma lipid levels were significantly lower when the animals received the diets containing milk instead of the diet without milk: cholesterol, triacylglycerol, and LDL-cholesterol were reduced by 5.6, 5.8 and 10% respectively (pondered means) while HDL-cholesterol remained unaffected. Fermentation of whole milk by P. fluorescens reduced the lipid-lowering effect. Our findings suggest that the intake of diets containing milk results in a lower plasma cholesterol and LDL-cholesterol level than the intake of diets with a similar nutrient content which do not contain mil

Swinging Grids: Messung und Modellierung von Schwingungsphänomen in Verteilnetzen

Dezentrale Einspeisungen, elektrische Energiespeicher und steuerbare Lasten stellen neue Anforderungen an die Verteilnetze. Einige Auswirkungen sind bereits heute gut messbar, die Grenzen der Belastbarkeit sind jedoch wenig transparent. Eine optimale Nutzung der Netze setzt genaue Kenntnisse der Vorgänge bei Verbrauchern und Erzeugern voraus. In diesem Projekt werden kritische Netze erfasst, vorhandene Auswirkungen gemessen und die Grenzen der Belastbarkeit mittels Simulationen auf der Basis von geeigneten Modellen aufgezeigt. Mithilfe der gewonnenen Erkenntnisse werden Empfehlungen für die Beurteilung von Anschlussgesuchen in Bezug auf Regelkreise erarbeitet

Relationship between benzodiazepine prescription, aggressive behavior, and behavioral disinhibition: a retrospective study in a Swiss prison.

BACKGROUND Benzodiazepines are commonly prescribed in prisons amidst the controversies surrounding their potential role in causing behavioral disinhibition and aggressive behavior and their association with use and trafficking of illicit and addictive substances. The present study aimed to (1) ascertain the relationship between benzodiazepine prescription (including their dosage and duration of use) and aggressive behavior and behavioral disinhibition in prison and (2) investigate whether there was an association between benzodiazepine prescription, (including their dosage and duration of use) and using and trafficking illicit and addictive substances during imprisonment. METHODS Data were extracted from the electronic database of an "open" Swiss prison (n = 1206, 1379 measures) over a 5-year period (2010-2015). Measures included benzodiazepine prescription, duration of benzodiazepine use and mean dosage, and punishable behaviors (physical and verbal aggression, disinhibited but not directly aggressive behaviors, property damage or theft, substance-related offenses, and rule transgression). We assessed the relationship between benzodiazepine prescription and punishable behaviors after propensity score matching. Logistic regressions were also used to test the relationship of benzodiazepine use duration and dosage with punishable behaviors among participants who received benzodiazepines. RESULTS After propensity score matching, benzodiazepine prescription was not significantly associated with any punishable behavior. Among detained persons who took benzodiazepines, there was no significant association of dosage and duration of use with offenses involving illicit or addictive substance use or trafficking. CONCLUSIONS Our study did not empirically support the occurrence of increased aggressive or disinhibited behaviors or increased risk of substance abuse in detained persons who received benzodiazepines in prison. This suggests a need to reconsider restrictions in prescribing benzodiazepines in the prison setting

Microstructural characterization of natural fractures and faults in the Opalinus Clay: insights from a deep drilling campaign across central northern Switzerland

Abstract The Middle-Jurassic Opalinus Clay is the foreseen host rock for radioactive waste disposal in central northern Switzerland. An extensive drilling campaign aiming to characterize the argillaceous formation resulted in a comprehensive drill core data set. The rheologically weak Opalinus Clay is only mildly deformed compared to the over- and underlying rock units but shows a variety of natural fractures. While these structures are hydraulically indistinguishable from macroscopically non-deformed Opalinus Clay today, their analysis allows for a better understanding of the deformation behaviour in the geological past. Here, we present an overview of the different fracture and fault types recorded in the Opalinus Clay and a detailed microstructural characterization of veins—natural dilational fractures healed by secondary calcite and celestite mineralizations. Macroscopic drill core analysis revealed five different natural fracture types that encompass tension gashes of various orientations with respect to bedding and small-scale faults with displacements typically not exceeding the drill core diameter. The occurrence of different fault types generally fits well with the local tectonic setting of the different drilling sites and with respect to the neighbouring regional fault zones. The microstructural investigations of the various vein types revealed their often polyphase character. Fibrous bedding-parallel veins of presumable early age were found to be overprinted by secondary slickenfibres. The polyphase nature of fibrous bedding parallel veins and slickenfibres is supported by differing elemental compositions, pointing towards repeated fracturing and mineralization events. Direct dating of vein calcites with U–Pb was unsuccessful. Nevertheless, age constraints can be inferred from structural orientations and fault slip kinematics. Accordingly, some of the veins already formed during sediment compaction in Mesozoic times, others possibly relate to Early Cenozoic foreland uplift. The youngest veins are most likely related to Late Cenozoic regional tectonic events, such as the Jura fold-and-thrust belt to the south and the Hegau-Lake Constance Graben to the northeast of the study area. During these latest tectonic events, previously formed veins acted as rheologically stiff discontinuities in the otherwise comparably weak Opalinus Clay along which deformation of the rock formation was re-localized

Evaluation of a male-specific psychotherapeutic program for major depressive disorder compared to cognitive behavioral therapy and waitlist: study protocol for a six-arm randomized clinical superiority trial examining depressed eugonadal and hypogonadal men receiving testosterone

BACKGROUND: Treatment of major depressive disorder (MDD) in men is complicated by the endorsement of traditional masculinity ideologies (TMI) often leading to reluctance toward psychotherapy, therapy interfering processes, or premature termination. In addition, it has been shown that men with MDD have a significantly increased risk of being hypogonadal (e.g., total testosterone levels <12.1 nmoL/L). Therefore, it is recommended to examine depressed men with regard to their testosterone status and if hypogonadism is present to combine psychotherapy with testosterone treatment (TT). AIM: This project aims to evaluate a male-specific psychotherapeutic program (MSPP) for MDD in depressed eugonadal and hypogonadal men receiving testosterone in comparison to a standard cognitive behavioral therapy (CBT) for MDD and a Waitlist. METHODS: The study presents a 2×3 factorial study design. In total, 144 men aged between 25 and 50 will be stratified by testosterone status (eugonadal/hypogonadal) and then randomized into one of the three conditions (MSPP, CBT, or Waitlist). Additionally, a healthy control group of 100 men will be recruited, which will undergo only baseline assessments. Both standardized psychotherapy programs will encompass 18 sessions delivered in a weekly manner. Aligned with the TT-related medical visits of the 72 hypogonadal men, all participants will be followed up with clinical assessments and bio sampling at weeks 0, 6, 15, 24, and 36. EXPECTED RESULTS: Compared to Waitlist control groups, treatment groups are expected to be more effective and efficacious (depression score reduction of ≥50%) at week 24 and at the follow-up at week 36. The MSPP is expected to show higher effectiveness and efficacy for depressive symptoms and higher acceptability (lower dropout rate) as compared to CBT. DISCUSSION: This study represents the first attempt to test a male-specific psychotherapy for MDD in a single-setting compared to standard CBT and a Waitlist control condition using randomized clinical trial methodology. In addition, the potential positive adjunct effect of psychotherapy to TT in reducing depressive burden and improving quality of life in hypogonadal depressed men represents a neglected research area and might introduce new hypogonadism screening procedures in depressed men and combined treatment approaches for depressed men suffering from hypogonadism. Limitations are the rigorous inclusion and exclusion criteria, which limit the generalizability of the study results to first episode treatment naïve depressed men. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, identifier NCT05435222

ELBARA II, an L-Band Radiometer System for Soil Moisture Research

L-band (1–2 GHz) microwave radiometry is a remote sensing technique that can be used to monitor soil moisture, and is deployed in the Soil Moisture and Ocean Salinity (SMOS) Mission of the European Space Agency (ESA). Performing ground-based radiometer campaigns before launch, during the commissioning phase and during the operative SMOS mission is important for validating the satellite data and for the further improvement of the radiative transfer models used in the soil-moisture retrieval algorithms. To address these needs, three identical L-band radiometer systems were ordered by ESA. They rely on the proven architecture of the ETH L-Band radiometer for soil moisture research (ELBARA) with major improvements in the microwave electronics, the internal calibration sources, the data acquisition, the user interface, and the mechanics. The purpose of this paper is to describe the design of the instruments and the main characteristics that are relevant for the user