Depression and Hegemonic Masculinity - an Extension of the Conceptual Framework in Mental Health Research

Connell's concept of hegemonic masculinity represents a pivotal theoretical point of reference in the mental health research and health behavior of men. In this context, health behavior is understood as an everyday practice through which masculinity is produced. The concept of hegemonic masculinity is frequently employed in research practice as a means of capturing a particular form of masculinity, which is also referred to as traditional masculinity. Health behavior associated with the concept of traditional masculinity is characterized by compensation through aggression or substance consumption, delayed or absent utilization of treatment, and nondisclosure. However, some aspects of Connell's concept of hegemonic masculinity remain unexamined in the context of research on men with depression. This contribution aims to expand and enhance the concept of hegemonic masculinity based on interviews with men who experience depression. The aim of the analysis is to address the ambivalence inherent to the construction of masculinity, that arises from the diagnosis and treatment of depression. This is exemplified by the fact that orientation towards hegemonic masculinity can have both detrimental and beneficial effects on health. Furthermore, constructions of masculinity can be adapted to depression in a dynamic manner, such as when men make the active and self-determined decision to seek treatment. Similarly, hegemonic masculinity is analyzed in relation to other forms of masculinity and femininity in the context of health behavior. This leads to the conclusion that Connell's concept of hegemonic masculinity should be applied more comprehensively in research on mental health. By this means, a more nuanced understanding of health behavior and masculinity can evolve, as well as alternative conceptualizations of masculinity.