Here’s an interesting video excerpt from Terry Real on working with men in therapy.

Specifically around the issue of grandiosity. Terrence Real writes:

To understand the importance of leverage, you have to understand grandiosity, especially male grandiosity. Therapy and self-help have mostly focused on helping people come up from a one-down position of shame. But we don’t really talk much about what it means to help people come down from the one-up position of grandiosity. This is really pivotal in terms of working with men, because they typically tend to lead from the one-up, grandiose position, while women present in the more one-down, victim position.

From the viewpoint of motivation to change, the problem is that grandiosity doesn’t feel bad. In fact, it feels pretty good. For some people, it feels good to make out with your secretary, or to haul off and scream at somebody. Why change?

The other issue with grandiosity is that it impairs judgment, especially regarding the impact that you’re having on others and the negative consequences of your own behavior. What I’m saying is that you often have a grandiose, singularly unmotivated person in couples therapy and, when you do, you have to ask yourself, Why should such a person change?