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Suicidal ideation (SI) is a known precursor to suicide among men. While loneliness and thwarted belongingness (TB) have been identified as key factors influencing SI, no study has reported on all three constructs to investigate whether loneliness is associated with SI by way of TB. Furthermore, it is not clear whether personality impairment has a moderating role on this process. The present study examined the impact of loneliness on SI among men and whether TB mediated this relationship. Additionally, the study investigated whether personality impairment (i.e., self‐functioning, interpersonal functioning) moderated the relationship between loneliness and TB. Canadian men (N = 434) completed an online survey that included self‐report assessments of the study constructs. Conditional process modeling was used to test the indirect effect of loneliness on SI via the mediating effect of TB. Findings indicated a significant association between loneliness and SI that was mediated by TB. Further, impairment in self‐functioning moderated the relationship between loneliness and TB, indicating that the relationship was stronger among men with greater difficulties in self‐functioning. The findings are important to consider within the COVID‐19 context, as they point to the need to reduce the detrimental impacts of loneliness, thereby potentially mitigating male SI. [ABSTRACT FROM AUTHOR]

The Belief Diversity Scale (BDS) was administered to Australian, Canadian, Egyptian, and South African participants of different religious backgrounds. The BDS is a 33-item, six subscale instrument that is designed to quantitatively measure Middle Eastern extremist ideologies on risk areas that are reported in the literature. Results demonstrated the reliability and validity of the BDS, thus suggesting that the BDS could be used as an objective tool to measure Middle Eastern extremist ideologies. Results also supported the hypothesis of prevalence of Middle Eastern extremist ideologies around different parts of the world. (Contains 6 tables.)

Men's intimate partner relationship services have focused on correcting the behaviors of male perpetrators of intimate partner (IPV) and/or domestic violence (DV). There is a need to advance IPV and DV prevention efforts by better equipping men with relationship skills. This study explores service providers' and stakeholders' perspectives about the challenges and strategies for assisting men to build better intimate partner relationships. Interviews were conducted with participants (n = 30) from Canada and Australia who worked in the men's intimate partner relationships sector. Three themes were inductively derived: (a) crisis management (barriers to engagement), (b) owning deficits and leveraging strengths (engaging though accountability and action), and (c) me then we (self-work as requisite for relationship success). Using a gender relations lens, we examined the influence of masculinities on men's intimate partner relationships and engagement with services. Participants described crisis management challenges for men accessing services including shame, threats to masculine identity, and mental health challenges. Owning deficits and leveraging strengths hinged on men's accountability and action, rather than assigning blame for problematic behaviors in accessing services. Related to this, the me then we theme highlighted men's strength-based approaches in focussing on self-work to develop tangible skills and awareness needed to build healthy relationships. Overall, the findings indicate men's healthy relationships hinged on working with masculine identities to inform their perspectives and behaviors. Men's intimate partner relationship work likely requires labor at multiple levels (e.g., individual, partners, and systems) to secure the strong potential for reframing masculine identities as asset-building for men's relationships. [ABSTRACT FROM AUTHOR]

Men's emotions in intimate partner relationships have received little research attention. The current interpretive descriptive study included 30 Canadian‐based men to address the research question: What are the connections between masculinities and men's emotions in and after intimate partner relationships? Three inductively derived themes included emergent distressing emotions wherein participants' predominance for holding in abeyance their concerns about the relationship manifested varying levels of emotional stoicism. Within this context most men denied or downplayed and did not express their emotions. When the relationship broke, men were overwhelmed by mixed and weighty break‐up emotions comprising diverse and often‐times discordant emotions, including sadness, shame, anger, regret and guilt, calling into question men's rationality for deciphering and expressing what was concurrently but inexplicably felt. Shame and anger were prominent emotions demanding the participant's attention to all that happened in and at the end of the relationship. In the third theme, understanding and transitioning after‐burn emotions, participant's grief levered their efforts, including soliciting professional help for deconstructing, reframing and expressing their emotions in the aftermath of the partnership ending. The findings contextualise and in some instances counter claims about the utility of men's emotional stoicism by mapping participants' feelings in and after intimate partner relationships. [ABSTRACT FROM AUTHOR]

Identification of masculine values associated with men's depression and suicide risk may generate new intervention targets for those with known static risk factors (e.g., exposure to childhood maltreatment). To validate the factor structure of a measure of health-related masculine values and examine correlates relative to childhood maltreatment exposure. Self-report data was collected from 530 Canadian men, mean age 47.91 years (SD = 14.51). Confirmatory factor analysis validated an abbreviated eight-item, two-factor model of the Intensions Masculine Values Scale (IMVS-8; CFI =.984, TLI =.977, RMSEA =.054, SRMR =.032). Cluster groups of low (n = 57), moderate (n = 206) and high (n = 267) adherence to these health-related masculine values were identified, equivalent on exposure to childhood maltreatment and previous mental health treatment. A multivariate group × maltreatment interaction was observed (p =.017) whereby males in the low cluster with a maltreatment history endorsed higher mood-related symptomology. This same pattern was observed in a univariate group × maltreatment interaction for suicide risk (p =.006). Health-related masculine values were associated with lower depression and suicide risk in men who have a history of childhood maltreatment. Future intervention studies should investigate whether development of health-related masculine values can reduce depression and suicide risk among men with a history of childhood maltreatment. [ABSTRACT FROM AUTHOR]

This article investigates the jurisdiction and institutional competence of Canadian small claims courts and tribunals with respect to complex claims, and in particular, intellectual property (IP) claims. Recent research points to an increase in these types of claims. A doctrinal analysis finds small claims bodies have wide jurisdiction over intellectual property infringement, contract, and licensing disputes. They can also rule on issues of validity, though they cannot affect registrations in the databases of the Canadian Intellectual Property Office. Remedies including damages, accountings, and the recovery of infringing goods are available in many provinces. As to their capacity, the article assesses three representative forums within the lens of organizational justice--the British Columbia Civil Resolution Tribunal, Ontario Small Claims Court, and Nova Scotia Small Claims Court--for how they assign claims, support decision-makers to reach "correct" decisions, and govern themselves to ensure quality. The BC and Ontario bodies fare well. Nova Scotia does not. The article assesses measures taken in the United States and United Kingdom to provide access to justice for IP small claims, and how the disparities in institutional readiness may impact Canadian small and medium-sized enterprises. The authors conclude by calling upon Canadian policymakers to better equip small claims bodies with the resources necessary to resolve IP claims. [ABSTRACT FROM AUTHOR]

Understanding men's preferences for outpatient mental health treatment is important in better providing responsive services that engage this population in effectual care. In psychotherapy, responding to client preferences is associated with reduced attrition and improved outcomes. Knowledge regarding men's therapy preferences, however, is limited and equivocal, particularly among men attending outpatient mental health services. The present study examined treatment preferences—with a focus on psychotherapy—in a sample of Canadian men (N = 92) attending public-funded outpatient clinics. The majority of men (45.7%) endorsed a strong preference for individual psychotherapy. This preference was associated with higher levels of work and social impairment. Men tended to prefer therapists to teach coping strategies, explore feelings and patterns of experiences, and assist men in working with emotions. Only 20.9% of men preferred brief treatment, and 31.4% perceived a need for long-term therapy (>1 year). Contrary to popular discourse, findings indicated respondents' preference for therapies that focus on vulnerable emotions, and many men—particularly those with greater functional impairment—reported interest in longer term, emotion-oriented psychotherapy. Public Significance Statement: This study suggests that men who seek community-based mental health treatment tend to prefer receiving individual psychotherapy and having their therapist help them access difficult emotions, teach them specific strategies, and facilitate insight—often over a moderate- to long-term course of therapy. These findings counter assumptions about men tending to reject emotion-oriented treatments and suggest a need for individualized approaches that accommodate a range of men's preferences in psychotherapy. [ABSTRACT FROM AUTHOR]

Objective: Men can be reluctant to disclose distress and many men have ambivalence toward seeking help for depression, leading to poor uptake of and engagement in psychotherapy. The present study sought to explore whether a previously dissatisfying therapy experience leads to greater doubts about the effectiveness of treatment, in turn impacting on a man's willingness to disclose their distress in future. Method: An online survey of 133 Canadian men was conducted to investigate their current depressive symptoms, previous experience of, and belief in, the effectiveness of psychotherapy and likelihood of disclosing distress to their physician. A regression model with mediation was employed to analyze the relationship between these responses. Results: The regression model highlighted a significant negative association between satisfaction with previous therapy and doubt about the effectiveness of therapy (t = −7.299, 99% confidence interval [−.537, −.254], p <.001). There was also a significant indirect effect, such that doubt about the effectiveness of therapy mediated the association between previous satisfaction and willingness to disclose distress to a physician (t = 3.748, 99% confidence interval [.123,.690], p <.001). Conclusions: Providing treatment for depression that men find engaging and satisfying may improve their confidence that psychotherapy can help, make them more likely to reach out for assistance in the future and in turn, benefit their long-term mental health outcomes. [ABSTRACT FROM AUTHOR]

Prohibiting discrimination is a noble political statement. What does it mean as economic policy? Applying a neoclassical framework, the article examines how Canada's human rights laws affect society and marginalized groups from a welfare perspective. The article offers several practical reforms to improve the efficiency of current laws such as uncapping damage awards, removing criminal sanctions, and allowing non-profits to participate in remedies so as to compensate marginalized groups for systemic effects of discrimination. It also discusses bolder market-based options, including the taxing and licencing of discrimination for instances where our great project towards equality might be better served by redistribution than prohibition. [ABSTRACT FROM AUTHOR]

Background: Clinical practice and literature has supported the existence of a phenotypic sub-type of depression in men. While a number of self-report rating scales have been developed in order to empirically test the male depression construct, psychometric validation of these scales is limited. Aim: To confirm the psychometric properties of the multidimensional Male Depression Risk Scale (MDRS-22) and to develop clinical cut-off scores for the MDRS-22. Method: Data were obtained from an online sample of 1000 Canadian men (median age (M) = 49.63, standard deviation (SD) = 14.60). Confirmatory factor analysis (CFA) was used to replicate the established six-factor model of the MDRS-22. Results: Psychometric values of the MDRS subscales were comparable to the widely used Patient Health Questionnaire-9. CFA model fit indices indicated adequate model fit for the six-factor MDRS-22 model. ROC curve analysis indicated the MDRS-22 was effective for identifying those with a recent (previous four-weeks) suicide attempt (area under curve (AUC) values = 0.837). The MDRS-22 cut-off identified proportionally more (84.62%) cases of recent suicide attempt relative to the PHQ-9 moderate range (53.85%). Conclusion: The MDRS-22 is the first male-sensitive depression scale to be psychometrically validated using CFA techniques in independent and cross-nation samples. Additional studies should identify differential item functioning and evaluate cross-cultural effects. [ABSTRACT FROM AUTHOR]

The Canadian Association of Radiologists (CAR) Breast Disease Expert Panel consists of breast imaging radiologists, a high-risk breast clinician, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 20 clinical/diagnostic scenarios, a systematic rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 30 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) for guidelines framework were used to develop 69 recommendation statements across the 20 scenarios. This guideline presents the methods of development and the recommendations for referring asymptomatic individuals, symptomatic patients, and other scenarios requiring imaging of the breast. [ABSTRACT FROM AUTHOR]