Many men land reluctantly on the therapist's doorstep, arriving at the
insistence of a wife, a parent, a probation officer, or an employer.
These men, like many others who are self-referred, experience therapy
as foreign terrain, The currency of psychotherapy is communication, ex
posure, vulnerability, and intimate sharing, currency which men who ha
ve been socialized in this culture have limited experience with. Given
this situation, we may rightly ask whether conventional therapeutic i
nterventions, historically developed for use with women, make the most
sense? If not what we do so routinely every day, then what new interv
entions do make sense? This article will address these questions focus
ing on new ways to develop the alliance, formulate patient dynamics ba
sed on current ideas about the psychology of men, and design creative
interventions that speak to men in their own currency.