Thursday, May 10, 2012

Junior Seau, Sports Illustrated & Playing Thru Pain

If you follow football (or the national news), you probably know that former NFL great Junior Seau committed suicide recently. He was just 43.

News reports speculate that repeated brain trauma, the result of years in football, may have contributed to his self-inflicted death. As a healthcare writer and nurse, I find that possibility intriguing, and am glad that Seau's family has donated his brain for research. If repeated head injuries are indeed causing long-term, life-affecting damage to football players, it's time to rethink the American approach to football.

But at least one Sports Illustrated writer suspects head injuries may not completely and totally explain former football players' higher rates of depression, or Seau's suicide. In the May 14 issue of SI, Peter King writes:

I've been wondering about our part in all of this. The media's part, the hero-creating part, the Seau-as-superhero part. Did we lionize Seau for his toughness to the point where it was impossible for him to even consider asking for help?

It's a poignant, and important, question.

Seau was revered, in part, for his ability to play through pain. Article after article, including some penned by King, played up  and celebrated that tendency. But in hindsight, King wonders if that wasn't a mistake:

...when you don't acknowledge pain in your professional life for years and years, how will ever acknowledge pain when the cheering stops?...for that reason, I know I'll be a lot more careful about praising men as heroes for playing with injuries they shouldn't be playing with.


Our culture praises boys and men who solider on, in spite of their pain. It's part of the Boy Code. Boys are expected to push down their pain and keep going, no matter what. Those who do -- like Seau -- are lauded and honored. Those who 'fess up to their pain, who admit that they can't go on anymore or that they need a break, as labeled as whiners and viewed as weak.

Think about the message that sends to our sons!

That's part of what Kate Stone Lombardi wrote about in her book, The Mama's Boy Myth. Mamas, she argues, are particularly well-placed to expand their sons' definitions of masculinity, to let them know that it's not weakness to express pain.

It's a message our boys need to hear. Clearly, most of them won't grow up to be NFL players. Most won't ever have to deal with the physical ramifications and lingering pain that result from a life of football. But all of our boys, at some point in time, will experience physical or psychological pain, and our sons need to know it's OK to admit it, and to get help. The consequences of not doing so are stark. Consider:
  • Men are much less likely than women to visit a doctor.  Studies indicate that men often delay seeking medical care. As a result, their symptoms are usually more pronounced when they finally seek care -- and their diseases more advanced. "Macho" men are half as likely as other men to pursue recommended medical care.
  • Men are less likely to see help for depression. Women are much more likely than men to be diagnosed with depression, but that doesn't mean that women are more likely to be clinically depressed than men. Rather, many researchers suspect that men fail to seek help for depression, and instead turn to alcohol, drugs or other unhealthy behaviors. Is it any surprise, then, that the male suicide rate is 4 times that of women?
Think about those statistics the next time you're tempted to tell your son to "stop crying." Or the next time you're tempted to tell your son to "shake it off and get back in the game." Think of those statistics the next time an NFL announcer goes on and on about a player who's playing through pain. Think about those messages, and have some honest conversations with your sons.

But don't stop there. Show your sons, through your words and your deeds, that it's OK to seek help.
Better than OK, in fact. Let him know that admitting, confronting and seeking help for a problem is the manly thing to do.


  1. Amen to that! I just turned in a related story about Vets with PTSD. The general rule is that they don't seek help for fear of being thought of as weak. They are trained to "tough it out," one Vet told me. If they do get diagnosed, it's not uncommon for the military to kick them out. So there's no incentive for them to seek help. They're screwed if they do, and screwed if they don't. The Department of Defense has started a public awareness campaign called Real Warriors to get rid of the stigma attached to mental health issues, such as PTSD. Meanwhile, 1 in 5 Iraq and Afghanistan vets are suffering from the symptoms associated with PTSD now. Most of them will not seek help. That's a lot of mental anguish that has to wait until the effects of the campaign kicks in. But one message at a time, I guess. One message at a time.

  2. This is a very important message. I am going to tweet this post. Mental health issues are a stigma for both men and women - but especially so for men. And even more so for veterans, as you point out. My father suffered a head injury in World War II and got almost no support in his recovery - so sad that this kind of thing is still going on for those with PTSD and other issues.

  3. Excellent post. Thank you for the reminder to let our sons know that expressing pain is not a sign of weakness.

    1. Something that we parents need to remember too, eh? :)