Due to the focus on diversity within the field of psychology in the past 25 years, intrapsychic issues of the Caucasian, middle-aged, heterosexual male population may not often be considered. The ability to break through rigid psychological barriers with hypermasculine men is often very difficult due to the inflexible gender identity issues that exist. This dissertation will explore the literature concerning intrapsychic, familial, peer, and socialization influences on the adherence to the masculine code. Traditional male identity issues often conflict with the ability to engage successfully in individual therapy. Consequently a review of how the firmly established traditional male identity creates a very shameful, defensive presentation in therapy is presented. The effects of the varying individual therapeutic dyads with this population are also discussed taking into account both transference and countertransference reactions. Interventions, techniques, and environmental considerations utilized in the beginning stages of individual therapy are recommended to break through the traditional male's shameful, confused presentation. These recommendations will hopefully instill a greater sense of comfort early on for this reluctant population and create a better chance for reaching treatment goals.