Silverberg (1984) believes that reality therapy is a particularly appropriate treatment for men.
He argues that historically men have been more reluctant than women to seek therapy, to explore feelings, and to make insights about their behavior.
He believes that the emphasis that reality therapy gives to development of self-control, autonomy, and independence are particularly appealing to men.
Further, the emphasis on specific behaviors and on productivity in sessions that have planning as a component would be appropriate for men whose outlook toward life is achievement oriented.
Men who have a negative feeling toward examining their feelings and emotions may find reality therapy an attractive approach.
Threadgall (1996) believes that reality therapy is appropriate for gay men and emphasizes the importance of commitment to therapy and to plans.