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Doctors' Notes: Friendship

June 09, 2026 • 22m

Summary

⏱️ 7 min read

Overview

In this Doctor's Notes episode following their main discussion on friendship, Drs. Chris and Xand van Tulleken speak with historian Tiffany Watt Smith about how friendship has evolved throughout history, particularly examining gender differences, the friendship recession, and how digital technology has transformed modern connections.

The Historical Flip in Male vs. Female Friendships

Tiffany reveals a stunning historical reversal in how male and female friendships have been perceived. For over 2,000 years, men were celebrated as the experts in deep, intimate friendship while women were considered incapable of forming meaningful bonds. This completely flipped in the 18th-19th centuries, when female friendship became celebrated as an emblem of femininity and later, independence. This historical perspective proves that friendship styles are entirely cultural, not biological, offering hope that gendered friendship expectations can continue to evolve.

  • Historically, philosophers and writers celebrated deeply intimate male friendships, with women considered incapable of true friendship
  • Montaigne's 15th century essay described his friendship with Labercy in romantic, soulmate terms while claiming women lacked the intelligence and moral fiber for such bonds
  • In the 19th century, female friendship became celebrated as proof of women's caring nature and later as a source of independence and liberation
  • By the 20th century, women became viewed as friendship experts while male friendship became invisible or diminished
" For a long time, men were the ones who were brilliant at friendship. They were the experts in friendship. Women were just unable to make friends. "
" This is not biological in any way. This is completely cultural, that women have learnt a certain style of friendship. Men have learnt certain kinds of anxieties around friendship. "

Male Friendship Nostalgia and Battlefield Bonds

The discussion explores why men often look back nostalgically to historical examples of male friendship, like the bromance in Master and Commander. These intense friendships frequently formed in contexts of danger and extremity, particularly on battlefields, where dependence on others created powerful bonds quickly. The conversation reveals both the reality of these historical connections and the modern longing for similar depth in male friendships.

  • Master and Commander is frequently cited on social media as an ideal of male friendship, featuring intimate moments like playing violins together
  • Famous historical male friendships like Achilles and Patroclus formed in battlefield contexts
  • Situations of danger and extremity where people must depend on each other create very powerful bonds very quickly

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