Males ages 18 to 34 and 18 to 49, for that matter, have long been a desirable demo for TV networks.
What plays out in this will decide whether or not this segment of TV remains a kind of Wild West, non union shop genre, or whether reality TV is going to organize its own set of definitions or be absorbed into already established ones.
These reality TV shows are a way in which some of these subjects can be explored. The reality TV format is the sacrifice and price you pay to get a big audience to watch it.
The TV is an out, an excuse for not having eye contact or for not having to come up with something interesting to say. Is it pathological? Yes. Is it sad? Yes. But pathology and sadness are part of 20th century American life.