Masculinity and Mental Health: Exploring Norms and Cultural Barriers in Help-Seeking Behavior amongst Men in Pakistan
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This study has attempted to explore the challenges of men’s mental health in help-seeking behavior owing to traditional masculinity norms. The purpose of this study was to explore the perceptions of men about masculinity and help-seeking behavior in context with their mental well-being. The study has addressed these research questions; to understand the perceptions of men about masculinity in context of their mental health, and to understand issues of men’s help-seeking behavior as regards to their mental health. This is a qualitative study. It employed an ontological stance of interpretivism and an epistemological position of social constructivism. For theoretical lens of this research study, Connell’s theory of hegemonic masculinity was used. Using the technique of purposive sampling, six participants from the OPD of Fountain House, Lahore were interviewed. Gendered perceptions of mental health and help-seeking behavior was explored. This study used the technique of thematic analysis. The findings showed how traditional masculine norms create barriers to seeking care. It emphasized societal expectations, cultural shame, and emotional suppression, as well as the value of family support, adaptive coping methods, and male-friendly solutions. Redefining masculinity to include emotional openness is critical for enhancing men's mental health and promoting inclusive wellbeing.
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Addis, M. E., & Mahalik, J. R. (2003). Men, masculinity, and the contexts of help seeking. American Psychologist, 58(1), 5–14. https://doi.org/10.1037/0003-066X.58.1.5
Aksar, I. A., Firdaus, A., Gong, J., & Anwar Pasha, S. (2024). Examining the impacts of social media on the psychological well-being in a patriarchal culture: A study of women in Pakistan. Online Information Review, 48(2), 294–313.
Andrade, L. H., Alonso, J., Mneimneh, Z., Wells, J. E., Al-Hamzawi, A., Borges, G., Bromet, E., Bruffaerts, R., De Girolamo, G., De Graaf, R., Florescu, S., Gureje, O., Hinkov, H. R., Hu, C., Huang, Y., Hwang, I., Jin, R., Karam, E. G., Kovess-Masfety, V., … Kessler, R. C. (2013). Barriers to mental health treatment: Results from the WHO World Mental Health surveys. Psychological Medicine, 44(6), 1303–1317. https://doi.org/10.1017/S0033291713001943
Anwaar, M. B., Haider, S., Malik, F., Kanwal, S., & Ali, S. (2024). Beliefs about precarious manhood and psychological distress among adult men in Pakistani context: Mediating role of body dissatisfaction. Clinical and Counselling Psychology Review, 6(1), 58–79. https://doi.org/10.32350/ccpr.61.04
Anwar, F., Österman, K., & Björkqvist, K. (2022). Sexual harassment and psychological well-being of the victims: The role of abuse-related shame, fear of being harassed, and social support. Eurasian Journal of Medicine and Investigation, 6(2), 227–239
Berger, P. L., & Luckmann, T. (1966). The social construction of reality: A treatise in the sociology of knowledge. Anchor Books.
Biddle, L., Gunnell, D., Sharp, D., & Donovan, J. L. (2004). Factors influencing help-seeking in mentally distressed young adults: A cross-sectional survey. British Journal of General Practice, 54(501), 248–253.
Blumberg, S. J., Clarke, T. C., & Blackwell, D. L. (2015). Racial and ethnic disparities in men’s use of mental health treatments. National Center for Health Statistics. https://pubmed.ncbi.nlm.nih.gov/26079520/
Carson, D., Gilmore, A., Perry, C., & Grønhaug, K. (2001). Qualitative marketing research. SAGE Publications. https://doi.org/10.4135/9781849209625
Chang, S., Stuckler, D., Yip, P., & Gunnell, D. (2013). Impact of 2008 global economic crisis on suicide: Time trend study in 54 countries. BMJ, 347, f5239. https://doi.org/10.1136/bmj.f5239
Choudhry, F. R., Khan, N., & Munawar, K. (2021). Barriers and facilitators to mental health care: A systematic review in Pakistan. International Journal of Mental Health, 52(2), 124–162. https://doi.org/10.1080/00207411.2021.1941563
Cinnirella, M., & Loewenthal, K. M. (1999). Religious and ethnic group influences on beliefs about mental illness: A qualitative interview study. British Journal of Medical Psychology, 72(4), 505–524. https://doi.org/10.1348/000711299160202
Clarke, V., & Braun, V. (2013). Teaching thematic analysis: Overcoming challenges and developing strategies for effective learning. The Psychologist, 26(2), 120–123.
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rüsch, N., Brown, J. S. L., & Thornicroft, G. (2014). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11–27. https://doi.org/10.1017/S0033291714000129
Connell, R. W. (1987). Gender and power: Society, the person and sexual politics. Polity Press.
Connell, R. W. (1995). Masculinities. University of California Press.
Connell, R. W., & Messerschmidt, J. W. (2005). Hegemonic masculinity. Gender & Society, 19(6), 829–859. https://doi.org/10.1177/0891243205278639
Courtenay, W. H. (2000). Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science & Medicine, 50(10), 1385–1401. https://doi.org/10.1016/S0277-9536(99)00390-1
Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). SAGE Publications.
De Visser, R. O., Mushtaq, M., & Naz, F. (2020). Masculinity beliefs and willingness to seek help among young men in the United Kingdom and Pakistan. Psychology, Health & Medicine, 27(5), 1052–1062. https://doi.org/10.1080/13548506.2020.1847301
Gough, B., & Novikova, I. (2020). Mental health, men and culture: How do sociocultural constructions of masculinities relate to men’s mental health help-seeking behavior in the WHO European Region. World Health Organization.
Hom, M. A., Stanley, I. H., & Joiner, T. E. (2015). Evaluating factors and interventions that influence help-seeking and mental health service utilization among suicidal individuals: A review of the literature. Clinical Psychology Review, 40, 28–39. https://doi.org/10.1016/j.cpr.2015.05.006
Hudson, L. A., & Ozanne, J. L. (1988). Alternative ways of seeking knowledge in consumer research. Journal of Consumer Research, 14(4), 508–521. https://doi.org/10.1086/209132
Imran, N., Hussain, S., Hotiana, U. A., Mazhar, N., & Asif, A. (2017). Illness perceptions in patients of schizophrenia: A preliminary investigation from Lahore, Pakistan. Pakistan Journal of Medical Sciences, 33(4). https://doi.org/10.12669/pjms.334.13128
Javed, A., Lee, C., Zakaria, H., Buenaventura, R. D., Cetkovich-Bakmas, M., Duailibi, K., Ng, B., Ramy, H., Saha, G., Arifeen, S., Elorza, P. M., Ratnasingham, P., & Azeem, M. W. (2021). Reducing the stigma of mental health disorders with a focus on low- and middle-income countries. Asian Journal of Psychiatry, 58, Article e102601. https://doi.org/10.1016/j.ajp.2021.102601
Kashi, S. M. (2024). An exploration of the contributions of parenting styles and peer relationships on the emotional expression of second-generation Indian Americans [Doctoral dissertation, University of San Francisco]. https://repository.usfca.edu/diss/673/
Kim, S., & Yu, S. (2023). Men’s mental health and interventions tailored to masculinity: A scoping review. The Journal of Men’s Health, 19(11), 1–10.
Levant, R. F., & Pryor, S. (2020). The tough standard: The hard truths about masculinity and violence. Oxford University Press.
Levant, R. F., Wimer, D. J., & Williams, C. M. (2011). An evaluation of the Health Behavior Inventory-20 (HBI-20) and its relationships to masculinity and attitudes towards seeking psychological help among college men. Psychology of Men & Masculinity, 12(1), 26–41. https://doi.org/10.1037/a0021014
Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27(1), 363–385. https://doi.org/10.1146/annurev.soc.27.1.363
Lynch, L., Long, M., & Moorhead, A. (2016). Young men, help-seeking, and mental health services: Exploring barriers and solutions. American Journal of Men’s Health, 12(1), 138–149. https://doi.org/10.1177/1557988315619469
Messerschmidt, J. W. (2018). Hegemonic masculinity: Formulation, reformulation, and amplification. Rowman & Littlefield.
Mouton, J., & Marais, H. C. (1988). Basic concepts in the methodology of the social sciences. HSRC Press.
National Alliance on Mental Illness. (2019). Mental health by the numbers. https://www.nami.org/about-mental-illness/mental-health-by-the-numbers/
Noorullah, A., Asad, N., Pirani, S., Iqbal, S., & Khan, M. M. (2024). Mental health care in Pakistan. In S. M. Y. Arafat & S. K. Kar (Eds.), Access to mental health care in South Asia. Springer.
Pleck, J. H. (1995). The gender role strain paradigm: An update. In R. F. Levant & W. S. Pollack (Eds.), A new psychology of men (pp. 11–32). Basic Books.
Punjani, N. S. (2022). Perceptions and experiences of Pakistani-descent female adolescents on developing sexuality and its relation to psychological wellbeing [Doctoral dissertation, University of Alberta]. Education and Research Achieve. https://ualberta.scholaris.ca/items/29094760-7662-4262-8ea2-72c9da81bfef
Sagar-Ouriaghli, I., Godfrey, E., Bridge, L., Meade, L., & Brown, J. S. L. (2019). Improving mental health service utilization among men: A systematic review and synthesis of behavior change techniques within interventions targeting help-seeking. American Journal of Men’s Health, 13(3), 1–18. https://doi.org/10.1177/1557988319857009
Salahuddin, A. (2017). Women’s lives and images: Traditional symbolism in Pakistani fiction [Doctoral dissertation, University of the Punjab, Lahore]. Pakistan Research Repository. https://prr.hec.gov.pk/jspui/handle/123456789/10774
Seedat, S., Scott, K. M., Angermeyer, M. C., Berglund, P., Bromet, E. J., Brugha, T. S., Demyttenaere, K., De Girolamo, G., Haro, J. M., Jin, R., Karam, E. G., Kovess-Masfety, V., Levinson, D., Mora, M. E. M., Ono, Y., Ormel, J., Pennell, B., Posada-Villa, J., Sampson, N. A., & Kessler, R. C. (2009). Cross-national associations between gender and mental disorders in the World Health Organization World Mental Health Surveys. Archives of General Psychiatry, 66(7), 785–795. https://doi.org/10.1001/archgenpsychiatry.2009.36
Seidler, Z. E., Rice, S. M., River, J., Oliffe, J. L., & Dhillon, H. M. (2017). Men’s mental health services: The case for a masculinities model. The Journal of Men’s Studies, 26(1), 92–104. https://doi.org/10.1177/1060826517729406
Seidler, Z., Dawes, A., Rice, S., Oliffe, J., & Dhillon, H. (2016). The role of masculinity in men’s help-seeking for depression: A systematic review. Clinical Psychology Review, 49, 106–118. https://doi.org/10.1016/j.cpr.2016.09.002
Sileo, K. M., & Kershaw, T. S. (2020). Dimensions of masculine norms, depression, and mental health service utilization: Results from a prospective cohort study among emerging adult men in the United States. American Journal of Men’s Health, 14(1), 1–16. https://doi.org/10.1177/1557988320906980
Staiger, T., Stiawa, M., Mueller-Stierlin, A. S., Kilian, R., Beschoner, P., Gündel, H., Becker, T., Frasch, K., Panzirsch, M., Schmauß, M., & Krumm, S. (2020). Masculinity and help-seeking among men with depression: A qualitative study. Frontiers in Psychiatry, 11, Article e599039. https://doi.org/10.3389/fpsyt.2020.599039
Tyler, R. E., & Williams, S. (2013). Masculinity in young men’s health: Exploring health, help-seeking and health service use in an online environment. Journal of Health Psychology, 19(4), 457–470. https://doi.org/10.1177/1359105312473784
Üzümçeker, E. (2025). Traditional masculinity and men’s psychological help-seeking: A meta-analysis. International Journal of Psychology, 60(2), Article e70031. https://doi.org/10.1002/ijop.70031
Vickery, A. (2021). Men’s help-seeking for distress: Navigating varied pathways and practices. Frontiers in Sociology, 6, Article e724843. https://doi.org/10.3389/fsoc.2021.724843
Wong, Y. J., Ho, M. R., Wang, S. Y., & Miller, I. S. (2017). Meta-analyses of the relationship between conformity to masculine norms and mental health-related outcomes. Journal of Counseling Psychology, 64(1), 80–93. https://doi.org/10.1037/cou0000176
World Health Organization. (2017, April 30). Mental health status of adolescents in South-East Asia: Evidence for action. https://www.who.int/publications/i/item/9789290225737
Zafar, M., Zaidi, T. H., Zaidi, N. H., Ahmed, M. W., Memon, S., Ahmed, F., Siddiqui, A., Fatima, A., Shahid, A., Hussain, B., & Salam, A. (2020). Attitude towards seeking professional help for mental health among medical students in Karachi, Pakistan. Future Science OA, 10(1), 1–7. https://doi.org/10.2144/fsoa-2023-0114
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