Toxic Masculinity
Toxic masculinity was a debated term for masculine norms, expectations, and performances that caused harm to the person enacting them or to other people. It did not mean that masculinity, men, or traits culturally coded as masculine were inherently harmful. The term was most useful when it identified a specific norm—such as compulsory emotional control, domination, entitlement, anti-femininity, or refusal of help—and the context in which that norm was rewarded or enforced.
Masculinity was neither singular nor exclusive to cisgender men. Expectations about manhood varied across time, place, family, institution, race, class, disability, sexuality, religion, and gender identity. People of any gender could enforce masculine norms, and men and boys could comply with, resist, reinterpret, or move among them.
Jump to a section
- Terminology and Boundaries
- Historical Development
- Harmful Norms and Their Enforcement
- Health, Disability, and Help-Seeking
- Power, Violence, and Accountability
- Institutional and Public Context
- Variation, Racialization, and Gender Diversity
- Alternatives and Change
- Associated People and Works
- Sources and Documentation
- Related Entries
Terminology and Boundaries
‘’Toxic masculinity’’ overlapped with several research terms but was not interchangeable with them.
Traditional masculinity ideology described beliefs about how men ought to behave. Research measures varied, but commonly studied expectations included achievement, toughness, emotional control, self-reliance, risk-taking, heterosexual presentation, dominance, and the rejection of femininity.
Conformity to masculine norms concerned the extent to which a person’s attitudes or behavior matched a defined set of expectations. Gender-role strain and gender-role conflict addressed distress, restriction, or harm connected to trying to meet those expectations.
Hegemonic masculinity described a culturally dominant ideal that helped legitimize gender hierarchy even when relatively few people fully embodied it. It was a theory of social relations and multiple masculinities, not a diagnosis or a synonym for an aggressive individual.
Hypermasculinity generally described exaggerated performances of toughness, dominance, sexual entitlement, or aggression. ‘’Machismo’‘, ‘’caballerismo’‘, and culturally specific terms for masculinity had their own histories and meanings; none could be substituted automatically for toxic masculinity or assigned as the shared psychology of an ethnic group.
The word ‘’toxic’’ remained contested. It made harmful effects legible in public discussion but could also be heard as a claim that maleness itself was toxic. More precise descriptions—’‘harmful masculine norms’‘, ‘’restrictive masculinity’‘, ‘’gender-role pressure’‘, or the name of the behavior at issue—were often clearer.
Historical Development
The phrase circulated within the mythopoetic men’s movement during the late twentieth century, where it distinguished destructive forms of manhood from what participants considered deeper or healthier masculinity. Later scholarship on men and masculinities used different theoretical frameworks, especially masculinity ideology, gender-role conflict, and hegemonic masculinities.
In 2005, psychiatrist Terry Kupers used ‘’toxic masculinity’’ in a specific analysis of men’s prisons and barriers to mental-health treatment. His formulation concerned the interaction between individual behavior and prison institutions that intensified domination, homophobia, and emotional restriction. It was not a universal definition of all male behavior or every social setting.
The term entered wider public use during the 2010s alongside discussion of sexual harassment, gendered violence, men’s mental health, online misogyny, and the treatment of boys. Public use often collapsed distinct ideas into one label, while clinical and social-science research continued to use multiple measures rather than one settled toxic-masculinity construct.
Harmful Norms and Their Enforcement
Harm arose from the rigidity, hierarchy, and consequence attached to a norm, not from a trait’s masculine label by itself. Courage, strength, competitiveness, leadership, assertiveness, discipline, protectiveness, and independence could support or harm others depending on how they were practiced. Strength used for endurance or care differed from strength used to dominate; independence chosen freely differed from compulsory self-reliance that made asking for help shameful.
Commonly studied harmful norms included:
- Emotional restriction—treating fear, grief, tenderness, or uncertainty as humiliating while allowing anger to remain publicly acceptable.
- Compulsory self-reliance—equating assistance, therapy, medical care, accommodation, or interdependence with failure.
- Dominance and entitlement—treating control over partners, children, peers, employees, or public space as proof of manhood.
- Anti-femininity and gender policing—devaluing women and punishing men, boys, and gender-diverse people for traits coded as feminine.
- Heterosexual and sexual-performance pressure—measuring status through conquest, sexual availability, or control rather than consent and reciprocity.
- Risk, invulnerability, and productivity—rewarding danger, pain concealment, overwork, substance use, or refusal to stop when safety required it.
These expectations could be enforced through praise, mockery, exclusion, threats, employment rewards, institutional discipline, family rules, peer groups, entertainment, sport, religious teaching, or online communities. Enforcement did not require every participant to be male, and exposure to a norm did not determine an individual’s behavior.
Health, Disability, and Help-Seeking
Research associated restrictive masculine norms—especially self-reliance, emotional control, and difficulty expressing distress—with delayed or reduced mental-health help-seeking. The World Health Organization also found evidence that trusted people, communities, and professionals could make disclosure and help-seeking easier. Men were not uniformly unwilling to seek care, and service cost, discrimination, transportation, availability, prior mistreatment, and economic insecurity remained separate barriers.
The same distinction applied to physical healthcare. Pressure to tolerate pain, keep working, or appear invulnerable could delay care or lead a patient to minimize symptoms. Healthcare professionals could reinforce the pattern by praising stoicism, treating functional collapse as the only credible evidence of illness, or failing to offer accessible communication and disability accommodations. Fuller treatment of those systems appears in Toxic Masculinity in Medicine and Healthcare Reference and Chronic Illness in Men and Boys.
Disability could expose the narrowness of ideals built around bodily control, paid productivity, independence, or a fixed provider role. Disabled men and masculine people also developed identities centered on adaptation, interdependence, care, creativity, advocacy, and chosen forms of strength. Needing assistance, using mobility or communication technology, receiving intimate care, or changing work did not remove a person’s gender or adult status.
In United States mortality data for 2023, the age-adjusted suicide rate for males was 22.7 per 100,000, compared with 5.9 for females. That disparity did not establish one cause. CDC identified suicide as a multi-factor outcome involving individual, relationship, community, and societal conditions, including mental illness, serious illness or chronic pain, substance use, loss, financial problems, isolation, discrimination, access to care, help-seeking stigma, and access to lethal means.
Power, Violence, and Accountability
Norms that accepted aggression, strict gender hierarchy, hostility toward women, sexual entitlement, or dominance within a relationship could increase the risk of violence. They did not make violence inevitable or explain every perpetrator. CDC treated intimate-partner violence as the product of interacting individual, relationship, community, and societal risk and protective factors; a risk factor was not itself a direct cause.
Economic hardship, racism, disability, immigration stress, unemployment, victimization, or childhood trauma did not cause a person to abuse someone and did not reduce responsibility for violent choices. Those conditions could shape exposure, safety, resources, reporting, and access to intervention without becoming an ethnic, class, or disability explanation for abuse.
Prevention therefore included more than telling individual men to express feelings. Healthy-relationship education, nonviolent problem-solving, bystander action, survivor support, economic and housing stability, accessible healthcare, accountable institutions, and community norms that rejected coercion all addressed different parts of the social environment.
Institutional and Public Context
Schools, workplaces, teams, military organizations, prisons, healthcare settings, families, and online communities each created different rewards and penalties around masculinity. A norm could be useful in one bounded task and harmful when treated as a universal rule. Emotional control during an emergency, for example, differed from a lifelong prohibition against grief or help-seeking.
Federal Title IX rules governed sex discrimination in covered educational institutions rather than defining toxic masculinity. The 2024 Title IX rule took effect on August 1, 2024, but a federal court vacated it nationwide on January 9, 2025. The Department of Education then returned to enforcement under the 2020 rule. Public discussion that treated one of those regulatory packages as a complete measure of school gender culture overstated what the rules addressed.
Digital communities widened access to peer support, queer and disability community, mental-health information, and alternative models of manhood. They also enabled communities organized around misogyny, racial hierarchy, anti-LGBTQ+ hostility, grievance, and dominance. Platform, subculture, age, moderation, and individual participation mattered; internet use by itself did not establish radicalization.
Variation, Racialization, and Gender Diversity
Masculine expectations interacted with racism, colonialism, class hierarchy, ableism, homophobia, and transphobia, but those intersections did not produce one response. A person could be denied masculine status in one setting, stereotyped as excessively masculine or dangerous in another, and expected to perform invulnerability within a third. These pressures came from institutions and observers as well as from a person’s own beliefs.
Race-specific stereotypes about aggression, criminality, sexuality, passivity, foreignness, or physical threat shaped how masculine behavior was interpreted. They did not prove that Black, Latino, Asian American, Indigenous, immigrant, or multiracial men shared a masculine culture or adopted hypermasculinity. Research drawn from one nationality, tribe, language community, or immigrant generation could not stand in for another.
Gay and bisexual men, trans men, nonbinary people, and gender-nonconforming people could encounter policing of who counted as a “real man,” while also creating or participating in varied masculine communities of their own. Gender identity, sexuality, presentation, and adherence to harmful norms were separate questions.
Alternatives and Change
No single model of “healthy masculinity” replaced one rigid code with another. Useful alternatives included emotional range, consent, accountability, reciprocal care, nonviolent conflict resolution, flexible work and family roles, respect for femininity without requiring it, and help-seeking that did not depend on proving toughness first.
Change could occur through relationships, therapy, peer groups, education, workplace and school policy, disability community, survivor-led prevention, parenting, art, faith communities, and public advocacy. It also required material access: a person could not use a service that was unaffordable, unavailable, inaccessible, unsafe, or discriminatory.
Associated People and Works
Cody Matsuda
Cody’s essay ‘’Invisible Until Inconvenient: CFS, Masculinity, and Medical Dismissal’’ explicitly connected chronic illness, masculinity, and the medical dismissal of disabled men. His own ME/CFS symptoms were repeatedly attributed to ordinary tiredness or depression during adolescence, and a physician later dismissed his disclosure of suicidal intent without an emergency psychiatric evaluation. The clinical failures were documented separately from the gender analysis Cody developed through his later advocacy and writing.
Cody’s public work also challenged the treatment of spoken communication, physical independence, and uninterrupted productivity as measures of intelligence, competence, adulthood, or manhood. He used ASL, AAC, writing, mobility devices, pacing, and assistance as forms of access rather than evidence that he had lost adult or masculine identity.
Sources and Documentation
- American Psychological Association, ‘’Guidelines for Psychological Practice with Boys and Men’‘
- American Psychological Association, “A Closer Look at the APA Guidelines for Psychological Practice with Boys and Men”
- World Health Organization, gender and health
- World Health Organization, harmful masculinities and sexual and reproductive health
- World Health Organization, ‘’Mental Health, Men and Culture’’ (2020)
- Terry A. Kupers, “Toxic Masculinity as a Barrier to Mental Health Treatment in Prison” (2005)
- R. W. Connell and James W. Messerschmidt, “Hegemonic Masculinity: Rethinking the Concept” (2005)
- CDC National Center for Health Statistics, United States suicide rates by sex, 2003–2023
- CDC, suicide risk and protective factors
- CDC, intimate-partner-violence risk and protective factors
- U.S. Department of Education, current Title IX regulatory history
Related Entries
- Chronic Illness in Men and Boys
- Toxic Masculinity in Medicine and Healthcare Reference
- Disability Discrimination and Infantilization Reference
- Suicide and Overdose Reference
- Cody Matsuda
- Cody Matsuda (Career and Legacy)
- Generational Trauma
- Breaking Cycles of Violence