That this House has considered International Men’s Day.
It is an honour to lead this year’s debate on International Men’s Day. I hope that this year’s speech gets as much publicity as last year’s did. Last year’s speech led to much controversy, but I believe the message got over that boys need role models, and positive role models at that. I asked to hold the debate again because I am the chair of the all-party parliamentary group on issues affecting men and boys, and as such International Men’s Day, which we mark on Saturday, is an important date in the diary. It is a time to highlight many issues that men and boys face, and to celebrate many of the wonderful charities out there that are doing such wonderful work—Andy’s Man Club, Men’s Sheds, Lads Need Dads and the Men and Boys Coalition, to name just a few.
I also want to speak about these issues because I want to help society as a whole. I am a father of both a boy and a girl—well, now young adults—and I want both to do equally well. However, the reason I joined the APPG on issues affecting men and boys is that I see too many issues, at a constituency and national level, that have a negative impact on men and boys, with no concerted action to tackle them. Of course, those issues have a negative impact on women and girls too, whether it be a brother’s suicide, a partner dying from prostate cancer, a son who is failing at school, or violence that a man commits against a woman, sometimes in the most horrific ways. Men and women all share lives and society together. My reasoning is therefore this: if we help half the population to become better equipped at handling life and more comfortable being themselves, we in turn help the other half of the population. It is a win-win. With the help of debates such as this, and in my role as chair of the APPG, I hope to do just that.
Much of the work that our APPG has done recently has been on the issue of men’s suicide. It is tragic that 13 men each day see this as the only solution to the problems they face. Our evidence sessions discovered that, although getting men to talk and open up is an amazing thing to do for them and helps so much, it is not enough. There are often underlying causes, and if those are discussed but not properly dealt with, men still often see suicide as a genuine way out, regardless of therapy.
I thank my hon. Friend for holding this important debate. My brother sadly took his life recently, so I would like to give a big shout-out to all the community initiatives and charities that support men, particularly the Amlwch Men’s Shed and the Amlwch walking football team, who do so much to support men’s mental health and wellbeing right across Anglesey.
I thank my hon. Friend for her intervention, and I am ever so sorry to hear that news. I am hoping that, through debates like this, we can reduce that number to zero.
The issues that can cause this include chronic health issues, such as a bad back that stops a man working, money worries through not earning enough or poor financial management, or a sudden bereavement of someone close to them. One of the main issues I have seen in my constituency is the consequences arising from the breakdown of marriages and relationships. Each of those has its own reasons why it can often appear more difficult for men to deal with.
Take the bad back. Like whiplash claims and now mental health issues, men suffering with chronic pain can often be accused of “trying it on”. Paid days off work and no obvious visible signs of injury often lead to the opinion that a man must be swinging the lead. I am sure that some have tried it on over the years, but that is what is so dangerous—the fraudsters. They make it so much worse for the genuine cases. Years of chronic pain with no one believing you is no fun. “The man of the house” is a saying that, unfortunately, does not help, when a man is not able to fulfil the role that he believes he should and that, far too often, society believes he should too.
We have two paths: a path of help from someone who listens and then helps, or another path of health problems, depression, anxiety, addiction and loneliness, and some will think about suicide. Talking is good, but practical support is needed too.
I am not sure whether my hon. Friend is aware of the TikTok video in which a woman asks, “What do you do as a man when you have a problem?” and then a collection of men say, “Nothing. No one cares. I have no one to speak to.” Is that not the biggest problem when it comes to men’s mental health—when they talk about it, they feel there is no one there to support them, and they feel forgotten about and ignored? That is the key to getting a policy in place to support men and their mental health.
I could not agree more. This is why Andy’s Man Club, Men’s Sheds and organisations like that are helping enormously with this issue. The growth of Andy’s Man Club over the past year has been phenomenal, so the need is there. I thank my hon. Friend for his comments.
It is the same for a man who has lost his job and feels he has no other job to go to; again, he feels he has no worth and no value. The more he feels like that, the less he values himself, and the less chance he has of getting a job or climbing the ladder to get a better job. He wants to be the breadwinner—another unhelpful word—and wants to have the best for his family; he does not want to say no to his kids. It ends up with an eviction notice, car finance too much, electric metre cutting out, or sometimes with someone in his ear telling him that he is a failed man. Again, we have two paths: a path of help from someone who listens and then helps, or another path of health problems, depression, anxiety, addiction and loneliness, and some will think of suicide. Talking is good, but practical support is needed too.
Marriage breakdown is always a bad time for both individuals. It has a real impact, but even more so when children are involved. When I spoke to a local divorce lawyer, he said that the best outcome that a man can expect from a divorce is 50% of the assets and to see his kids every other weekend. That can lead to other significant problems.
The man should rightly pay his dues, and should want to—he needs to provide for his kids—but he has to have somewhere to live too. He can end up in a situation where he is in a lonely bedsit with noisy neighbours, the heating off and an empty fridge; where there are continual breaches of child arrangements orders with no consequences except more ignored solicitor’s letters and legal fees; where there is parental alienation, because their children’s heads have been needlessly turned against them by the other parent; and where the weekend with the kids gets postponed for no good reason and the kids are not keen on seeing their dad because the bedsit is cold and he never has any money, so the next weekend is missed too, which means that a solicitor’s letter must be sent, only to be ignored—more money spent on legal fees that he does not and should not have to pay.
I was a GP before I came into the House, so I saw the way in which men present differently from women, and the different ways in which people choose to interact. They are gross generalisations, but in medicine, a generalisation is a useful way to understand patterns, and pattern recognition is important. It is about understanding that the status that a man brings, and the need for status, is important. It is also about vulnerability and building up trust to allow them to speak about the issues that may come in. Equally, men can be transactional. We need a men’s health strategy to understand those differences and to balance against the women’s health strategy. Does my hon. Friend agree that now is the right time for that?
My hon. Friend is helping enormously with the debate. I have spoken to him before about a men’s health strategy and yes, now is the time. There is an old phrase that says, “The best time to plant a tree was 20 years ago. The next best time is now.” That is exactly where we are with the men’s health strategy, and a Minister for men.
We need someone to be accountable across Government, which also means putting pressure and targets on health bodies and the education system. Ensuring that the Government Equalities Office gives equal reference to men as a group that it supports would be a welcome start. Equality means equal and fair treatment. When members of the public, including in so-called red wall seats such as mine, are asked whether it is fair and equal to have a Minister for Women and not a Minister for men, of course they say no. They believe, as I do, that we should have both. Why would anyone who truly believes in equality think differently? Let us stop talking and start doing.
Why do many men get through life and many do not? Is it luck of the draw or is it a solid family upbringing? I do not believe in luck, but I do believe in family and I do believe in good role models—good dads, good mums and good role models—such as the dads and men who put their kids first, not the ones who just say it; those who put their kids before themselves every time; those who help with homework before the football; those who put school shoes and a full fridge before a big TV; those who tuck them into bed, not those going down the pub; those who show them how to treat women properly and how to love their mum; the dads that are good role models, and the mums and wives who let their partner be that good role model, too. That is not luck, just good role models who show boys how to become men, how to cope and how to deal with life’s knocks.
We know families do break up, and we know it can be just as much the man’s fault as the woman’s, but we must remember that, whatever caused the break-up, the kids must come first. Why? Because they need a male role model just as much as a good mum. Equally, however, dads need their kids. They need that value in their life and that part of their life where they are genuinely worth something—not just money or material things, but just the value of being a dad—and when I talk about good dads, I mean good step-dads, too.
I congratulate the hon. Member for Don Valley (Nick Fletcher) on securing this year’s debate and on chairing the APPG so well, and I thank the Backbench Business Committee for granting this debate in the Chamber this year.
International Men’s Day is an opportunity to celebrate boys and men, and their contributions to society and their communities. It is also an opportunity to look at the issues facing them in the modern world, raise awareness and, I hope, spark meaningful change. It would be remiss of me not to mention the team behind Movember, who for so many years now have worked hard in successive Novembers to raise awareness of prostate cancer, which is a really important issue to shine a light on for men across the UK. I also want to thank the Samaritans for sharing its briefing with colleagues ahead of today’s debate, so that we can address one of the most crucial issues impacting men today and the reasons behind suicide. I want to pass on my sympathy to the hon. Member for Ynys Môn (Virginia Crosbie) on the loss of her brother.
Some of the darkest statistics we will hear today are around suicide. Men account for three quarters of all suicides, and it is the leading cause of death in men under 50 here in the UK. Each life lost to suicide is devastating. It leaves a hole in the lives of families, friends and communities that can never be filled. Most tragically, almost all suicides could be preventable if the person had access to the right support, and if societal and socio-economic factors could be addressed.
Today’s social media age has brought with it new challenges, building on a pressure—the pressure to look good—that has existed for women for centuries. This was not a new phenomenon that came with the birth of Facebook or Instagram, and men will also have been influenced by glossy photos of celebrities and models on magazine stands and in films. That constant pressure has consequences for those of us who do not wake up every day looking like an airbrushed model from a catalogue. The discourse around this issue often focuses on the impact felt by women, and although there are reasons for that—the pressure is ingrained in girls from a much younger age, and much more overtly—the impact that that pressure is having on boys and men is often overlooked. The way such pressure manifests in girls and women might look different, and is perhaps more easily recognised, while men struggling with body image or eating disorders might focus their energy on exercise or the gym. To the naked eye that might seem healthy, because they are bulking up and building muscle.
I am hugely grateful to the hon. Lady because she brings up such an important point about body image, and especially the male physique. Between 0.5 million to 1 million people are using anabolic steroids to try to get that perfect image, and that is ongoing in the UK without us being aware. Does she think there should be more focus from the Government on those kinds of issues that specifically affect men?
The hon. Gentleman is an expert in this area, and I absolutely agree with him. It would be good if the Government could look at that issue—hence me raising it in this debate. Societal beauty standards are different for men, and while thinness might be an aspirational expectation set through the media for women, for men it generally is not. For men there is an image of fitness and muscular build, which means that often those signs in men are not recognised.
Eating disorders are indiscriminate when it comes to gender. There are many, and while anorexia is of course devastating, there is also bulimia and compulsive eating. Those disorders can ravage the body, but they also have an extreme detrimental effect on the mind. Although research on eating disorders in men is inconsistent, having only really begun in recent years, there are some figures that might illustrate how much more prevalent such disorders are than many of us realise. A 2021 study by Beat estimated that approximately 1.25 million people in the UK have an eating disorder. The same survey estimated that about 25% of those people are male. That is tens of thousands of men and boys suffering with these conditions, and struggling to access the right support. Some of those males may not even realise that they have an eating disorder.
Two big issues are at play, and both come down to eating disorders being viewed as a “female” problem. First is the social stigma and difficulty that men experience in recognising that they have an eating disorder and in seeking help. Anorexia, for example, is often seen as a problem caused by vanity, which is not only untrue but a simplistic and narrow view of an unbelievably complex disease. The social stigma attached to male mental health is huge, and the less such issues are spoken about, the more isolating and shameful it can feel. Secondly, as a result, men and boys will hide their feelings, and they will not proactively seek help. With the NHS as stretched as it is, and because eating disorders are more commonly recognised in women, health professionals are less likely to spot the signs in men.
I am pleased to hear the hon. Member highlighting the terrible crisis and tragedy of male eating disorders. Does she share my concern not only that insufficient attention is given to men and boys who suffer from eating disorders but that we are not generally good as a society at supporting those people who have been through the acute phase of an eating disorder—they may have got their weight back —to recover? We are better at that post-acute rehabilitation phase with girls and young women, but we are terrible at that with boys and men.
I thank the hon. Member for his intervention. Yes, that rehabilitation stage does need to be better and include men and boys, not just women. As I said, this is a monumental issue for the men experiencing these problems. It needs better recognition, and they need better help.
I mentioned obsessive compulsive disorder, which, as with most mental health issues, affected men do not find easy to talk about. Representations of it in the media have often presented it as quirky or comical. It is also trivialised: how many times have we heard someone say light-heartedly, “I’m really OCD about that” when talking about keeping their desk neat or their kitchen clean? However, OCD is a serious mental health concern. Like many others, it has a spectrum of severity, with some people experiencing milder symptoms whereas, for others, the constant intrusive thoughts can really limit quality of life. It is not just rituals like those we see on TV of switching on a light exactly ten times. All these traits are common. It is also about feeling completely unable to control the brain’s darkest thoughts and worst fears until they are all-consuming and nothing can be done to stop it.
OCD often has a distinct thought pattern, with obsession, anxiety, compulsive behaviours and temporary relief. It is a cycle that repeats and is commonly comorbid with anxiety, depression and eating disorders. Most people with OCD say that their compulsions are irrational or illogical, but still they feel an overwhelming need to act on them just in case. Because of its perception in the media and more widely, it is another condition that men struggle to admit experiencing. Many see it as shameful or a weakness.
People with OCD and depression will often experience suicidal ideation. I therefore want to reflect on the links to eating disorders, suicide and male mental health in general. There are organisations who can help support those who think they may have an eating disorder. I encourage anyone who thinks that they might—or if they know someone who might—to take a look at Beat’s website, where there is lots of good information. Its national helpline is open 365 days a year to offer swift help and advice.
I also thank my hon. Friend the Member for Don Valley (Nick Fletcher) for his work in securing the debate. I must say that I am a little disappointed. I would have hoped that, on a debate about half the nation, the Benches would have been it bit more full. Perhaps that is a sign of what the challenge is, because when we talk about men’s issues, we often do not talk about men’s issues. I am afraid that in a debate where we should be celebrating all the immense impacts of men across society, my speech, like others’, will focus on mental health and suicide and how we should be talking more and encouraging men to talk more about the challenges they face. Men contribute so much to society. I wish I was here with full Benches talking about the immense impact that men have for good in our society, just as we would if this were International Women’s Day and we were rightly celebrating the impact of women on us all.
I want to start with a point I have mentioned many times in this place, which is about mental health and the need for greater support. I had a 10-minute rule Bill, which I will try to bring back at some point, which aimed to ensure that mental health first aid awareness is part of physical first aid in the workplace. One challenge is that people, men in particular, do not know how to talk about issues they might be facing. They do not have to wait until the worst time, when it is affecting them in a way that is visible; they should be able to talk at an earlier stage about the challenges they might be facing.
One part of the challenge we have in society is the idea that men are supposed to be all strong. The hon. Member for Rutherglen and Hamilton West (Margaret Ferrier) mentioned the idea of the physical nature that men had to have—the Arnold Schwarzeneggers and the Sylvester Stallones that I grew up with in the 1980s. Ultimately, men had to be strong and not show weakness. As a man it was weak to show weakness. Actually, I say the opposite: that to show a weakness, to talk about a weakness and to ask for help is the greatest strength to have. The challenge for many is that they are not asking and are not looking for support, because they do not always know where to go for it. They do not know who they can trust, who will not mock them or ask them questions about things they do not feel comfortable talking about.
My hon. Friend has hit on something: we should not be shy of masculinity. It is about how to use that in a positive way, whether we are talking about sport, going to the gym or being a father figure. That is really important and if we try to close that down, it closes status, and that results in bad mental health. Does he support that philosophy after what he saw in his gym?
Absolutely, and I thank my hon. Friend for the work that he does, especially on physical attributes and ensuring that people do not feel that they should be attacked online because of their body image. I agree—this is not only about surrounding oneself with role models, but about someone feeling as though they can be the best version of themselves. We often see that challenge. We are potentially creating a society, partly through online media, that shapes people to be something that they are not. They can use digital tools to change the way that they look online, but they then compare themselves in the mirror to that unrealistic ideal.
My hon. Friend is making an excellent speech. He is talking about the negative impact of social media and pile-ons online, and so on. Does he agree that the more time that boys, in particular, spend online, the less time they spend offline in the physical presence of other young men and boys, doing things like climbing trees, taking appropriate risks, and doing things that will improve their mental and physical health much more than they will sitting in their bedroom alone on the internet?
My hon. Friend makes an important point; she understands this area very well and has done incredible work in this space. I agree 100%—there is, of course, a place for digital, social media and the internet, but if that becomes the world in which someone exists, that has to be a bad thing. Girls climb trees, too, and boys can climb trees with girls, but this is about going out into the real world and spending real time with real people, learning social cues and understanding the challenges that one faces. People can learn about rejection in the real world and in the virtual world, but they learn how to deal with it with friends and by talking about that.
To come back to a point that I made in my maiden speech, I often use an acronym HOPE, which stands for Help One Person Everyday. Sometimes that one person has to be ourselves. We sometimes have to be able to say, “Look, I need to go to speak to somebody about how I’m feeling. I need to go to the pub on a Friday night and have a laugh with my friends. I need to chat about stuff that has been challenging me or issues that I have and not feel like I have to keep all that inside.”
I will start to conclude, Madam Deputy Speaker—I am conscious that there will not be many more speeches, but I will not speak for the full hour that we have left, although you know that I probably could. I want to mention a couple of important points about suicide, which has been discussed. Men are invariably more likely to take their lives than women. That is a saddening statistic and it is the same around the world. In the UK, we have to try to stop this. It is not just about speaking to people, but about making sure that the network exists. Also, for those who have gone through that process and have, sadly, got to the point of perhaps trying to take their lives, it is about making sure that they have long-term support. I ask the Minister to make sure that we have the mental health support for young people and everyone alike, so that people have long-term support to get through the challenging times. I visited the Samaritans in Watford recently, and found that they do incredible work in ensuring that they are at the end of the telephone line for somebody—and, of course, there is anonymity to ensure that they are supported.
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My mailbox is regularly filled with letters from fathers—and some mothers, to be fair—complaining about the injustice of it all. They are heartbreaking to read and I am sure that other hon. Members receive the same. Again, we have two paths: one of help from someone who listens and then helps, and another of health problems, depression, anxiety, addiction, loneliness and, for some, thoughts of suicide. Talking is good, but practical support is needed too.
The APPG heard that some men believe that suicide is a practical solution to a problem—can we believe that? They cannot see their way through. They cannot cope. They feel that nobody will miss them and they have no value. They think that they got themselves there and that that is not what a man should be like. They have tried to get help, but either no one can help, no one cares, or no one will listen, so that path led nowhere. They think, “This is it. This is my path. Goodbye.” No, that cannot be right. We must stop that. We really need a Minister for men who can co-ordinate action and champion issues affecting men and boys, whether that is lower exam results than girls, men sleeping rough, or understanding why 80,000 men are in our prisons. We also need a men’s health strategy to help to deliver firm action and break down many of the health barriers that men face.
By letting this happen, we let the child become a good man, and one who does all the things we want good men to do. So if we see a man struggling in his life, we need to talk to him, find out what has gone wrong and what the real problem is. We need to find out what the solution is, write a plan with him, put our arms around his shoulders and help put the value back in him. He might not have had a good role model himself. He might not know what he is doing wrong and he might not know how to put it right. However, if we help him, we can give him another path, and maybe—just maybe—he will turn into a great role model himself.
I am not sure this speech will get as much publicity as the earlier one today, but I hope it does. I hope that we can all help a man in our life, who in turn will treat the women in our lives well, and show the next generation what a good life can look like and what a good man can look like. Some men do wrong, some men struggle and, sadly, some men take their own life. We should rehabilitate the ones who do wrong, help the ones who struggle, listen and practically support the ones who are desperate, and celebrate the majority of men who are good. Let it not be a competition between men and women; let it be a family and a population working together for good.
I ask, at the end of my speech, that we put in place a Minister for men; someone who can champion their cause, take an overarching look at Government policy and be made accountable for reducing the many sad statistics that will no doubt be repeated throughout this debate. We need a Minister to champion the places where men talk, but also look at the solutions that can and should be put in place to practically help men and boys with their issues. As we said in our latest report, there is no point in listening if no one is acting or doing. We need a Minister who can make sure that boys have the male role models they need away from home so that they grow up to be good men. We need to have local government and community groups in place for those men who have missed out on a good man in their life so far. It is often said that prevention is better than cure, and I applaud that sentiment, but some men have already been let down, so we need both—role models for our boys and help for our men. Let us celebrate International Men’s Day 2022 with a Minister for men.
I referred to the body ideal for men as being seen as muscular, and I want to touch on muscle dysmorphia, a form of body dysmorphic disorder, which has a higher incidence in men. Sometimes referred to as “reverse anorexia”, muscle dysmorphia is defined by being preoccupied by worries that one’s body is too small or not muscular enough, despite having a normal build, or in many cases an objectively extremely “buff” physique. It is basically a completely distorted view of their body. Although muscle dysmorphia has some overlap with eating disorders, it is not one, but the fixation on that body type, and the steps men take when pursuing it, can lead to unhealthy eating habits, strict dieting, and develop into an eating disorder. Media and pop culture, magazines, TV and computer games all perpetuate that imagery and stereotype, which is unnecessary and only feeds into a hyper-masculine cultural ideal that is harmful to men and boys in somany ways.
The occurrence of eating disorders in men and boys is closely linked to a number of other mental health conditions. Risk factors include depression, anxiety, obsessive compulsive disorder and mood disorders. One study showed that men with eating disorders are twice as likely to have comorbid substance abuse issues, misusing drugs such as cocaine or stimulants for their appetite-suppressing side effects. That is a monumental issue for the men experiencing those problems. It needs better recognition.
It is so hard for many men to break down the barriers to accessing the right mental health support. As a society, we need to do better at looking at the men in our lives and letting them know that it is okay to need some help. In fact, it is normal.
That has been exacerbated—this was mentioned earlier—by social media. Andy Warhol said that in the future everyone would have 15 minutes of fame. I say, sadly, it is now 15 minutes of shame. When you raise a concern, you get mocked for it. If you are not popular, then that is somehow a reason why people can attack you. They can say horrid things to you and move on to the next person. We see it in politics. I call it sniper politics: the idea that you take out one individual, whether a politician, a celebrity or someone in the community, with a hate pile-on. People are vile to a person in the moment and then move on to the next victim and the next victim. Is it any wonder, then, that men and women—in the context of this debate, men in particular—feel awkward raising concerns and talking to their friends in a way that might be shared or laughed at?
It does not have to be that way. There are a lot of opportunities for men to take control of their lives by asking others to help them. One is by forming stronger networks and by having a society where we help each other and listen to each other. That is why debates like this are so important and why I applaud my hon. Friend the Member for Don Valley, especially after the pile-on he experienced last year for making comments in this place. From being attacked in such a way, he has come back today, in a place that could have been quite vulnerable and open to attack, to say, “No, I do believe in this. This is a strong place to be in.” That is a strength.
Sometimes it is hard to go against the grain. Sometimes it is hard to talk about issues that others do not always agree with. That is why this place is so important. That is why I would have loved the Benches to be full of people talking about the challenges they face. We are, ultimately, whether people like us or not, role models. Within society, we have to look at how role models play a part, whether they are teachers in schools, sports people, doctors, or a nurse down the road working at a care home. All those people, across society, are people that young kids, boys and girls, can look up to and see a career option. That can break down barriers. When people think of nurses, they should think of men and women. When they think of care home workers, they should think of men and women. They should not just think of a particular type of role for a particular type of person.
We can also think about places such as gyms. In my Watford constituency, I visited NRG gym recently and I have visited one called CageFit. I heard amazing stories of people who do mixed martial arts fighting. Thankfully, I did not get in the ring—I do not think I would have fared too well—but people talked about the impact of going to such gyms. One of the gentlemen I was chatting to said that once people learn that they can fight in the ring for money, they do not want to fight on the streets for free. That was really about antisocial behaviour and kids in certain areas or in difficult circumstances perhaps being encouraged to join gangs. By joining a gym, they can be around other positive role models and learn that they have value in other ways, through their physique or mental capacity.
I am particularly proud of the fact that this is one of Hertfordshire County Council’s top priorities. It wants to create a county that is suicide-free, and I want to create a country that is suicide-free, but we can only do that by talking about it. We can only do it if each one of us, in each of our constituencies, says that we need to make this a top priority. We need to save lives, we need to change lives, and we need to make sure that the next generation knows this is important.
Let me end by repeating a statement that I made last time I spoke on International Men’s Day. I want to remind everyone who is watching the debate that they should ask others if they are OK—not just once, not just twice, but every time they see them. They should also ask themselves, “Am I really OK?” By doing that, we can ensure that we have a society that cares and people can be signposted to the help that they need, but also ensure that we really do deliver a compassionate country that saves lives, changes lives, and gives people the ability to be the best that they can be.