International Men’s Day

Margaret Ferrier Excerpts

Thursday 17th November 2022 Commons Chamber

[Margaret Ferrier (Rutherglen and Hamilton West) (Ind)]

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.

[Dr Luke Evans]

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?

[Margaret Ferrier]

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 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.

[Danny Kruger (Devizes) (Con)]

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.

[Margaret Ferrier]

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.

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.