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19 November 2021 | Story Nontombi Velelo | Photo Supplied
Nontombi Velelo is a PhD candidate and Lecturer in the Department of Sociology at the University of the Free State (UFS).

Current reports related to gender reflect and emphasise the negative impact of gender on society — especially the negative impact of men and masculinity in society. Studies are conducted to understand the root(s) and triggers of men’s social conduct/misconduct. Without a doubt, men are often guilty of causing some of the social ills. However, we often do not acknowledge and recognise the pressures and challenges that society presents to men. In most instances, the focus in reporting is on their conduct/misconduct. Less attention is given to interrogating and reflecting on how masculine notions are formed and subsequently practised, and the influence of social settings on these processes. 

It is worth pointing out that masculinity is not a static entity – it is flexible, evolving, and adapts to different contexts. However, there is a struggle between upholding the traditional practices of masculinity and the desire for modern and liberal practices of masculinity. The concept of ‘traditional’ masculinity is frequently used when investigating the construction and practices of masculinity. This concept is often understood as the opposite of the modern representation of masculinity. Yet, it refers to what is considered to make a man a ‘real’ man – attributes such as independence, self-sufficiency, heterosexuality, physical toughness, and emotional restrictedness. These attributes highlight the ideas of masculinity embedded in traditional ideology, rules, and norms. We often expect men to possess these attributes, particularly independence, self-sufficiency, and emotional restrictedness. Without a doubt, these expectations present challenges for men. Men are less likely to express their feelings – they are also not expected to express their emotions. Besides, men are not as expressive as women and the signs of mental illness are not the same as those in women. Though we expect men to man-up and demonstrate strength when confronted with challenges, we are not aware of the damage this may cause to their mental and emotional well-being. According to the World Health Organisation (2021), South African men are more than four times more likely to commit suicide than women. Of more than 6 000 cases of suicide, 5 138 were men, which translates to 21,8 per 100 000. This indicates the need to unlearn the damaging expectations of gender. 

Men’s socio-economic and socio-political positions influence how they view and practise their masculinity. Though Statistics South Africa (2021) reported that 32,4% of men are unemployed (compared to 36,8% of unemployed women), South African men living in poverty find themselves in a stressful climate, as they are unable to live up to their and others’ ideas of ‘successful masculinity’. To a large extent, men are still expected to assume the role of financial provider. Failure to adhere to these expectations may result in one’s masculine traits not being recognised or acknowledged. In some cases, men are considered ‘less of a man’ since they cannot fulfil the expectation of financial provision. This, subsequently, affects their interaction and relationships with other men, women, and children. 

Apart from the societal expectations, we need to pay attention to the socialisation process within the family. A family is a training ground where members are trained and taught about desirable and undesirable behaviour and expectations of others. Within the family structure, men and women are socialised to internalise and accept toxic gender roles – one being the use of violence. Violent behaviour is often associated with normal ‘boyish’ behaviour; therefore, it is perceived to be expected of a boy child to resort to violence. It is expected of a boy child to retaliate/fight back when facing conflict. Consequently, violence is viewed as a measure to correct behaviour associated with disobedience or challenging masculine authority. The Mail & Guardian reported in 2020 that one in five women in South Africa experienced violence at a partner’s hands. South Africa has witnessed an increase in gang rapes, most of the first-time rape offenders being teenage boys (SafeSpace, 2021). Teenage boys are not only members of society but also members of the family. This does not imply that parents are responsible for the acts of their children. However, it demonstrates the need to interrogate and challenge the socialisation process as far as gender roles and expectations are concerned. Regardless of the mentioned challenges associated with masculinity, there are individual men in society who have invested efforts to transform the masculine scripts and to cultivate positive male attributes. These are men who strive to be good citizens, husbands, fathers, brothers, and uncles. Unfortunately, the efforts invested by these individual men tend to be disregarded in society, since the focus is always on unpacking and reflecting the toxic actions and attributes of men. 

Commemoration of International Men’s Day

International Men’s Day commemorates the positive contribution of men to their world, families, and communities. The day aims to create awareness around the well-being of men. As we celebrate this day, it is important to recognise and acknowledge male pain. Society often disregards male pain and focuses on male privilege.

Furthermore, recognising ways in which men are hurt by rigid gender roles and expectations and social settings where these roles and expectations are practised, does not imply disregard for the struggle and oppression of women. With the 2021 slogan being ‘Better relations between men and women’, I am reminded of the third wave of feminist scholars who pointed out that society is experiencing a crisis embedded in patriarchal masculinity rather than masculinity itself. There is a need to sensitise men and women to the dangers of patriarchy, particularly for men. It is also important to encourage men to construct their own identities that are different from those prescribed by patriarchy. Although most men might not be oppressed by sexism in ways similar to women, we need to pay much closer attention to how men suffer the consequences of sexism. It is worth recognising that men do not derive the common benefits from sexist oppression, since they do not hold a common social position. It is important to acknowledge the role of individual men in changing the masculine narrative. May we recognise such individuals in our homes, workplaces, and communities. There is a need to unlearn the damaging patriarchal expectations of gender.

News Archive

Cardiology Unit involved in evaluation of drug for rare genetic disease
2013-01-04

Front from the left, are: Marinda Karsten (study coordinator and registered nurse),
Laumarie de Wet (clinical technologist), Charmaine Krahenbuhl (study coordinator and radiographer),
Lorinda de Meyer (administrator), Andonia Page (study coordinator and enrolled nurse);
back Dr Gideon Visagie (sub investigator), Dr Derick Aucamp (sub investigagtor),
Prof. Hennie Theron, (principal investigator) and Dr Wilhelm Herbst (sub investigator).
Photo: Supplied
09 January 2013


The Cardiology Research Unit at the University of the Free State (UFS) contributed largely to the evaluation of the drug Juxtapid (lomitapide), which was developed by the Aegerion pharmaceutical company and approved by the FDA (Federal Drug Administration). Together with countries such as die USA, Canada and Italy, the UFS’ Unit recruited and evaluated the most patients (5 of 29) for the study since 2008.  

The drug was evaluated in persons with so-called familial homozygous hypercholesterolemia (HoFH).  

Following its approval by the FDA, Juxtapid is now a new treatment option for patients suffering from HoFH. The drug operates in a unique way which brings about dramatic improvements in cholesterol counts.  

According to Prof. Hennie Theron, Associate Professor in the Department of Cardiology at the UFS and Head of the Cardiology Contract Research Unit, HoFH is a serious, rare genetic disease which affects the function of the receptor responsible for the removal of low-density lipoprotein cholesterol (LDL-C) (“bad” cholesterol) from the body. Damage to the LDL receptor function leads to extremely high levels of blood cholesterol. HoFH patients often develop premature and progressive atherosclerosis, which is a narrowing or blockage of the arteries.  

“HoFH is a genetically transmitted disease and the most severe form of hypercholesterolemia. Patients often need a coronary artery bypass or/and aortic valve replacement before the age of 20. Mortality is extremely high and death often occurs before the third decade of life. Existing conventional cholesterol-lowering medication is unsuccessful in achieving normal target cholesterol values in this group of patients.  

“The only modality for treatment is plasmapheresis (similar to dialysis in patients with renal failure). Even with this type of therapy the results are relatively unsatisfactory because it is very expensive and the plasmapheresis has to be performed on a regular basis.  

“The drug Juxtapid, as currently evaluated, has led to a dramatic reduction in cholesterol values and normal values were achieved in several people. No existing drug is nearly as effective.  

“The drug represents a breakthrough in the treatment of familial homozygous hypercholesterolemia. The fact that it has been approved by the FDA, gives further impetus to the findings,” says Prof. Theron.  

In future further evaluation will be performed in other forms of hypocholesterolemia.  

According to Prof. Theron, the findings of the study, as well as the recent successful FDA evaluation, once again confirms the fact that the UFS’ Cardiology Contract Research Unit is doing outstanding work.  

Since its inception in 1992, the Unit has already been involved in more than 60 multi-centre, international phase 2 and 3 drug studies. Several of these studies, including the abovementioned study, really affected the way in which cardiology functions.  

The UFS’ Cardiology Contract Research Unit is being recognised nationally and internationally for its high quality of work and is constantly approached for their involvement in new studies.  

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