Meanwhile, the male participants in the study all faced intense pressure to demonstrate the extent of their manliness, which led to what Pereira calls “everyday low-level violence”: slapping and hitting each other, as well as inflicting pain on other boys’ genitals. They were encouraged to physically fight each other if they were ever mocked or offended. They felt like they had to drink unhealthy amounts of alcohol because that’s what a man would do. And they were under certain mental health strains, too; struggling with anxiety about proving themselves and suppressing their feelings, all while lacking a strong emotional support system.