Masculinity in First Responder Culture
Hegemonic Masculinity
Culture in the first responder community is foundationally a masculine hegemony. Hegemonic masculinity is associated with high-risk-taking behaviors, pain intolerance, emotionlessness, and being in control (Partnoff, 2021; Schermer & Holmes, 2018). Within the masculine ideal, the hero is a status that is the conceptualized perfection of masculinity and is simultaneously completely unattainable (Partnoff, 2021). The paradoxical relationship between the ideal and what is attainable is a precarious situation for the first responder. Adding to the problem is the public expectation of first responders to be the symbol of heroism and embody masculine values (Partnoff, 2021). The adoption of the masculine role entails adherence to behavior and values that are traditionally considered masculine (Schermer & Holmes, 2018). Vulnerability to emotions such as sadness, fear, or shame threatens masculinity, and the individual faces ridicule or embarrassment for nonadherence (Schermer & Holmes, 2018).
Nonadherence is problematic in the culture. Masculinity is not a guaranteed status, rather, masculinity is precarious and earned socially and can be revoked (Partnoff, 2021). Nonadherence to the accepted norms of the group can, theoretically, have consequences for the individual. Should the individual exhibit any emotional expression they are viewed as effeminate and will lose their masculine status. Thus, emotional suppression is valued in emergency services, from their peers, and from the community, as the responders are expected to handle emotionally and physically stressful incidents with calmness and rational decision-making processes (Partnoff, 2021).
Inclusion in the first responder community is semi-closed; a demarcation of ‘one of us’ and ‘outsiders’ exists and is enforced by the community. Outsiders can enter the community, however, in the past, they were required to survive hazing rituals throughout the probationary period and the probationary individual would be judged on how well they responded to the rituals. Surviving the probationary period is a mental marathon. In the firehouse, the probationary firefighters are expected to always be first to the apparatus when the alarms go off, always the ones to clean up after meals, and expected to show their proficiency with the tools of their trade (Firmin et al., 2018). The probationary firefighter should never be the first person sitting down to watch television. The probationary firefighter is responsible for all menial tasks and is expected to take on all tasks without complaint.
Regardless of the sexual identity of the individual, they are all expected to adhere to the masculine ideal. Women in emergency services have experienced, and still experience, harassment, hazing, and life-threatening roadblocks when entering the ranks of first responders.
For the sake of brevity and sanity, I will refer to any persons working on an ambulance, or who holds a certification as an EMT or higher as a paramedic for the remainder of this paper. I acknowledge there are myriad certification and licensure levels across the United States and the world. I am not intending to invalidate any person’s training, just make it easier to identify the group of ambulance workers as a whole without spending several sentences containing every possible certification type.
Unfortunately, people who identify as women are still facing struggles to be accepted in emergency services. Members of the emergency services step into the role of the hero and with that comes the societal pressure to meet the ideal of the hero without neglecting their own humanity (Partnoff, 2021).
References
APA Dictionary of Psychology. (n.d.). Retrieved November 1, 2023, from https://dictionary.apa.org/
Bryant, R. A. (2021). Treating PTSD in first responders: A guide for serving those who serve. American Psychological Association.
Cognitive Behavioral Therapy (CBT) for Treatment of PTSD. (n.d.). Https://Www.Apa.Org. Retrieved November 6, 2023, from https://www.apa.org/ptsd-guideline/treatments/cognitive-behavioral-therapy
Copley, L., & Carney, J. (2020). Using Gestalt Techniques to Promote Meaning Making in Trauma Survivors. The Journal of Humanistic Counseling, 59(3), 201–218. https://doi.org/10.1002/johc.12145
Dentry, S., Joannou, M., Bessemann, M., & Kriellars, D. (2017). Project Trauma Support: Addressing Moral Injury in First Responders. Mental Health in Family Medicine, 13, 418–422.
Dowler, L. (2002). Women on the frontlines: Rethinking war narratives post 9/11. GeoJournal, 58(2), 159–165. https://doi.org/10.1023/B:GEJO.0000010835.49706.7a
Firmin, M., DeWitt, K., Ellis, H., Smith, L., & Tiffan, N. (2018). A Qualitative Study of the Motivations and Affiliation Dynamics Involved with a Firefighting Career. American Journal of Qualitative Research, 2(2), 60–73.
Jahnke, S. A., Gist, R., Poston, W. S. C., & Haddock, C. K. (2014). Behavioral Health Interventions in the Fire Service: Stories from the Firehouse. Journal of Workplace Behavioral Health, 29(2), 113–126. https://doi.org/10.1080/15555240.2014.898568
Jitnarin, N., Jahnke, S. A., Poston, W. S. C., Haddock, C. K., & Kaipust, C. M. (2022). Posttraumatic stress disorder (PTSD) and mental health comorbidity in firefighters. Journal of Workplace Behavioral Health, 37(3), 147–168. https://doi.org/10.1080/15555240.2022.2081172
Jones, S., Agud, K., & McSweeney, J. (2020). Barriers and Facilitators to Seeking Mental Health Care Among First Responders: “Removing the Darkness.” Journal of the American Psychiatric Nurses Association, 26(1), 43–54. https://doi.org/10.1177/1078390319871997
Lentz, L. M., Smith-MacDonald, L., Malloy, D., Carleton, R. N., & Brémault-Phillips, S. (2021). Compromised Conscience: A Scoping Review of Moral Injury Among Firefighters, Paramedics, and Police Officers. Frontiers in Psychology, 12, 639781. https://doi.org/10.3389/fpsyg.2021.639781
Lewis, C., Roberts, N. P., Andrew, M., Starling, E., & Bisson, J. I. (2020). Psychological therapies for post-traumatic stress disorder in adults: Systematic review and meta-analysis. European Journal of Psychotraumatology, 11(1), 1729633. https://doi.org/10.1080/20008198.2020.1729633
Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695–706. https://doi.org/10.1016/j.cpr.2009.07.003
Murray, E. (2019). Moral injury and paramedic practice. Journal of Paramedic Practice, 11(10), 424–425. https://doi.org/10.12968/jpar.2019.11.10.424
Murray, H., & Ehlers, A. (2021). Cognitive therapy for moral injury in post-traumatic stress disorder. The Cognitive Behaviour Therapist, 14, e8. https://doi.org/10.1017/S1754470X21000040
Partnoff, N. L. (2021). “Who’s Going to Flinch?”: Masculinity in the Fire Service and Barriers to Mental Health Help-Seeking [M.S.W., California State University, Fresno]. https://www.proquest.com/docview/2518686037/abstract/C5A714325A094E54PQ/1
Perls, F. S. (1992). Gestalt therapy verbatim. Gestalt Journal.
Ricci, Frank & Shestokas, David. (2018, June 6). You Swore an Oath—FirefighterNation: Fire Rescue—Firefighting News and Community. https://www.firefighternation.com/firerescue/you-swore-an-oath/#gref
Roth, S. L., Andrews, K., Protopopescu, A., Lloyd, C., O’Connor, C., Losier, B. J., Lanius, R. A., & McKinnon, M. C. (2022). Mental health symptoms in Public Safety Personnel: Examining the effects of adverse childhood experiences and moral injury. Child Abuse & Neglect, 123, 105394. https://doi.org/10.1016/j.chiabu.2021.105394
Schermer, T. W., & Holmes, C. N. (2018). Will to Masculinity: An Existential Examination of Men’s Issues. The Journal of Humanistic Counseling, 57(3), 191–207. https://doi.org/10.1002/johc.12082
Seely, M. R. (2007). Psychological Debriefing May Not Be Clinically Effective: Implications for a Humanistic Approach to Trauma Intervention. The Journal of Humanistic Counseling, Education and Development, 46(2), 172–182. https://doi.org/10.1002/j.2161-1939.2007.tb00034.x
Smith-MacDonald, L., Lentz, L., Malloy, D., Brémault-Phillips, S., & Carleton, R. N. (2021). Meat in a Seat: A Grounded Theory Study Exploring Moral Injury in Canadian Public Safety Communicators, Firefighters, and Paramedics. International Journal of Environmental Research and Public Health, 18(22), 12145. https://doi.org/10.3390/ijerph182212145
Torres, V. A., & Gulliver, S. B. (2020). Firefighters: An Occupational Case Study of Resilience. In S. E. Schulenberg (Ed.), Positive Psychological Approaches to Disaster: Meaning, Resilience, and Posttraumatic Growth (pp. 99–114). Springer International Publishing. https://doi.org/10.1007/978-3-030-32007-2_7
Yarnal, C. M., Dowler, L., & Hutchinson, S. (2004). Don’t Let the Bastards See you Sweat: Masculinity, Public and Private Space, and the Volunteer Firehouse. Environment and Planning A: Economy and Space, 36(4), 685–699. https://doi.org/10.1068/a35317