What negative outcome primarily results from patriarchal masculinity's…

Concept: Patriarchy imposes different kinds of cost on different groups. On women and girls it works mainly by withholding entitlements — rights of ownership and inheritance, and access to public office — so the harm there is material and civic. On men and boys it works through a prescribed model of masculinity: a boy is required to appear in control, physically strong and governed by unemotional reason, while fear, grief, tenderness or the admission of need are treated as failures of manhood. Because such a prescription regulates feeling rather than withdrawing a right, its characteristic cost is psychological.

Application: This item restricts attention to what the masculinity script does to men and boys, and each trait it names — control, strength, non-emotional rationality — is a demand about self-presentation, not an entitlement that is taken away. A boy held to those demands must monitor, suppress and conceal ordinary feeling continuously, and must not ask for help when he is frightened or hurt. The steady, undeserved burden this creates is precisely what is meant by unwarranted emotional pressure, so that is the outcome the item is asking for.

Cross-check: Weigh the other outcomes offered against the same script:

• Reduced access to property is a deprivation of ownership and inheritance rights, produced by male-line succession customs; it is borne by women and girls, and the masculinity script does not strip men of property.

• Exclusion from political roles is civic under-representation, produced by treating public authority as a male preserve; it too is borne by women rather than by men held to the masculinity script.

• Enhanced physical health risks are genuinely raised for men — risk-taking, tobacco and alcohol use and delayed help-seeking are documented consequences of proving toughness — but these are downstream behavioural effects. The direct effect of a rule that forbids showing emotion is the emotional burden itself, which is why the word "primarily" selects unwarranted emotional pressure.

Result: The negative outcome that patriarchal masculinity primarily produces for men and boys is unwarranted emotional pressure.