A relationship of sorts: gender and auditory hallucinations in schizophrenia

Could you explain the words instrumentality and agency to me?
And maybe why they’re considered masculine traits?

As we say,the mechanism of sound occurrence,listening to vocal content,the action of the vocal effect,the dynamic path of the electrochemical signals that transmit the vocal thoughts from the broadcasting source to the brain cells of the hearer- all of which occur in one matter without exception in all voice hearers ,whereas no different between man and woman

(all mechanisms should occur in a constant manner in all hearers from the moment of sound occurrence and ending with the impact reaction on mental perception)