Thursday, April 23, 2020

Why Are Some People Still Refusing to Practice Social Distancing?

This is the latest article in Health's column, Why Would Someone Do That? Here, psych experts decipher the reasons behind the most puzzling human behavior mysteries.

It's been several weeks since people in the US have been strongly urged to practice social distancing to help slow the spread of the coronavirus. Since then, most of us have been staying home and avoiding social gatherings. Yet if you watched the news this week, you probably saw coronavirus protests by people opposed to social distancing. And if you check social media, take your dog for a walk, or even just look outside your window, you've probably seen groups of people who are failing to abide by the social distancing guidelines set in place by health officials.

Knowing that COVID-19 is a potentially deadly infectious disease, you might be wondering why some people are blowing off shelter-in-place orders, congregating with friends, even just traipsing around their neighborhood as if there were no pandemic. “It’s difficult not to resent that,” Karla Ivankovich, PhD, a clinical counselor in private practice and adjunct professor of counseling psychology at North Park University in Chicago, tells Health. “Especially given that many individuals are infected with COVID-19 and don’t display symptoms, which makes the disease quite easy to spread unknowingly.”

A “rational mind,” says Ivankovich, “would heed the words of the CDC and most medical professionals” by staying home. “Unfortunately, not everyone is rational right now. COVID-19 is also an invisible disease, which makes it harder.” For some people, it's easier to justify why they're going about their lives as if the coronavirus pandemic didn't exist than stay at home alone and risk boredom and cabin fever.

We might not be able to avoid feeling annoyed or even angry at these folks, but we can seek to understand them. Here are all the reasons people might still not be social distancing or sheltering in place, according to experts.
Mixed messages from leadership can cause confusion

When a behavior is new, people are more likely to practice it if it's modeled for them. Right now, there's little cohesion across state governments and the federal government relaying how to act.

“Social learning theory means that we do what we see,”  Jeffrey Cohen, PsyD, a clinical psychologist in the department of psychiatry at Columbia University Irving Medical Center, tells Health. “People change behavior when they understand why to change behavior, how to change behavior, and when they see other people modeling the new behavior. Mixed messaging around social distancing from people in authority decreases the probability that people will practice it.”

Guidelines that vary from location to location are “confusing and make it less likely that people will practice social distancing,” says Cohen. He also notes that authority figures who do not practice social distancing in accordance with those guidelines also “decrease the probability of people following social distancing.”

A lack of personal connection makes it feel unreal

Experience is the most brutal teacher. If you know someone who’s come down with COVID-19 or passed away from it, or if you are close to someone who is directly facing the virus—front line workers, essential workers—you're more likely to adhere to the guidelines...whereas others might not grasp the need, says Ivankovich. “Those who have not been faced with the aftermath of the virus have not experienced the reality, so they are unable to see the importance of social distancing,” she explains.

Additionally, since the distancing and the isolation are intended to keep numbers of victims down, following the guidelines will result in fewer new cases of COVID-19. People who never followed them anyway might see the reduced number of cases as proof “that this wasn’t necessary in the first place,” says Ivankovich.


Fear can cause people to experience denial
This is a completely new virus sweeping the globe and causing otherwise healthy people to experience severe symptoms. The pandemic is putting our older loved ones and those with chronic conditions in harm’s way. Doesn’t that mean they’ll stick to social distancing guidelines? Not always. “There will be individuals who want to push against that and almost turn off the message because it is too scary to contemplate,” Judy Ho Gavazza, PhD, a clinical and forensic neuropsychologist, associate professor at Pepperdine University in California, and host of the podcast Supercharged Life, tells Health.

It’s a challenge to present terrifying facts to the public, says Gavazza. “Research has shown that if you create behavioral change campaigns that offer too grim of a picture, people won’t change their behaviors at all and will just shut it off and ignore it,” she explains. Gavazza points to ads in the 1990s that “tried to equate not using condoms to immediate contraction of HIV and eventual death,” she says. “It ended up not changing any consumers’ behaviors, because it was so severe people tuned it out.” Fear is not always the right way to prompt behavioral changes, research shows.

Defying guidance makes people feel in control of their lives

As a population, we do not like when control is taken away from us, says Gavazza. “It makes so much sense, because we need to have control, or at least the perception of it, to survive and thrive as a species and as individuals,” she says. Since we’ve evolved to take ownership of our lives and are inherently social beings, this pandemic is causing us all to go against nature.

It is possible the act of going out into the world, throwing a party, or running around an otherwise empty city makes people feel strong and alive; it’s a thrill to defy authority and defy the consequences, explains Gavazza. “There are people who are acting like they are invincible, because they associate going against the directives as being a hero or superhuman,” she says. “By acting against it, they roll the dice, but they’re acting as if they are above it all and like nothing can happen to them. It is also another route to trying to establish some type of control."


Some may be having an existential crisis over the virus
Some people, especially those who may be immunocompromised or have an underlying condition, may be experiencing excess fear of contracting the virus. “Some are struggling with existential crises as a result of this—and who wouldn’t? It is a virus that can take people out,” says Gavazza. “Some may be throwing caution to the wind because they’ve already decided they might die from this anyway, so why not live life to the fullest right now?”

Gavazza says she has patients in this category right now. “They are in the vulnerable population, somehow believe they will die from this, and are falling into catastrophic thinking,” she explains. “In some ways, it’s wanting to go out with a bang.” This may seem counterintuitive, but makes sense on one level, "because they want to make the most of what they believe are their remaining days,” she says.

Others can justify a reason for not social distancing

Let’s face it: Social distancing and sheltering in place are both really hard on us mentally, physically, and emotionally. Because of this, there are certain people who might be able to justify defying orders. Cohen points to research from Stanford showing that adults between the ages of 18 to 31 were the group most likely to ignore the social distancing guidelines. Not surprisingly, this group is also least likely to get severely ill from COVID-19, but could spread it as an asymptomatic carrier.

This research suggests that some people will be less likely to practice social distancing if they believe that precautions like handwashing or disinfecting are enough to keep them safe from the virus, says Cohen. “People may not practice social distancing because they worry about their mental or physical health, or may engage in activities to manage cabin fever,” he adds.

The information in this story is accurate as of press time. However, as the situation surrounding COVID-19 continues to evolve, it's possible that some data have changed since publication. While Health is trying to keep our stories as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources.


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Sunday, May 05, 2019

Refusal to vaccine: refusal to a healthy life

It is perhaps one of the biggest ironies of our times that despite being a leading producer and exporter of vaccines, India has one-third of the unimmunized children around the world. It is a quite startling fact that not even half of Indian children go through the complete immunization cycle. 1 The poor response to vaccines is an outcome of a population that is largely uneducated or poorly educated as well as the influence of anti-vaccine propaganda machinery. The truth that most people do not realise about vaccines is that failing to get immunized on time can make you more susceptible to any illness.
The Journal  published a study underscoring this fact. The researchers gathered data about measles and pertussis outbreaks in recent times. It was discovered that unvaccinated people formed the majority of measles and pertussis cases 2 (pertussis reduces immunity, thus, in the absence of a pertussis vaccine, various disease outbreaks occur).

Despite the presence of ample evidence supporting the invaluable contribution made by vaccines towards global well-being, there are several myths and misconceptions around the subject. Some of the most prevalent ones include the following.

Diseases were already on the wane when vaccines came into the picture thanks to better hygiene and sanitation.
This is one of the commonest anti-vaccine theories that one comes across, and the idea here is to establish the futility of vaccines. While it is beyond doubt that better socioeconomic conditions impact disease outbreaks, it is not the game-changer. Better nutrition, antibiotics and treatment procedures have reduced mortality rates among the sick, and there have been lesser instances of disease transmission. However, when we objectively assess the disease outbreaks over the years, we can clearly see the direct and huge impact of vaccines, even in the 21 st century.

To quote an example, there has been an actual and permanent reduction in measles outbreak since the approval and wide-spread usage of measles vaccine started in 1963. 

Even the sanitary conditions today are not any better than they were in 1990, so to attribute the success of disease control to anything other than vaccination would be incorrect.

Majority of people who get the disease have been vaccinated
This is another of the popular anti-vaccine arguments, and it implies that they are harmful. However, this is a twisted way of representing the facts to support a hypothetical situation. It is true that in case of a disease outbreak, patients who had been previously vaccinated are usually more in number compared to those who were not vaccinated. However, to understand the real reasoning, we need to look at an example.

Let’s say, in a batch of 100 people, 90 were vaccinated and the remaining 10 were not. When the disease spread, 15 out of the 90 vaccinated people were affected and 10 out of those 10 who were not immunized fell ill. If we look at raw numbers, we might say 15 vaccinated people fell ill compared to only 10 non-vaccinated people. However, the reality is that only one-sixth of the vaccinated people were affected while 100% of the non- vaccinated people were affected. Hence, it stands proven that vaccines are very potent protection against diseases.

Presence of ‘hot lots’ of faulty vaccines that should be avoided
This again is a misconception or wrong interpretation of an occurrence that is used to add credibility to a baseless theory. Most of the times, reports about specific vaccine lots highlight temporary side-effects or previously ‘deemed safe’ side effects such as soreness, temporary pains or fever. They don’t necessarily have to be ‘potentially fatal’ or unforeseen side-effects. Also, at times, deaths caused by non-related reasons are also attributed to a recently administered vaccine especially among the infants who are anyway at high risk to a large number of factors other than faulty vaccines. Even the vaccine lots vary in size depending upon the communities or geographies they are being used in. There might be lots comprising less than a thousand vaccines or those comprising millions of vaccines that would be administered over a much longer period of time, thus, resulting in more instances of side-effects and to weigh both on the same criteria happens to be another negative tactic used by anti-vaccine propaganda.

Vaccines have fatal or long-term side effects which are kept hidden from us
Vaccines are extremely safe despite the negative notion about them. The occurrence of a vaccine-induced fatality is very rare, in fact, so negligible at times then it can’t even be quantified statistically. Even in the rarest of circumstances where deaths occur after administration of a vaccine, the investigation usually reveals the actual cause to be human error or miscalculation and not a faulty vaccine.

No disease hence no need for vaccines
This is a classic and most absurd argument. It is a fact that vaccines have helped us win the battle against a number of preventable diseases. In many countries, some of these preventable diseases are no longer observed or are extremely rare and isolated occurrences. In such cases, it is stated that there is no need to administer vaccines against non-existent diseases. There are faults with such an argument at two major levels. In this global age, people travel constantly. Even if there are no preventable diseases in one country, it doesn’t rule out the possibility of getting affected by the disease in another country. There are also chances of someone from another country landing with a preventable and communicable disease that would then cause an outbreak among an unprotected population.

In conclusion
It is important for the healthcare workers administering vaccines to pay attention to and show empathy towards a patient’s concerns, fears and apprehensions regarding vaccination or at least to take them into consideration before they are administered. There is no doubt that vaccines are lifesavers, but it is imperative to cultivate a stronger feeling of trust between the healthcare workers and the patients. Such trust-building interactions will also help in identifying the arguments which yield positive results and convince those who are apprehensive to accept immunization!

THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.                                    PS- THOSE INTERESTED IN RECIPES ARE FREE TO  VIEW MY BLOG-                                                                                           https://gseasyrecipes.blogspot.com/    
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Friday, December 15, 2017

Learn To Say NO

Humans are social animals. We all need each other's help to survive in this world. There are times when we say yes to others, though we don't want to and put ourselves in distress. To say NO to something that we don't like or approve or which inconveniences us, is nothing wrong.

Why do we think it is hurtful to say NO
People have the notion that saying 'No' can come across as rude or uncaring. You may feel that you are letting someone down by turning down their request or risking a relationship. But, it has mostly to do with your self-confidence than your relationships with people. It may branch from overbearing parents, high expectations set by your peers and mentors or experiencing parenthood yourself and setting unreasonable standards for yourself. Childhood influences are usually the biggest cause of people always saying ‘yes’ all the time.

Low self-confidence
People who have low self-confidence tend to value their own needs less than the needs of others. Saying 'No' feels rude, and no one wants to be impolite.
Well... saying 'No' does not mean you are being rude or disagreeable.
At the end of the day, it is more about how you say 'no', rather than just saying the word 'No'. Saying 'No' is about valuing and respecting your own time and priorities. 

Tips to start saying say 'No'?
If you want to take a step back and start saying 'No' to make sure your own needs are valued, here’s what you need to do.


Refuse politely, when it seems not possible: Do not over complicate responses and try to be as simple in your responses as you can be. If you are asked to do something, and you want to say 'no', try to be polite in your body language and state that it is not convenient for you at the moment and that you would rather get back to it later. 

Seek time before committing: The transition from saying ‘yes’ all the time to saying no does take time! Start to give yourself more time and ask people to get back to you later. This way you can begin to build more self-confidence and learn to say no over time. This also allows you to evaluate your response instead of immediately saying yes or no to the person asking the favor or task. 

Do not feel guilty: Deep down if you want to do a favor, you can go ahead with it, but you should also understand that it is okay to say no, and there is no need to associate guilt with it. You should set boundaries and allow people around you to understand how much favors they can ask you for instead of presenting you with an endless amount of favors from you. 

Set your boundaries: Refusal does not amount to rejection as you have just as much right to say ‘no’ as the person who is asking the favor from you. You are simply turning down a request, and in most situations, there is a middle ground for compromises where both you and the requester can be satisfied. If you have limited time to fulfill a request, let the person know and help out only as much as you can without overstepping your boundaries.

Bringing in these changes can help you be more self-confident, and at the same time enable you to say no when you need to without weighing yourself down with expectations and fear or rejection.


THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.   

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