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Understanding variations in knowledge and attitudes of psychiatrists to psilocybin therapy is important for the collective discourse about the potential impact on clinical practice and public health in Ireland.
Methods:
A 28-item questionnaire was designed based on previous studies and distributed to psychiatrists in Ireland via online mailing lists and at in-person academic events.
Results:
151 psychiatrists completed the questionnaire (73.3% were under 40 years of age, 76.0% were trainees, and 49.0% were female). In the total sample, 81.5% agreed that psilocybin therapy shows promise in the treatment of psychiatric disorders and 86.8% supported funding research, 86.8% would be willing to refer a patient if it was licensed and indicated, and 78.1% would consider the treatment for themselves, if indicated. Conversely, 6.6% agreed that psilocybin therapy was unsafe even under medical supervision, and 21.9% thought it was potentially addictive. 15.9% of the total sample reported at least one concern including, lack of robust evidence, long-term effectiveness, superiority to current interventions, potential harmful effects, cost and accessibility, and impartiality. Less than half of respondents felt knowledgeable (40.0%) and 9.9% felt adequately prepared to participate in psilocybin therapy. Consultant psychiatrists trended towards less optimism for a potential role in bipolar depression and emotionally unstable personality disorder compared to trainee psychiatrists.
Conclusion:
Overall psychiatrists in Ireland held positive attitudes towards psilocybin therapy. However, there was a lack of knowledge evident. Addressing the knowledge gap and aligning with the best available evidence will be key if psychedelic therapy is to prevail in a clinical setting.
This scoping review aimed to systematically map and describe the existing evidence regarding the knowledge, attitudes and practices of health professionals with regard to plant-based diets during pregnancy and to highlight areas for further research.
Design:
Following a pre-registered protocol, online databases were searched using a comprehensive search string, in addition to selected grey literature sources, and reference lists of included studies. The studies were independently screened for eligibility by two authors, SM and JM. Data from all eligible studies were charted by the first author, and a narrative summary was performed.
Setting:
Maternal health care services.
Results:
Ten studies were included for review, from New Zealand (n 2), Australia (n 2), Germany, Netherlands, United Kingdom, France, Italy and Peru. Most of these studies were observational, employed various validated and non-validated survey instruments, interviews and one education intervention. Knowledge was the most frequently assessed outcome in the reviewed studies. Health professionals’ knowledge of plant-based nutrition in pregnancy was reported to be limited and frequently attributed to a lack of nutrition training. Participants’ personal dietary patterns and work specialisation appear to be closely associated with their knowledge, attitudes and practices regarding plant-based diets.
Conclusion:
This review identified a significant research gap regarding health professionals’ practices in relation to plant-based diets during pregnancy. Additionally, this review has demonstrated the need for further research, awareness and practice protocols to promote high-quality care and education or professional development to address the prevalent lack of knowledge among this group.
Improving community attitudes and behaviours is core to improving inclusion for people with disability. To identify ways to achieve such change, we analysed data from qualitative interviews with sixty-one expert stakeholders in Australia, informed by our preceding literature review on effective interventions. We identified five themes describing factors with the potential to change attitudes and behaviours to improve inclusion and reduce discrimination: ensuring people with disability have active presence across all life domains; leadership by people with disability, together with organisational and governmental leadership that values the diverse contribution of people with disability; a holistic approach to policy and interventions that targets multiple levels of change; long-term and adequately resourced initiatives to achieve structural and sustained change; and commitment to measuring and monitoring change interventions, to inform decisions and maintain accountability.
This chapter examines how attitudes are formed. Attitude formation is explained as a function of prior beliefs and information. This process is viewed through two complementary lenses: the static process and the dynamic process. The static model thinks of attitudes as a combination of ratings and rankings. We term this the multi-attribute model – a commonly used approach in psychology and economics. The dynamic model concentrates on how humans process information, where things like words, symbols, and memory networks take on practical significance. Ultimately, both models have many applications for the practitioner.
Chapter Six looks at the role of international law in the Trump administration State Department. Former policymakers gave their opinion on the extent of the effect of the Trump administration on State Department policymaking and discussed potential long-term effects. The Trump administration generally displayed a negative view toward international law, institutions, and agreements, as evidenced by its words and in its actions, a view at odds with the prevailing State Department culture. More significantly, the Trump administration took unusual steps to stifle dissent within the State Department. Former officials expressed a range of perceptions regarding the Trump administration’s effect on the State Department. A minority believed that the administration’s views and actions significantly affected attitudes and practices within the Department regarding international law and institutions. The majority believed that effects on attitudes were more likely to be felt at the policy-decision level, rather than at the lower, policy development level. That is, attitudes among rank-and-file and career State Department officials probably remained unchanged and were likely to “bounce back” after the 2020 election. Nevertheless, a reprise of the Trump administration, or a similar administration, could ultimately affect not only practices at the State Department but attitudes among officials as well.
Today, bitch is one of the handiest words in the English language. It’s used to express a multitude of emotions – anger, horror, fear, frustration, despair, envy, resentment, shock, surprise, pain, and pity. But on the other hand, it can also express happiness, excitement, and endearment. Bitch is invoked to offend people, but also to compliment them, to complain, or to show camaraderie. Bitch is complicated. It can mean so many things at once, and yet, it has still retained its original humble meaning. It’s been quite a journey for “bitch.” But one thing’s for sure – bitch is still on its journey.
Many governments employed mandates for COVID-19 vaccines, imposing consequences upon unvaccinated people. Attitudes towards these policies have generally been positive, but little is known about how discourses around them changed as the characteristics of the disease and the vaccinations evolved. Western Australia (WA) employed sweeping COVID-19 vaccine mandates for employment and public spaces whilst the state was closed off from the rest of the country and world, and mostly with no COVID-19 in the community. This article analyses WA public attitudes during the mandate policy lifecycle from speculative to real. Qualitative interview data from 151 adults were analysed in NVivo 20 via a novel chronological analysis anchored in key policy phases: no vaccine mandates, key worker vaccine mandates, vaccine mandates covering 75% of the workforce and public space mandates. Participants justified mandates as essential for border reopening and, less frequently, for goals such as protecting the health system. However, public discourse focusing on ‘getting coverage rates up’ may prove counter-productive for building support for vaccination; governments should reinforce end goals in public messaging (reducing suffering and saving lives) because such messaging is likely to be more meaningful to vaccination behaviour in the longer term.
Americans generally celebrate the abstract principle of diversity, but research suggests that they have a comparatively lower (1) favorability towards policies that promote diversity and (2) sense of personal closeness with others from diverse backgrounds. The current study analyzes nationally representative survey data to assess such “principle-policy gaps” and “principle-personal gaps” in Americans’ diversity attitudes. We find that these attitudinal gaps indeed exist and are substantial in the general population. We also consider how individual-level factors relate to these attitudinal gaps. Following common findings in previous research, we find that participant racial identity and political partisanship have statistically significant relationships with these attitudinal gaps. But our overall findings illustrate that principle-policy gaps and principle-personal gaps in diversity attitudes are fairly substantial and prevalent across Americans who vary by race, politics, and several other individual-level factors. We consider our findings in the current social and political context, and we discuss directions for future inquiry.
Among important dimensions related to the use of coercive measures, professionals’ attitude towards coercion is of particular interest. Little is known about how experiences of violence in the workplace might influence these attitudes.
Aims
The present study aimed to investigate potential correlates of attitudes towards coercion, especially experiences of violence in the workplace.
Method
Mental health professionals were contacted through an online survey to assess their attitudes towards coercion using the Staff Attitude to Coercion Scale (SACS). The three subscales of the SACS (critical, pragmatic and positive attitudes) were analysed in a multivariate multiple linear regression, using a set of covariates including experiences of violence in the workplace. We hypothesised that experience of violence in the workplace would correlate with less critical attitudes of staff members towards coercion.
Results
A total of 423 professionals were included in the regression analysis. Age, professional category, feeling of insecurity, having witnessed or used coercion, and the emotional burden associated with coercive measures had a joint significant effect on the three SACS subscales. A feeling of insecurity, but not the experience of violence, was associated with a less critical, more positive appraisal of coercive measures. The emotional burden related to the use of coercion was associated with a more critical attitude.
Conclusions
The present results highlight the importance of considering staff members’ training and well-being regarding their feelings of insecurity when addressing attitudes towards coercion. The experience of patients should be integrated into staff training and coercion reduction programmes.
The research objectives were to evaluate factors that influence Canadian secondary school students’ milk and milk alternatives (MMA) consumption and to explore associations through age and gender lenses.
Design:
A qualitative design was used, consisting of semi-structured interviews and photo-elicitation methods. Analysis was guided by the Theory of Planned Behaviour (TPB). Deductive and inductive thematic analyses were used to generate themes, charting data based on attributes such as gender and age.
Setting:
Interviews were held virtually or via telephone.
Participants:
Participants were twenty-eight high school students from Ontario, Canada, diverse in terms of gender and age.
Results:
Both desirable and undesirable beliefs about the health outcomes of consuming MMA were commonly discussed. These included health benefits such as strong bones, muscular strength, and growth, and health consequences like unwanted skin conditions, weight gain, and diseases. While boys and girls associated MMA consumption with muscular strength, boys predominantly considered this favourable, while girls discussed outcomes like unwanted skin conditions and weight gain more often. Adolescents’ perspectives on taste/perceived enjoyment, environmentally friendly choices and animal welfare also influenced their MMA preferences. Parental influences were most cited among social factors, which appeared to be stronger during early adolescence. Factors involving cost, time and accessibility affected adolescents’ beliefs about how difficult it was to consume MMA.
Conclusions:
Recommendations for shifting attitudes towards MMA are provided to address unfavourable beliefs towards these products. Interventions to increase MMA consumption among adolescents should include parents and address cost barriers.
Contextualizing the regulation of human mobility in a new security framework, this book offers an original perspective on the dominant mode of politics and evolving norms shaping the immigration policies of contemporary liberal states. In doing so, the authors challenge existing paradigms that privilege economic and cultural factors over new security ones in explaining the critical institutional and normative changes in migration management, from the early post-WWII through the post-Cold War era. Drawing on evidence from multiple sources, including media and elite discourse, policy tracking, party manifesto data and public opinion across Europe and the US, the book exposes the restrictive nature of immigration politics and policies when immigration is framed as a security threat, and considers its implications for civil liberties. Informed by a rich breadth of scholarly sub-disciplines, the findings contribute both empirically and theoretically to the literatures on international migration, security and public opinion.
The current study assessed the views and attitudes of health professionals (HPs) regarding factors associated with energy balance-related health behaviours and weight management in breast cancer survivors (BCS) with overweight and obesity. Semi-structured online interviews were conducted with 21 HPs (oncologists, dietitians- nutritionists, physical education instructors, mental health professionals, and nurses) from Attica and Thessaly. Thematic analysis was used to analyse and present the data. Four main themes arose from the data: “The patients’ mental health wellbeing”, “Survivors’ interest in diet and exercise”, “Interdisciplinary collaboration in patient’s care”, and “Maintaining normality”. HPs agreed that weight loss in BCS with overweight and obesity is important, but negative mental health wellbeing is a main barrier to behaviour change. For many BCS their cancer diagnosis is a “teachable” moment for weight management, especially for women of younger age, who are more keen to discuss weight management issues. Essential characteristics that determine/facilitate behavioural change include education, commitment for regular communication, personalised intervention, and interdisciplinary collaboration. According to HPs, future weight loss interventions should take into account BCS’s mental health wellbeing and level of motivation and should provide regular support and education.
Chapter 5 asks why the public continues to support restrictive policies given their considerable economic and rights costs. It identifies the predominant values informing and facilitating the liberal state’s governance of contemporary immigration and its implications for restricting human mobility by focusing on the effects of a threat environment in sustaining the onerous policies of the migration policy playing field. It argues that the persistence of these policies can largely be explained by the continued negative framing of these events by political elites and the mass media. In particular, their conflation of public safety and national security with immigration makes the issue more salient for the public, and the popular legitimacy of restrictive policies is sustained and endorsed by center and extreme Right politicians and political parties. The chapter concludes that the predominance of a security paradigm has shifted the baseline of values salience and realigned popular values and attitudes regarding immigration.
Chapter 8 invites readers to reflect on their learners’ internal states, like motivation and anxiety levels. Bryfonski and Mackey discuss how researchers have explored the impact of these variables on second language acquisition. The role of motivation and anxiety on learners’ short-term and long-term language learning experiences and goals are presented and equip teachers with the knowledge they need to make informed decisions about how to structure their classes.
This chapter tests formally the legacies of military colonialism on attitudes and norms. Historical qualitative accounts suggest that centuries of restrictions on personal freedom, political rights, and the economic opportunities, alienated people from state institutions. Given the size of family clans, there were few opportunities for inter-clan interactions, which would have fostered horizontal solidarity in the form of reciprocity, cooperation, and equality. The longer existence of family clans in the former military colony made it very hard for the state to win the loyalty of the public, which in turn, endogenously strengthened family networks and distanced them from the central state. Modern-day surveys indicate that people living in the former colony are more attached to their family, trust outsiders less, are less politically engaged, and are more risk-averse.
Tending to patients with a diagnosis of borderline personality disorder (BPD) is a challenging task for clinicians due to stigma and differences in opinion within the psychiatric community. Various symptoms of BPD including affective instability, mood reactivity, and extremes of idealization are associated with challenging emotions toward patients with BPD. This observational research study utilized an adaptation of the 37-question Attitude to Personality Disorder Questionnaire (APDQ) to assess the attitudes of clinicians toward patients with BPD.
Methods
This questionnaire was distributed to 139 clinicians including psychiatry attendings, psychiatry residents, registered nurses, nurse practitioners, social workers, recreation and art therapists, and psychologists who worked with patients diagnosed with BPD on an inpatient unit. Responses of participants were compared based on occupation, gender, and duration of years worked on an inpatient psychiatric unit.
Results
Results show that individuals employed in occupations under the “other health professionals” category had more positive transference (which included feelings of respect toward BPD patients along with feelings of closeness and warmth) toward patients with BPD, and nurses had an increased total score for lack of valid difficulties compared with other health professionals. When grouping by gender and duration of year spent working on an inpatient unit, there were no significant differences in the response toward patients with BPD in affective situations.
Conclusion
Clinical implications are discussed, as well as the need for training to help improve staff attitudes toward this patient population.
This study aimed to fill the current gap in the understanding of the knowledge, attitudes and behaviours (KAB) related to dietary Na among adult residents in Singapore.
Design:
A cross-sectional online survey was conducted between October and December 2020 on 955 participants selected through random sampling.
Setting:
The survey was conducted in Singapore.
Participants:
Participants were recruited from the Singapore Population Health Study Online Panel.
Results:
Participants’ mean age was 46·6 ± 14·1 years old and 58 % of them were females. Most of the participants were Chinese (82·1 %), 10·5 % were Indian and 4·5 % were Malay. Findings from the weighted data showed that most participants were aware of the health impact of high Na consumption. However, many participants were unaware of the recommended intake for salt (68%) and Na (83%), had misconceptions, and were unable to correctly use food labels to assess NA content (69%). Findings also alluded to the presence of knowledge gaps in the sources of Na in their diet. While 59 % of the participants reported to be limiting their consumption of Na, many reported facing barriers such as not knowing how to limit their Na intake. Participants also felt that there were limited options for low-Na foods when eating out and were lacking awareness of low-Na products.
Conclusions:
Findings highlighted substantial gaps in participants’ knowledge and skills in managing their Na consumption. This suggests the need for more public education and improvements in the food environment.
This study examines the perceptions and attitudes of 234 Greek secondary school students regarding ecological issues arising from human intervention in food webs. The results of this study indicate that the following factors are crucial for students’ attitudes toward environmental protection: scientific knowledge, perceptions of the relationship between humans and nature and personal motivations. It was found that those students who understand the interconnectedness of populations in food webs are able to evaluate arguments on an ecological issue and have positive attitudes toward environmental protection. However, students who have limited knowledge in evaluating arguments make decisions to solve environmental problems based on their perception of human-nature relationships. Thus, it has been shown that students who adopt an ecocentric or biocentric view sometimes adopt a negative or neutral attitude toward environmental protection because their incomplete knowledge leads them to misjudge the ecological impact of the proposed solutions. This study confirms that the development of values is best accompanied by the development of basic ecological knowledge. It also recognizes the usefulness of food webs as a means of revealing students’ worldviews. Finally, the food web proves to be a specific indicator of the attitudes studied.
To execute environmental education effectively, the success and impacts of educational activities must be assessed. In areas of high biodiversity there is generally a lack of evaluation of the impact of environmental education. In this study we investigate the effect of a one-time classroom activity on student knowledge of local environmental issues, environmental attitudes and aspirations. The project was conducted on the island of Maio, Cabo Verde, a small, highly biodiverse island, as part of a classroom visit programme with the local environmental organization, Maio Biodiversity Foundation. We visited every fourth-grade class (i.e. students with an age range of 9–10 years) on the island (a total of 142 students) and delivered a half-day classroom activity. The results show that this activity did not influence environmental attitudes; however, it did significantly improve student knowledge and awareness of local environmental issues. This study shows that environmental education should not be assumed to improve attitudes and knowledge but requires individual evaluation for each type of activity. For environmental education to reach its full potential, activities should be planned in response to evaluation results.
End-of-life (EoL) processes are a complex socio-normative and ethical phenomenon. This study aimed to generate a database of public opinion in Israel concerning EoL processes and decisions and to identify differences in attitudes across subgroups in the population, particularly based on experience as a family caregiver of a dying patient.
Methods
This cross-sectional study was performed in late March 2022. The study utilized an online sample of 605 adults over the age of 50 including those who accompanied a loved one to their death in the last 3 years. Participants were requested to provide their opinions and attitudes on several aspects of EoL decisions, including truth-telling, medically assisted dying, EoL procedures, pre-death actions, and family caregivers’ engagement.
Results
While only 27% and ∼30% of participants support artificial respiration or feeding (respectively) of terminally ill patients, 66% support analgesic treatment, even at the risk of shortening life. The data show an association between religiosity and agreement with life-extending procedures. For example, while 83% of seculars support medically assisted dying, only 59% and 26% of traditional and religious respondents support it. However, no statistically significant differences were observed in support of family involvement in EoL process in any sociodemographic variable.
Significance of results
The results of this study suggest that the Israeli public is relatively polarized on several issues about EoL processes, specifically patient autonomy and medically assisted dying. Yet, at the same time, there is a consensus among the Israeli public about certain EoL elements, particularly the importance of family caregivers in the EoL decision-making process.