What is behind the mask? Social representation of mask wearing

Background: During the COVID-19 pandemic, a preventive and widely mandatory use of face masks was a dominant segment of the infection prevention and control of the epidemic. Covering about 60-70% of the facial surface, face masks dramatically affect social interactions-especially emotion recognition, expression and mentalization. Difficulties in communication in the doctor-patient relationship become of paramount importance to the effectiveness of the healing work. This becomes even more critical when the patient suffers from a disorder characterized by a mentalization deficit. In our study, we use the theory of social representations to examine the contents with which mask wearing has become part of our everyday knowledge. Objectives: We aimed to explore the social representations of mask wearing considering its impact on interpersonal communication, in groups where the effectiveness of mutual understanding is critical. Methods: In our study, carried out during the second and third waves of the coronavirus epidemic in Hungary, we gave a free association task to the target word mask-wearing" in a group of medical doctors, and hospitalized somatic and psychiatric patients and healthy controls (total of 81 subjects, mean age 43.1 [13.83] years), then used the obtained associations to form semantic categories and to map the structure of social representations within the groups using a rank-frequency method. Results: The positive experience of safety and the negative experience of physiological discomfort caused by the facemasks were consistently central to the social representations of mask-wearing in all study groups. Differences were found between groups in terms of more mature elaborative categories, as well as anxiety, aggression, helplessness, damaged dependency needs, and forced conformity. Conclusions: The analysis of the social representations revealed ambivalent meanings of the mask wearing. Although there were significant differences in the structure of mask-related social representations, the mask was recognized as an "inconvenient but necessary" health protection measure in most of the groups studied. Based on the results, each group may be at risk in a different way or deal differently with the pandemic based on their specific representations. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Hungarian) Elmeleti hatter: A COVID-19-pandemia idejen a jarvanyugyi intezkedesek meghatarozo reszeve valt az arcmaszkok viselesenek preventiv es szeles koru alkalmazasa. Az arcmaszkok az arcfelulet mintegy 60-70%-at lefedve jelentosen befolyasoljak a szocialis interakciokat - kulonosen az erzelemfelismerest, erzelemkifejezest es mentalizalast. A kommunikacioban fellepo nehezsegek a gyogyito munka hatekonysaga szempontjabol kiemelt jelentoseguve valnak az orvos-beteg kapcsolatban. Ennek meg kritikusabb esetei azok a helyzetek, amikor a paciens mentalizacios deficittel jellemezheto zavarban szenved. Tanulmanyunkban a szocialis reprezentaciok elmeletet hasznaljuk annak vizsgalatara, hogy a maszkviseles milyen tartalmakkal valt a kozos tudas reszeve. Celkituzes: Vizsgalatunkban a maszkviseles szocialis reprezentaciojanak felterkepezeset tuztuk ki celul, figyelembe veve annak interperszonalis kommunikaciora gyakorolt hatasat, olyan csoportokban, ahol a kolcsonos megertes hatekonysaga kiemelt jelentoseggel bir. Modszerek: Kutatasunkban a koronavirus-jarvany masodik es harmadik magyarorszagi hullama idejen, orvos, szomatikus es pszichiatriai beteg csoportban, valamint kontrollcsoportban (osszesen 81 fo, atlageletkor 43,1 [SD = 13,83] ev) szabad asszociacios feladatot adtunk a maszkviseles" hivoszora. A nyert adatokbol szemantikus kategoriakat kepeztunk, majd ranggyakorisag-eljarassal felterkepeztuk a szocialis reprezentaciok szerkezetet az egyes csoportokon belul. Eredmenyek: A vizsgalati csoportok maszkhasznalathoz kapcsolodo szocialis reprezentaciojaban egysegesen kozponti elemkent jelent meg a maszkviseles altal nyujtott biztonsagelmeny, valamint a maszk zavaro testerzetet kelto hatasa. Kulonbseget talaltunk az egyes csoportok kozott elaborativ kategoriak megjelenese, illetve szorongas, agresszio, tehetetlenseg, serult dependenciaszukseglet, valamint a kenyszeru alkalmazkodas tekinteteben. Kovetkeztetesek: A maszkviseles szocialis reprezentaciojanak elemzese alapjan a maszkviseles ambivalens jelentestartalmakat hordoz. Bar a maszkviseleshez kapcsolodo szocialis reprezentaciok strukturajaban szamottevo kulonbsegek is mutatkoztak, ugyanakkor a legtobb vizsgalt csoportban a maszk a virusvedelem szempontjabol kenyelmetlen, de szukseges" eszkozkent kerult felismeresre. Az eredmenyek alapjan az egyes csoportok sajatos reprezentacioik alapjan eltero modokon lehetnek veszelyeztetettek, illetve kuzdhetnek meg a pandemia idejen kialakult helyzettel. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Developing a New Conceptual Framework of Meaningful Interaction for Understanding Social Isolation and Loneliness

Academic debate about social isolation and loneliness, and their adverse health and well-being implications, has resulted in many policy and programme interventions directed towards reducing both, especially among older people. However, definitions of the two concepts, their measurement, and the relationship between the two are not clearly articulated. This article redresses this and draws on theoretical constructs adapted from symbolic interactionism, together with the Good Relations Measurement Framework, developed for the Equality and Human Rights Commission in the UK, to challenge the way in which social isolation and loneliness are currently understood. It argues for a need to understand experiences of social relationships, particularly those which facilitate meaningful interaction, suggesting that opportunities and barriers to meaningful interaction are determined by wider societal issues. This is set out in a new conceptual framework which can be applied across the life course and facilitates a new discourse for understanding these challenging concepts.