Global representations of international students in a time of crisis: A qualitative analysis of Twitter data during COVID-19

International students have been historically valued by universities for their contributions to their host countries. Yet, representations of international students in the general public have become increasingly mixed, an issue likely exacerbated by COVID-19, which has shown increased hostility towards international students. Given the increased reports of discrimination during this period, there is ongoing need to understand how international students have been represented in this specific time of crisis. Our study analysed public representations of international students through Twitter data and qualitative analysis of 6,501 posts made during the immediate COVID-19 crisis (January-April 2020). Our findings confirm competing public representations of international students that changed over time: initially through stereotyping and depictions as assumed disease carriers, shifting to empathy and support after university campus closures. We also outline themes of racism and discrimination, which are of importance for the global higher education sector as we move into a post-COVID world.

The Marginalization of African Epistemologies

The article focuses on the marginalization of African epistemologies in the global response to the COVID-19 pandemic. It highlights the reliance on a monocultural worldview and Western epistemological paradigm that neglects non-Western ways of producing knowledge. It also explores the theoretical background of the predominance of the Western knowledge production paradigm and examines the reasons behind the African people's hostility towards the vaccination campaign.

How environmental hostility, entrepreneurial orientation and dynamic capabilities are manifested to influence above-average export performance during the COVID-19 pandemic

PurposeThis study analyses how latent variables: environmental hostility, entrepreneurial orientation and dynamic capabilities are demonstrated in practice during the COVID-19 pandemic. Coming from mixed-method research, which is an explanatory sequential research design;this paper aims to provide only the qualitative, practical manifestations and validations of the variables previously tested and analysed quantitatively.Design/methodology/approachA case study approach was used whereby open-ended, semi-structured series of interviews was conducted to extract narratives from two owner–managers of medium-scale manufacturer-exporter agro-processing firms in the Philippines. Thematic analysis using deductive reasoning was used to analyse the collected narratives.FindingsThe analysis showed qualitative evidence of a possible intervention of entrepreneurial orientation and dynamic capabilities between the effects of the hostile environment brought about by the pandemic on the firms' export performance. In addition, organisational resilience was observed to possibly moderate the relationship between the firm's entrepreneurial orientation and dynamic capabilities. Resilience takes time (years) to develop;with an entrepreneurial behaviour, a continuous enhancement and acquisition of resources, capabilities, knowledge reflects a robust and adaptive organisation during adversity.Social implicationsThe role of education and research institutions was highlighted in the development of dynamic capabilities of firms. The entrepreneurial resilience, however, reflects the individual characteristic of the owner–managers that manifests in the firm's overall posture toward the overall goal of protecting the industry from its downfall.Originality/valueQualitative evidences composed of direct experiences from key informants served valuable and contextual (Philippine agro-processing industry) validations to the theoretical relationships of variables being analysed.

The Mediating Role of Depression in the Relationship Between News Consumption and Interparty Hostility During Covid-19

This article examines the association between different kinds of news consumption and interparty hostility and how this relationship is mediated by individuals' levels of depression during the Covid-19 pandemic. In a study conducted in the United States, we found a significant correlation between consumption of news and feelings of depression that was mediated by political ideology: Conservatives who consume news from CNN, MSNBC, national network TV news, and social media reported higher levels of depressive symptoms than did Liberals. Depressive symptoms, in turn, were associated with increased hatred and intolerance toward ordinary members of a political out-group. We show that depression, catalyzed by news consumption, is a fundamental factor that could explain the implications of the Covid-19 pandemic for levels of animosity among ideological groups.

Approach to COVID-19 vaccine hesitancy based on some psychological symptoms and attachment theory: A web-based community survey

Objective: The aim of this study is to investigate the effects of psychiatric symptoms such as anxiety, obsession, hostility, and attachment styles, which may be associated with COVID-19 vaccine hesitancy. Method(s): A total of 504 adult participants were included in the study. The sociodemographic data form, including questions on information about participants' COVID-19 infection history and concerns about COVID-19 vaccines, was filled out by the participants. The participants were evaluated with the anxiety, obsessive-compulsive disorder (OCD), hostility, and paranoid ideation subscales of the Symptom Checklist - Revised 90 scale and the Adults Attachment Style Scale (AASS). The participants were divided into three groups: "vaccinated group (VG)," "nonvaccinated but intend to get vaccinated group (IGV)," and "nonvaccinated group and not intend to get vaccinated group (NIGV)." Results: The mean score of the AASS secure subscale was higher (p=0.009), while the SCL-90 anxiety subscale was lower (p=0.003) in the NIGV group. The mean score of the SCL-90 OCD subscale in the NIGV group was lower than that in the IGV group (p=0.040). Regression analysis showed that concerns about the safety of vaccines (OR: 140, p<0.001) and having secure attachment style (OR: 1.787, p=0.019) increase the intention to not be vaccinated. However, it was found that high anxiety scores decreased the intention not to be vaccinated (OR: 0.966, p=0.035). Conclusion(s): The findings of the current study indicate that secure attachment style and clinical psychiatric entities such as anxiety and obsession were effective on vaccine hesitancy. However, this interaction needs to be interpreted carefully in the context of the perceived level of COVID-19 threat, more detailed information about the safety and necessity of vaccines, the relationship of individuals with their social environment, and the predominance of vaccine hesitancy in their social environment.Copyright © 2023 Yerkure Tanitim ve Yayincilik Hizmetleri A.S.. All rights reserved.

"You're not my nanny!” Responses to racialized women leaders during COVID-19

In the early days of the pandemic, public health officials and politicians across the globe relied on Twitter to rapidly communicate COVID-19 information. Although the majority of these authority figures continue to be privileged white men, the number of women and racialized leaders is increasing. We analyze how users responded to public health tweets by Canada's top public health official Dr. Theresa Tam and New Mexico Governor Michelle Lujan Grisham. Examining responses to these two racialized women through a critical discourse analysis, we uncover a pattern of users mobilizing gendered and racialized discourses to undermine the message, sow public distrust, and challenge the authority of Tam and Lujan Grisham. This paper documents hostility in the digital public square that, we argue, constitutes intersectional harassing backlash which could have implications for the efficacy of public health messaging on and offline.

Preventing Anti-Asian Acts in Schools with Culturally Responsive Teaching and Anti-Bullying Programs

The increase in hostile behavior targeted at Asian people is a concern that school districts must address. To respond well, educators need to apply effective methods for preventing this problem. One of the ways they can achieve this goal is by implementing a culturally responsive approach to teaching. Another involves using effective anti-bullying programs. This paper provides details about the importance of implementing these strategies to prevent anti-Asian attacks. It also provides several examples of anti-Asian incidents that occurred shortly after the COVID-19 pandemic began. A few historical events involving the hostile treatment of Asian people are included to provide a context for understanding this problem. [ FROM AUTHOR] Copyright of Clearing House is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Polytrauma patient with lateral thoracic spondyloptosis: case report and literature review

Background: Spondyloptosis is caused by high force trauma. The vast majority of cases occur in the sagittal plane and at transition points where ridged sections meet more flexible regions. Lateral thoracic spondyloptosis is extremely rare and there is no current consensus on the optimal treatment plan. Case Description: Here we present a case of a previously physically healthy 24-year-old polytrauma patient after he was struck as a pedestrian by a motor vehicle. Of note the patient was found to have lateral spondyloptosis between T9-10 with complete spinal cord transection. The patient also sustained multi-ligamentous left knee injury, pelvic fractures, open comminuted left tibia and fibular fracture, lacerated liver, bilateral renal lacerations, ischemic bowel, and an aortic arch pseudoaneurysm. Conclusion(s): Lateral thoracic spondyloptosis is a devastating injury with an extreme rate of persistent neurologic deficits. There is no unanimously accepted treatment because of the rarity if the injury and the poor outcomes that patients face. Additionally, patients who experience high level trauma often develop severe psychiatric illness, and the importance of identifying risk factors and implementing care early may improve patient outcomes.Copyright © AME Medical Journal.

Aggression, mini-aggression, and abuse against health care workers during the COVID-19 pandemic

Introduction: COVID-19 pandemic brought multiple negative consequences that go beyond the direct damage caused by the disease and that affect health systems as well. Complaints of attacks against health care workers became frequent and concerning. The objective of this survey was to characterize the frequency and type of violent behavior against front-line professionals in Latin America. Material(s) and Method(s): A cross-sectional electronic survey was carried out between January 11th to February 28th, 2022. Different health care workers from Latin America who have been delivering care at least from March 2020, regardless of whether they assist or not patients with COVID- 19 were included. A non-probabilistic snowball sampling was performed, and the survey was Results: The survey was responded by 3,544 participants from 19 countries (Figure 1);58.5% were women, and the mean age was 41.9+/-11 years. The 70.8% were doctors, 16% nurses, 3.4% physiotherapists, and the remaining 9.8% had other functions within the health team. About 85.1% of physicians were specialists: 33.9% were cardiologists, 14.4% were intensivists or emergency physicians, 10.9% had some surgical specialty, 7.7% were pediatricians or related subspecialties, and the remaining 33.1% had other specialties. The 36.3% and 28.8% worked in public and private practice respectively, the remaining worked in both. Direct and regular care to COVID-19 patients was provided by 74.7% of all contestants. Among the participants, 54.8% reported acts of violence: 95.6% suffered verbal violence, 11.1% physical violence, and 19.9% other types. 39.5% of respondents experienced it at least once a week. The acts of violence involved patients' relatives (32%), or patients together with their relatives (35.1%). The victims rated the stress level of these events with an average of 8.2+/-1.8 points (scale from 1 to 10). Approximately half of the health personnel who suffered an assault experienced psychosomatic symptoms after the traumatic event (Figure 2). Among the victims of violence, 56.2% considered changing their care tasks, and 33.6% abandoning their profession. However, only 23% of the health personnel attacked stated that they had made some type of legal action regarding these acts. In a logistic regression model, doctors (OR 1.95, p<0.01), nurses (OR 1.77, p=0.001), and administrative staff (OR 3.20, p<0.01) suffered more violence than other health workers. Women more frequently suffered violence (OR 1.56, p<0.01), as well as those who worked with patients with COVID-19 (OR 3.59, p<0.01). Conversely, a lower probability of violence was observed at older ages (OR 0.96, p<0.01). Conclusion(s): We detected a high prevalence of violence against health personnel in Latin America during the current pandemic. Those caring for COVID-19 patients, younger staff, and women were found to be more vulnerable. It is imperative to develop strategies to mitigate these acts and their repercussions on the health team. (Figure Presented) .

Examining Online Behaviors of Young Adults During the Covid-19 Pandemic Social Isolation Period with Regard to Life Satisfaction, Loneliness, and Hostility.

The Covid-19 pandemic exposed individuals to intense restrictions and social isolation, as well as the possibility of deterioration of physical health. In the pandemic period, the Internet has become the principal avenue for social interaction, leisure related activities, and school-work pursuits for most people and consequently problematic Internet use (PIU) has increased dramatically in this period. Modeling of PIU among university students - considered one of the most negatively affected groups at this time - along with PIU subconstructs as well as indicators of psychological well-being - life satisfaction, loneliness, and hostility - will be valuable in directing future studies. This study examined the effects of the psychological well-being indicators of life satisfaction, loneliness, and hostility on PIU constructs; the preference for online social interaction, Internet use for mood regulation, and deficient self-regulation of Internet use during the Covid-19 pandemic social isolation period. Participants were 418 undergraduate students from a public university (130 male and 288 female). Results revealed that young adults with low life satisfaction have been more likely to problematically use the Internet to regulate their mood during the Covid-19 pandemic. Hostility and loneliness between which there is a moderately strong direct relationship, were similarly related to deficiently self-regulated Internet use. Moreover, individuals experiencing feelings of loneliness are more likely to use the Internet problematically for online social interaction purposes, while those experiencing feelings of hostility are more likely to use it problematically for mood regulation purposes. Given the significant relationships between indicators of psychological well-being and PIU, higher education institutions should take measures to prevent PIU behaviors in their students in case they face potential periods of social isolation.

Designing for safe, fun and informative online cross-partisan interactions

The past decade in the US has been one of the most politically polarizing in recent memory. Increasingly, ordinary Democrats and Republicans fundamentally dislike and distrust each other, even when they agree on policy issues. Most Americans report believing that the opposing party is a "serious threat to the United States and its people". This extreme partisan hostility has wide-ranging consequences, even affecting how partisans respond to COVID-19 mitigation measures. In this context, this dissertation aims to reduce hostile interactions and attitudes towards ordinary Democrats and Republicans. I argue that we can reduce hostility by leveraging nonpolitical online spaces that cut through the partisan faultlines in uniquely engaging ways. I develop approaches to transform the currently hostile, uninspiring nature of online political interactions into not only a safe experience but also a fun and informative one. I take a mixed-methods approach to studying outpartisan hostility, combining computational social science with design methods. The dissertation progresses from a large-scale exploratory analysis of online political discussions to developing potential designs to reduce online partisan hostility and, finally, to designing and evaluating a fun party game that reduces outparty hostility. In the first study, through large-scale computational analysis of billions of Reddit comments, I find that nearly half of all political discussions on Reddit take place in nonpolitical communities and that cross-partisan political conversations in these communities are less toxic than those in explicitly political communities. These findings suggest that shared nonpolitical interests can temper online partisan hostility. In the second study, through in-depth qualitative interviews and design probes, I explore approaches to surface these nonpolitical interests and identities during online political interactions on Reddit. I demonstrate that participants are comfortable knowing and revealing shared memberships in nonpolitical communities with outpartisan discussion partners which they expect to be humanizing, potentially reducing the hostility in those interactions. Through the interviews, I find that apart from serious deliberative discussions, participants also engage in light-hearted and casual political interactions where the motivation to simply entertain themselves and have fun. In the final study, drawing on insights from the prior study and extant political science research, I develop an online party game that combines the relaxed, playful nonpartisan norms of casual games with corrective information about Democrats' and Republicans' political views that are often misperceived. Through an experiment, I find that playing the game significantly reduces hostile attitudes toward outparty supporters among Democrats. Overall, this dissertation demonstrates the potential of using nonpolitical context to facilitate quality online cross-partisan interactions that account for and mitigate the heightened levels of partisan animosity we observe today. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

European Cancer Summit 2022 submission for HPV Action NetworkHPV SCREENING FOR CERVICAL CANCER USING THE SELF-SAMPLING MODEL IN UKRAINE DURING THE WAR

Background: The Covid pandemic and the war created the conditions for the growth of cancer in Ukraine. Violence against women and mass migration of the population have increased the risk of HPV infection in the population, which may provoke a surge in the incidence of cervical cancer shortly (1). Method(s): In the front-line city of Zaporizhzhia (eastern Ukraine), HPV screening for cervical cancer was organized using the Self-sampling model from the first weeks of the war. Women aged 25-60 were offered to take part in the screening at the refugee reception centre where they received humanitarian assistance. For Self-sampling, the Swedish test Qvintip Aprovix AB (2) was used. Screening participants returned the test through volunteers to a certified PCR laboratory, where they tested viral DNA for six oncogenic HPV strains. Women received a response with further recommendations for monitoring and treatment via SMS or email. The organization and financing of screening in Ukraine during the war were taken over by the charitable foundation "World Against Cancer". Result(s): Consent for HPV screening was obtained from 180 women. A positive result of HPV testing was obtained in 12 (6.7%) women. Systematic analysis of screening results and the use of "Test and treat" tactics is the subject of our further research. Conclusion(s): Due to the small number of participants in the program and the short follow-up period, it is not yet possible to conclude the impact of the war on the risk of developing cervical cancer in Ukrainian women. Our pilot study showed that the Self-sampling model is the most optimal for HPV screening in a military conflict. However, this model can only be applied after the end of active hostilities in the region and the low probability of a missile and bomb strike on the city, when relative stability sets in after the phase of a humanitarian catastrophe. This model of cancer prevention can also be used during the mass migration of refugees in the aftermath of environmental disasters as part of a program of humanitarian assistance to the population.Copyright © 2023

Approach to COVID-19 vaccine hesitancy based on some psychological symptoms and attachment theory: A web-based community survey: Journal of Psychiatry and Neurological Sciences

Objective: The aim of this study is to investigate the effects of psychiatric symptoms such as anxiety, obsession, hostility, and attachment styles, which may be associated with COVID-19 vaccine hesitancy. Method: A total of 504 adult participants were included in the study. The sociodemographic data form, including questions on information about participants' COVID-19 infection history and concerns about COVID-19 vaccines, was filled out by the participants. The participants were evaluated with the anxiety, obsessive-compulsive disorder (OCD), hostility, and paranoid ideation subscales of the Symptom Checklist - Revised 90 scale and the Adults Attachment Style Scale (AASS). The participants were divided into three groups: "vaccinated group (VG)," "nonvaccinated but intend to get vaccinated group (IGV)," and "nonvaccinated group and not intend to get vaccinated group (NIGV)." Results: The mean score of the AASS secure subscale was higher (p=0.009), while the SCL-90 anxiety subscale was lower (p=0.003) in the NIGV group. The mean score of the SCL-90 OCD subscale in the NIGV group was lower than that in the IGV group (p=0.040). Regression analysis showed that concerns about the safety of vaccines (OR: 140, p<0.001) and having secure attachment style (OR: 1.787, p=0.019) increase the intention to not be vaccinated. However, it was found that high anxiety scores decreased the intention not to be vaccinated (OR: 0.966, p=0.035). Conclusion: The findings of the current study indicate that secure attachment style and clinical psychiatric entities such as anxiety and obsession were effective on vaccine hesitancy. However, this interaction needs to be interpreted carefully in the context of the perceived level of COVID-19 threat, more detailed information about the safety and necessity of vaccines, the relationship of individuals with their social environment, and the predominance of vaccine hesitancy in their social environment.

Motivation to Correct Misinformation: Third-Person Perceptions and Perceived Norms

The proliferation of misinformation is an ongoing problem in the United States. The public's trust in news from the mainstream media is down, and the sharing of news items on social media is up—even the sharing of made-up news. Previous research has found third-person perceptions (TPP) indicate that people tend to believe that others are more influenced by misinformation than they are. People also believe they are more likely to correct their own misinformation than their perceived norm of how likely others are to correct misinformation that they have propagated. This replication study found that TPP and perceived norms influence a person's likelihood of self-correcting and correcting others when misinformation has been spread. Those with lower media hostility are also more likely to correct.

The Psychological Impacts of COVID-19 on Breast Cancer Patients in China

Background: Approximately 30% to 50% of breast cancer patients experienced mental distress prior to the advent of COVID.The delayed access to cancer treatment due to the outbreak of COVID -19 pandemic posed a unique challenge to breast cancer patients and caused a significant level of mental distress among them. In the current research, we examined the psychological impacts of COVID on breast cancer patients in China using Symptom Checklist-90-R (SCL-90-R). Method(s): Participants were breast cancer patients at the outpatient clinic of Xijing hospital. The study was conducted virtually, and the questionnaires were distributed via Wenjuanxing, the Chinese alternative of Qualtrics. The researchers were healthcare workers affiliated with Xijing hospital, and the survey was sent to a breast cancer patient support group which included 1399 cancer patients and 6 healthcare workers. The initial sample consisted of 199 participants who signed an informed consent form to participate in the study. The inclusion criteria were as follows: 1) diagnosed with breast cancer, 2) aged 18 years or above, and 3) had no history of cognitive impairment or previous diagnosis of psychiatric disorders. The validated Mandarin version of the SCL-90-R (Wang, 1984) was then given to the participants to evaluate their psychological status.Categorical variables were summarized as numbers and percentages;continuous variables were described as mean (M) +/- standard deviation (SD). Data were analyzed using IBM SPSS Statistics Version 26. Result(s): Participants (N = 195) filled out the SCL-90 questionnaire in February, 2020. All participants were female breast cancer patients treated at Xijing hospital, among which 16.41%, 36.41%, 19.49%, and 28.21% had respectively received treatment for less than a year, 1-3 years, 3-5 years, and 5 years or more. 64.62% of the patients were at stage I;0.77% were at stage II and III;4.62% were at stage IV according to TNM classification. The molecular type of participants is as follows: 47.2% of ER+ HER2-, 31.8% of HER2+, and 21.0% of Triple negative.Participants whose treatments continued to be delayed, on average, reported an elevated general psychopathology score (M = 1.48, SD = 0.47) compared to participants whose treatments were resumed (M = 1.30, SD = 0.34), and the difference was statistically significant, t(193) = 2.96, p = .003, d = 0.44, 95%Cl [0.06, 0.30]. The one-way ANOVA revealed a marginally significant effect of length of treatment delay on general psychopathology score, F(4, 190) = 2.09, p = .08, eta2 = .04. Follow-up multiple comparison analysis showed that participants who had their treatment delayed for 3 weeks to 1 month (M = 1.70, SD = 0.70) reported significantly higher general psychopathology scores than participants whose delay in treatment was less than 1 week (M = 1.34, SD = 0.40), p = .05. General health status (p < .001) and current treatment status (p = .02) are the only two variables that were statistically associated with general psychopathology score.Poorer perceived health status and current delay in treatment were associated with higher general psychopathology score, Additionally, younger age was associated with higher interpersonal sensitivity (p = .01) and hostility (p = .006). Conclusion(s): We found that breast cancer patients at an advanced stage were more likely to experience psychological symptoms with longer treatment delay, and whose treatments continued to be delayed reported elevated psychological symptoms than individuals whose treatment were resumed, regardless of treatment type. Additionally, a treatment delay of more than three weeks might have exacerbated breast cancer patients' psychological symptoms, whereas a short-term delay of less than three weeks was less likely to have a significant effect on one's mental wellbeing.

COVID-19 Related Distress in Gambling Disorder.

The COVID-19 pandemic has exerted a dramatic impact on everyday life globally. In this context, it has been reported that the lockdown and social distancing may have exerted an impact even on gambling behavior, not only by increasing gambling behavior in those affected by this disorder but even contributing to the occurrence of new cases. To explore such a possibility, we designed a cross-sectional web survey addressing a general population sample that lasted 3 weeks (March 23-April 20). Participants completed a survey including a demographic information section, a question regarding the presence of pathological gambling in the past and several questionnaires. These included the Perceived Stress Scale (PSS), the Kellner's Symptom Questionnaire (SQ), and the version of The Yale Brown Obsessive Compulsive Scale adapted for Pathological Gambling (PG-YBOCS) that investigated the presence of gambling behaviors in the last week. The final sample was composed by 254 subjects (112 males, 44.1%; 142 females, 55.9%). According to PG-YBOCS total score, pathological gambling has been found in 23.6% (n = 60) of the sample (53 males, 88.3%; 7 females, 11.7%), which is a high frequency compared to that reported by the existing literature. Among gamblers, 20.9% (n = 53) reported both past and current problem gambling (they have been defined as "chronic gamblers"), whereas 2.8% (n = 7) did not report to use gambling platforms in the past but only in the last week (defined as "new gamblers"). Data analysis showed a statistically significant difference between gamblers and people who do not gamble in age but not in education, and higher level of perceived stress, distress, and hostility in both chronic and new gamblers compared to those who did not report gambling behavior. A consistent proportion of business owners and unemployed individuals reported problem gambling during the lockdown period.

Finding the Rhythm Trough Words. An Experience of a Psychoanalytic Psychotherapy Training in a High-Care Psychiatric Community

Introduction: MC is a 57-year-old man, who arrived in the actual community in 2017 and has been hospitalized in psychiatric facilities for over twenty years, with a diagnosis of paranoid schizophrenia since the age of 17. He went through several discharges in other communities, which often after a short time dismissed him because of the the difficulties in managing his: "Disruptive behaviour". There are several hospitalizations which have occurred over the years, due to strong agitation, worsening hypomanic mood, severe logorrhea, verbal aggression and destructiveness towards objects. MC had little awareness of his condition and a suspicious attitude towards the community team. He asked to return living with his parents, a request impossible to comply with, due to the severity of the psychopathological frame and the old age of the parents. This framework raised the question to the care team of how to create the conditions for the patient to be engaged in a care path that would take his words into account. Method(s): From 2019 to 2020, during the bimonthly meetings with his parents he was supported by the presence of an assistant. After each meeting he was offered a space where to talk with the psychologist, who is under psychoanalytic psychotherapy training with a Lacanian orientation, in a visa- vis setting. From 2020 to the present day, due to the Covid-19 pandemic and the worsening health conditions of the parents, meetings with the family have been suspended, but the patient maintained the therapy on a weekly basis, and the talking therapy was integrated with the support of writing as an expressive method. This case is based on medical records, the therapist's notes taken at the end of each session (January 2019-July 2022) and from the patient's writings, analyzed via textual analysis. Result(s):The case shows how the initial therapeutic engagement was able to take place on the basis of the patient's own words: "relationship with the parents" was the recurrent theme of his speeches at the beginning of the treatment and offered the clue on why he considered the therapist as 'the one who was helping him with his parents', thus giving the therapist a place. In the progression of the sessions, when the writing was introduced while addressing himself as an "author" not only to the therapist (who helped writing the text under dictation) but also to the readers, the patient used new signifiers, placing them in a "before" and a "now" and being able to find new words to say something about his suffering. In the work on the patient's text extrapolated from his "Theory on the History of Rock Music," emerges the narrative of his first crisis that occurred at the age of 15 following a school rejection. The patient situates his own individual crisis by extending it to the "Crisis of '68", "student Revolts," and the "conflicts between musical genres.", and at the same time including (indirectly) himself as one of the main characters of his theory as one of the so-called "conscripts of '64" and explicitly connecting this to the onset of his paranoia to the therapist too. The patient not only narrates the crisis but also how he tried to "overcome" it, again placing this transition at an extended level through the musical evolution that led to the birth of "punk" music in the 1980s, musical genre in which he could have "recognized himself" because Punk allowed "people who suffered this type of depression" for "artistic expression of paranoia". The writing of this 'theory of the history of rock music' took a long time for the patient to work out, arriving at about ten pages over the course of about 2 years of work, implying the rhythm and logical time set by the patient himself. Conclusion(s): The reference of an aim such as "work" ("Helping with his parents", or "Being his collaborator on writing the text") might have been helpful to the therapist in appearing less persecutory and establishing a climate of trust. When, with the arrival of the pandemic, the outings with the parents were suspended, it was necessary to find new wor ing conditions in the therapeutic process because the patient showed disorientation and difficulty in relating even to the therapist in a calm manner. Also in this case, after a period of suspension, it was the patient who again sought a space to talk, through the theme of music. Working on what the patient offers and support the patient's writing of his "Theory on the history of rock music" allowed the therapist to resume working in a more calm and non-persecutory atmosphere. Writing was a support through which, with the help of the therapist, the patient could construct an elaboration of his illness and suffering and find a way to express something otherwise impossible to say. The work is still in progress;so far, supporting MC in his relationship with his parents through a multidisciplinary intervention and working on his own writing had the effect of allowing the patient to invest more in the community relations and activities, to be more satisfied and to have a greater degree of separation in his relationship with his parents, theme that now does not occupy all of the patient's speech, leaving a space to something new to say.

The Anti-Restrictions Movement and the Populist Counterpublics in Denmark

Despite less restrictive governmental Covid-19 measures than in other European countries, Denmark also witnessed the rise of mobilisations against vaccine measures and corona-related restrictions. While most protests did not assemble many participants, nor garnered much media attention, the anti-restrictions scene consists of a vast and diverse array of activists and organisations united in the call for less governmental intervention in the freedoms of the citizens, as also witnessed elsewhere across the globe. We conceptualise the anti-restrictions groups as 'populist counterpublics', since the counterdiscourses emerging from the Covid-19 measures deepen the antagonist divide between the ordinary people and the elites. We focus on three of the most prominent groups: Men in Black (MIB), the Freedom Movement's Joint Council (FBF), and Earth Freedom Knowledge 21 (JFK21). By analysing arenas and frames, we show how the Danish anti-restrictions movement uses the diagnostic frames of totalitarian government and global complot to blame the Danish government and international elites, and the prognostic frames of power and rights to the people and individual freedom as solutions to the articulated problems. Although these groups employed similar frames and enemy constructions, they failed in promoting internal alliances and in shaping a new and accepted idea of who makes up 'the people', leading to a limited level of public support for their cause.

Family Communication in the Icu: Challenges and Solutions

INTRODUCTION: The COVID-19 pandemic created major barriers to communication with patient families, impacting patient care and staff satisfaction. We surveyed an interprofessional group of medical intensive care unit (MICU) stakeholders to identify their concerns surrounding family communication and solicited recommendations for performance improvement. METHOD(S): An anonymous survey was distributed electronically to 260 MICU physicians, advanced practice providers (APPs), nurses, and physical, occupational, and respiratory therapists, with a 1 week reminder. The results were analyzed using thematic analysis. RESULT(S): Thirty-nine participants (response rate 15%) completed the survey, providing 95 unique comments. Major themes included challenges created by visitor policy restrictions (providers unable to connect well with families by phone;families not understanding how to work video platforms;frequent misunderstandings);medical system distrust (antivaccine and overall hostility, unrealistic expectations, challenging treatment decisions);trainee communication concerns (lack of communication training, not seeing the "big picture", nurse not knowing whether families were contacted/what was discussed), and A2F bundle failures (F component not organized, family updates too infrequent, distorted messages). This feedback prompted a quality improvement initiative to strengthen our family communication process. The responsible resident or APP is now encouraged to use a "Get to Know Me Board" to structure the collection of relevant social history with patient and family on admission, establishing an initial relationship and line of communication. Our rounding template was modified to discuss the family communication plan each day using a tiered structure (brief summary/introduction on admission;update;serious update/acute event;goals of care;transition to comfort) and clarify which team members will be present for the conversation. Afternoon rounds were also modified to routinely confirm successful family contact and address any concerns. CONCLUSION(S): We describe the results of our interprofessional survey to define the barriers to family communication during the COVID-19 pandemic, and process improvements in our MICU to make daily family involvement and contact feasible and efficient within our daily workflow.

Camus’ Oran and Saramago’s Blind City: A Representation of the World during the COVID-19 Pandemic

This article studies the city spaces in Albert Camus’ “The Plague” and Jose Saramago’s “Blindness.” In light of COVID-19, the article reads these two literary texts in terms of their spatial settings that represent fictional microcosms of the real world engulfed in the COVID-19 pandemic. It also demonstrates how pandemics expose and exacerbate the flaws that are inherent in the social, ideological, and infrastructural dimensions of city spaces. The pandemics reshape Camus’ and Saramago’s cities, intensify human antagonism, and expose the fragility of the urban structure. We rely on George Simmel’s viewpoints of the city as a space of constant conflicts and antagonism, so one can understand the struggles that take place on the spaces of Camus’ Oran and Saramago’s blind city. The article also employs Julian Wolfreys’ concept of the urban uncanny to interpret the mystery and fear that accompany the emergence of diseases in cities. Finally, our experience with the COVID-19 pandemic provides new insights into Albert Camus’ “The Plague” and Jose Saramago’s “Blindness” as they become a fictional reflection of our own experience.