Stillbirth Grief, Eco-grief and Corona Grief: Reflections on Denialism

This chapter draws on the author's stillbirth experience in August 2019 and her specialization in human rights to explore "disenfranchised grief” (Doka) in the context of current environmental loss and of mourning related to the COVID-19 pandemic. In so doing, the chapter raises seminal questions about what is (non)-human, what is grievable, and how do dehumanization and denialism operate. This work outlines the main parallels between the disenfranchised grief of PAIL (pregnancy and infant loss), the eco-grief of environmental losses, and the grief currently emerging in the COVID-19 pandemic. This chapter explores how historically the grief of stillbirth was rendered taboo until even today. It then draws parallels to the denialism of grief in eco-grief and the COVID-19 pandemic, alluding to examples of dehumanization, disgust, repression of emotions, or techno-medicalization. The chapter investigates ways to counter these disenfranchising discourses by examining how PAIL groups resist this denialism and dehumanization. The chapter scrutinizes discourses of lamentation, embodiment, sentimentalism, and memorialization-to then probe their viability in a post-COVID world. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

The Role of Perceived Risk in the Relationship Between Disgust Sensitivity and COVID-19 Vaccine Hesitancy.

Background: Despite widespread availability of COVID vaccines and evidence of their efficacy, vaccine hesitancy remains prevalent. Several studies have examined the relationship between disgust sensitivity and vaccine hesitancy. Although results from studies using data collected prior to the COVID pandemic indicate that higher disgust sensitivity is related to greater vaccine hesitancy, results from studies using data collected during the COVID pandemic are equivocal. The present study examined whether perceived risk of contracting COVID moderated the relationship between disgust sensitivity and vaccine hesitancy. Methods: Participants (n = 152) completed self-report measures of disgust sensitivity, perceived risk of contracting COVID, and COVID vaccine hesitancy (defined as both vaccine confidence and vaccine complacency). Results: Perceived risk of contracting COVID significantly moderated the relationship between disgust sensitivity and vaccine complacency, with the association strengthened at low levels of perceived risk. Perceived risk of contracting COVID also marginally moderated the relationship between disgust sensitivity and vaccine confidence, with the association strengthened at low and average levels of perceived risk. Conclusions: Results suggest that individuals with elevated disgust sensitivity who also report low levels of perceived risk of contracting COVID are more likely to express vaccine hesitancy. Implications of these findings are discussed. Supplementary Information: The online version contains supplementary material available at 10.1007/s10608-023-10391-8.

Yikes! The Effect of Incidental Disgust and Information on Public Attitudes During the COVID-19 Pandemic.

Existing research has focused extensively on the role of emotions such as anger, fear, and enthusiasm in explaining public opinion, but less is known about the importance of disgust, an innate disease-related emotion. To study the independent and joint effects of disgust and information, I draw on the case of the COVID-19 pandemic. I demonstrate that experimentally induced incidental disgust and exposure to information about how to flatten the curve of the COVID-19 cases have distinctive effects on political, racial, and health attitudes. Independently, exposure to information affects preferences only for restrictive policies to fight the spread of the virus. In contrast, the stand-alone effect of incidental disgust, as well as its joint effect with exposure to information, are responsible for attitude change toward both pandemic-relevant and irrelevant policies, Asian minorities, and prevention measures. Importantly, the study finds that citizens respond symmetrically to disgusting stimuli and information across degrees of political awareness, ideology, partisan affiliation, and trait authoritarianism. The results draw attention to the far-reaching implications of disgust on public opinion under threatening conditions.

Is disgust proneness prospectively associated with influenza vaccine hesitancy and uptake?

Although various demographic and psychosocial factors have been identified as correlates of influenza vaccine hesitancy, factors that promote infectious disease avoidance, such as disgust proneness, have been rarely examined. In two large national U.S. samples (Ns = 475 and 1007), we investigated whether disgust proneness was associated with retrospective accounts of influenza vaccine uptake, influenza vaccine hesitancy, and eventual influenza vaccine uptake, while accounting for demographics and personality. Across both studies, greater age, higher education, working in healthcare, and greater disgust proneness were significantly related to greater likelihood of previously receiving an influenza vaccine. In Study 2, which was a year-long longitudinal project, disgust proneness prospectively predicted influenza vaccine hesitancy and eventual vaccine uptake during the 2020-2021 influenza season. Findings from this project expand our understanding of individual-level factors associated with influenza vaccine hesitancy and uptake, highlighting a psychological factor to be targeted in vaccine hesitancy interventions.

Sensitizing the Behavioral-Immune System: The Power of Social Pain

People who believe they are invulnerable to infectious diseases often fail to protect themselves against the disease threats that others pose to them. The current paper hypothesizes that social pain-the experience of feeling interpersonally hurt or rejected-can sensitize the behavioral-immune system by giving people added reason to see others as worthy of protecting themselves against. We obtained four daily diary samples involving 2,794 participants who reported how hurt/rejected they felt by those they knew, how personally concerned they were about the spread of illness/COVID-19, and how vigilantly they engaged in self-protective behaviors to safeguard their health each day. An integrative data analysis revealed robust evidence that people who believed they were invulnerable to infectious disease engaged in more concerted efforts to protect themselves against the greater daily risk of contracting COVID-19 when being in acute social pain gave them added reason to see others as harmful to them.

COVID-19 vaccination and the behavioral immune system: The newcomer and the old friend get along in preventing infection.

Despite its old evolutionary history and emotional relevance, the behavioral immune system is one of the less studied individual predictors of vaccine uptake. To fill the gap, we conducted a large online study (2072 participants) during the spring 2022 when the great majority of the Italian population had already received at least one dose of the COVID-19 vaccine. Hierarchical binary logistic regression showed that, after controlling for the confounding effects of demographic and personality factors, there was a significant and positive association between pathogen disgust sensitivity and COVID-19 vaccine uptake (OR, 1.68; 95% CI, 1.42-1.99). The likelihood of being vaccinated for a participant with the highest possible score on the PVD Germ Aversion scale was approximately 12 times higher than the likelihood for a participant with the lowest possible score. Public health messaging could leverage the activation of the behavioral immune system as an emotional driver of vaccine uptake.

Person and situation effects in predicting outgroup prejudice and avoidance during the COVID-19 pandemic

Recent theories of intergroup relations suggest that factors relevant to disease, disgust, and contagion predict prejudice towards ethnic outgroups. The current research explored the influence of contextual pathogen threat and individual differences in threat sensitivity on outgroup prejudice and avoidance in the context of the COVID-19 pandemic. Data were collected from a sample of British adults in June 2020 (N = 524). A multi-level approach was employed to capture differences in confirmed COVID-19 cases across different regions in the UK. Results demonstrated that even in a "strong" pandemic context, individual differences in both disgust sensitivity (DS) and intergroup disgust sensitivity (ITG-DS) explained variability in outgroup distancing. Subjective perceptions of contextual pathogen prevalence, but not actual infection rates, also predicted greater outgroup avoidance. However, a significant cross-level interaction revealed that DS predicted outgroup distancing in regions with higher numbers of confirmed COVID-19 cases, but not in areas of lower infection. Thus, individual differences in pathogen avoidance may be especially influential under high situational pathogen stress. There was also some evidence that pathogen threat also predicted greater ingroup attraction. Results provide important insights into factors that promote or inhibit positive intergroup relations during pandemics. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

iENCUIST: Development and application of an online psychological support tool during COVID-19 in Spain

The iENCUIST online tool was designed to reduce the psychological impact on both the confined population and on professionals who were at the forefront of the fight against the pandemic. In the first study (N = 2,362), the results are shown of the short test to perform personality profiles, made up of 34 items that show good psychometric properties. In the second study, the psychological profiles of confined individuals and professionals who had requested psychological help are presented (N = 815). The results indicate that confined women present higher scores in the variables of anxiety, anger, or disgust, placing this group at a greater risk for presenting psychological problems. As for professionals, those with more years of experience or who faced past crises have greater emotional stability, being a key factor in crisis management. After 6 weeks, the usefulness of the help offered by iENCUIST was evaluated and almost 80% of users indicated that they applied the recommendations offered by the tool, and that they helped them overcome the crisis. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) La herramienta online iENCUIST fue disenada para reducir el impacto psicologico, tanto en la poblacion confinada como en los profesionales que estaban a la vanguardia de la lucha contra la pandemia por Covid-19. En el primer estudio (N = 2.362) se muestran los resultados del test breve para realizar perfiles de personalidad, compuesto por 34 items que presentan buenas propiedades psicometricas. En el segundo estudio se presentan los perfiles psicologicos de los confinados y los profesionales que habian solicitado ayuda psicologica (N = 815). Los resultados indican que las mujeres confinadas presentan puntuaciones mas altas en las variables de ansiedad, enfado o disgusto, colocando a este grupo en mayor riesgo de presentar problemas psicologicos. En cuanto a los profesionales, aquellos con mas anos de experiencia o que enfrentaron crisis pasadas tienen mayor estabilidad emocional, siendo un factor clave en la gestion de crisis. A las 6 semanas se evaluo la utilidad de la ayuda ofrecida por iENCUIST y casi el 80% de los usuarios indico que aplicaron las recomendaciones que ofrece la herramienta y que les ayudaron a superar la crisis. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Online extremism and Islamophobic language and sentiment when discussing the COVID-19 pandemic and misinformation on Twitter

This paper looks at the profiles of those who engaged in Islamophobic language/extremist behaviour on Twitter during the COVID-19 pandemic. This two-part analysis takes into account factors such as anonymity, membership length and postage frequency on language use, and the differences in sentiment expressed between pro-social and anti-social tweets. Analysis includes comparisons between low, moderate and high levels of anonymity, postage frequency and membership length, allowing for differences in keyword use to be explored. Our findings suggest that increased anonymity is not associated with an increase in Islamophobic language and misinformation. The sentiment analysis indicated that emotions such as anger, disgust, fear, sadness and trust were significantly more associated with pro-social Twitter users whereas sentiments such as anticipation, joy and surprise were significantly more associated with anti-social Twitter users. In some cases, evidence for joy in the suffering of others as a result of the pandemic was expressed.

Disgust sensitivity in early pregnancy as a response to high pathogen risk.

Introduction: Considered a part of the behavioral immune system (BIS), disgust sensitivity is expected to be adjusting as a response to the actual level of the environmental health risks. Methods: In this preregistered study, we tested the hypothesis that disgust sensitivity would be higher during the COVID-19 pandemic compared to the pre-pandemic period in pregnant women. In this between-subject study with a longitudinal trend design, we administered the Disgust Scale-Revised to 200 pregnant women before the pandemic and to 350 pregnant women during the pandemic. Results: We found a small but significant effect of the pandemic on disgust sensitivity, such that higher disgust sensitivity was found in women pregnant during the pandemic. This effect was stronger in primiparae, however, the interaction between parity and the pandemic period was not significant. Disgust sensitivity decreased with age. No differences in terms of nausea and vomiting were found between the women pregnant before and during the pandemic. Discussion: Our findings indicate that although BIS is presumed to function as a complex mechanism to prevent health-threatening behaviors, its activation in pregnant women during the COVID-19 pandemic is rather weak.

The unsanitary other and racism during the pandemic: analysis of purity discourses on social media in India, France and United States of America during the COVID-19 pandemic.

The global rise of populism and concomitant polarizations across disenfranchised and marginalized groups has been magnified by so-called echo chambers, and a major public health crisis like the COVID-19 pandemic has only served to fuel these intergroup tensions. Media institutions disseminating information on ways to prevent the propagation of the virus have reactivated a specific discursive phenomenon previously observed in many epidemics: the construction of a defiled 'Other'. With anthropological lenses, discourse on defilement is an interesting path to understand the continuous emergence of pseudo-scientific forms of racism. In this paper, the authors focus on 'borderline racism', that is the use of an institutionally 'impartial' discourse to reaffirm the inferiority of another race. The authors employed inductive thematic analysis of 1200 social media comments reacting to articles and videos published by six media in three different countries (France, United States and India). Results delineate four major themes structuring defilement discourses: food (and the relationship to animals), religion, nationalism and gender. Media articles and videos portrayed Western and Eastern countries through contrasting images and elicited a range of reaction in readers and viewers. The discussion reflects on how borderline racism can be an appropriate concept to understand the appearance of hygienic othering of specific subgroups on social media. Theoretical implications and recommendations on a more culturally sensitive approach of media coverage of epidemics and pandemics are discussed.

Emerging Pattern of Post-COVID-19 Parosmia and Its Effect on Food Perception.

Olfactory dysfunction is amongst the many symptoms of Long COVID. Whilst most people that experience smell loss post COVID-19 recover their sense of smell and taste within a few weeks, about 10% of cases experience long-term problems, and their smell recovery journey often begins a few months later when everyday items start to smell distorted. This is known as parosmia. The aim of this study was to identify the key food triggers of parosmic distortions and investigate the relationship between distortion and disgust in order to establish the impact of parosmia on diet and quality of life. In this cross-sectional study (n = 727), respondents experiencing smell distortions completed a questionnaire covering aspects of smell loss, parosmia and the associated change in valence of everyday items. There was a significant correlation between strength and disgust (p < 0.0001), and when the selected items were reported as distorted, they were described as either unpleasant or gag-inducing 84% of the time. This change in valence associated with loss of expected pleasure and the presence of strange tastes and burning sensations must certainly lead to changes in eating behaviours and serious longer-term consequences for mental health and quality of life.

Locked Down, Lashing Out: COVID-19 Effects on Asian Hate Crimes in Italy

COVID-19 caused a major health crisis and an economic crisis, conditions identified as conducive to stigmatization and hostility against minority groups. It is however unclear whether the threat of infection triggers hate crimes in addition to stigmatization and whether such a reaction can happen at the onset of an unexpected economic shock, before social hierarchies can be disrupted. Leveraging variation across Italian municipalities, we show that (i) hate crimes against Asians increased substantially at the pandemic onset and that (ii) the increase was concentrated in cities with higher expected unemployment but not higher excess mortality. We then examine individual, local, and national mobilization as potential mechanisms and find evidence suggesting that (iii) a xenophobic national discourse and local far-right institutions motivate hate crimes, while we find no strong support for the role of individual prejudice. Our study identifies new conditions triggering hateful behavior, advancing our understanding of factors hindering migrant integration.

Temporary differences in pathogen disgust sensitivity and the perception of crowded spaces

Feelings of disgust, a disease avoidance emotion, vary among individuals. The present study investigated if individual differences in pathogen disgust sensitivity predict the level of disgust evoked by crowded places. Interested in the universality of this relationship, we studied it across countries (Study 1), and examined temporal differences in pathogen disgust sensitivity (Studies 2 and 3). Participants completed a pathogen disgust scale and rated the level of disgust evoked by two crowded situations. Data were collected in 2018 (before the COVID-19 pandemic), in 2020 (at the height of the pandemic) and in 2022 (later in the pandemic). Across studies and countries, individuals' pathogen disgust sensitivity predicted the disgust evoked by the situations. Moreover, the data revealed a significant increase in pathogen disgust from 2018 to 2020, most likely because of higher pathogen presence during the pandemic, before significantly decreasing in 2022 after the pandemic had progressed. This study captures a rare opportunity, investigating how these crises relate to pathogen disgust sensitivity and the perception of crowded spaces. Further, our longitudinal study is among the first showing changes in pathogen disgust sensitivity over time and monitoring the effect of the pandemic. [Display omitted] • A temporary increase in pathogen disgust sensitivity was found for the pandemic. • After that, pathogen disgust levels decreased again in 2022. • Patterns of pathogen disgust are similar across eleven countries. [ FROM AUTHOR]

COVID-19 vaccination intention: The combined role of pathogen disgust and trust in government.

The present study aimed to investigate the joint effect of pathogen disgust and trust in government on COVID-19 vaccination intention and to examine the mediating role of COVID-19 worry. The data was collected from July to September 2021 in mainland China by using Questionnaire Star, 2,244 valid cases were obtained among a total of 2,251 participants investigated, with an effective rate of 89.37%. The results indicated the following: (1) Individuals' COVID-19 vaccination intention was significantly higher when "congruence was high" than when "congruence was low", given comparable levels of pathogen disgust and trust in government. (2) There were no significant differences in individual COVID-19 vaccination intention with incongruence levels of pathogen disgust and trust in government. (3) The combination of pathogen disgust and trust in government can influence COVID-19 vaccination intention through COVID-19 worry. Findings illustrate that individuals with high trust in government and pathogen disgust have higher intentions. Trust in government and pathogen disgust positively predicted COVID-19 worry and reinforced individuals' intention to COVID-19 vaccination. The results have important implications for the future prevention and control of the new coronavirus, as well as providing a new perspective on COVID-19 vaccination intentions.

Community Mitigation of COVID-19 and Portrayal of Testing on TikTok: Descriptive Study.

BACKGROUND: COVID-19 testing remains an essential element of a comprehensive strategy for community mitigation. Social media is a popular source of information about health, including COVID-19 and testing information. One of the most popular communication channels used by adolescents and young adults who search for health information is TikTok-an emerging social media platform. OBJECTIVE: The purpose of this study was to describe TikTok videos related to COVID-19 testing. METHODS: The hashtag #covidtesting was searched, and the first 100 videos were included in the study sample. At the time the sample was drawn, these 100 videos garnered more than 50% of the views for all videos cataloged under the hashtag #covidtesting. The content characteristics that were coded included mentions, displays, or suggestions of anxiety, COVID-19 symptoms, quarantine, types of tests, results of test, and disgust/unpleasantness. Additional data that were coded included the number and percentage of views, likes, and comments and the use of music, dance, and humor. RESULTS: The 100 videos garnered more than 103 million views; 111,000 comments; and over 12.8 million likes. Even though only 44 videos mentioned or suggested disgust/unpleasantness and 44 mentioned or suggested anxiety, those that portrayed tests as disgusting/unpleasant garnered over 70% of the total cumulative number of views (73,479,400/103,071,900, 71.29%) and likes (9,354,691/12,872,505, 72.67%), and those that mentioned or suggested anxiety attracted about 60% of the total cumulative number of views (61,423,500/103,071,900, 59.59%) and more than 8 million likes (8,339,598/12,872,505, 64.79%). Independent one-tailed t tests (α=.05) revealed that videos that mentioned or suggested that COVID-19 testing was disgusting/unpleasant were associated with receiving a higher number of views and likes. CONCLUSIONS: Our finding of an association between TikTok videos that mentioned or suggested that COVID-19 tests were disgusting/unpleasant and these videos' propensity to garner views and likes is of concern. There is a need for public health agencies to recognize and address connotations of COVID-19 testing on social media.

Induced gratitude and hope, and experienced fear, but not experienced disgust, facilitate COVID-19 prevention.

Hope, gratitude, fear, and disgust may all be key to encouraging preventative action in the context of COVID-19. We pre-registered a longitudinal experiment, which involved monthly data collections from September 2020 to September 2021 and a six-month follow-up. We predicted that a hope recall task would reduce negative emotions and elicit higher intentions to engage in COVID-19 preventative behaviours. At the first time point, participants were randomly allocated to a recall task condition (gratitude, hope, or control). At each time point, we measured willingness to engage in COVID-19 preventative behaviours, as well as experienced hope, gratitude, fear, and disgust. We then conducted a separate, follow-up study in February 2022, to see if the effects replicated when COVID-19 restrictions were relaxed in the UK. In the main study, contrary to our pre-registered hypothesis, we found that a gratitude recall task elicited more willingness to engage in COVID-19 preventative behaviours in comparison to the neutral recall task. We also found that experienced gratitude, hope, and fear were positively related to preventative action, while disgust was negatively related. These results present advancement of knowledge of the role of specific emotions in the COVID-19 pandemic.

Pandemic and Attitudes towards Immigrants: Evidence from South Korea during the COVID-19 Crisis

This article investigates the changes in South Koreans' acceptance towards multiculturalism and acceptance towards North Korean defectors during the early months of the COVID-19 pandemic in South Korea and potential factors affecting the changes. Individual-level survey data conducted in 2018-2020 were used to compare pre- and post-COVID-19 period. The results demonstrate that the regions with severe local outbreaks during the early COVID-19 pandemic experienced increased hostile attitudes towards multiculturalism and increased discriminatory preference. On the other hand, the pandemic did not affect attitudes towards North Korean defectors. The change may be associated with fear of infection as interaction effects between vulnerability and affected regions after the pandemic were statistically significant. This finding suggests that efforts to disassociate infectious diseases and foreign migrants can mitigate increased hostility towards multiculturalism and foreigners.

A longitudinal assessment of variability in COVID-19 vaccine hesitancy and psychosocial correlates in a national United States sample.

Recent evidence suggests that COVID-19 vaccine hesitancy is not static. In order to develop effective vaccine uptake interventions, we need to understand the extent to which vaccine hesitancy fluctuates and identify factors associated with both between- and within-person differences in vaccine hesitancy. The goals of the current study were to assess the extent to which COVID-19 vaccine hesitancy varied at an individual level across time and to determine whether disgust sensitivity and germ aversion were associated with between- and within-person differences in COVID-19 vaccine hesitancy. A national sample of U.S. adults (N = 1025; 516 woman; Mage = 46.34 years, SDage = 16.56, range: 18 to 85 years; 72.6 % White) completed six weekly online surveys (March 20 - May 3, 2020). Between-person mean COVID-19 vaccine hesitancy rates were relatively stable across the six-week period (range: 38-42 %). However, there was considerable within-person variability in COVID-19 vaccine hesitancy. Approximately, 40 % of the sample changed their vaccine hesitancy at least once during the six weeks. There was a significant between-person effect for disgust sensitivity, such that greater disgust sensitivity was associated with a lower likelihood of COVID-19 vaccine hesitance. There was also a significant within-person effect for germ aversion. Participants who experienced greater germ aversion for a given week relative to their own six week average were less likely to be COVID-19 vaccine hesitant that week relative to their own six-week average. This study provides important information on rapidly changing individual variability in COVID-19 vaccine hesitancy on a weekly basis, which should be taken into consideration with any efforts to decrease vaccine hesitancy and increase vaccine uptake. Further, these findings identify-two psychological factors (disgust sensitivity and germ aversion) with malleable components that could be leveraged in developing vaccine uptake interventions.

The effect of contamination disgust on Covid-19- related anxiety

Introduction: It is proven that high levels of disgust contribute to implementing protective behaviors. Investigators also discovered that the emotion of disgust plays a central role in determining anxiety related to the contraction of COVID-19. Few data are available about the role of the contamination disgust, a specific disgust domain, in this relationship. Objective(s): The effect of contamination disgust on COVID-19- related anxiety was investigated. Method(s): 295 healthy subjects were enrolled through an online survey. They completed Disgust Scale-Revised (DS-R) and were asked to estimate their levels of Covid-19-related anxiety in 12 proposed situations. A total score was then calculated. An ANOVA model having Covid-19-related anxiety total score as dependent variable, and DS-R contamination disgust, age, and sex as predictors was estimated. Result(s): The overall model was significant (F(3,291)=6.402, p< 0.001) and explained 6.2% of total Covid-19 anxiety variance (R2 = 0.062). The effect of DS-R contamination disgust on Covid-19- related anxiety was positive, significant (B=0.974, t(291)=3.227, p=0.001) and explained 3.5% of Covid-19-related anxiety variance (partial eta2 =0.035). A significant effect of sex was detected (F(1,291)=4.919, p=0.027), with females having higher Covid-19- related anxiety than males, while no effect was detected for age (B=-0.024, t(291)=-0.884, p=0.377). Conclusion(s): The presented data provide preliminary evidence for an effect of contamination disgust on Covid-19-related anxiety. (Figure Presented).