Could we use the comfort score instead of the numeric rating pain score? A proof of concept pilot study.

INTRODUCTION: Asking patients about pain in the Emergency Department (ED) when deriving a pain score may aggravate perception of pain due to the nocebo-effect. A strategy for diminishing this nocebo-effect is cognitive reframing. Cognitive reframing of the frequently used pain score (PS) in the ED could theoretically be obtained by using the comfort score (CS). The aim of this study was to evaluate whether or not the CS and PS are interchangeable and therefore, whether or not the CS could safely be used in ED patients. METHODS: In this prospective pilot study we enrolled patients with pain visiting the ED. Participants were asked for both PS and CS in randomized order. CS were inverted (ICS) and compared with PS using the using the Wilcoxon signed rank test. Secondarily we evaluated for patient score preference. RESULTS: In total 100 patients were enrolled. The median PS in these participants was 6 (IQR 4-7) and median ICS was 5 (IQR 3-6). In total, 15 (15%) of the PS and ICS were identical Medians did not differ significantly (p = .115). In 33% of the participants the total difference between the PS and ICS was >2. Participants preferred to be asked for PS over CS (43 vs 15%, p < .00). CONCLUSION: This proof of concept study suggest interchangeability of the PS and the ICS in patients with pain in the ED. However, while not statistically significant, 33% of the patients had a possible clinical significant difference in score outcome, potentially over- or underestimating the patients pain. Whether or not this can be used as a tool for cognitive reframing to reduce perception of pain and medication consumption has yet to be studied.

REFRAMING HATE

The concept and naming of "hate crime," and the adoption of special laws to address it, provoked controversy and raised fundamental questions when they were introduced in the 1980s. In the decades since, neither hate crime itself nor those hotly debated questions have abated. To the contrary, hate crime has increased in recent years-although the prominent target groups have shifted over time-and the debate over hate crime laws has reignited as well. The still-open questions range from the philosophical to the doctrinal to the pragmatic: What justifies the enhanced punishment that hate crime laws impose based on the perpetrator's motivation? Does that enhanced punishment infringe on the perpetrator's rights to freedom of belief and expression? How can we know or prove a perpetrator's motivation? And, most practical of all: Do hate crime laws work? This Essay proposes that we reframe our understanding of what we label as hate crimes. It argues that those crimes are not necessarily the acts of hate-filled extremists motivated by deeply held, fringe beliefs, but instead often reflect the broader, even mainstream, social environment that has marked some social groups as the expected or even acceptable targets for crime and violence. In turn, hate crimes themselves influence the social environment by reinforcing recognizable patterns of discrimination. The Essay maintains that we should broaden our understanding of the motivations for and effects of hate crimes and draws connections between hate crimes and seemingly disparate phenomena that have recently captured the nation's attention.

Beyond COVID: Reframing the Global Problematique with STiP (Systems Thinking in Practice).

Since 2019 humanity has been subjected to the perturbations of pandemic, economic disruption, war, civil unrest and changes in whole-Earth dynamics associated with a human-induced Anthropocene. Each perturbation is like a wave-front breaking on the shore of our historical ways of thinking and acting, increasingly unfit for our human circumstances. This challenge to humanity is not new. In 1970 the French term 'problematique' was coined to refer to a set of 49 interrelated global problems; the classic description of wicked and tame problems was published soon after, yet little progress has been made towards answering the question: what purposeful action will aid human flourishing, create and sustain a viable space for humanity, in our ongoing co-evolution with the Anthropocene-Biosphere? A case for innovation in our ways of knowing and doing is made based on arguments that our social world is constrained by: (i) explanations we accept that are no longer relevant to our circumstances; (ii) outdated historical institutions (in the institutional economics sense) that contribute as social technologies to a broader human created and ungoverned technosphere; (iii) inadequate theory-informed practices, or praxis, and (iv) governance-systems no longer adequate for purpose. Practitioners of knowledge science and systems science are urged to act reflexively to critically evaluate the traditions-of-understanding out of which they think and act.

Multimodal metaphor (re)framing: a critical analysis of the promotional image of China’s Hubei Province in the post-pandemic era on new media

This study presents multimodal metaphors as (re)framing tools in the analysis of a 10-minute promotional video of Hubei Province produced by the Chinese government and circulated on new media platforms like YouTube, Douyin (Chinese Tik Tok) and WeChat Channels. The video introduces Hubei Province to the world in the pre-pandemic, pandemic and post-pandemic stage to erase the prejudiced “Wuhan virus” and “China virus” painted by Western media. Drawing upon MIPVU (the Metaphor Identification Procedure Vrije Universitei), multimodality of metaphors, and Critical Discourse Analysis (CDA), this study analyzes how the Chinese government attempts to reframe Hubei as a place of courage, prosperity and humanity via metaphors like WAR, BRIDGE, HAND and BACK. The benefits and drawbacks of such metaphor usage are also discussed with appropriate contextual and socio-cultural relevancies. The study provides a hands-on practice of the CDA-based analysis of multimodal metaphors and justifies the feasibility of integrating translation, metaphor and semiotic studies through the sociological theory of framing. [ FROM AUTHOR] Copyright of Social Semiotics is the property of Routledge 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.)

NAVIGATING SCREENS

This essay aims to reflect on some of the ways in which security surveillance technology has become politicised through race and gender biases, the product of a historical process known as cis-coloniality. This analysis aims to demonstrate, with some urgency, that this type of technology is not neutral and in fact reinforces transgendered racism, under the auspices of "efficiency and security". Rather than providing alternatives for the democratisation of intelligent connected cities, it actually operates as a device for classifying risk, harvesting data and alienating black, poor and transsexual bodies, by widening and reframing the gap between bodies and territories. Technopolitics validate both proof of life and automate experience. They determine gender and circumscribe death movements in cities with hyper-surveillance, thus turning collective life into an image-based ritual, through which the militarisation of urban space and the dynamic of contemporary capitalism itself are amplified.

Belonging as situated practice

This article offers a rethinking of a fundamental area of higher education research and practice: the concept of belonging. Extending the considerable international research attending to belonging, we suggest that normative narratives often contain a number of omissions. Such omissions include a consideration of the experiences of those students who may not wish to, or who cannot, belong, as well as a questioning of the very boundaries of belonging. Crucially, our reconceptualisation occurs within the context of the post-Covid-19 times in which we now live. Such times have seen a rapid move to emergency remote teaching, and, we suggest, offer an opening in which belonging can no longer be taken-for-granted as uniform and, as located within fixed times and spaces. Engaging generative concepts from the work of Massey, and Braidotti, and drawing upon Adam’s notion of timescapes, we propose a reframing of belonging as situated, relational and processual. Within this lens, belonging can be understood as a sociomaterial practice that shifts within, across and beyond online and face to face timespaces. At the end of this article, we examine the implications of such a reframing for educators seeking to develop belonging, and we also offer suggestions for further research.

Civil society as policy entrepreneur in agriculture and forestry sector amidst COVID-19 lockdown in India

With the nation-wide lockdown announced on 24 March 2020, India came to a standstill. Despite substantial constraints, multiple initiatives by civil society actors in providing the much needed relief and assistance to vulnerable populations during the lockdown have emerged. Considering lockdown as a wicked policy problem, we examine the roles and strategies of two civil society actors in opening up policy spaces. Our focus is on the two most livelihood-intensive sectors of the economy (i.e. agriculture and forestry) during the first two phases of lockdown in India. The first case highlights the use of judiciary to reframe the problem for agriculture in the lockdown policy implementation at the national level. And, the second case shows change in policy implementation at the regional level, again using problem reframing for the well-being of forest-dependent communities using advocacy with policy-makers and sustained social media activities. Building on the two cases, we argue for the crucial role played by the larger civil society actors in bringing the issues of marginalized communities to the policy agenda by opening up diverse policy spaces, and thus contributing to the changes in policy implementation under unprecedented uncertainty during the lockdown in India.

Positive reframing as a mediator between gratitude and technostress amongst Indian students during the COVID-19 pandemic

Purpose: The aim of the current study was to examine the previously unexplored relationship between positive reframing as a mediator between gratitude and technostress in Indian students. By examining this relationship, the authors aim to expand the theoretical domain of gratitude research by examining its potential influence on technology-induced stress. Design/methodology/approach: A cross-sectional survey was used to collect and analyze data from 552 Indian college students who participated in graduate and postgraduate programs across various educational institutions in India. Regression and mediation analyses were performed with both IBM SPSS 25 and AMOS. Findings: This study’s data suggest that positive reframing plays an important mediating role between gratitude and technostress. Gratitude also encourages positive reframing, which reduced technostress among the students. Taken together, our data showed that gratitude induces positive reframing, which in turn reduces techno-stress among Indian students in the current study. Research limitations/implications: The sample size in this study is relatively small in relation to the student population in India. The current study relied primarily on quantitative data and analysis and further research could use a mixed-method approach to better understand the underlying mechanisms between positive reframing, gratitude and technostress. The results are derived under an extreme coronavirus disease 2019 (COVID-19) pandemic situation;therefore, the results cannot be generalized to normal times. Practical implications: The paper includes implications for teachers, academic leaders, parents and civil society. Originality/value: Overall, the relationship between positive reframing, gratitude and technostress has not been thoroughly explored. To the best of the authors' understanding, this is the first study to examine the influence of gratitude on technology-induced stress and the role of reframing. © 2022, Emerald Publishing Limited.

Relevance, resilience, and ageism: A bright future for occupational therapy and healthy ageing, Sylvia Docker Lecture 2021.

Our core professional values have been enduring and remarkably relevant to decades past and times present. Our values ensure the currency of our professional contribution, our resilience, readiness, and adaptability, to meet the challenges as we move into the next decade and beyond. In this Sylvia Docker lecture, I draw on my career experience from practice and academic research to examine this premise. The social isolation during the COVID-19 pandemic gave us all a picture of what our clients experience in an enduring way and the challenges of maintaining healthy lifestyles, meaningful occupations, and life roles. One of the greatest population challenges of this century is healthy ageing and the impact that ageism has on health. We live in a society that is ageist, and such cultural thinking impacts our beliefs and expectations as it does for older adults themselves. As occupational therapists, we strive to maintain our relevance, and we drive transformational change through using research-informed evidence-based approaches and adopting enablement programmes that meet the needs of people who are ageing. While prominent in enablement and therapeutic approaches, we are not immune to ageism. Being exposed to ageist views throughout our lives means, we internalise these and believe that ageing is a process of decline. Such self-perceptions and stereotyping impact the health of older people and influence the choices we make in our everyday practice. There are examples of emerging evidence and approaches that will meet these challenges and ways to re-frame ageist thinking. Occupational therapy values of working with people's strengths, what they can do, indicates we are well placed to engage and provide leadership in moving societal views. Addressing ageism requires self-reflection and action in order to be part of changing the narrative on ageing.

Corona, care, and political masculinity. Gender-critical perspectives on governing the covid-19 pandemic in Austria

»Corona, Sorge und politische Männlichkeit. Eine geschlechterkriti-sche Perspektive auf das Regieren der COVID-19 Pandemie in Österreich«. The article departs from the contradiction that the importance of care for society was publicly acknowledged during the COVID-19 pandemic, but the pandemic response of the Austrian government did not challenge the structurally devalued status of care. In order to sustain the hegemonic patriarchal-capi-talist governance of care and social reproduction in the pandemic government actors had to reframe care. We investigate government discourses that normalised its careless crisis management and interrogate the role political masculinity and affects played therein. Based on our analysis of a set of se-lected press conferences held in March 2020, we find that a new mode of ra-tional-affective political masculinity was constitutive of the political management of COVID-19 crisis. With help of this hybrid mode of masculinity, political actors reinterpreted care first and foremost as healthcare and caring for the economy, and as caring for the population in terms of biopolitics. At the same time, caring tasks in the ‘private’ sphere were left to the personal responsibility of individuals and families. In order to generate consent, political actors frequently invoked affects that pertained to risk and danger on the one hand and solidarity and responsibility on the other. © 2021, GESIS - Leibniz Institute for the Social Sciences. All rights reserved.

Systemic Racism and the White Racial Frame

The historical perspective shows that “White-imposed racism” with racial oppression, manifested through slavery and legal segregation, was a critical ingredient of the structural foundation of the USA, along with genocide and dispossession of the Indigenous people through settler colonialism. Systemic racism is presented as the predominant theory that illuminates contemporary racial inequality in the USA. Feagin’s White racial frame crafts and sustains this racism through racial beliefs, racial cognitive elements, racial visual and auditory imagery and language usage, racial feelings, and a predisposition to discriminate. Eduardo Bonilla-Silva posits that Whites set up a social collectivity and nurture a racial interest to uphold the racial status quo through racialized social systems where people are placed in a racial hierarchy and where social, political, economic, and psychological rewards are distributed within the framework of color-blind racism. Both Feagin and Bonilla-Silva came out of the critical race research tradition. In addition, given the magnitude and the variations in the demographic overrepresentation of Blacks and Hispanics in COVID-19 deaths across US States and counties, we developed a research proposal to study the role of spatial differences (urban-rural classification) on COVID-19 deaths among Whites, Blacks, and Hispanics in the 50 States and DC, using the CDC dataset. The State/County: Urban/Rural was based on the six urbanization levels of the 2013 NCHS Urban-Rural Classification. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Reframing aging during COVID-19: Familial role-based framing of older adults linked to decreased ageism.

BACKGROUND: Contributions of older adults amid the COVID-19 pandemic have been eclipsed by discourse positioning them as an at-risk population. We assess whether age-based framing (e.g., senior citizen) is associated with more negative stereotyping in the media compared to familial role-based framing (e.g., grandparent) across 8 months, from a baseline period (October 2019-December 2019) to the onset of the pandemic (January 2020-May 2020). METHODS: Leveraging a 12-billion-word news media database-with over 30 million news articles from over 7000 websites-we identified the most common synonyms for age-based framing (e.g., senior citizen) and familial role-based framing (e.g., grandparent). For each framing category, we compiled the most frequently used descriptors every month, amassing 488,907 descriptors in total. All descriptors were rated from 1 (very negative) to 5 (very positive) to determine a Cumulative Aging Narrative Score (CANS) for age-based and familial role-based framing. RESULTS: Age-based framing of older adults increased negative stereotyping in the media by seven times compared to familial role-based framing during COVID-19. The percentage of positive topics for age-based framing was significantly lower during COVID-19 (35%) than before (61%). Conversely, the percentage of positive topics for familial role-based framing was higher during the pandemic (91%) than before (70%). CONCLUSION: This is one of the first empirical studies on whether framing older adults based on age or role is linked to more negative stereotypes during COVID-19. We argue for a more role-centered approach in framing older adults so that their contributions are acknowledged and valued by society.

Digital Inclusion of Older Adults during COVID-19: Lessons from a Case Study of Older Adults Technology Services (OATS).

Older adults' relationship to information and communications technology (ICT) is often discussed in terms of the digital divide or technology gap. Older persons, those 65 years of age and older, are seen as excluded or marginally represented in the digital sphere, even though data show their use of technology is increasing. Challenges in technology adoption and models for improving digital inclusion are both well-known, but the COVID pandemic and its general shift to digital life have created a critical need to increase digital inclusion of older persons. A case study of Older Adults Technology Services (OATS) and the organization's migration from in-person to virtual programming is used as an example of reframing the way the relationship of older adults to technology is seen in the field and in practice. Policy and programming implications of this new view of technology are discussed in the conclusion.