A study of social isolation in patients with varicose veins of the lower extremities: A scoping review.

OBJECTIVES: To undertake a scoping review of the literature on social alienation in patients with lower extremity varicose veins in order to serve as a reference for future studies in the field. METHODS: With a focus on the phenomenon of social alienation in patients with varicose veins of the lower extremities, a systematic search of Chinese and English databases was carried out using the scoping review methodology as a framework. The included literature was summarized and analyzed with a time frame from database construction to June 24, 2024. RESULTS: A total of 15 publications were included, demonstrating that social alienation is a frequent occurrence in people with varicose veins of the lower extremities but has not yet received much attention. In individuals with varicose veins of the lower limbs, demographic factors, illness issues, psychological problems, and social factors are the key influences on social alienation. CONCLUSION: Social alienation is a common phenomenon that is unevenly distributed in patients with varicose veins of the lower leg and is influenced by a number of different circumstances. In order to better meet the social needs of patients, healthcare professionals should pay attention to the issue of social alienation in patients with varicose veins of the lower extremity, identify and implement intervention strategies quickly, and actively explore a new model of treatment and care for social alienation.

Prevalence and influencing factors of social alienation among elderly patients undergoing radical prostatectomy for prostate cancer.

Objectives: This study aims to not only investigate the prevalence of social alienation among elderly patients undergoing radical prostatectomy for prostate cancer but also identify the contributing factors. Materials and methods: A total of 245 elderly patients diagnosed with prostate cancer and undergoing radical prostatectomy at a tertiary care general hospital in Jinan were included in this study. To assess the patients, several questionnaires were used. These included the General Situation Questionnaire, General Alienation Scale, Social Impact Scale, Modified Memorial Anxiety Scale for Prostate Cancer, and Perceived Social Support Scale. Pearson correlation analysis was conducted to examine the relationships between variables, whereas multiple linear regression was used to identify the factors influencing social alienation among patients who underwent radical prostatectomy. Results: Patients who underwent radical prostatectomy had a mean total score of 44.13 ± 7.24 on the Social Alienation Scale. The results of the Pearson correlation analysis indicated that social alienation showed an inverse association with social support (r = -0.627, p < 0.05) and positive associations with age, disease stigma, and anxiety (r = 0.325, 0.575, 0.421, all p's < 0.01) among patients who underwent radical prostatectomy. The findings from multiple linear regression analysis demonstrated that educational level, age, urinary incontinence, disease stigma, anxiety, and social support significantly influenced social alienation among elderly patients who underwent radical prostatectomy (p < 0.05). Conclusions: Elderly patients who undergo radical prostatectomy often experience social alienation. This study found that social alienation was associated with factors such as educational level, age, urinary incontinence, social support, anxiety, and disease stigma. Consequently, healthcare providers should actively monitor the degree of social alienation in elderly patients after radical prostatectomy and provide suitable psychological care to facilitate positive social reintegration and alleviate their feelings of social alienation.

The Experience of Social Alienation in Elderly Lung Cancer Patients: A Qualitative Study.

PURPOSE: The aim of this study was to understand the experience of social alienation in elderly lung cancer patients, to explore its causes, and to propose targeted intervention strategies. METHODS: From July to August 2023, 16 elderly lung cancer patients attending the respiratory department of a tertiary hospital in Changsha City, Hunan Province, were selected for semi-structured interviews using a purposive sampling method. The Colaizzi 7-step method was used to analyze the data. RESULTS: A total of four themes were distilled: the experience of social alienation in elderly lung cancer patients (pessimistic feelings, inferiority complex, and heavy psychological burden), subjective causes (disease-included shame, avoidant social behavior, and stigmatized labels), objective causes (isolated social states, and reduced amount of socialization), and rehabilitation support. CONCLUSION: The causes of social alienation in elderly lung cancer patients include multiple aspects of personal, family, and social support, and symptom management and psychological guidance should be strengthened for this population to construct a hospital-society-family triple-linkage care program to help patients recover.

The mediating effect of personal mastery and perceived social support between emotional intelligence and social alienation among patients receiving peritoneal dialysis.

Aim: This study aims to assess the extent of social alienation in patients undergoing peritoneal dialysis and examine how personal mastery and perceived social support mediate the association between emotional intelligence and social alienation in this patient population. Methods: This study adopts a cross-sectional survey design. A total of 192 patients were recruited from a tertiary hospital located in Henan Province, China, using a convenience sampling method. We have developed a structural equation model to investigate the mediating influence of personal mastery and perceived social support on the emotional intelligence and social alienation of patients undergoing Peritoneal dialysis. Results: Peritoneal patients exhibited an social alienation score of 42.01 ± 3.15. Elevated EI levels (coefficient = -0.616, p < 0.001) were significantly correlated with reduced social alienation. The mediation model demonstrated that personal mastery and perceived social support fully mediated the impact of emotional intelligence on social alienation. Conclusion: The social alienation of peritoneal dialysis patients is serious, and healthcare professionals should pay attention to patients' social alienation, improve patients' emotional intelligence through relevant interventions, increase personal mastery and perceived social support, and finally reduce social alienation.

Development and validation of a social alienation predictive model for older maintenance hemodialysis patients based on latent profile analysis-a cross-sectional study.

BACKGROUND: Social alienation refers to the state of feeling isolated, helpless, and unsatisfied due to maintaining distance from others or avoiding social interaction and activities. This phenomenon is caused by a lack of social skills, social anxiety, physical health problems, and other reasons. Older maintenance hemodialysis patients are exposed to a higher risk of social alienation. However, previous studies have been performed using the total score of the scale, which does not allow the identification of the characteristics of various patient groups with different levels of social alienation. In contrast, latent profile analysis can classify individuals into different categories based on continuous observational indicators, which improves accuracy and provides a more objective assessment by accounting for the uncertainty of variables. Given the concealed nature of social alienation and the differences in characteristics and treatment measures between different profiles, developing a predictive model for social alienation in older maintenance hemodialysis patients holds significance. OBJECTIVE: To explore the latent profile analysis of social alienation in older maintenance hemodialysis patients and to develop and validate a predictive model for social alienation in this population. METHODS: A total of 350 older maintenance hemodialysis patients were selected as the study subjects using convenience sampling. A cross-sectional survey was conducted using a general information questionnaire, the Generalized Alienation Scale, and the Self-Perceived Burden Scale. Based on the results of the Generalized Alienation Scale, a latent profile analysis was performed, followed by univariate analysis and multinomial logistic regression to develop a predictive model. The effectiveness of the predictive model was evaluated in terms of its authenticity, reliability, and predictive ability. RESULTS: Three hundred nineteen valid questionnaires were collected. The social alienation of older maintenance hemodialysis patients based on latent profile analysis were divided into three profiles, which were named the low/medium/high-symptom groups, comprising 21%, 38.9%, and 40.1% of participants, respectively. Based on male, monthly social activity hours, Age-Adjusted Charlson Comorbidity Index, dialysis age, and Self-Perceived Burden Scale, a predictive model of social alienation for older maintenance hemodialysis patients was developed, and the Hosmer-Lemeshow tests showed no statistical significance (P > 0.05). The model has high predictive efficiency in authenticity, reliability and predictability. CONCLUSION: Older maintenance hemodialysis patients exhibited moderate to high levels of social alienation. The latent profile analysis based method was used to divide patients into low/medium/high-symptom profiles, and the predictive model demonstrates excellent authenticity, reliability, and predictability.

The influencing factors of college students' legal emotion and the mechanism of its effect on aggressive behavior.

Current research has increasingly focused on the preventive role of individual legal socialization in crime. The socialization of legal emotions is an important part of legal socialization. Building upon existing literature, this study, conducted through two sub-studies, investigated the influencing factors of legal emotions in N mainland Chinese university students and the mechanisms through which legal emotions impact aggressive behavior. In study 1, the results indicated that mother-child attachment, innovation spirit, and positive emotional expression positively predicted positive legal emotion, while mother-child attachment, dependency dimension in adult attachment, and positive emotional expression negatively predicted negative legal emotions. The anxiety dimension in adult attachment and negative emotional expression positively predicted negative legal emotions. In study 2, Positive legal emotion among university students could directly negatively predict aggressive behavior or exert influence through social alienation. Negative legal emotions could not only directly positively predict aggressive behavior but also partly affect it through social alienation. In summary, our study not only identified factors that influence legal emotions, but also found that legal emotions have an impact on aggressive behavior directly or indirectly through social alienation. Our research findings have significant implications for cultivating positive legal emotion in university students and curbing aggressive behavior. This can be achieved by promoting the legal socialization of university students and ultimately contributing to crime prevention.

The mediation effect of social support between stigma and social alienation in patients with stroke.

Background: Social alienation is prevalent and causes adverse outcomes in stroke. Previous studies have linked stigma with social alienation. However, little is known about the mechanisms behind this relationship. This study explored the mediation effects of social support between stigma and social alienation. Methods: A cross-sectional design was used to study 248 patients with stroke admitted to a tertiary rehabilitation hospital in Beijing, China, from December 2022 to July 2023. Patients were assessed using a general information questionnaire, the Stroke Stigma Scale, the Social Support Rating Scale, and the Generalized Social Alienation Scale. The PROCESS macro in SPSS was used to examine the mediation model. Results: The results showed that stigma has a negative effect on social support (ß = -0.503, p<0.001); stigma has a positive effect on social alienation (ß = 0.768, p<0.001). Social support mediated the relationship between stigma and social alienation, with a mediation effect of 0.131 (95%CI: 0.060, 0.214), and indirect effects accounted for 17.06% of the total effect. Conclusion: Social support mediated the relationship between stigma and social alienation. These findings suggest that intervention targeting the enhancement of social support may prevent or reduce social alienation among patients with stroke.

Reviving Health Osekkai in Rural Japan: Collaborative Strategies of Family Physicians and Medical Students Against Social Isolation.

In the face of societal challenges exacerbated by the coronavirus disease 2019 (COVID-19) pandemic, rural Japanese communities are redoubling their efforts to preserve social cohesion. This revitalization is epitomized by the Osekkai initiative, an embodiment of voluntary neighborly support. Here, we delve into the combined efforts of family physicians and medical students in reshaping the Osekkai landscape, emphasizing the role of healthcare professionals in community health and combatting rural isolation.

The influence of social alienation on maintenance hemodialysis patients' coping styles: chain mediating effects of family resilience and caregiver burden.

Objective: Research on the possible impact of social alienation, family resilience, and caregiver burden on the coping styles of Chinese patients on maintenance hemodialysis (MHD) is scarce. We explore the influence of social alienation, family resilience, and caregiver burden on the coping styles of MHD patients, both directly and indirectly. Methods: We invited 173 MHD patients and their primary caregivers for a cross-sectional study; the study using convenience sampling method at the hemodialysis center of the First People's Hospital of Foshan. The Chinese version of the generalized social of alienation scale, the Chinese version of the simplified coping style questionnaire, and a sociodemographic questionnaire were completed by the MHD patients, while their primary caregivers had filled out the Chinese family resilience assessment scale, the Chinese version of the Zarit caregiver burden interview, and provided socio-demographic information. SPSS macro program PROCESS v3.3 Model 6 were used for analyses of chain-mediated effects. Results: In the mediating effects model, the direct influence of social alienation upon coping styles was significant (95% CI -0.050, -0.014), and social alienation indirectly impacted coping style by family resilience in a significant way (95% CI -0.012, -0.001) or caregiver burden (95% CI -0.013, -0.001). In addition, social alienation significantly impacted coping style by both family resilience and caregiver burden (95% CI -0.008, -0.001). Conclusion: Social alienation can exert both a direct and indirect influence on coping styles through the mediating factors of family resilience and caregiver burden. Clinicians can take interventions to strengthen family resilience and reduce caregiver burden, which may be useful in improving socially isolated behaviors and coping skills in MHD patients.

Psychological capital and alienation among patients with COVID-19 infection: the mediating role of social support.

BACKGROUND: COVID-19 infection continues all over the world, causing serious physical and psychological impacts to patients. Patients with COVID-19 infection suffer from various negative emotional experiences such as anxiety, depression, mania, and alienation, which seriously affect their normal life and is detrimental to the prognosis. Our study is aimed to investigate the effect of psychological capital on alienation among patients with COVID-19 and the mediating role of social support in this relationship. METHODS: The data were collected in China by the convenient sampling. A sample of 259 COVID-19 patients completed the psychological capital, social support and social alienation scale and the structural equation model was adopted to verify the research hypotheses. RESULTS: Psychological capital was significantly and negatively related to the COVID-19 patients' social alienation (p < .01). And social support partially mediated the correlation between psychological capital and patients' social alienation (p < .01). CONCLUSION: Psychological capital is critical to predicting COVID-19 patients' social alienation. Social support plays an intermediary role and explains how psychological capital alleviates the sense of social alienation among patients with COVID-19 infection.

Unravelling the Relation Between Fear of Missing Out, Time Spent on the Phone, Sex, Alienation, and Nomophobia.

The prevalence of nomophobia is growing among adolescents. This study aimed to disentangle the relationship between nomophobia, the fear of missing out, time spent on the phone, sex, and social alienation. Participants, who were 595 students (313 females and 282 males) attending high school during the 2019-2020 academic year, filled out personal information forms and a series of scales involving nomophobia, the fear of missing out, and social alienation. Then, data were analyzed through a moderated mediation analysis. The results showed that the bivariate correlation was significant but not the direct effect of gender on nomophobia; still, other direct effects were significant. The partial indirect effect of the fear of missing out on nomophobia was only significant for females when social alienation was controlled for. In the model where nomophobia was the outcome model, the power values for the time spent on the phone and its interaction with sex were low but high for other factors. Furthermore, the effect size was small for the model where the mediator was the outcome and high for the model that had nomophobia as the outcome. Thus, it is crucial to consider that the motives underlying the fear of missing out and nomophobia differ between the sexes in planning interventions.

Disconnected Out of Passion: Relationship Between Social Alienation and Obsessive Passion.

Violent radicalization continues to be a global problem. One of the main proposals for understanding radicalization and support for political violence is based on social alienation as a trigger. That is, individuals who feel alienated from society try to get out of this situation by using violence, if necessary. However, social alienation alone is not enough to explain radicalization. Therefore, we propose that social alienation interacts with other factors to foster radicalization. Particularly, we propose that obsessive passion, an internal compulsion that leads a person to engage in an activity even when they should not, is one of the interacting factors. Following previous literature, we hypothesized that higher social alienation predicts support for political violence to a greater extent the higher the obsessive passion. To test this hypothesis, we performed two studies in which the cause of passion varied (religion: N = 652 and family: N = 873). Both studies assessed social alienation, harmonious and obsessive passion, and support for political violence. The results showed a significant increase in the effect of social alienation on support for political violence when obsessive passion was higher, even controlling by harmonious passion. These results highlight the importance of considering other variables related to social alienation that could facilitate radicalization processes, particularly maintaining an obsessive passion for a cause when one feels a social disconnection. The theoretical and practical implications of these results are discussed given their contributions to prevention based on work on feelings of social disconnection and harmonization of causes.

COVID-19 e isolamento social: as implicações na saúde mental de estudantes de enfermagem / COVID-19 and social isolation: implications for undergraduate nursing students' mental health / COVID-19 y aislamiento social: implicaciones para la salud mental de estudiantes de enfermería

Objetivo: avaliar as repercussões da COVID-19 e do isolamento social durante a pandemia na saúde mental de estudantes de graduação em enfermagem. Métodos:estudo descritivo transversal, realizado no Ceará, Brasil, com 347 estudantes. Os dados foram coletados por meio de questionário para obtenção de dados sociodemográficas e informações sobre aspectos relacionados à pandemia, além do Inventário de Saúde Mental-38 (MHI-38). Resultados: percentual de 51,9% dos estudantes continuaram a graduação por meio de atividades de ensino remoto e avaliações on-line e 62,3% acessavam a internet essencialmente pelo celular. Para 76,9% dos estudantes, a maior preocupação era com a morte de um membro da família/amigo. Quanto à saúde mental dos estudantes, os escores na dimensão de Bem-estar Psicológico do MHI-38 foram em média 47,9 (± 16,8) e na dimensão de Sofrimento Psicológico a média foi 52,8 (± 18,5). A média de pontuação global no MHI-38 foi 51,0 (± 16,9), com diferenças entre os sexos (p = 0,039). Conclusão: os estudantes tiveram a saúde mental afetada pela pandemia de COVID-19 e o isolamento social, com maior impacto para as mulheres. Assim, instituições de ensino precisam desenvolver estratégias para monitorar e promover a saúde mental desta população no retorno às aulas no período pós-pandemia.

Objective:to assess the repercussions of COVID-19 and social isolation during the pandemic on undergraduate nursing students' mental health. Methods:a descriptive cross-sectional study, carried out in Ceará, Brazil, with 347 students. Data were collected through a questionnaire to obtain sociodemographic data and information on aspects related to the pandemic, in addition to the Mental Health Inventory-38 (MHI-38). Results:the amount of 51.9% of students continued studying through remote learning activities and online assessments, and 62.3% accessed the internet essentially via cell phones. For 76.9% of students, the greatest concern was the death of a family member/friend. As for students' mental health, the MHI-38 scores in the Psychological Well-Being dimension were on average 47.9 (± 16.8), and in the Psychological Distress dimension, 52.8 (± 18.5). The mean MHI-38's overall score was 51.0 (± 16.9), with differences between sexes (p = 0.039). Conclusion: students had their mental health affected by the COVID-19 pandemic and social isolation, with a greater impact on women. Thus, educational institutions need to develop strategies to monitor and promote this population's mental health when returning to school in the post-pandemic period.

Objetivo: evaluar las repercusiones del COVID-19 y el aislamiento social durante la pandemia en la salud mental de estudiantes de pregrado en enfermería. Métodos: estudio transversal descriptivo, realizado en Ceará, Brasil, con 347 estudiantes. Los datos fueron recolectados a través de un cuestionario para obtener datos sociodemográficos e información sobre aspectos relacionados con la pandemia, además del Inventario de Salud Mental-38 (MHI-38). Resultados: el 51,9% de los estudiantes continuó su graduación a través de actividades de aprendizaje a distancia y evaluaciones en línea y el 62,3% accedió a internet esencialmente a través de sus teléfonos celulares. Para el 76,9% de los estudiantes, la mayor preocupación fue la muerte de un familiar/amigo. En cuanto a la salud mental de los estudiantes, los puntajes en la dimensión del Bienestar Psicológico del MHI-38 fueron en promedio 47,9 (± 16,8) y en la dimensión del Sufrimiento Psicológico el promedio fue 52,8 (± 18,5). La puntuación global media en el MHI 38 fue de 51,0 (± 16,9), con diferencias entre sexos (p = 0,039). Conclusión: los estudiantes tuvieron su salud mental afectada por la pandemia de COVID-19 y el aislamiento social, con mayor impacto en las mujeres. Por lo tanto, las instituciones educativas necesitan desarrollar estrategias para monitorear y promover la salud mental de esta población al regresar a la escuela en el período posterior a la pandemia.

Longitudinal Associations between Social Relationships and Alcohol Use from Adolescence into Young Adulthood: The Role of Religiousness.

As adolescence is a time characterized by rapid changes in social relationships as well as an increase in risk-taking behaviors, this prospective longitudinal study examined whether social involvement and social alienation are associated with changes in alcohol use from adolescence into young adulthood moderated by organizational and personal religiousness. Participants were 167 adolescents (53% male) assessed five times between ages 14 and 18 years old. Latent change score modeling analyses indicated that social alienation was positively associated with greater increases in alcohol use among those with low organizational religiousness and those with low personal religiousness in early adolescence and during the transition into young adulthood. The findings demonstrate the detrimental effects of social relationship risk factors that promote alcohol use during adolescence into young adulthood. The results further highlight the protective roles of organizational and personal religiousness acting as additional sources of social engagement experiences to modulate the effects of social alienation predicting alcohol use progression and provide evidence for the positive impact religiousness has on healthy adolescent development.

Occupational alienation and the mental health of university students / Alienação ocupacional e a saúde mental de estudantes universitários

Abstract Mental health, especially in the youth, has been a prevailing concern in recent years. University students are a particularly high-risk population for mental health problems. Changing perspectives in the field of mental health present the opportunity to explore this concept through an occupational justice lens - specifically that of occupational alienation. Through a brief review of relevant literature, this critical essay will explore the relationship among the concepts of alienation from both a sociology and occupational science perspective, and consider the insights that may be obtained through application of this concept to understanding the mental health of university students. The use of an occupational justice lens provides an opportunity for an alternative perspective when considering factors potentially contributing to the mental health problems in this population.

Resumo A saúde mental, especialmente na juventude, tem sido uma preocupação predominante nos últimos anos. Os estudantes universitários são uma população particularmente de alto risco para problemas de saúde mental. A mudança de perspectivas no campo da saúde mental apresenta a oportunidade de explorar esse conceito através de uma lente da justiça ocupacional - especificamente a da alienação ocupacional. Tendo por base uma breve revisão da literatura, este ensaio crítico explora a relação entre os conceitos de alienação tanto na perspectiva da sociologia quanto da ciência ocupacional, e considera as contribuições que podem ser obtidas por meio da aplicação desse conceito para entender a saúde mental de estudantes universitários. O uso de uma lente de justiça ocupacional oferece uma oportunidade para uma perspectiva alternativa ao considerar fatores potencialmente contribuintes para os problemas de saúde mental nesta população.

Proactive Personality and Social Support With Pre-retirement Anxiety: Mediating Role of Subjective Career Success.

The main objective of this paper is to investigate the mediating role of subjective career success (SCS) in the relationship between proactive personality, social support (SS), and pre-retirement anxiety. Using a two-wave longitudinal design, 624 pre-retirees were sampled (M = 56.49 years; SD = 4.56); of these, 237 (37.98%) were males and 387 (62.02%) were females. Measurement model and mediation test were performed using the SmartPLS and IBM SPSS Amos software. The result indicated that proactive personality, SS, and SCS showed negative relationships with the dimensions of pre-retirement anxiety (financial preparedness, social obligation, and social alienation). Subjective career success mediated the relationship between proactive personality and pre-retirement anxiety.

Social disconnection and metabolic syndrome score among Cambodian Americans with depression.

AIMS: Migrants experience social disconnection and also have high risk for metabolic syndrome (MetS). This study explored associations of social alienation, social isolation, and social support with MetS among Cambodian Americans. METHODS: We conducted secondary data analysis on baseline assessments from a diabetes prevention trial for Cambodian Americans with depression and high risk for diabetes. Participants were aged 35-75, Cambodian or Cambodian-American, Khmer speaking, lived in Cambodia during the Pol Pot regime, lived in the northeastern U.S. at the time of study, endorsed elevated risk factors for diabetes and met criteria for depression by medication for depression and/or elevated depressive symptoms. They completed surveys and provided anthropometric and blood pressure measurements and fasting blood samples. RESULTS: In multiple linear regressions, greater social alienation was associated with increased risk for MetS. The social alienation-MetS association was stronger in men than women. Associations were not better accounted for by crude indicators of social isolation such as marital status, living alone, and number of people in the household. Social support was not associated with MetS and did not buffer the deleterious association between social alienation and MetS. CONCLUSIONS: Decreasing social alienation may mitigate risk for MetS among migrant populations.

Associations Between Loneliness, Reading Ability and Episodic Memory in Non-Hispanic Black and White Older Adults.

OBJECTIVE: Reading ability reflects a variety of beneficial life course exposures and may better index these exposures above and beyond education in racially diverse samples. Growing evidence suggests a negative impact of perceived loneliness on late-life cognitive health when parsing out the effect of other aspects of social relations. Few studies have examined how loneliness interacts with the reading ability or whether it operates differently in Black older adults who have higher dementia risk than Whites. METHODS: Participants in this cross-sectional study were drawn from the Washington Heights-Inwood Columbia Aging Project (n = 425 older adults, Mage = 74.23; 58% Black). Linear regressions estimated the main effects and interactions involving reading ability, loneliness, and race (non-Hispanic Black vs. non-Hispanic White) on episodic memory, controlling for age, sex/gender, and years of education. Subsequent models additionally controlled for income, employment status, depressive symptoms, disease burden, marital status, social network size, and number of social groups. RESULTS: Higher reading ability was associated with better memory, but loneliness was not associated with memory. The positive association between reading ability and memory was weaker among individuals with greater loneliness, and this interaction did not differ by race. CONCLUSIONS: Loneliness may suppress the protective effect of higher reading ability on cognitive health among both Black and White older adults. Future longitudinal work is needed to clarify causal relationships among loneliness, reading ability, and memory decline.

Cuidado em saúde e alienação: relação mediada pela tecnologia / Cuidado de salud y alienación: relación mediada por la tecnología / Healthcare and alienation: technologymediated relationship

Existem diferentes perspectivas sobre o papel das tecnologias no trabalho. Há aquelas que atribuem a evolução humana ao tipo de tecnologia hoje vigente e há as que enxergam a tecnologia como inevitavelmente desumanizadora. Este estudo é apresentado a fim de contribuir com uma linha teórico-crítica nesse debate, tomando a particularidade do cuidado em saúde. Para tanto, fundamentamos a análise a partir das concepções de Marx e Lukács sobre trabalho, trabalho abstrato e alienação. Foi adotada uma perspectiva de trabalho e cuidado em saúde a partir desse referencial. Na sequência, dialoga-se com autores da Saúde Coletiva, destacando o debate que atrela a desumanização da saúde à hegemonia das tecnologias duras em detrimento das leves. Sem deixar de reconhecer a importância desse argumento, foram desenvolvidas algumas notas críticas, uma vez que mesmo as tecnologias leves, no capitalismo, acham-se sob uma racionalidade absorvível pelo trabalho abstrato. (AU)

Existen diferentes perspectivas sobre el papel de las tecnologías en el trabajo. Hay las que atribuyen la evolución humana al tipo de tecnología vigente hoy día; también hay las que ven la tecnología como inevitablemente deshumanizadora. Presentamos este estudio con el objetivo de contribuir con una línea teórico-crítica en ese debate, tomando la particularidad del cuidado de salud. Para ello, fundamentamos el análisis a partir de las concepciones de Marx y Lukács sobre trabajo, trabajo abstracto y alienación. Adoptamos una perspectiva de trabajo y cuidado en salud a partir de ese factor referencial. A continuación, dialogamos con los autores de la Salud Colectiva, destacando el debate que vincula la deshumanización de la salud a la hegemonía de las tecnologías duras en perjuicio de las blandas. Sin dejar de reconocer la importancia de ese argumento, desarrollamos algunas notas críticas, puesto que incluso las tecnologías blandas, en el capitalismo, se encuentran bajo una racionalidad absorbible por el trabajo abstracto. (AU)

There are different perspectives regarding the role of technology at work. There are those that attribute human evolution to the type of technology in use today. There are also those who see technology as inevitably dehumanizing. We present this study to contribute a theoretical-critical line to this debate, especially in the field of healthcare. To this end, we base our analysis on Marx and Lukács's conceptions of work, abstract work and alienation. We develop a perspective of care and work within healthcare, based on this reference. We then open a dialogue with authors within Collective Health, highlighting the debate that links dehumanization of healthcare with the hegemony of hard technologies to the detriment of soft ones. We recognize the importance of this debate, but we argue that even soft technologies follow rationality that is absorbable through abstract work. (AU)

Radicalization Leading to Violence: A Test of the 3N Model.

The present research examines the social cognitive processes underlying ideologically-based violence through the lens of the 3N model of radicalization. To test this theory, we introduce two new psychometric instruments-a social alienation and a support for political violence scale-developed in collaboration with 13 subject matter experts on terrorism. Using these instruments, we test the theory's hypotheses in four different cultural settings. In Study 1, Canadians reporting high levels of social alienation (Need) expressed greater support for political violence (Narrative), which in turn positively predicted wanting to join a radical group (Network), controlling for other measures related to political violence. Study 2a and 2b replicated these findings in Pakistan and in Spain, respectively. Using an experimental manipulation of social alienation, Study 3 extended these findings with an American sample and demonstrated that moral justification is one of the psychological mechanisms linking social alienation to supporting political violence. Implications and future directions for the psychology of terrorism are discussed.