"More support, less distress?": Examining the role of social norms in alleviating practitioners' psychological distress in the context of assisted dying services.

This study explores how providing assisted dying services affects the psychological distress of practitioners. It investigates the influence of professional norms that endorse such services within their field. Study 1 included veterinarians (N = 137, 75.2% female, Mage = 43.1 years, SDage = 12.7 years), and Study 2 health practitioner students (N = 386, 71.0% female, Mage = 21.0 years, SDage = 14.4 years). In both studies, participants indicated their degree of psychological distress following exposure to scenarios depicting assisted dying services that were relevant to their respective situations. In Study 1, we found that higher willingness to perform animal euthanasia was associated with lower distress, as were supportive norms. In Study 2, a negative association between a greater willingness to perform euthanasia and lower psychological distress occurred only when the provision of such services was supported by professional norms. In conclusion, psychological distress is buffered by supportive professional norms.

A world together: Global citizen identification as a basis for prosociality in the face of COVID-19.

How do global citizens respond to a global health emergency? The present research examined the association between global citizen identification and prosociality using two cross-national datasets-the World Values Survey (Study 1, N = 93,338 from 60 countries and regions) and data collected in 11 countries at the start of the COVID-19 pandemic (Study 2, N = 5,427). Results showed that individuals who identified more strongly as global citizens reported greater prosociality both generally (Study 1) and more specifically in the COVID-19 global health emergency (Study 2). Notably, global citizen identification was a stronger predictor of prosociality in response to COVID-19 than national identification (Study 2). Moreover, analyses revealed that shared ingroup identity accounted for the positive association between global citizen identification and prosociality (Study 2). Overall, these findings highlight global citizenship as a unique and promising direction in promoting prosociality and solidarity, especially in the fight against COVID-19.

Using Latent Profile Analysis to Understand Health Practitioners' Attitudes Toward Voluntary Assisted Dying.

Prior work has documented considerable diversity among health practitioners regarding their support for voluntary assisted dying (VAD). We examined whether their attitudes are characterised by different combinations of personal support, normative support by other health practitioners, and whether they are predisposed to vicariously experience others' emotions (i.e., empathy). We also examined whether these profiles experienced different mental health outcomes (i.e., burnout and posttraumatic stress) in relation to VAD. To test this, 104 Australian health practitioners were surveyed after VAD was legalised in Victoria, Australia in 2019. Results indicated that practitioners' attitudes were characterised by three profiles: 1) strong personal and normative support (strong VAD supporters), 2) moderate personal and normative support (moderate VAD supporters), and 3) lower personal and normative support (apprehensive practitioners). However, each profile reported similar mental health outcomes. Findings suggest that the normative environments in which health practitioners operate may explain their diverse attitudes on VAD.

Attitudes Toward and Experience With Assisted-Death Services and Psychological Implications for Health Practitioners: A Narrative Systematic Review.

A narrative systematic review was conducted to review studies that examine mental health implications of involvement in assisted-death services among health practitioners. Qualitative and quantitative studies were included to understand health practitioners' attitudes and experiences with assisted dying services, as well as to identify the mental health consequences. We identified 18 articles from 1591 articles drawn from seven major scientific databases (i.e., PubMed, MEDLINE, CINAHL, PsycINFO, Embase, Web of Science, and Scopus). Two raters independently evaluated the exclusion and inclusion decisions of the articles and examined methodological flaws in the selected articles. We found that engagement in assisted death services were not reliably associated with mental health outcomes such as anxiety and moral distress. Both positive and negative outcomes were reported, and psychological outcomes for practitioners were shown to vary based on factors including social support for health practitioners' views; their perceived capacity to care for the patients; and legislation.

Unlocking collective cooperation in the midst of COVID-19: The role of social support in predicting the social class disparity in cooperation.

We examined whether (the lack of) social support can explain why researchers have found lower rates of adherence to follow public health guidelines amongst people who perceived themselves as coming from lower social class backgrounds during the COVID-19 pandemic. To do this, we surveyed 5818 participants from 10 countries during the first wave of lock-down. Contrary to previous findings, social class was not related to general adherence to COVID-19 regulations or desire to engage in citizenship behaviours (e.g., showing initiatives to help others during the pandemic). However, we found evidence of an indirect effect whereby those who perceived themselves as higher social class were more likely to be both the recipient and provider of social support which in turn predicted greater adherence and desire to engage in citizenship behaviours during the earlier wave of the pandemic. Our findings highlight the importance of social support in unlocking potential for collective cooperation (i.e., adherence to COVID-19 rules and desire to engage in citizenship behaviours). They suggest that instead of enforcing strict regulations, government authorities need to address existing social support barriers within lower income communities to facilitate cooperation from everyone in the community.

Double jeopardy: How lower levels of support during COVID-19 exacerbated the relationship between loneliness and distress.

While the relationship between loneliness and psychological distress is well documented, the mechanisms underlying this relationship are less clear. One factor known to be related to loneliness as well as psychological distress, is social support, with some studies suggesting that support-both received and provided-can serve as a mechanism to reduce the distress associated with loneliness. In this paper we examine the mediating role of both aspects of support in the relationship between loneliness and psychological distress in the COVID-19 context. We used a multi-country dataset collected at two timepoints during the pandemic; the first during the early stages (N = 6,842, 11 countries) and the second collected for a subset of countries (N = 1,299, 3 countries) 3 months later. Across all eleven countries, results revealed significant positive associations between loneliness and distress. Furthermore, using longitudinal data, we investigated the directionality of this relationship and found that increased loneliness over time was associated with increased psychological distress. The data also showed that both feeling unsupported and feeling unable to provide support to others mediated this relationship. These findings point to the need to facilitate people's ability to draw effective social support and help others-particularly at times when social connectedness is threatened-as a way of alleviating the psychological distress that commonly presents with loneliness.

A Multidimensional Analysis of Religious Extremism.

Even though religious extremism is currently a hotly debated topic, it is often reduced to a unidimensional construct that is linked to religious violence. We argue that the contemporary use of the term "extreme" fails to capture the different interpretations, beliefs, and attitudes defining extreme religious identity. To address this issue, we unpack the meaning of the term "extreme" in religious contexts and answer the call by scholars to provide a more comprehensive framework that incorporates the many different dimensions that constitute religion. We develop a model of religious extremism in theological, ritual, social, and political dimensions of religion based on the variety of Islamic groups in Indonesia. Going beyond an analysis that equates Muslim extremism with violence, we argue that Muslims (or indeed any religious group) may be extreme in some dimensions but moderate in others, e.g., extreme in ritual and moderate in political. Interpreting extremism relative to these four dimensions provides new insights when examining the global issue of religious extremism and helps to better predict how religious extremism is expressed. More generally, our framework helps to develop an understanding of radicalism that goes beyond a focus on violence.