RESUMO
BACKGROUND: Stigma toward people with mental illness presents serious consequences for the impacted individuals, such as social exclusion and increased difficulties in the recovery process. Recently, several interventions have been developed to mitigate public stigma, based on the use of innovative technologies, such as virtual reality and video games. OBJECTIVE: This review aims to systematically review, synthesize, measure, and critically discuss experimental studies that measure the effect of technological interventions on stigmatization levels. METHODS: This systematic review and meta-analysis was based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines and included studies in English and Spanish published between 2016 and 2021. Searches were run in 5 different databases (ie, PubMed, PsycInfo, Scopus, Cochrane Library, and ScienceDirect). Only randomized controlled trials were included. Two independent reviewers determined the eligibility, extracted data, and rated methodological quality of the studies. Meta-analyses were performed using the Comprehensive Meta-Analysis software. RESULTS: Based on the 1158 articles screened, 72 articles were evaluated as full text, of which 9 were included in the qualitative and quantitative syntheses. A diversity of interventions was observed, including video games, audiovisual simulation of hallucinations, virtual reality, and electronic contact with mental health services users. The meta-analysis (n=1832 participants) demonstrated that these interventions had a consistent medium effect on reducing the level of public stigma (d=-0.64; 95% CI 0.31-0.96; P<.001). CONCLUSIONS: Innovative interventions involving the use of technologies are an effective tool in stigma reduction, therefore new challenges are proposed and discussed for the demonstration of their adaptability to different contexts and countries, thus leading to their massification. TRIAL REGISTRATION: PROSPERO International Prospective Register of Systematic Reviews CRD42021261935; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021261935.
RESUMO
Linguistics research on 'unconscious knowledge' related to the right brain-hemisphere represents a shift from the prevalent scientific investigation of the linguistic processes of grammatical structures associated with the dominant 'verbal' left brain-hemisphere. This study explores the relationship among primordial thought language, body boundary awareness and syntactic features--i.e., telicity, perfectivity and transitivity-in autobiographical narratives of everyday and dream memories. The results showed that event descriptions with atelic predicates and intransitive structures were more frequent in dream recall than in narratives of everyday memories. Primordial thought language and body boundary awareness, however, decreased with atelic predicates and transitive structures, which might indicate both the tendency of events to describe result states, such as achievements and accomplishments, as a means to bring about an unconscious wish fulfilment and the emphasis on event arguments to be realised without the inclusion of an external object. In narratives of everyday memories, penetration imagery increased with imperfective verb forms and decreased with perfective verb forms, and emotion lexis increased with atelic predicates and transitive structures, but not in dream memories.