Belief in omens and superstitions among patients with chronic neurological disorders.

Introduction: Chronic neurological disorders may affect various cognitive processes, including religiosity or superstitious belief. We investigated whether superstitious beliefs are equally prevalent in patients with Parkinson's disease (PD), people with epilepsy (PWE), patients with multiple sclerosis (MS) and healthy controls (HCs). Methods: From late 2014 to early 2023 we conducted a cross-sectional in-person anonymous paper-based survey at the tertiary clinic of Vilnius University Hospital Santaros Klinikos among outpatients and HCs by asking them to ascribe meaning or report belief for 27 culturally adapted statements (9 omens and 18 superstitions). The sum of items that a respondent believes in was labeled the superstition index (SI). The SI was compared between groups by means of the Kruskal-Wallis (H) test and negative binomial regression modeling. A two-step cluster analysis was performed to discern different subgroups based on answers to the items of the SI. Results: There were 553 respondents who completed the questionnaire (183 PWE, 124 patients with PD, 133 with MS and 113 HCs). Complete SI scores were collected for 479 (86.6%) participants and they were lower in patients with PD (n = 96, Md = 1, IQR = 0-5.75) in comparison to those with epilepsy (n = 155, Md = 6, IQR = 1-14), MS (n = 120, Md = 4, IQR = 0-12) or HCs (n = 108, Md = 4.5, IQR = 1-10), H (3) = 26.780, p < 0.001. In a negative binomial regression model (n = 394, likelihood ratio χ2 = 35.178, p < 0.001), adjusted for sex, place of residence, income and education, female sex was the only characteristic associated with the SI (ß = 0.423, OR = 1.526, 95% CI = 1.148 to 2.028). Both female sex (ß = 0.422, OR = 1.525, 95% CI = 1.148 to 2.026) and Parkinson's disease (ß = -0.428, OR = 0.652, 95% CI = 0.432 to 0.984) were significant predictors of the SI when age was removed from the model. Two-step cluster analysis resulted in individuals with PD being grouped into "extreme non-believer," "non-believer" and "believer" rather than "non-believer" and "believer" clusters characteristic for PWE, patients with MS and HCs. Conclusion: Our study suggests that individuals with PD believe in less superstitions than patients with MS, PWE or HCs. The results of this investigation should be independently confirmed after adjusting for PD-specific variables.

The influence of superstitions and emotions on villagers' attitudes towards striped hyena in southwestern Iran.

The intensity of human-carnivore conflict in socio-ecological systems may primarily be determined by people's attitudes and perceptions of carnivore-related threats. Direct or indirect threats posed by large carnivores to human interests may eventually lead to negative attitudes that can trigger retaliatory bahaviour against them. We studied local people's attitudes towards striped hyena (Hyaena hyaena), the nature and extent of the human-hyena conflict, and the socio-cultural drivers of the conflicts in 19 rural communities in southwestern Iran. We employed structural equation modelling to assess socio-cultural factors affecting attitudes towards striped hyenas. The findings of 300 interviews showed significant differences in local people's superstitious attitudes regarding gender, age, and education. More than 40% of the participants had encountered hyenas, and on average, each respondent lost 0.44 livestock in the past five years due to hyena attacks. However, livestock depredation by the hyena was low (13.3%) compared to the damage inflicted by all carnivores (73%). While the respondents indicated some degrees of fear, hatred to hyena was relatively low and they generally showed positive attitudes towards the species. Women and older people expressed the highest and respondents with higher education the least superstitious beliefs. Attitude score of respondents toward hyenas was correlated negatively with hatred for hyenas and positively with knowledge about them, but socio-demographics effects on attitudes towards hyenas were not statistically significant. Self-reported livestock loss was a relatively good predictor of hatred and fear. Herders who had not protected their livestock reported carnivore attacks at least once. We conclude that superstitions can potentially negatively affect hyena persistence, but can be reduced by improving the educational level of local people.

[Superstitious Beliefs Among Healthcare Providers: A Concept Analysis].

Evidence-based practice is a problem-solving approach to healthcare delivery that reflects the best current scientific evidence. When healthcare providers face unexpected changes in a patient's condition or uncontrollable situations during care delivery, they may have less confidence or feel fearful / anxious about the care process and result. As people, healthcare providers may hold beliefs regarding the effect of external, supernatural forces on events, which may lead to superstitious beliefs and behaviors. Also, superstitious beliefs may be adopted by healthcare providers as a mechanism to cope with stress, anxiety, and uncertainty in situations where standard medical practices offer no ready solution. Although superstitious beliefs may help ease anxiety and feelings of failure in healthcare providers, this issue and the effects of these beliefs on medical staff behavior have not been adequately studied. The concept analysis strategy of Walker and Avant (2019) was applied in this study to define this concept and to examine (1) healthcare providers' loss of environment control and domination of irrationality in decision making, (2) the lack of objective evidence to explain cause-and-effect relationships in health-related situations, and (3) how unverified true or false claims become a compliance criterion among healthcare providers. Typical, borderline, and contrary cases were used to explain the concept of superstition in medical staff. The antecedents and possible consequences of healthcare providers holding superstitious beliefs were identified and the empirically addressed measurement tools were evaluated. This analysis may be used to improve the understanding of healthcare workers regarding superstitious beliefs. The results are expected to benefit clinical practice, facilitate further research, and enhance healthcare quality.

How Cultural Behaviors and Superstitions Associate the Willingness to Undergo Cataract Surgery in Taiwan: A Nationwide Survey.

Background and Objectives: Cultural beliefs influence the conceptualization, adaptation, and coping strategies for diseases. This study aimed to investigate the impact of cultural beliefs and customs on the willingness to undergo cataract surgery in Taiwan. Materials and Methods: The data were retrospectively retrieved from the national Longitudinal Health Insurance Database 2000 (LHID2000). From the national database, we enrolled patients that were diagnosed with cataracts and underwent cataract surgery from 2001 to 2010. All the patients were stratified according to their gender and living area. Gender was categorized as male or female, and the living area was classified as urban or rural. We compared the difference in the number of surgeries between stratified patient groups in each Chinese lunar month. Results: The number of cataract surgeries decreased significantly in the seventh and twelfth lunar months for both genders. There was a significant reduction in cataract surgeries in both the urban and rural groups during the seventh lunar month. Interestingly, only the seventh lunar month had an association with sex in different living areas, which meant that in the seventh month, there was a gender-specific difference in the surgical numbers. Conclusions: The Taiwanese population holds a belief that surgical procedures, including cataract surgery, during the lunar ghost month is inauspicious. Citizens tend to avoid elective surgery due to cultural practice, resulting in a decrease in surgical numbers during the period of the Chinese New Year. The authorities should consider these cultural behaviors when developing medical policies and allocating resources. Healthcare providers should be aware of these superstitions and take them into account when providing medical care and advice to patients.

A new methodological tool for research on supernatural concepts.

We introduce the first set of stimuli designed to resolve methodological and theoretical issues that have muddled the interpretation of results on the memorability of supernatural concepts (e.g., ghosts, souls, spirits), an important line of research in the cognitive science of religion (Barrett, 2007). We focus here on Boyer's (1994), Boyer, 2001) pioneering minimally counterintuitive (MCI) hypothesis according to which supernatural concepts tap a special memory-enhancing mechanism linked to violations of default intuitive inferences. Empirical tests of the MCI account have given rise to a vexed picture that renders meaningful interpretation difficult. The lack of a common standard of comparison among different studies, coupled with the presence of uncontrolled variables independently known to affect memorability, lie at the heart of these problems. We show that our new stimuli offer the hope of resolving these issues, thereby establishing a more secure foundation for the study of the memorability of supernatural concepts.

The myth of regaining control: Ostracism increases superstitious tendencies.

Whether and how interpersonal experiences predispose people to show superstitious tendencies have been largely unexamined by past studies. By adopting a multimethod approach, three studies tested (a) whether ostracism increases superstitious tendencies through thwarted perceived control, (b) whether the dispositional need for closure moderates the effect of ostracism on superstitious tendencies and (c) whether restoring ostracized people's thwarted control weakens their superstitious tendencies. The results revealed that ostracized participants had higher superstitious tendencies than nonostracized participants did (Studies 1-3). Moreover, thwarted control mediated the effect of ostracism on superstitious tendencies (Study 2). In addition, the dispositional need for closure moderated the effect of ostracism on superstitious tendencies, such that the effect was stronger among participants with a high need for closure (Studies 1-2). Finally, restoring ostracized participants' perceived control weakened the effect of ostracism on superstitious tendencies (Study 3). Altogether, these findings feature the essential role of thwarted perceived control in understanding the link between ostracism and superstitious tendencies and the implication of control restoration in weakening the link. They also highlight the importance of dispositional characteristics in moderating people's responses to superstitions following ostracism and related forms of interpersonal maltreatment.

Infection calls for thrombosis: Fact or superstition?

Despite all the efforts, pump thrombosis and thromboembolic complications still remain among the most dreadful complications after long-term ventricular assist device implantation. There is growing evidence that infections, especially blood stream infections predispose to a prothrombotic state despite anticoagulation, and frequently leads to thrombosis and/or embolic events as a consequence. In this short comment, the article by Bouzas et al with heterodox, if not unsettling, conclusions is discussed.

The power within: Mass media, scientific entertainment, and the introduction of psychical research into China, 1900-1920.

How did a new science initially promoted by only a few individuals eventually become a widespread cultural phenomenon practiced and known by thousands of people? Following a transnational approach, this article traces the introduction of psychical research into China during the first two decades of the 20th century. Known in the Republican period (1912-1949) as Spiritual Science (xinling kexue or xinling yanjiu), psychical research flourished between the 1920s and 1930s, playing a key role in the popularization of applied psychology and mind-cure across China. This article takes a step back from the heyday of Spiritual Science by looking at the period that immediately preceded and helped define it. Focused on wide-circulation newspapers, popular manuals, and stage performances, it teases out the ways in which Chinese popular culture translated European, American, and Japanese psychical research to local Chinese audiences in the midst of China's search for modernity. By naturalizing the reality of psychic powers, spiritual scientists blurred the boundaries between science and superstition in a period when these were posited as diametrically opposed.

"A Primitive Kind of Superstition": The Idea of the Paranoid Style in Art, Psychiatry, and Politics.

Popularized by Richard Hofstadter, the notion of "paranoid style" is the most influential attempt at applying the category of paranoia to the study of politics. Yet, the success of this elegant formula conceals a complex history and a set of unarticulated assumptions about the connections between symbolic phenomena, psychopathological states, and politics. The article proceeds to recover these assumptions and suggests that the notion of "paranoid style" is ultimately indeterminate, making its application arbitrary and ideological.

Superstitious learning of abstract order from random reinforcement.

Humans and other animals often infer spurious associations among unrelated events. However, such superstitious learning is usually accounted for by conditioned associations, raising the question of whether an animal could develop more complex cognitive structures independent of reinforcement. Here, we tasked monkeys with discovering the serial order of two pictorial sets: a "learnable" set in which the stimuli were implicitly ordered and monkeys were rewarded for choosing the higher-rank stimulus and an "unlearnable" set in which stimuli were unordered and feedback was random regardless of the choice. We replicated prior results that monkeys reliably learned the implicit order of the learnable set. Surprisingly, the monkeys behaved as though some ordering also existed in the unlearnable set, showing consistent choice preference that transferred to novel untrained pairs in this set, even under a preference-discouraging reward schedule that gave rewards more frequently to the stimulus that was selected less often. In simulations, a model-free reinforcement learning algorithm (Q-learning) displayed a degree of consistent ordering among the unlearnable set but, unlike the monkeys, failed to do so under the preference-discouraging reward schedule. Our results suggest that monkeys infer abstract structures from objectively random events using heuristics that extend beyond stimulus-outcome conditional learning to more cognitive model-based learning mechanisms.

Exploring the Impact of Religion, Superstition, and Professional Cultural Competence on Access to HIV and Mental Health Treatment Among Black Sub-Sahara African Communities in the English City of Birmingham.

HIV and mental health are sensitive subjects among Black Sub-Saharan African (BSSA) communities despite the disproportionate impact of HIV among this population and high comorbidity between HIV and mental disorders. This study explored the impact of religion, superstition, and professional cultural competence on access to HIV and mental health services among BSSA communities in the English city of Birmingham. Researchers utilised explorative qualitative methods. Specifically, 12 focus groups were conducted followed by a semi-structured interview with a member from each focus group. Data were analysed using a thematic approach guided by the four phases of the silences framework. Results suggest that religion, superstition, and professional cultural competence affect access to HIV and mental health services among BSSA communities. Findings indicate a need to educate religious leaders on the impact of HIV and mental health stigma as well as a need for cultural competence training among health professionals.

The role of superstition in the placebo effect on memory performance.

Superstitions and the placebo effect have each been found to influence human behaviour. The present study aimed to determine whether there is a relationship between superstition and the placebo effect, and whether this relationship affects human cognition and behaviour. We hypothesized that more superstitious people would be more prone to the placebo effect and that it would improve their performance on cognitive tasks. Results showed that in the placebo condition, more superstitious people memorized more words than less superstitious people. However, in the control condition, less superstitious people memorized more words than more superstitious people. Overall, the findings supported our hypothesis. The findings of the study are important, as they draw a link between the placebo effect and superstition, and further show that these two elements impact human performance in cognitive ability tasks.

'It's almost superstition: If I don't think about it, it won't happen'. Public knowledge and attitudes towards advance care planning: A sequential mixed methods study.

BACKGROUND: Internationally, participation in advance care planning is low. Whilst a community action approach is advocated, what the public know and understand about advance care planning is unknown. AIM: To assess public awareness, knowledge and attitudes towards advance care planning and identify strategies to raise awareness within a public health framework. DESIGN: Sequential mixed methods comprising a cross-sectional survey and focus group/interviews. SETTING/PARTICIPANTS: A random representative sample of adults from one region of the United Kingdom (n = 1201; response rate 56%) completed a face-to-face survey. Twenty-five participants consented to an additional focus group/interview held in a secure accessible location or via telephone. RESULTS: Most participants (78.7%) acknowledged the benefits of advance care planning conversations, however, two thirds did not want to think about advance care planning or find out more at present. Respondents were reluctant to broach advance care planning as it was linked to end of life care and funeral plans, and they did not wish to cause distress to their loved one. Respondents trusted their family to respect their wishes and they considered having an advance care plan in place would be of assistance in the future. Top-down leadership, normalisation, and increased education were identified as potential approaches to overcome barriers. CONCLUSIONS: Advance care planning was recognised as important despite limited awareness, lack of knowledge and misperceptions. Whilst a community action approach to enhance understanding and engagement was supported, a 'one size fits all' approach will not work; rather bespoke targeting is required with educational and media messaging aligned.

Confidence Charms: How Superstition Influences Overconfidence Bias in Han and the Qiang Ethnic Minority Chinese.

The overconfidence effect is a cognitive bias in which individuals' subjective confidence in their judgements is greater than their actual performance. Extending beyond a range of contributing factors in the emergence of the overconfidence bias, the present research examines whether superstition, an under-explored yet important factor, can influence people's perceived level of confidence. Drawing on previous findings regarding the consequences of superstitions, we propose that activating the good-luck-related superstitions can increase overconfidence in one's judgment. Specifically, Experiments 1 and 2 show that Chinese Han student and non-student participants, who were activated by different types of superstitions, displayed a higher level of overconfidence than those in the absence of superstition. Experiment 3 fully replicated the causal effect of superstition beliefs on the heightened overconfidence bias in a traditional population of Chinese Qiang people. Moreover, Experiments 1 through 3 consistently show that self-efficacy mediates the relationship between superstition and overconfidence. Taken together, these findings suggest that superstition strengthens people's belief in their own performance ability, which in turn boosts overconfidence.

Pathological Gambling, Gambling Disorder, and Problem Gambling Among the Chinese Ethnic Population Living in Western Countries: Is Culture a Sufficient Explanation for the Reported Excess Rates?

A significant gap remains in the understanding of the psychosocial and cultural factors and processes in the development and maintenance of pathological gambling, gambling disorder, and problem gambling among the Chinese ethnic population living in the Western countries. This narrative reviews papers on gambling and pathological gambling among the Chinese ethnic group in Western countries to provide a deeper understanding of the cultural and psychosocial factors and processes that lead to the development and maintenance of pathological gambling, gambling disorder, and problem gambling. The factors leading to development of problem gambling, which also carry distinctive cultural differences, include acculturation process among Chinese migrants to western countries, their social learning patterns in gambling, the patterns and motivation seen in Chinese gamblers, their gambling-related cognitive bias and distortions as well as barriers to their help-seeking behaviours. The collectivistic oriental culture may explain for intrafamilial development of gambling behaviour and this strong male authority in the traditional Chinese family set-up also reinforces this influence. The Chinese culture is associated with increased risk-taking behaviour. Superstitious thinking is more prevalent in the Chinese culture and this can be manifested in individuals' perceptions of fate and luck. Future research projects studying pathological gambling and ethnic minorities in the UK should seek greater understanding and improved management of this condition in a small but highly relevant population.

The caul and its relation to drowning, lawyers and sorcerers.

The caul is a fragment of amniotic membrane that is occasionally observed adherent to the head and face of a newborn child. A dried caul has been in The University of Adelaide Pathology Archive for a number of years. Beliefs in the supernatural powers of these detached membranes are found in the historical traditions of a wide variety of cultures, resulting in cauls being regularly dried out and sold as talismans. It was thought that lawyers could sway opinions in court more readily if they possessed a caul, and that such a token could either be used to facilitate black magic rituals or alternatively to thwart the machinations of sorcerers and witches. A pervasive belief was that a caul would guarantee that the owner would never drown resulting in cauls being sold for between £10 to £30 in the seventeenth century at a time when considerable naval warfare and maritime exploration were occurring. Thus, rather than illuminating pathophysiological processes occasional specimens in pathology archives may remind us of folk traditions and superstitions that have long since been forgotten in modern times.

Why do pregnant women prefer cesarean birth? A qualitative study in a tertiary care center in Southern Thailand.

BACKGROUND: Increasing worldwide rates of cesarean section are of global concern. In recent years, cesarean births upon maternal request have become a hotly debated issue. Hence, this study aimed to explore maternal reasons for cesarean preference without medical indications. METHODS: A descriptive qualitative study was conducted, using in-depth interviews with 27 pregnant women who preferred cesarean birth, attending antenatal care in Songklanagarind Hospital from September 2018 to June 2019. Data were analyzed using content analysis. RESULTS: Maternal reasons for cesarean preference were classified into six main categories: fear of childbirth, safety concerns related to health risk perceptions, negative previous birth experiences, positive attitudes toward cesarean birth, access to biased information and superstitious beliefs in auspicious birth dates. Most women had more than one reason for opting cesarean birth. CONCLUSION: Several reasons for cesarean birth preference have been elucidated. One striking reason was superstitious beliefs in auspicious birth dates, which are challengable for obstetricians to deal with. Obstetricians should explore the exact reasons why women request cesarean birth in order to prevent or diminish unnecessary cesarean births.

Lucky Events and the Need for Uniqueness.

This study shows that people are likely to consider themselves special after experiencing lucky events, which increases the motivation for self-enhancement, consequently prompting them to deviate from majority-endorsed options and express a need for uniqueness. Prior luck-related research has primarily explored the effects of perceived luck on superstition or the illusion of control. The present study explored whether incidental luck affects consumers' motivation to conform or stand out, specifically people's tendency to diverge from others by choosing minority-endorsed options. The results from three experiments supported the proposed hypotheses in this study. Experiment 1 revealed that a lucky event arouses people's need for uniqueness. Experiment 2 demonstrated that when people experience a lucky event and perceive that luck favors them after making a downward comparison, they consider themselves special and prefer minority-endorsed options. Experiment 3 revealed that self-enhancement is a mediator in the effect of lucky events on the need for uniqueness-seeking behavior. The findings of this research not only provide additional insight into the behavioral consequences of lucky events but also extend the understanding of uniqueness-seeking behavior.

Relationship and Effects of Community Problems on Anxiety and Suicide: A Case-Control Psychological Autopsy Study.

This study aimed to explore the relationship and the effects of community problems on anxiety and suicide. Data were from a case-control psychological autopsy study (392 suicides and 416 community living controls) carried out in 16 rural counties from three provinces in China. The World Health Organization Suicide Prevention-Multisite Intervention Study on Suicidal behaviors scale of community stress and problems and Spielberger State-Trait Anxiety Inventory were used to measure the community problems and trait anxiety. Spearman's correlation and multivariable regression methods were used to probe the effect of community problems on anxiety and suicide. There were 12 and 6 community problems correlated with anxiety (rs = 0.169, p < 0.001) and suicide (rs = 0.081, p = 0.022), respectively. Medical care, alcohol abuse, superstition, and job security were important community problems for anxiety and suicide. Community problems had stronger correlation with anxiety than suicide. It might be an effective method to reduce anxiety and suicide risk by solving different community problems.