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The fragility of truth: Social epistemology in a time of polarization and pandemic.

Transcult Psychiatry

October 2024

Division of Social & Transcultural Psychiatry, Department of Psychiatry, McGill University, Montreal, Canada.

This essay introduces a thematic issue of presenting selected papers from the 2022 McGill Advanced Study Institute in Cultural Psychiatry on "The Fragility of Truth: Social Epistemology in a Time of Polarization and Pandemic." The COVID-19 pandemic, political polarization, and the climate crisis have revealed that large segments of the population do not trust the best available knowledge and expertise in making vital decisions regarding their health, the governance of society, and the fate of the planet. What guides information-seeking, trust in authority, and decision-making in each of these domains? Articles in this issue include case studies of the dynamics of misinformation and disinformation; the adaptive functions and pathologies of belief, paranoia, and conspiracy theories; and strategies to foster and maintain diverse knowledge ecologies.

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Co-designing technology to improve psychological therapy for psychosis: SloMo, a blended digital therapy for fear of harm from others.

Schizophr Res

December 2024

Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom; South London & Maudsley NHS Foundation Trust, London, United Kingdom.

Digital technology is positioned as a potential solution to improving access, experience, and outcomes of psychological therapies for psychosis. Digital solutions need to be fit for purpose and tailored to context to deliver real world benefits. To address this, co-production is often used, where stakeholder involvement informs intervention development.

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This paper examines how conspiracy theories anchor affective communities through an analysis of the YouTube comment section for the actor and comedian turned political influencer Russell Brand. Comparing videos before and after Brand's shift to covid scepticism, I explore like counts, reply networks, and other commenting patterns in a dataset of 217,157 comments and conduct an in-depth analysis of 2000 top comments. The findings show first, a shift toward right-wing viewpoints; second, a reduction in comment length and comment replies alongside an increase in likes; third, a sharp rise in proclamations of Brand fandom; and fourth, a steep increase in references to conspiracy.

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[Conspiracy theories, social polarization and crises].

Nervenarzt

November 2024

, Asternweg 65, 50259, Pulheim, Deutschland.

Objective: Social media facilitate the distribution of conspiracy theories. It is uncertain whether indeed the number of myths and also the number of those who appropriate myths has increased. Conspiracy theories have so far essentially been the subject of sociological and psychosociological research showing a general disposition to become infected irrespective of the topic of a myth.

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Safety strategies and harm reduction for methamphetamine users in the era of fentanyl contamination: A qualitative analysis.

Int J Drug Policy

June 2024

Department of Health Behavior, Policy and Administration Sciences, School of Public Health, University of Nevada, Reno, United States. Electronic address:

Introduction: In the United States, methamphetamine use is increasing and the context of its use has changed, with reports of illicitly manufactured fentanyl being mixed with methamphetamine (either deliberately or inadvertently). We explore risk-mitigating actions taken by people who use drugs to protect their health when using methamphetamine in that context.

Methods: We conducted qualitative interviews with 48 adults (18+) who used methamphetamine in the past three months at two sites in Nevada, USA and two sites in New Mexico, USA.

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