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A PUBLICATION OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION • JUNE 2022 psychology monitor on GST# R127612802 P S Y C H SOCIAL MEDIA DISINFORMATION AND MANIPULATION O L O G I ARE CAUSING CONFUSION, FUELING HOSTILITIES, AND AMPLIFYING C A L W A THE ATROCITIES IN UKRAINE AND AROUND THE WORLD R F A R E PAGE 18 PLUS IMPROVING DRIVER SAFETY PAGE 46 INCOMPETENCY CASES PAGE 56 COMPLICATIONS WITH LYME DISEASE PAGE 66
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@APA The Hot List RESOURCES, OPPORTUNITIES, AND NEWS FOR PSYCHOLOGISTS FROM APA Read, Watch, & Listen 1 LGBTQ Family Building: TAKE ACTION A Guide for Prospective Parents Promote Equity in Your This new APA book provides LGBTQ parents and prospective parents with detailed, evidence-based guidance on Work and Beyond overcoming barriers and stereotypes and on navigating the transition to parenthood. A Go to www.apa.org/pubs/books/lgbtq-family-building. PA has launched a new series of monthly actions to encourage psycholo- gists and students to advance equity, diversity, and inclusion throughout the science and practice of psychology. APA is announcing a new action each 2 month paired with resources, further reading materials, and other tools for effecting Retraining the Brain: change. The first action encourages psychologists to “Build Safe Spaces With Inclu- Applied Neuroscience in Exposure sive Language” using APA’s new Inclusive Language Guidelines that are rooted in Therapy for PTSD psychological science and developed to raise awareness of culturally sensitive terms This hourlong webinar on June 3 will bridge the gap between the newest and phrases that center the voices and perspectives of people who are marginalized neuroscience research on post-traumatic or stereotyped. Read the guidelines at www.apa.org/about/apa/equity-diversity- stress disorder (PTSD) and the treatment inclusion/language-guidelines. Other actions encourage learning more about the of patients with PTSD. Register at http:// pervasiveness of White privilege, embracing cultural humility, and more. at.apa.org/applied-neuroscience. Find them all at www.apa.org/about/apa/addressing-racism/monthly-actions. ELECTION 3 Is technology killing empathy? Meet the Candidates for APA President Sherry Turkle, PhD, of the Massachusetts A PA members have nominated four psychologists to run for the association’s presidency. The winning candidate will serve as the 2023 president-elect and Institute of Technology, joins APA’s Speaking of Psychology podcast to talk about how people’s conversations have TOP LEFT: CHARDAY PENN/GETTY IMAGES the 2024 president. The candidates in order of their number of nominations are: changed in the digital age, and how Cynthia de las Fuentes, PhD computers and artificial intelligence are Diana L. Prescott, PhD affecting how we think about what it Beth N. Rom-Rymer, PhD means to be human. Listen wherever you Kirk J. Schneider, PhD get your podcasts. The candidates will be answering questions about their experience and priorities at www.apa.org/about/gover- nance/elections/president-elect-candidates. Voting opens Sept. 15. 2 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
monitor on i psychology A publication of the American Psychological Association How to Reach Us VOLUME 53 | NUMBER 4 Answers to many of your questions may be found on APA’s website: www.apa.org; for phone service, call (800) 374-2721; PRESIDENT Frank C. Worrell, PhD send story ideas or comments to Monitor@apa.org. CHIEF EXECUTIVE OFFICER Arthur C. Evans Jr., PhD CHIEF COMMUNICATIONS OFFICER Alicia Aebersold EDITORIAL EDITOR IN CHIEF Trent Spiner MANAGING EDITOR Susan Straight SENIOR EDITORS Lindsey Allen, Jamie Chamberlin, APA CONVENTION Tori DeAngelis, Jewel Edwards-Ashman DESIGN Selena Robleto, David Whitmore Minneapolis & Virtual, Aug. 4–6 COPYEDITORS Michael O’Connor, Jane Sunderland PRODUCTION MANAGER Peter S. Kovacs EDITORIAL ASSOCIATE Barb Fischer A PA M E D I A A N D E V E N T S A L E S DIRECTOR OF MEDIA SALES Jodi Ashcraft MEDIA SALES MANAGER James Boston APA PSYCCAREERS OPERATIONS MANAGER Amelia Dodson RECRUITMENT ADVERTISING SALES MANAGER Nancy Onyewu RECRUITMENT ADVERTISING SALES REPRESENTATIVE Shawn Deadwiler II SENIOR MARKETING MANAGER Robin Tiberio BUSINESS ADMINISTRATOR Eric Fuller DESIGN & PRODUCTION Rebecca Halloran SALES COORDINATOR Age Robinson Come to APA 2022 in Minneapolis to reconnect in person with colleagues and expand your knowledge on some of the most compelling topics in the field. With more than 900 sessions to choose from and numerous social and networking The Monitor on Psychology (ISSN-1529-4978) is the magazine of the American events, there will be something for everyone. APA is also holding 40 in-depth Psychological Association (APA) and is published 8 times per year—January/ February combined, March, April/May combined, June, July/August combined, half- and full-day Continuing Education (CE) Workshops, listed in the insert in September, October, and November/December combined. Publications office, headquarters, and editorial offices are at 750 First St., N.E., Washington, DC this issue. 20002-4242. APA purchases only “first publication rights” for photos and illustra- tions. Therefore, it cannot grant permission to reuse any illustrative material. APA holds the copyright for text material in Monitor on Psychology articles. Permission For those who prefer to participate online, there will be two simultaneous requests to reproduce text material should be addressed to APA, Permissions Office, at the APA address. 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APA endorses equal employment opportunity practices, and we Learn more and register at convention.apa.org. reserve the right to edit all copy and to refuse ads that are not in consonance with the principles of Title VII of the Civil Rights Act of 1964. Subscription to the Monitor on Psychology ($6) is included in the annual dues and fees for all APA members and student affiliates. Individual subscription rate is $50; individual surface rate is $107; and individual airmail rate is $139. Institutional subscription rate is $93; institutional surface rate is $203; and institutional airmail rate is $235. Single copies are $20 each. For $16 extra, the Monitor on Psychology will be mailed first-class to subscrib- ers in the United States, Canada, and Mexico. For $75 extra, airmail is available to foreign subscribers (other than Canada and Mexico). Periodical postage is paid at Washington, DC, and at additional mailing offices. POSTMASTER: Send address changes to Monitor on Psychology Subscriptions Department, 750 First St., N.E., Washington, DC 20002–4242. CANADA SUBSCRIPTIONS: Canada Post Agreement Number 40036331. Send change of address information and blocks of undeliver- able copies to PO Box 1051, Fort Erie, ON L2A 6C7. Printed in the United States of America. ©2022 by APA. Address editorial inquiries to the Monitor on Psychology editor, and advertising and subscription inquiries to Monitor on Psychology/adver- tising or Monitor on Psychology/subscriptions. DAVEL5957/GETTY IMAGES Please recycle this magazine. If you wish to go paperless and receive only the digital edition of the Monitor, please email membership@apa.org or call (800) 374-2721. Answers to many member-related questions can be found on APA’s website: www.apa.org. M O N I TO R O N P S YC H O LO G Y ● JUNE 2022 3
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Features JUNE 2022 COVER STORY PSYCHOLOGICAL WARFARE IN THE 21ST CENTURY Social media disinformation and manipulation are causing confusion, fueling hostilities, and amplifying the atrocities in Ukraine and around the world. Psychologists—along with experts in political science, computer science, and national security—are fighting back. See page 18 46 IMPROVING TRAFFIC SAFETY U.S. traffic fatalities started rising 2 years ago after several years of declines. Psychologists around the world are looking for ways to make driving safer for everyone. 56 STANDING TALL: A NEW LOOK AT COMPETENCY CASES A growing number of people with serious mental illness are getting entangled in the legal system, often for minor crimes. Psychologists are figuring out how to get them essential mental health care instead. O N T H E C O V E R : I L L U S T R AT I O N B Y YO S H I S O D E O K A M O N I TO R O N P S YC H O LO G Y ● JUNE 2022 5
Departments JUNE 2022 Lose sleep, crave sweets. Page 16 2 @APA: THE HOT LIST 8 PRESIDENT’S COLUMN 10 UPDATE FROM THE CEO RESEARCH 11 IN BRIEF 88 BY THE NUMBERS NEWS 22 THE ANATOMY OF A MISINFORMATION ATTACK 28 PANDEMIC STRESS AND DECISION-MAKING 32 EMBRACING LEARNERS OF ALL AGES 39 JUDICIAL NOTEBOOK PEOPLE 37 4 QUESTIONS FOR GENEVIEVE DUNTON 74 PSYCHOLOGISTS IN THE NEWS CE CORNER FEATURE 40 HOW TO ASSESS AND INTERVENE WITH PATIENTS AT RISK OF SUICIDE TREATING PATIENTS WITH LYME DISEASE CAREER Research shows the tick-borne disease can lead to serious mental health 75 THE MAKINGS OF A MEMORABLE problems, especially if left untreated. Many patients report ongoing or RESEARCH TALK 80 PSYCHOLOGIST HOTLINE: PHONE intermittent symptoms at least a year after completing antibiotic treatment. CONSULTATIONS FOR PEDIATRICIANS Psychologists are among those working to improve the outlook. See page 66 EMPLOYMENTS ADS 85 THE BEST JOBS IN PSYCHOLOGY Decisions during COVID. Page 28 Attacked by misinformation. Page 22 Great research talks. Page 75 6 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
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From the President MOVING US BEYOND ‘FIRSTS’ Expanding our views on cultural identities makes our society more equitable BY FRANK C. WORRELL, PHD Who am I? What groups do I belong to? What does my This July 4 will be the 246th anniver- group membership say about me in this society? These are sary of the Declaration of Independence fundamental questions about our identities and the contexts and our country is still celebrating a lot of firsts—with many more to come. Earlier in which we live. Am I extroverted or introverted? How com- this year, Madeleine Albright, the first petent do I feel in various domains? Do I believe that I will woman to serve as U.S. Secretary of State, be successful in my academic and vocational endeavors? If I passed away. The Senate confirmed the encounter barriers, do I have the wherewithal to find alter- first African American woman to serve as natives to achieve my goals? Personality, competence, hope, a Supreme Court Justice, Ketanji Brown and self-efficacy are just a few of the psychosocial characteristics that shape our Jackson. We can add other firsts to this list: Kamala Harris, Barack Obama, Pete personal identities and affect how we interpret and interact with the world. Buttigieg, Deb Haaland, Mazie Hirono, Sonia Sotomayor, and more. Let us con- But as developmental psychologist in the domain. Indeed, the greater the tinue to work to get past the firsts to the Erik Erikson noted decades ago, our diversity in a society, the more import- seconds and the thirds, so that individuals personal identities are shaped not only ant the issue of representation becomes, from all backgrounds see themselves—and by internal forces, but also by the groups especially for children and adolescents their identities—represented at all levels that we belong to and the responses to who have not yet had their dreams of society to give meaning to the phrase, I us and to our groups in the contexts in delimited. see you: Sawubona, Sanibonani. n which we all live. Is my ethnic group a numerical majority or minority? Is my primary language the one that is spoken by most members of the society in which I live? Are there limitations on what I can do based on my religion, sexual orientation, gender, social class, ethnicity, or disability? Many individ- uals’ views of their capacity to succeed in some domain is tied to the extent to which they see individuals like them ANDREW HARNIK/AP PHOTO ● Frank C. Worrell, PhD, is the 2022 APA president and director of the School Psychology Program in the Graduate School of Education at the University of President Joe Biden and Vice President Kamala Harris applaud Judge Ketanji Brown California, Berkeley. Follow him on Twitter: Jackson at an April 8 White House event celebrating Jackson’s confirmation as the first @FrankCWorrell. Black woman to become a Supreme Court Justice. 8 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
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From the CEO MEETING MENTAL HEALTH NEEDS REQUIRES LEADERSHIP As the world pays more attention to mental health, APA is positioning itself to evolve BY ARTHUR C. EVANS JR., PhD APA’s recent Stress in America survey reflects what challenges against which to defend—and many of us are seeing ourselves—a nation struggling to position ourselves accordingly? Reimag- ining the future of mental health requires deal with the exacerbation of mental health problems our field to have the leadership to adapt over the last two years. With this issue in the national to an ever-changing world. spotlight, the field of psychology and broader society have an unprecedented opportunity to shape the future Forge new partnerships. Stakeholders in such areas as technology, law, philan- of mental health—including strengthening our infrastructure, increasing the thropy, public health, and business are coordination of care, ensuring equitable access to resources, and more actively increasingly engaging with mental health promoting people’s mental wellness. issues. As a hub science, psychology has unique opportunities to forge partner- How do we rise to this moment and psychology’s role in advancing this ships addressing the social determinants and envision a better future for mental perspective. of mental health and to create new policy health? Each of us can play a role with initiatives, interventions, and programs. three actions below that we, as an asso- Embrace the momentum. Shaping We must position psychology as a ciation and a field, should take to ensure the future of mental health will require resource, engage a broad cross-section this progress. evolving the way we think about several of individuals, and use these important issues: Where are broad shifts and trends partnerships to enhance our efforts. Reconceptualize our approach. Recov- in areas like health care financing and The state of our nation’s mental ering from the pandemic means both technology going in the next decade? health begs for dramatic change in our managing the physical virus and address- Can psychology see these changes as approach. Now is the time for bold ing the accompanying psychological opportunities to embrace—rather than action to move us forward. n impacts. We cannot rely on treatment alone to fix these challenges. We must re-envision what it means to improve people’s mental health along a contin- uum and expand our strategies to include more early intervention and prevention. APA’s Council of Representatives, for instance, recently adopted a policy to MALTE MUELLER/GETTY IMAGES guide our advocacy for population health ● Arthur C. Evans Jr., PhD, is the chief executive officer of APA. Follow him on Twitter: @ArthurCEvans. 10 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
In Brief Research COMPILED BY CHRIS PALMER THE LATEST PEER-REVIEWED STUDIES WITHIN PSYCHOLOGY AND RELATED FIELDS The overall number of DEMENTIA RATE dementia cases is expected to triple globally by 2050 DECREASING, with population growth. POPULATION INCREASING W hile the rate of dementia is decreasing, the overall number of individuals with dementia is expected to triple glob- ally by 2050 with population growth, according to research in The Lancet Public Health. Researchers used information on projected trends in three important dementia risk factors (high body mass index, high fasting plasma glucose, smoking) with education as an additional predictor, as well as projected trends in education, population growth, and population aging to estimate changes in dementia prevalence between 2019 and 2050. They estimated that the number of people with dementia would increase from 57.4 million cases globally in 2019 to 152.8 million cases in 2050. In 2019, the female-to-male ratio of demen- tia cases was 1.69, and the researchers predicted that will remain roughly the same in 2050. Projected increases varied across regions, with the smallest increases in high-income Asia Pacific (53%) and western Europe (74%) regions and the KATE_SEPT2004/GETTY IMAGES largest increases in North Africa and the Middle East (367%) and eastern sub-Saharan Africa (357%). DOI: 10.1016/S2468-2667(21)00249-8 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022 11
In Brief BOREDOM AND SADISTIC TENDENCIES According to research in the Journal of Personality and Social Psychology, boredom may moti- vate people to harm others to experience pleasure. In the first of nine studies with partici- pants from Canada, Germany, Denmark, and the United States, researchers surveying 1,780 participants found that people who experienced chronic boredom in their daily lives showed more sadistic tendencies than those who were less bored. Five additional studies with the United States ranging in New mothers who who see themselves as higher 1,740 participants indicated age from 18 to 78 to take a daily feel low in social in social status. Researchers status have worse that the link between boredom survey related to nostalgia for health outcomes 1 surveyed 1,168 new mothers in and sadism held across differ- 2 weeks. Participants indicated year after giving birth the United States 6 months after ent societal contexts, including whether they experienced nos- than new mothers the birth of their children about who see themselves online trolling, sadism in the talgia during the day and how as higher in social their subjective social status, military, and sadistic behav- positive or negative it made them status. household income, and years of ior among parents. Across feel. Younger participants expe- education. About 6 months later, three final studies with 4,097 rienced nostalgia 60% less often the researchers assessed general participants, the researchers than middle-age participants, health using 10 biomarkers, such manipulated boredom exper- while older participants reported as blood pressure and choles- imentally and found that nostalgia 3 times more often than terol levels. They found that the inducing boredom increased middle-age participants. Gender biomarkers of participants with sadistic behavior. However, did not influence the frequency higher subjective social status when behavioral alternatives of nostalgia. As to affect, 72% reflected less “wear and tear” were available, boredom only of participants reported better related to stress. Perceived social motivated sadistic behavior mood in response to nostalgia, status was a stronger indica- among participants highly pre- while 51% reported negative tor of health outcomes than disposed to sadism. Conversely, feelings. Older participants income. However, the association when there was no alternative, were more likely to experience between social status and health boredom increased sadistic negative mood resulting from varied depending on partici- behavior even among those with nostalgia than both younger and pants’ income and education; low sadistic tendencies. middle-age participants. it was strongest for wealthier DOI: 10.1037/pspi0000335 DOI: 10.1037/emo0000980 participants and those whose completed education level was NOSTALGIA, NO THANKS NEW MOMS WITH MORE high school or above. Older people are more likely SOCIAL STATUS THRIVE DOI: 10.1037/hea0001148 to experience nostalgia (and According to research in Health JACOBLUND/GETTY IMAGES have it trigger negative feelings) Psychology, new mothers who feel LONELINESS BOOM than younger people, suggests low in social status have worse Loneliness has steadily increased research in Emotion. Research- health outcomes 1 year after over the past 4 decades, sug- ers asked 108 participants in giving birth than new mothers gests research in Psychological 12 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
Bulletin. Researchers performed a vaccine was waiting for the did not have dementia nor a pre- a meta-analysis of 437 indepen- patient. The worst-performing vious cataract surgery when the dent assessments of loneliness nudges asked participants to study began. They also evaluated in 345 studies involving 124,855 think about catching the flu at participants’ cognitive abilities participants between the ages a specific location. Overall, the every 2 years over an average of of 18 and 29 from around the researchers found that all text 7.8 years. About 45% of partici- world between 1976 and 2019. reminders boosted vaccination pants underwent cataract surgery All studies used the same mea- rates compared with the control, during the study. These partici- sure of loneliness: the UCLA and repeated reminders outper- pants were about 30% less likely Loneliness Scale. The researchers formed one-time nudges. to develop any form of dementia found a linear rise in loneliness DOI: 10.1073/pnas.2115126119 for at least 10 years p ost-surgery. over those 43 years. Changes in No association was found loneliness over time were similar CATARACT SURGERY between dementia and glaucoma among Asian, European, and ASSOCIATED WITH LOWER surgery, which, unlike cataract American participants. In addi- DEMENTIA RISK surgery, does not improve vision. tion, the researchers found no A study in JAMA Internal DOI: 10.1001/jamainternmed.2021.6990 differences in loneliness between Medicine indicates that under- student and nonstudent partic- going cataract surgery may ECO-ANXIETY ipants and no acceleration of be associated with a lower A study in The Lancet Planetary loneliness related to the market risk of developing dementia Undergoing cataract Health indicates that climate saturation of smartphones circa among people age 65 and older. surgery may be change is causing distress, anger, associated with 2012. However, they found that Researchers tracked 3,038 par- a lower risk of and other negative emotions year-to-year increases in loneli- ticipants in the United States developing dementia in young people worldwide. ness were notably greater after who had been diagnosed with among people age 65 Researchers surveyed 10,000 and older. the year 2000, possibly due to cataract or glaucoma but who people ages 16 to 25 across 10 widespread access to the internet. DOI: 10.1037/bul0000332 NAGGING NUDGES NEEDED Among various “nudges” encour- aging people to receive a flu vaccine, the most effective was a set of texts sent on multiple days reminding patients that a flu shot was waiting for them, according to research in the Pro- ceedings of the National Academy of Sciences. Researchers randomly delivered one of 22 different types of text messages (or no message) to 689,693 Walmart pharmacy patients in the United States. The top-performing FG TRADE/GETTY IMAGES intervention, yielding a 9.9% increase in vaccinations over the control, included two texts sent 3 days apart stating that M O N I TO R O N P S YC H O LO G Y ● JUNE 2022 13
In Brief countries (Australia, Brazil, countries that are already expe- a near-instant solution. Partic- France, Finland, India, Nige- riencing direct physical impacts ipants completed two blocks of ria, the Philippines, Portugal, of climate change as well as in trials, rested for 20 minutes, then the United Kingdom, and the countries that are less directly completed nine more blocks. United States) about their feel- impacted. During the break period, 24 ings regarding climate change DOI: 10.1016/S2542-5196(21)00278-3 participants spent at least 15 and their government’s response seconds in hypnagogia (or non- to it. They found that more than CREATIVE SWEET SPOT IN REM sleep stage 1, a sleep stage 50% reported each of the follow- SLEEP/WAKE ZONE characterized by vivid dreams). ing emotions: sad, anxious, angry, The brain activity common to Of these 24, 83% discovered powerless, helpless, and guilty. the twilight zone between sleep the hidden rule after the break. In addition, 75% reported that and wakefulness sparks cre- Only 30% of participants who they find the future frightening, ativity, according to research in remained awake discovered the 45% had concerns about the cli- Science Advances. Researchers rule. The effect disappeared if mate negatively impacting their outfitted 103 participants in More than 50% subjects reached deeper sleep daily lives, and 40% said climate France with polysomnography of young people during the rest period. surveyed reported concerns make them hesitant to devices to assess the partici- feeling sad, anxious, DOI: 10.1126/sciadv.abj5866 have children. More than half pants’ state of wakefulness. They angry, powerless, said governments have betrayed then exposed the participants to helpless, and guilty DEPRESSION STIGMA regarding climate current and future generations, math problems without reveal- change and their PLUMMETS while 64% said their government ing that a “hidden” rule allowed government’s According to research in was failing to avert a climate response to it. JAMA Network Open, stigma disaster. Climate distress toward people with depres- was evident in sion has dropped significantly, though stigma toward people with other mental illnesses has remained stagnant or, in some cases, increased. Research- ers analyzed data on attitudes toward mental illness from a total of 4,129 adults living in non-institutionalized settings in the United States taken at three points: 1996, 2006, and 2018. They found that from 1996 to 2006, there was an increase in the belief that genetics or disrupted brain function, rather than moral failings, cause mental health problems. During that time, those beliefs were not accompanied by a decreased stigma toward those with mental illness. However, the 2018 sur- YURI_ARCURS/GETTY IMAGES vey data revealed a significant drop in social rejection of those with major depression. Other disorders did not see a similar 14 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
psychiatric services shuttered in England over a 60-year period. Researchers used a time lag method to analyze associations between the number of psychi- atric beds allotted for mentally ill and intellectually disabled individuals in England and the country’s prison population. They found that from 1960 to 2019, the number of psychiatric beds decreased by 93%, from 201,275 to 19,389. Over that time, the prison population increased by 208%, from 26,048 to 80,203. Cuts in psychiatric beds were associated with increased prison population at a roughly 10-year lag: Across the study period, for every 100 psychiatric beds that were closed, there were 36 more prisoners (3 female and 33 male) decrease in stigma in the 2018 young adults, ages 19 to 25. They Prison populations 10 years later. survey. In fact, the percentage of found that benzodiazepines were spiked as psychiatric DOI: 10.1192/bjp.2021.138 services shuttered in people who believed people with prescribed at least once to 1.8% England over a 60- schizophrenia are dangerous and of adolescents and 4% of young year period. DEPRESSION’S CAUSAL that alcohol dependence results adults, with diazepam being the ROLE IN ALZHEIMER’S from a lack of morality increased most common choice for adoles- Depression may have a causal over time. cents and alprazolam for young role in Alzheimer’s disease (AD), DOI: 10.1001/jamanetworkopen.2021.40202 adults. Clinicians simultaneously but the reverse may not be true, prescribed opioids and benzodi- suggests research in Biological OVERPRESCRIBED azepines to 26% of adolescents Psychiatry. Researchers performed ADOLESCENTS AND and 24% of young adults. Benzo- a genome-wide association YOUNG ADULTS diazepine prescriptions peaked in study (GWAS), a technique A study in JAMA Pediatrics 2015 for adolescents and in 2013 that scans the entire genome for indicates that while clinicians are for young adults and have since areas of commonality associ- prescribing fewer benzodiaze- decreased steadily. Only 25% and ated with specific conditions. pines to adolescents and young 34% of claims for adolescents They looked at a 2019 analysis adults, 66% to 75% of patients and young adults, respectively, of depression among 807,553 in this age group who received involved an approved indication individuals and a 2019 study of a prescription did not have a for benzodiazepine use. AD among 455,258 individ- diagnosis corresponding with DOI: 10.1001/jamapediatrics.2021.5122 uals, all of European ancestry. UNDEFINED UNDEFINED/GETTY IMAGES approved indications for the The GWAS identified 28 brain medications. Researchers ana- PSYCH BED TO PRISON proteins and 75 transcripts—the lyzed health care claims in the In an affirmation of the Penrose genetic messages that encode United States between 2008 and hypothesis, a study in The British proteins—associated with 2019 for 4 million adolescents, Journal of Psychiatry indicates depression. Among those, seven ages 13 to 18, and 6 million that prison populations spiked as proteins and 46 transcripts were M O N I TO R O N P S YC H O LO G Y ● JUNE 2022 15
In Brief waves who were most concerned about contracting COVID-19 exhibited the greatest increases in disgust sensitivity. DOI: 10.1016/j.paid.2021.111348 BIRTH ORDER AND HOMOSEXUALITY The first population-level study of birth order and homosexual- ity, published in The Journal of Sex Research, indicates that hav- also associated with AD. The data consumption of calories, fats, and Sleep-deprived ing a greater number of older suggest the two diseases share a carbohydrates peaked after 9 p.m. adolescents crave brothers increases the proba- more sweets and genetic origin, which could spur DOI: 10.1093/sleep/zsab269 other carbohydrates, bility of both men and women an increased risk for AD associ- especially late at entering a same-sex marriage. ated with depression. Assessing MORE DISGUSTED DURING night. Researchers analyzed a sam- the effect of 115 single-nucleo- COVID ple of 9,073,496 people in the tide polymorphisms (SNPs) from Disgust sensitivity—the intensity Netherlands born between 1940 the depression GWAS uncovered with which people are repulsed and 1990. They compared the evidence that the SNPs cause by ideas or situations consid- sibling relationship characteris- depression, which in turn causes ered gross or unpleasant—has tics of 26,542 men and 33,534 AD. The researchers conducted increased during the COVID- women who registered for a the same analysis on 61 SNPs 19 pandemic, especially among same-sex marriage with those from the AD GWAS but found those most afraid of contracting who did not. They found evi- no evidence that AD causes the coronavirus, suggests research dence of a fraternal birth-order depression. in Personality and Individual effect on homosexuality: Both DOI: 10.1016/j.biopsych.2021.11.025 Differences. In nine data-collec- men and women with one older tion waves between December brother were about 12% more LOSE SLEEP, CRAVE 2018 and June 2020, researchers likely to enter a same-sex union SWEETS assessed the disgust sensitivity of than men and women with one Sleep-deprived adolescents 3,300 adults in the United States. older sister and 21% more likely crave more sweets and other During the final two waves in than men and women with just carbohydrates, especially late at spring 2020, participants also one younger sibling. Birth order night, suggests research in Sleep. indicated their pandemic-re- and total sibling number mat- Researchers assigned 93 adoles- lated opinions and behaviors. tered, too. The youngest male cents in the United States to 5 The average p re-pandemic dis- siblings were more likely to nights of good sleep (9.5 hours) gust sensitivity, which included enter a same-sex marriage than and 5 nights of poor sleep (6.5 responses to disease-related the oldest male siblings, and hours). They also asked the par- scenarios and non-disease sce- the differences grew as the total ticipants to record what, when, narios, was 2.82 out of 4, a figure number of siblings increased. and how much food they ate that increased to 3.26 during the Women were also more likely during each 5-day stretch. When pandemic. Similar within-subject to enter a same-sex marriage if FCAFOTODIGITAL/GETTY IMAGES sleep-deprived, the adolescents increases in disgust sensitiv- they had older brothers. consumed more carbohy- ity were observed in one set of DOI: 10.1080/00224499.2021.1974330 drates, added sugars, and sweet respondents surveyed in Novem- ● For direct links to the research drinks, and they ate fewer fruits ber 2019 and May 2020. Finally, cited in this section, visit our online edition at www.apa.org/monitor. and vegetables. Differences in participants in the final two 16 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
Thanks to support received for the EnVISION Racial Equity Campaign, the American Psychological Foundation was able to support the following Visionary Grants: DR. ABIGAIL M. FOLBERG The University of Nebraska at Omaha Examining How Prejudice Confrontation Diffuses Through Social Networks DR. ALEXANDER P. BURGOYNE Georgia Institute of Technology Reducing Adverse Impact and Improving Personnel Selection MS. SARAH GILLESPIE Using Tests of Attention Control University of Minnesota Ending Racism and Promoting Student Thriving in Diverse DR. MEGAN MILLER Schools: Exploring the Causal Indiana University Effect of Ethnic Studies Education Investigating How Institutional through a Natural Experiment and Provider Racism Contribute to Pain Treatment Disparities in Adults with Sickle Cell Disease DR. TERESA P. NGUYEN Sonoma State University Socioeconomic Status, Racial DR. KATE M. TURETSKY Discrimination, and the Well-being Barnard College, Columbia University of Low-Income, Latinx Families Understanding and Ending Racial Bias in Early Education Assessment MR. ROBERT J. VARGAS DR. FANITA A. TYRELL Carnegie Mellon University The University of Maryland Using fMRI-measured at College Park Attitudes and Actions to Ethical Representation in Predict Biased Decisions to Biosocial Research: Laying the Punish among White and Chinese Americans Groundwork for the Representation And Research Ethics (RARE) Registry at UMD The Visionary Grants are APF’s flagship program, providing funding to psychology graduate students and early career psychologists to seed innovation through supporting research, education, and intervention projects and programs that use psychology to solve social problems. In 2020, in recognition of the urgency of the matter, APF added special Visionary grants dedicated to racial equity. This campaign is called EnVISION Racial Equity and all funds raised are dedicated to new racial equity Visionary grants. Your support is critical to fund these programs. To find out more, go to www.apa.org/apf/news/envision or make your gift at www.apa.org/apf/giving. If you have additional questions, contact Miriam Isserow at misserow@apa.org.
News Feature PSYCHOLOGICAL WARFARE IN THE 21ST CENTURY Social media disinformation and manipulation are causing confusion, fueling hostilities, and amplifying the atrocities in Ukraine and around the world BY ZARA ABRAMS I n the 21st century, war is not puter science, national security, other human rights violations, just physical—it’s also psycho- and more—are fighting back. including those against the logical, and much of it takes This starts with an understand- Uyghur population in China, place online. ing of how misinformation (and the Rohingya in Myanmar, and Political entities in at least 70 disinformation, a subset of mis- Muslim populations in India. countries have engaged in coor- information intended to mislead) To describe the growing role dinated online disinformation functions, as well as what works of online media in political campaigns in recent years, with to correct it. That science is now conflicts, Singer helped coin the FURTHER Russia alone launching more informing strategic resistance in term “LikeWar.” READING than 30 attacks on elections Russia, Ukraine, and beyond. “If you think of cyberwar as LikeWar: The around the world since 2016 “The Ukrainians are fighting the hacking of networks, Like- weaponization of (2019 Global Inventory of Organ- a 21st-century war, which is half War is its evil twin: the hacking social media ised Social Media Manipulation, on the internet,” said Stephan of people on those networks, Singer, P. W., & University of Oxford; Hacking Lewandowsky, PhD, a professor through our likes, shares, and Brooking, E. T., 2018 Democracies, Australian Strategic of psychology at the University sometimes lies,” said Singer, Controlling Policy Institute, 2019). of Bristol who studies misin- who is also a strategist and the spread of “We’ve seen the very real formation at the societal level. senior fellow at the nonparti- misinformation effects of information operations “That new approach has worked san public policy institute New APA, 2021 on everything from the rise of extremely well because it has America. extremist groups like ISIS to preempted Russian attempts to For years, Russia has been Putin, Zelenskyy, and Biden all have unique far-right groups in America that rewrite history.” waging—and winning—a leadership styles culminated in January 6,” said LikeWar against much of the Hunter, S., & Scott Peter W. Singer, PhD, a profes- GETTING TO THE TRUTH world. The Kremlin has deployed Ligon, G., The sor of practice at the School of Disinformation in war is nothing tried-and-true psychological Conversation, 2022 Politics and Global Studies at new—in fact, it’s a key part of manipulation strategies via social Misinformation, Arizona State University. “It’s the playbook. Leaders commonly and online media, including disinformation, and behind the so-called ‘infodemic’ inflate or fabricate information disparaging outgroups and violent conflict: From that has made the COVID-19 about everything from military rapid-fire lying, according to Iraq and the “War pandemic far more deadly than it might to supposed atrocities research by Jon Roozenbeek, on Terror” to future should have been,” he said. to confuse opponents or boost PhD, a postdoctoral fellow in threats to peace Lewandowsky, S., Online disinformation has morale at home. Even Ukraine psychology at the University of et al., American also been linked to mass killings has appeared to push some war- Cambridge who studies mis- Psychologist, 2013 around the world, from Myan- time narratives that may be false. and disinformation and media mar to India. But with the rise of social discourse in Ukraine. But propagandists aren’t media, propaganda can now Roozenbeek documented just pushing against an open be deployed on a much larger how the Kremlin stoked door. Psychologists—along with scale—and it has been used to outgroup animosity toward experts in political science, com- garner support for genocide and Ukrainians and the Ukrainian 18 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
as evil and immoral and framing messages in terms of power dynamics. If Russia is merely a victim that other world powers are exploiting, the country has a justification for revenge. Such claims may be easily dismissed by Westerners, but many Russian citizens lack access to reliable c ounter-information due to the restrictions on inde- pendent and social media in the country, Nguyen said. They’ve also faced repeated exposure to these falsehoods for years, which psychologists have shown can increase the persuasiveness of disinformation (Pennycook, G., et al., Journal of Experimental Psychology: General, Vol. 147, No. 12, 2018). “It’s not just what’s being communicated now that government during the takeover “It’s a firehose of falsehoods matters—it’s what’s been com- of the Donetsk and Luhansk that don’t even hang together,” municated for the last decade or regions in eastern Ukraine, a tac- Lewandowsky said. “They’re Russian Minister of so that’s really influencing the tic linked with high social media just saying anything, literally Education Sergey way that [the Russian] people Kravtsov held a engagement (Media and Identity anything, to reinforce people’s press conference to are thinking about this war,” in Wartime Donbas, 2014-2017, belief that you can never get to denounce Ukrainian Nguyen said. University of Cambridge, 2019; the truth.” school textbooks as instruments of Rathje, S., et al., PNAS, Vol. 118, Putin also uses specific lead- propaganda. The PREEMPTING No. 26, 2021). ership and aggressive tactics to books mention PROPOGANDA Another ploy Russian Pres- help justify violence, said Tin Ukraine’s declaration By design, misinformation and of independence ident Vladimir Putin has used Nguyen, a research associate at from Russia. disinformation are more infec- to great success is conspiracy the National Counterterror- tious and incendiary than factual “gish gallop,” or rapid-fire lying, ism, Innovation, Technology, information, which makes them said Roozenbeek, for instance and Education Center who is particularly useful in wartime. around the Malaysian Airlines completing his doctoral degree Research has shown that after disaster of 2014. The Kremlin’s in industrial-organizational undergoing fact-checking, infor- constant stream of lies—that it psychology at Penn State Uni- mation deemed false spreads was a Ukrainian attack, that all versity (Lovelace, J. B., et al., The faster on social media than the passengers were dead before Leadership Quarterly, Vol. 30, information deemed true—a takeoff, that the pilot intention- No. 1, 2019; James, L. R., et al., trend fueled by people, not bots ally crashed the plane—was used Organizational Research Methods, (Vosoughi, S., et al., Science, Vol. SIPAPRE/AP IMAGES to sow confusion and disillusion- Vol. 8, No. 1, 2005). For example, 359, No. 6380, 2018). Misin- ment (Paul, C., & Matthews, M., Putin’s strategies include paint- formation tends to draw on RAND Corporation, 2016). ing Ukraine and Western nations moral-emotional language, mak- M O N I TO R O N P S YC H O LO G Y ● JUNE 2022 19
Psychological Warfare photos. They also helped reveal that Putin’s so-called “emer- gency meetings” were actually prerecorded when one official’s wristwatch did not match the Kremlin’s story. The United States also released intelligence about Russian movements ahead of time to prevent Putin from controlling the narrative about the war. Preempting Russian pro- paganda affords a strategic advantage as well as a psycholog- ical one, Singer said—it puts the Kremlin on its back foot, forcing it to react instead of making the first move and controlling the storyline. Social media platforms are also limiting the flow of Russian disinformation more aggres- sively than they have in the past, Nguyen said. Twitter is adding labels to Russian state-sponsored ing it more likely to be shared, Ukrainian Andriy Vol. 114, No. 28, 2017). media, while Meta is demoting especially within ideological Stasyshyn cohosts Once it takes hold, misin- such posts. Reddit is making a radio show that groups (Ecker, U. K. H., et al., counters Russian formation is tough to correct. it harder to find the subreddit Nature Reviews Psychology, Vol. 1, propaganda. Psychologists have shown that r/Russia, and TikTok is limiting 2022; Brady, W. J., et al., PNAS, pre-bunking, or preemptively livestreams and uploads from warning people about incorrect Russia. or misleading information, is At the individual level, the ONLINE SKILLS more effective than debunk- same strategies that work for CYBER CITIZENSHIP ing falsehoods after the fact avoiding misinformation on other (Lewandowsky, S., et al., The topics can help protect against C yber citizenship describes the skills needed to protect against misinformation and psycholog- ical manipulation online. These include: Debunking Handbook 2020). Personal and emotional appeals, psychological warfare, too. Singer and his colleagues call this “cyber rather than merely providing a citizenship”—a combination of n Digital literacy: Understand how the online world fact-check, can also be helpful. digital literacy, responsible behav- works, how to recognize fact versus opinion, and Though Russia has long ior, and awareness of the threat of how algorithms drive information your way. outmaneuvered its opponents in online manipulation. BENEDICTINE VAN DER MAAR/HANS LUCAS/REDUX n Civics and citizenship: Behave responsibly the information space, foreign “Whether it’s Russian dis- toward others in your online networks. leaders are starting to push back. information, an anti-vaxxer n Cybersecurity: Recognize and rebuff techniques Ukrainian officials systematically conspiracy theory, or just some- used by both hackers and online manipulators. pre-bunked Russian attempts one trying to tell your kids that Learn more about New America’s Cyber Citizenship to spread disinformation in the aliens built the pyramids, having Initiative at www.newamerica.org/education-policy/ lead-up to February’s invasion all three of those skills is an cyber-citizenship-initiative. by documenting Russia’s buildup incredibly effective way to resist of military forces with satellite manipulation,” he said. n 20 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
“Whether it’s Russian disinformation, an anti-vaxxer conspiracy theory, or just someone trying to tell your kids that aliens built the pyramids, having all three [cyber citizenship] skills is an incredibly effective way to resist manipulation.” PETER W. SINGER, PHD, ARIZONA STATE UNIVERSITY PERSONAL CONNECTIONS PSYCHOLOGISTS FIGHT RUSSIAN DISINFORMATION F or years, the Kremlin has churned out propaganda suggested the following: “Sometimes, the Russian govern- about Ukrainians, depicting them as neo-Nazis ment has been known to lie to the Russian people. What conspiring with Western powers to take Russia do you think is going on? I’d like to hear your perspective.” down. Little data exists on public opinion in Russia today, In line with her findings, the rewritten emails now but there’s plenty of evidence that fear emphasize points of agreement (“I’m and manipulation still control much of sure that both of us are concerned for how information flows in the country. the safety of our planet”) and acknowl- “In closed societies like Russia, it’s edge what the recipients might be going extremely difficult to know what people through (“I understand that things are think,” said Stephan Lewandowsky, PhD, hard right now in Russia under the sanc- a professor of psychology at the Univer- tions”). They’re also much shorter and sity of Bristol. easier to skim, drawing on research by Psychologists are part of several organizational psychologist Todd Rog- efforts to assist Russians in access- ers, PhD, also of the Harvard Kennedy ing factual information about the war in The Call Russia Logo School, on what he calls “corresponding Ukraine. They’re using research findings with busy people.” to shape outreach efforts and guide conversations with A similar initiative, Call Russia, uses phone calls Russian citizens. instead of emails to open up information channels. The Mail2RU initiative, for example, has sent more Cofounder Paulius Senuta, who works in advertising, than 60 million emails to Russians with credible informa- enlisted a team of four Lithuanian psychologists to build tion about the war. But social psychologist Julia Minson, scripts that emphasize emotions and personal connec- PhD, an associate professor of public policy at the Har- tions rather than merely correcting facts. vard Kennedy School, noticed that the campaign’s initial “We can’t change minds by arguing who’s right or messages, composed by the Norwegian technology wrong,” Senuta said. “The way we’re trying to make a expert who launched the effort, weren’t strategically difference is by asking questions and provoking basic worded to reach people with a different point of view. human sympathy for the people who are dying.” Minson quickly joined forces with the Mail2RU team At the University of Cambridge, psychologists Jon and is now applying her research on “conversational Roozenbeek, PhD, and Sander van der Linden, PhD, are receptiveness” to improve the content of the messages. working with the United Kingdom’s Foreign, Common- The adjustments are meant to reduce pushback and wealth and Development Office to translate tools they’ve open up productive dialogue with the Russian email developed to inoculate individuals against online disin- CHESSMANZ, ISTOCK/GETTY; CALL RUSSIA recipients (Organizational Behavior and Human Decision formation into Russian and Ukrainian. Processes, Vol. 160, 2020). “The individual examples are different, but the under- For example, Minson’s research shows the power lying tropes are the same,” Roozenbeek said. “We’re of hedging claims in the face of anticipated resistance. exploring how these tools can be used to counteract Instead of saying “Putin is lying to the Russian people,” she strategies commonly used in Russian disinformation.” M O N I TO R O N P S YC H O LO G Y ● JUNE 2022 21
News Feature THE ANATOMY OF A MISINFORMATION ATTACK Scientists who discuss hot-button topics on social media may find themselves in the middle of a firestorm. How can they stay safe while communicating the facts, and what can institutions do to support them? BY ZARA ABRAMS I n January, psychologist Jay million followers—followed suit. ally prompting him to make Van Bavel, PhD, was the A 2017 study estimated his Twitter account private and target of a coordinated mis- that more than 45,000 scien- remove his personal information information attack. He received tists are active on Twitter, with from other sites. thousands of angry tweets, many more weighing in since Van Bavel and other scien- messages, and emails from con- the pandemic began (Ke, Q., tists shared their thoughts about spiracy theorists who believed he et al., PLOS ONE, Vol. 12, No. the nature of online harassment, was part of a massive cover-up 4, 2017). Presenting science how scientists can stay safe while of the so-called truth about through social platforms and communicating the facts, and COVID-19. mass media offers an oppor- what institutions can do to sup- Van Bavel, an associate pro- tunity to engage the public port them. “When a fessor of psychology and neural with the scientific process, but scientist sciences at New York University scholars who do so may also face WHEN LOGIC like Jay (NYU) who studies group iden- trolling and harassment. DOESN’T MATTER speaks out, tity, had merely helped fact-check “For researchers, we’re now Misinformation and extreme a false claim—that millions of having to walk a very fine line ideas tend to spread faster he’s viewed Americans have been “hypno- in terms of how much we can online, and conversations can not just as tized” into accepting mainstream communicate independently,” quickly become more hostile wrong but as messages about COVID-19, said Aleks Krotoski, PhD, a than in face-to-face interactions sacrilegious including the importance of vac- New York–based podcaster and (Vosoughi, S., et al., Science, and even cination, creating “mass formation social psychologist who studies Vol. 359, No. 6380, 2018; Bor, evil.” psychosis.” The psychological how information spreads online. A., & Petersen, M. B., Ameri- phenomenon was described by “Communicating our science is can Political Science Review, Vol. PETER DITTO, PHD UNIVERSITY OF Robert Malone, MD, on The Joe still really, really important, but it 116, No. 1, 2022). In a Nature CALIFORNIA, IRVINE Rogan Experience podcast on Dec. carries with it a perilous situation survey, nearly 60% of scientists 31, 2021. in which you could then become who had commented publicly The only problem: mass the center of a firestorm.” about COVID-19 online or in formation psychosis is a bogus In addition to a flood of the media said they faced attacks theory that lacks evidence—or insulting tweets and memes to their credibility, and 15% even recognition by scientists. attacking his character and said they received death threats After Van Bavel joined a group scientific credibility, Van Bavel (Nogrady, B., Nature, Vol. 598, of psychologists who debunked received hateful emails and 2021). And when trolls team up the theory via the Associated messages on other platforms, for a coordinated barrage, “it is Press, Malone’s followers began including Facebook, Instagram, truly overwhelming,” Van Bavel harassing him on Twitter. Soon, and LinkedIn. Some trolls even said. another conspiracy theorist, Jack tracked down and contacted his At the heart of the problem Posobiec—and many of his 1.5 partner and employer, eventu- is our hyper-moralized political 22 M O N I TO R O N P S YC H O LO G Y ● JUNE 2022
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