Objective Healthcare professionals’ empathy have been empirically demonstrated to decrease the risk of medical errors. Medical errors affect patient’s outcomes and healthcare providers’ well-being. Therefore, the purpose of this study was to determine the relationship between patients’ perception of healthcare providers’ empathy, their intention to adhere to treatment, and their perception of medical errors made. An anonymous survey was emailed to staff at a health center and an urban university in Miami, Florida, USA. Results A total of 181 participants were enrolled. Participants rating their healthcare provider as high in empathy had 80% lower odds of reporting errors (CI 0.04–0.6). The intention to follow-up with recommendations or return to the provider were not significantly associated with provider’s empathy. Patients of high empathy providers were no more treatment adherent that those who rated their provider with low empathy but were less likely to perceive medical error. Providers’ empathy significantly affected patients’ perception of medical errors. Our results underscore that healthcare curricula need to address the link between empathy and perception of medical errors, including its potential legal implications.
BackgroundIn recent years the use of peer specialists in the delivery of mental health of care across the US has increased. Although data on the benefits of using peer specialists is limited and/or equivocal, states are making policy and funding decisions to support the expansion of peer specialist services. This data is even more limited in the state of Florida where no studies were found to document the effect of peer specialists on mental health care outcomes. The purpose of this study was to assess whether local decisions to use peer specialists can be supported through the measurement of outcomes of service utilization and mental health functioning when peer specialists are involved in the treatment of individuals living with serious mental illness.MethodsThe study was conducted using service data collected by South Florida Behavioral Health Network (SFBHN). SFBHN is the Managing Entity for publicly funded mental health and substance abuse services in Miami-Dade and Monroe Counties in Florida. We compared mental health outcomes and service utilization between individuals who received peer specialist services (n = 367) and a treatment as usual group (n = 1468) matched on gender, age and severity of diagnosis in the period July 2013 and June 2015. Multilevel models were used to evaluate the functioning outcomes between the groups. Service utilization was assessed using negative binomial regression.ResultsIndividuals in the treatment group receiving peer specialist services utilized more ambulatory/lower levels of care services and had more frequent crisis stabilization unit admissions. Those in the treatment group also displayed more functional difficulties with a variety of practical activities, employment and housing and violent temper, hostility, threatening behaviors.ConclusionsThe findings of the study further support existing evidence documenting the mixed benefits of using peer services compared to treatment as usual care. Policy makers and other stakeholders are encouraged to advance mental health recovery by examining outcomes more comprehensively. Future research should include examination of the subjective benefits of peer support for recipients, understanding the impact on service utilization and a better definition of the roles, supervision and expectations of peer support programs.
This paper provides a socio-historical analysis of conflict between Fulbe pastoralists and farmers in Sub-Saharan Africa. The discussion examines various structural factors that have fostered conditions conducive to conflict generation and intensification, including international development projects, demographic changes, and environmental degradation. Our analysis highlights changes in production systems and land tenure regimes as central to the aggravation of farmer-herder goal incompatibility and intercommunal strife. Many of these changes are the deliberate results
Dehumanization is a complex, relational and subjective phenomenon. Studies on it primarily focus on how it enables abuse in the midst of conflict, or how it shapes perceptions of others. Scholars, however, have not deconstructed it into components. The current article breaks down dehumanization into three components: elements, characteristics, and dimensions. It is hoped that the discussion of the connection between the three can encourage additional discussions on how each of the components contributes to dehumanization and how that can help towards undermining it. Until the phenomenon is understood from its most basic to its most elaborate parts, undermining dehumanization as a means to securing positive peace will remain challenging. The components came to the fore through the content analysis of dehumanization in anecdotes from survivors of the Holocaust. The latter study looked into the use of non-human referents applied to humans or their lived experiences. The findings were additionally considered in light of the literature on perpetrators and of samples that matched search criteria but were not deemed dehumanizing.
Dehumanization is a ubiquitous facilitator of aggression and group differentiation that undermines peaceful group relations. The theory of infrahumanization and investigations into perceptions, traits, emotions, and cognition have enriched what is known about it in the absence of overt violence. The typology of the phenomenon, however, has not been considered outside these or experimental settings. The qualitative content analysis of descriptions connected to nonhuman codes found in 74 interview transcripts of Holocaust survivors point to cultural dehumanization as a type of the phenomenon. The diversity of nonhuman terms, themes, and characteristics encountered brought forth the complexity of dehumanization as a phenomenon that is not limited to any one area. The permeating systematicity of the findings further showcased their cultural condition as a way of seeing, experiencing, and behaving. Peace scholars may want to consider these findings when looking at how dehumanization may be challenged to secure positive peace. Public Significance StatementThe qualitative content analysis of descriptions connected to non-human codes found in 74 interview transcripts of Holocaust survivors point to cultural dehumanization as a type of the phenomenon. The permeating systematicity and diversity of the findings showcased their cultural condition as a way of seeing, experiencing, and behaving. Peace scholars may want to consider these findings when looking at how dehumanization may be challenged to secure positive peace.
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