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Antivaxxers - Blog Posts

3 years ago

Please just get the vaccine

@yeahitsak


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1 month ago

Unfortunately I can’t use this advice myself. If I try to empathize and see their point of view it is more likely I’ll become an antivaxxer myself at least temporarily despite knowing the science. I need that barrier in my mind. Also, I’m bad at talking to people

So how do you change an anti-vaxxer's mind, anyway?

First, understand that sometimes, the answer is simply: you can't. Some people are very firmly entrenched in anti-vax narratives, and will become extremely aggressive in response to challenges.

Second, understand that in this case, saying nothing is better than saying the wrong thing. Becoming hostile, or expressing judgment (no matter how well-deserved) is likely to entrench them more into these conspiracies than it is to make them see reason, making them less likely to be receptive to even gentle challenges in future.

Third, understand that change isn't something that happens after a single conversation. It takes repeated discussions, and a lot of building up trust, to start making people change their minds.

So, then, how do you change an anti-vaxxer's mind?

First step: understand why anti-vaxxers feel this way. This can be summed up in one word: fear. Irrational fear, but fear nonetheless. There are a lot of reasons they may have gotten to this point. They may be deeply distrustful of physicians due to past experiences. People of color in the United States are very prone to vaccine hesitancy and refusal, not because of conservative views, but because of the racist history of the medical institution- in particular, the atrocity known as the Tuskegee experiments. Some, particularly those in the United States, are very prone to distrusting the medical-industrial complex, and extend that skepticism to vaccinations as well. Some may have encountered misinformation, such as the infamous Wakefield farce, which convinced them that children were in danger of being autistic (which is still heavily stigmatized) if they became vaccinated. There are also other reasons, but these are the most common.

And how do we deal with other fears people have? Empathy.

How to have an empathetic conversation about this issue:

First, you need to do just that: have a conversation. Ask open-ended questions, and listen to the answers no matter how much they anger or upset you. The most important and most simple: "what are your reasons for not trusting vaccines?" Other good questions are, "why do you feel this way?" "Are you interested in receiving information about vaccines from me?" "How can I help you work through these difficult feelings?" You need to then tailor your conversation according to how they respond.

You need to build trust with the person you are talking to. If you are in a position of privilege over them, particular if you are white and they are black, you cannot attempt to speak over their concerns about bias in the medical community. This also includes disabled people who no longer trust doctors to have their best interests at heart. Empathize with their concerns, don't erase them, and then segue into the facts. "This is an unfortunate reality, and should never have happened to you. May I share a counterpoint about (specific issue), with the understanding that this does not erase the systemic biases in the medical community?" It is worth noting that breakdowns in trust in the doctor-patient relationship are a key factor that leads to the development of antivax attitudes. This person already feels they can't trust their doctors or the government, and they have, in desperation, turned to a community of other afraid people to be heard. If you remember this, you will have a chance here to gain their trust and be an ambassador for vaccination.

Another way of building trust is to emphasize to them that your goals are aligned. They want what is best for them and their kids, even if they are misguided, and so do you. One rhetorical strategy (that is, incidentally, also used by lawyers in jury trials) is to ascribe positive traits to this person, and then challenge them to live up to it. "I know you love little Tommy very much, and want him to be healthy. I want him to be, too. I am sure, since you care for him deeply, you will look into this issue thoroughly."

That last point is also key. You need to start small, as counterintuitive as it might seem. Don't come right out and say for them and their children to get vaccinated; they need to make that decision by themself. Instead, say that you have information about vaccines that you would like to share with them. It is especially good if you have something saved for a particular claim they made. If, for example, they believed the Wakefield study, there are many refutations out there you can show them. If they are concerned about mercury, you can explain that the kind of mercury in vaccines isn't the "bad" mercury that we find in tuna- and even if it was, there is less mercury in the vaccines than there is in tunafish. Keep it focused, and keep it neutral; one claim at a time.

It is very likely that they will respond to you with a study of their own. Read it carefully before responding. "I noticed that the Wakefield paper has since been retracted. Here is a peer-reviewed study that reaches a different conclusion; it seems worth examining."

You need to show that you are actively listening to what they have to say, and that you appreciate them talking to you. "Thank you for trusting me to talk about this." "Thank you for showing open-mindedness." No vague-posting about anti-vaxxers, no eye-rolling, and no distractions while talking to them.

Another key for showing empathy is to make sure you acknowledge the root of each claim. You don't need to repeat it like a parrot- but for example, using the mercury example above, "it is understandable that you fear mercury! Normally, it is a dangerous substance. Thankfully, there are different kinds of mercury, and the one that can make you sick, methylmercury isn't the same as ethylmercury, which is the one found in vaccines."

Don't start right with debunking myths; always begin with an affirming statement ("that must be scary" or "I know there is a lot of information out there; you must be overwhelmed trying to sort through everything!") before pivoting to correcting misinformation.

Keeping your tone positive in nature is also very helpful. You don't have to be shooting rainbows from your mouth/keyboard, but positive statements help build trust and make people more receptive.

Remember that debunking myths is only one part of what you are seeking to do here. If the person you are talking to starts to feel like you only want to hear their thoughts so you can correct them, they will stop sharing them. No one likes to talk with someone who only wants to be right, even if they ARE right!

Unfortunately, these steps may not work. Sometimes, despite your best efforts, the person won't be receptive. That's okay. Simply tell them again that you are here if they have questions, and you wish for the best for them and their children. Let them come to you if they change their mind.

And please remember, above all else: while these are important conversations, you are never obligated to accept verbal abuse. You have a right to have your boundaries respected just as much as they do. If the person you are talking to name-calls, uses bigoted language, mocks you, wishes bad things on you, etc, it is okay to walk away. Maybe they'll be ready to hear it one day, maybe not, but you don't need to set yourself on fire to keep anyone warm here.

I hope that this guide helps you if you are interested in discussing vaccine hesitancy and refusal! Please let me know if you need anything clarified.


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