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Vaccine day

I had my first Covid-19 vaccine recently and the day was emotional, to say the least. I am 99% compliant with Covid-19 restrictions, partly because it is the law but primarily because I believe it is the right thing to do to protect others. In fact, there have been many times over the last 15 months where I have avoided the news for my own sanity so half the time, I do not exactly know what the latest rules are. I am guided by my own risk assessments and am probably more restrictive than the law in most scenarios. Up until vaccine day I thought that I wasn’t scared of contracting Covid-19, that I was complying as an act of altruism and that I would not be able to live with myself if I unwittingly passed the virus on to somebody vulnerable to severe illness and death.

Back in March 2020 when infections then the death toll started to rise, and the NHS became increasingly overwhelmed I would watch what my daughter and I called ‘the Boris show’ where the Prime Minister and the scientists would recall the daily death data, hospitalisations and cases. Each ‘next slide please’ bringing more bad news. Each day I would think about the families of every single one of those people who had died. It was quite overwhelming, and I eventually had to limit the information I ingested, living in both a physical and informational bubble. I recall the death toll announcements were met with responses from the covid-deniers, ‘but they’re old or ill anyway’, and ‘but they could have been hit by a bus and still counted as a covid death’. As a victimologist, this infuriated me. Who were these people to flippantly dismiss right to life based on age or health? It frustrated me that people with no knowledge of statistics, medicine or science were making assumptions based on anecdotal evidence from Bob on Facebook. But then again perhaps these are the tales people told themselves to get through. If they deny it, they have nothing to fear.

A few months later in June 2020, my somebody close to me contracted Covid-19. I was told they were doing well and seemed to be recovering from the virus. They died more than 28 days after having first being diagnosed with Covid-19, but it was Covid-19 that killed them. I know because I saw them to say goodbye a couple of hours before they died. This person who was always so full of life, love and who saw the good in everyone and everything, was now fading away. But what haunts me to this day was the sound of their lungs. The sound I’d heard people talk about on the news. Crisp packet lungs. And it was that sound that was like an earworm in my head on my way to the vaccination centre.

I’ve been looking forward to getting vaccinated since vaccines were on the horizon so I was excited when I received the text invitation. I booked to attend the Greater Manchester vaccination centre at the Etihad stadium, the home of Manchester City Football Club. It was well organised, despite the large numbers of people coming through. First, I was required to check in and was allocated the Moderna vaccine and a green sticker which ensured staff could direct me to the correct queue. Then I checked in at another desk where I was given some information, asked some health questions and, most importantly, I was asked, ‘do you want the vaccine?’. Those who have sat one of the research methods modules I have taught this year will have heard me discuss the importance of informed consent and this also applies to real life situations such as this. After this I joined another queue and finally reached the vaccination point, had the jab, waited for 15 minutes and left. Just like that. The whole thing took about an hour and given the volume of people being vaccinated (the site is a mass vaccination hub for a large area), I found it to be incredibly efficient. Every staff member I met was informative and did what they could to put people at ease.

From the moment I left home to go to the vaccination centre, to the moment my head hit the pillow that evening, I couldn’t help reflecting on the last 15 months. I felt a wave of emotions. I felt extreme sadness and sorrow at all the lives lost and all the families and friends left behind. It has been a traumatic time for so many of us. Getting the vaccine, I felt some sort of release from this, like it was nearly over. I have worked from home throughout and have had little social interaction, except when the gyms have been open or I have undertaken caring responsibilities for various friends and family. There were also a few weeks towards the end of lockdown 1 where my sister came to stay after returning from India. Overall, I have been alone with a teenager at a desk in my living room. It’s been awful. I’m tired and I need a break. I am well overdue a mum-cation. I felt some hope that sometime soon I might be able to get a parenting break and that my daughter can also get a break from me. I said earlier how I believed I had not feared contracting covid but having the vaccine and the relief I felt made me realise that I was more scared than I would care to admit. I am young(ish) and extremely healthy and I would probably be at low risk of developing serious symptoms but what if I was an unlucky one?

Aside from my personal experiences, I felt a collective relief. The global pandemic has created global trauma. There are still countries being ravished by the virus without the resources to operate mass vaccination of entire populations. I worry for the world and wonder what borders will look like after, if there ever is an after but I’ll ponder this further in another blog later. Getting vaccinated and being part of a mass vaccination programme made me feel cautiously optimistic. However, a few weeks on and we are now in a situation where the Delta variant is spreading like wildfire. Deaths have risen by 42.5% in the last week and hospital admissions by 44.7%. The numbers are still incredibly low in comparison to the first and second wave but every one of those deaths and hospitalisations matter. They are not a number on a presentation slide. They are people who have families and friends, who are cared for by the NHS. Every one of the deaths is a loss to these people, and has a butterfly effect in terms of the impact each death has.

Restrictions are set to lift imminently I believe (still avoiding the news) and it makes me feel uneasy to say the least. I’ve seen experts whom I trust argue on both sides of the fence. Some say this is dangerous, others suggest summer is the best opportunity to lift restrictions. It sometimes feels like we are living in some kind of twisted experiment. Regardless, I will continue to assess and manage the risk to myself and those around me. I’ll probably wear masks way after it is legal to do so and expect I will still be cautious about who I am physically close to and how I socialise. There’s things that I love and miss such as the theatre, cinema and the occasional gig but I don’t feel ready. I have a feeling this pandemic is far from over.

A moment of volition and free will

On Good Friday, Christians will remember one of the most important covenants in their faith. The arrest, trial and execution of the head of their church. Jesus, an inspiring figure across centuries, will be in the garden of Gethsemane asking his father “to take this cup from me” (Luke 22:42), but finally accepting his fate. The significance of this self-sacrifice is the glue that connects the faith to its followers, because it is a selfless act, despite knowing in advance all that is to follow. The betrayal, the rejection, the torture, the humiliation and the eventual death. Even the resurrection, appears distant and therefore he will momentarily wish to abstain. Then, comes the thought; if not me, who? This act is conditional to all that will follow and so his free will ultimately condemn him.

These are steps that inspired many of his followers to take his word further across the world and subject themselves to whatever fate they were to suffer. The message rests in pure religious motives and motivations and over the years has eroded the implicit humanity that it contains. People have been able to demonstrate their destructive nature in wars, crime and continued injustices. Against them some people have taken exception and in acts of altruism willingly, sacrifice themselves for the greater good. People of, or without, faith, but with a firm conviction on the sacrament of humanity.

People stood up against oppression and faced the judgement of the apartheid regime that murdered them, like Steve Biko.  People who spoke out against social injustice like Oscar Romero, who was shot during mass.  Those who resisted fascism like Ilektra Apostolou, a woman tortured and executed by the Nazis, and countless others throughout time.  These people maybe knew the “risks” of speaking out, of making a stand, but did it anyway.  A free will that led them to their damnation, but for millions of others, they became an inspiration.  At the worst of times, they shine and take their place in history, not for conquering and victories, but for reminding us all of the nobility in being principled. 

Selflessness offers a signal to all, of how important it is, for all of us to be part of our society.  It is when we dig deep on those qualities, that some may not even know that they have.  I remember reading the interview of a person tortured during a dictatorship, being described as a hero; their response was incredibly disarming. “I am not a hero; I was just there”.  I am quite aware that I write this blog at a time of self-isolation, lockdowns and the daily body count of the dead.  Over a period of weeks, our lives have radically changed, and we live in self-imposed confinement.  We are spectators in a medical drama with serious social implications.  Those we do not quite know, but it looks very likely that these reverberations will last for at least a while. 

It is interesting to see a renewed appreciation for professionals, namely health care and for those professions that we did not hold in high regard previously. Hero as a term seems to be rebranding itself and this may be one of those long-term effects afterwards. Just to remind us all that on this Good Friday, numerous professionals in the health care system, carers, teachers, public transport, logistics, council and retail workers will be going to work with their free will, knowing some of the risks for them and their families. This is their testament, this is their covenant and that forms part of our collective civilisation. Whilst people remind us to wash our hands, I kiss their hands for their altruism

Social Psychology in a Time of Crisis

I am currently sitting in an empty classroom because, although face to face teaching is not officially suspended until tomorrow, none of my seminar students have turned up. In this rather depressing situation, however, there is much for a psychologist to reflect upon, particularly the process of social influence.

First there is the phenomenon of obedience to authority. In his seminal series of experiments, Milgram (1974) was trying to understand the destructive power of obedience; the tendency of people to do what they are told even when it is morally wrong and they know it to be so. The current situation is different. While it is always important to question science (as anyone who has studied CRI1007) should be well aware!) large scale public health measures have no hope of working unless everyone obeys. Milgram did not just explore how obedient people can be – he also investigated the conditions under which obedience is strongest. One of the factors that enhanced obedience was an aura of scientific authority. Participants were more likely to obey when they were instructed by a person in a white coat, who worked in a smart laboratory in a reputable university and who made reference to science, research and experiments, than when they were confronted by someone in scruffy clothes in a run-down building in a tatty back street. Boris Johnson has a poor record of telling the truth and inspiring trust. It is no coincidence that he is currently delivering his daily briefings flanked by his chief medical officer and chief scientific advisor.

Then there is the phenomenon of panic buying. There is probably a deep-seated evolutionary drive that causes us to hoard food in times of potential shortage. Just as the onset of autumn drives squirrels to bury hazelnuts, so the mention of self-isolation drives humans to buy pasta and tinned tomatoes (or potatoes in the case of one of my elderly relatives). My grandmother, who was her family’s main breadwinner through the Second World War, kept a stash of sugar under her bed until the day she went into a care home. And I guess Freud might have had something to say about the fact that the items we are hoarding most fervently are toilet rolls!

Evolutionary drives are, however, not the whole story and social influences play a part too. We panic buy because everyone else is panic buying. In his research on conformity, Asch (1956) identified two main reasons why people went along with the crowd: some just wanted to fit in and be socially accepted (compliance); others doubted their own judgment and believed that everyone else must be correct (conversion). The latter process is helping to drive the current retail crisis – people think “everyone else is panic buying, so there must be a good reason to do so, so I need to do it too!”

Asch was investigating the influence of majorities but minorities can be influential too, often for similar reasons (Moscovici, 1976). As if we didn’t have enough disease to worry about, I have just passed a screen warning students about outbreaks of mumps in British universities. The reason why mumps is on the rise among students is that 20 years ago, when the current generation of students were babies, a small minority of scientific opinion suggested a link between the MMR vaccine and autism. Backed by authoritative sounding research and confident and charismatic individuals, it led parents to doubt mainstream opinion and reject vaccination for their children.

Another topic which has puzzled social psychologists for many years is that of altruism. Are we ever truly, selflessly altruistic? Or are we good to others because it has rewards for us? Looking at the Facebook group for the village where I live, there are some heart-breaking accounts of selfishness over the last few days. The grandmother desperately appealing for Calpol for a 5-month-old baby with chicken pox, because every shop she has tried has been cleared out by panic buyers. And the farm that sells eggs by the side of the road with an honesty box that is now asking customers to phone with orders because someone has stolen all the eggs and all the cash. But there are some lovely examples of altruism too. People offering to shop or collect prescriptions for the elderly and vulnerable. People offering to cook meals for health professionals. People setting up Facebook and WhatsApp groups in order to maintain social contact. And the wonderful woman who offered free mango chutney to anyone in the village, just because she was making a batch and wanted to share the love!

We live in interesting times! Stay safe, keep calm and use this opportunity to read and reflect.

References

Asch, S.E. (1956) Studies of independence and submission to group pressure: 1 A minority of one against a unanimous majority. In Psychological Monographs, 70, (9) (Whole No. 416).

Milgram, S. (1974) Obedience to Authority. New York: Harper and Row.

Moscovici, S. (1976). Social influence and social change. London: Academic Press.

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