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Search Results (176)

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25 pages, 935 KiB  
Article
Sustainable Consumption Intentions Among Portuguese University Students: A Multidimensional Perspective
by António Cardoso, Amândio Silva, Manuel Sousa Pereira, Jorge Figueiredo and Isabel Oliveira
Sustainability 2025, 17(17), 7569; https://doi.org/10.3390/su17177569 - 22 Aug 2025
Abstract
This study examines sustainable consumption intentions among university students in Portugal, a generation increasingly recognized for their ecological awareness but often constrained by structural and social barriers. Within this context, this study explores psychological and behavioral determinants of sustainable consumption and peer recommendation [...] Read more.
This study examines sustainable consumption intentions among university students in Portugal, a generation increasingly recognized for their ecological awareness but often constrained by structural and social barriers. Within this context, this study explores psychological and behavioral determinants of sustainable consumption and peer recommendation using an integrative framework based on the Theory of Planned Behavior (TPB), the Value–Belief–Norm theory (VBN), and the SHIFT model. Drawing on a survey of 324 students from diverse academic backgrounds, we analyzed how environmental beliefs, consumer habits, and activism influence sustainable consumption intention and recommendation. The analysis, conducted using Partial Least Squares Structural Equation Modeling (PLS-SEM), reveals that environmental beliefs significantly predict both consumer intention and habitual behavior, which in turn affect activism and sustainable consumption. Notably, intention emerges as a key mediator between individual motivations and peer recommendation, while activism and habits do not exert direct influence on recommendation behavior. These findings underscore the importance of moral values, routine behavior, and motivational pathways in shaping sustainable practices, while highlighting the persistent gap between awareness and consistent advocacy. This study offers theoretical and practical insights into how structural and psychological factors can reinforce youth engagement with sustainability. Full article
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20 pages, 272 KiB  
Entry
Philosophical Genealogy
by Brian Lightbody
Encyclopedia 2025, 5(3), 126; https://doi.org/10.3390/encyclopedia5030126 - 19 Aug 2025
Viewed by 202
Definition
Philosophical genealogy constitutes a mode of inquiry that investigates either (a) the historical emergence of contemporary ideas, institutions, religions, moral norms, and even affective dispositions by tracing them to the intersection of diverse and often heterogeneous historical practices, beliefs, customs, and technologies or [...] Read more.
Philosophical genealogy constitutes a mode of inquiry that investigates either (a) the historical emergence of contemporary ideas, institutions, religions, moral norms, and even affective dispositions by tracing them to the intersection of diverse and often heterogeneous historical practices, beliefs, customs, and technologies or (b) demonstrates how a phenomenon could have emerged by providing a pragmatic reconstruction of the object under investigation. The following entry endeavors to explore various formulations of the genealogical method. Full article
(This article belongs to the Section Arts & Humanities)
25 pages, 380 KiB  
Article
Elements of a Culture of Peace: A Bahá’í Perspective
by Tiffani Betts Razavi
Religions 2025, 16(8), 1073; https://doi.org/10.3390/rel16081073 - 19 Aug 2025
Viewed by 254
Abstract
The realization of universal peace is a central teaching of the Bahá’í Faith and permeates individual and collective Bahá’í practice. This article explores this teaching through the lens of culture as a constructive social process based on shared beliefs and values and their [...] Read more.
The realization of universal peace is a central teaching of the Bahá’í Faith and permeates individual and collective Bahá’í practice. This article explores this teaching through the lens of culture as a constructive social process based on shared beliefs and values and their expression. It begins by outlining a Bahá’í concept of peace and then turns to the question of how Bahá’í teachings foster a culture of peace. It focuses on three elements central to a Bahá’í approach to a culture of peace, outlined as follows: (i) the beliefs people hold of themselves and the world, (ii) the importance of a sense of moral purpose as the basis of individual and collective commitment, and (iii) a framework for shared agency through individual action and community building, as illustrated by Bahá’í educational activities, participation in social discourses, and community development initiatives. The article explores each of these elements from the perspective of Bahá’í principles and practices, at the individual and collective level, in the light of the academic literature on cultures of peace, paradigm shift, and normative change, and then addresses the contribution of a Bahá’í perspective to understanding cultures of peace. It concludes with a reflection on the mode of operation of the Bahá’í community, the role of individuals, communities, institutions, and emerging cultural patterns, challenges presented by this vision of peacebuilding, and questions for future research on a Bahá’í approach to a culture of peace. Full article
25 pages, 441 KiB  
Article
Why Sacrifice?—Early Confucianism’s Reinterpretation of Sacrificial Rites and Human–Guishen (鬼神, Spirits and Deities) Relations Through Qing (情, Sentiment)
by Li Feng
Religions 2025, 16(8), 1049; https://doi.org/10.3390/rel16081049 - 13 Aug 2025
Viewed by 390
Abstract
This paper examines how early Confucianism reinterpreted sacrificial rites and reconstructed the relationship between humans and spirits through the lens of qing (情, sentiment). Traditional scholarship often views the Confucian reinterpretation of sacrifice as a shift from religious belief to a human-centered framework [...] Read more.
This paper examines how early Confucianism reinterpreted sacrificial rites and reconstructed the relationship between humans and spirits through the lens of qing (情, sentiment). Traditional scholarship often views the Confucian reinterpretation of sacrifice as a shift from religious belief to a human-centered framework of rationality, morality, and humanism—emphasizing its role in moral education and social governance and thereby marginalizing or even denying the existence of guishen (鬼神, spirits and deities) and the transcendent realm they represent. Although some scholars have emphasized the religious dimensions of Confucianism, few have addressed how Confucians managed to affirm the existence of spirits while simultaneously endowing sacrificial rites with moral and humanistic meaning—that is, how they navigated the inherent tension between the human and the divine realms. Against this background, this study argues that early Confucians neither denied the existence of spirits nor reduced sacrifice to a purely ethical or political instrument. By contrast, they regarded human sentiment as the universal foundation of sacrificial practice and, through a profound and creative transformation, redirected the meaning of sacrifice toward the human world (rendao 人道), thereby establishing a new model of human–divine relations—one that affirms human agency and dignity while preserving the sanctity of the spiritual. Drawing on close readings of classical Confucian texts such as The Analects, The Book of Rites, and Xunzi, this paper identifies three core dimensions of sacrificial sentiment: remembrance, gratitude, and reverence and awe. Together, these sentiments form a relational structure between humans and guishen that enables communication and interaction while maintaining clear boundaries. In this way, Confucian sacrificial rites become a space for emotional expression without degenerating into a “carnival of emotions” or transgressing the proper separation between the human and the divine. Confucian sacrificial thought thus affirms human dignity and moral agency while upholding the transcendence of the sacred. Full article
21 pages, 373 KiB  
Article
Environmental Citizenship and Behavioral Determinants of Wind Farm Tourism: Evidence from Grass Skyline, Zhangjiakou, China
by Danqing Liu, Leonard A. Jackson, Randall Upchurch and Catherine Johnson
Tour. Hosp. 2025, 6(3), 152; https://doi.org/10.3390/tourhosp6030152 - 9 Aug 2025
Viewed by 331
Abstract
This study examines the intersection of renewable energy and tourism by exploring why domestic tourists visit wind farm sites for recreation. Traditionally seen as industrial facilities, wind farms are now recognized as dual-purpose attractions that promote environmental awareness and local economic growth. Using [...] Read more.
This study examines the intersection of renewable energy and tourism by exploring why domestic tourists visit wind farm sites for recreation. Traditionally seen as industrial facilities, wind farms are now recognized as dual-purpose attractions that promote environmental awareness and local economic growth. Using the Value–Belief–Norm (VBN) theory, Theory of Planned Behavior (TPB), and New Environmental Paradigm (NEP) as theoretical lenses, we investigate the psychological, social, and cultural factors influencing wind farm tourism. The key determinants of tourist behavior include attitudes, subjective norms, perceived behavioral control, personal norms, and environmental beliefs. Structural equation modeling (SEM) indicates that personal norms have the strongest direct impact on tourists’ intentions (underscoring the importance of internalized moral obligations in this context), with additional indirect effects through environmental citizenship factors. The findings highlight wind farms’ potential to foster sustainability, community engagement, and rural development. Managerial recommendations include providing visitor amenities, targeted marketing, and community involvement to enhance wind farms’ appeal as tourism destinations. This study contributes to tourism theory by expanding the definition of attractions to include renewable energy sites. Future research should examine the moderating role of past behavior and incorporate additional environmental citizenship variables to deepen insights into wind farm tourism. Full article
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21 pages, 1245 KiB  
Article
Does Control-Related Information Attenuate Biased Self-Control and Moral Perceptions Based on Weight?
by Casey L. Timbs and Heather M. Maranges
Behav. Sci. 2025, 15(7), 970; https://doi.org/10.3390/bs15070970 - 17 Jul 2025
Viewed by 373
Abstract
Negative weight-based attitudes are pervasive and difficult to change. One reason may be the moralization of weight: if people use higher weight as a cue for lower self-control, they may infer lower moral character, given the strong link between self-control and morality. Moralized [...] Read more.
Negative weight-based attitudes are pervasive and difficult to change. One reason may be the moralization of weight: if people use higher weight as a cue for lower self-control, they may infer lower moral character, given the strong link between self-control and morality. Moralized attitudes tend to be resistant to change. Accordingly, we tested whether (1) people perceived others with higher (vs. lower) weight as having lower self-control and, in turn, morality and (2) whether targeting control-related perceptions attenuated the weight → self-control → morality links. To that end, in two preregistered experiments (see OSF), we employed intervention strategies targeting control-related perceptions to increase moral evaluations of higher-weight individuals. Specifically, we provided evidence of a higher-weight person’s (a) weight uncontrollability (Study 1) and (b) high self-control (Study 2). People perceived higher-weight targets as having lower self-control, and this predicted perceptions of lower moral character. However, as with extant weight-based attitude interventions, neither experimental intervention strategy attenuated less positive (i.e., made more positive) moral character perceptions. These findings suggest that it is not enough to intervene on control-related beliefs to reduce the moralization of weight. We suggest intervening on moral perceptions directly and the possibility that moralization of weight may be automatic, requiring interventions targeting automatic attitudes. Full article
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22 pages, 814 KiB  
Article
When Institutions Cannot Keep up with Artificial Intelligence: Expiration Theory and the Risk of Institutional Invalidation
by Victor Frimpong
Adm. Sci. 2025, 15(7), 263; https://doi.org/10.3390/admsci15070263 - 7 Jul 2025
Cited by 1 | Viewed by 601
Abstract
As Artificial Intelligence systems increasingly surpass or replace traditional human roles, institutions founded on beliefs in human cognitive superiority, moral authority, and procedural oversight encounter a more profound challenge than mere disruption: expiration. This paper posits that, instead of being outperformed, many legacy [...] Read more.
As Artificial Intelligence systems increasingly surpass or replace traditional human roles, institutions founded on beliefs in human cognitive superiority, moral authority, and procedural oversight encounter a more profound challenge than mere disruption: expiration. This paper posits that, instead of being outperformed, many legacy institutions are becoming epistemically misaligned with the realities of AI-driven environments. To clarify this change, the paper presents the Expiration Theory. This conceptual model interprets institutional collapse not as a market failure but as the erosion of fundamental assumptions amid technological shifts. In addition, the paper introduces the AI Pressure Clock, a diagnostic tool that categorizes institutions based on their vulnerability to AI disruption and their capacity to adapt to it. Through an analysis across various sectors, including law, healthcare, education, finance, and the creative industries, the paper illustrates how specific systems are nearing functional obsolescence while others are actively restructuring their foundational norms. As a conceptual study, the paper concludes by highlighting the theoretical, policy, and leadership ramifications, asserting that institutional survival in the age of AI relies not solely on digital capabilities but also on the capacity to redefine the core principles of legitimacy, authority, and decision-making. Full article
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12 pages, 235 KiB  
Article
Attitude and Awareness Toward General and Professional Ethics Among Pharmacists and Pharmacy Students: A Cross-Sectional Study from Jordan
by Mariam Alameri, Ghaith Al-Taani, Mervat Alsous, Sireen Shilbayeh and Nadia Al Mazrouei
Healthcare 2025, 13(13), 1556; https://doi.org/10.3390/healthcare13131556 - 30 Jun 2025
Viewed by 410
Abstract
Background: Due to their participation in patient care, pharmacists frequently face various ethical decisions that must be made. Every day, pharmacists encounter ethical challenges in any pharmaceutical workplace. This study aims to assess the attitude and awareness among pharmacy students and pharmacists regarding [...] Read more.
Background: Due to their participation in patient care, pharmacists frequently face various ethical decisions that must be made. Every day, pharmacists encounter ethical challenges in any pharmaceutical workplace. This study aims to assess the attitude and awareness among pharmacy students and pharmacists regarding general and professional ethics. Methods: This study was cross-sectional, using an interview-based questionnaire. Pharmacy students from Yarmouk University volunteered to approach other pharmacy students and pharmacists to complete the questionnaire using a convenient sampling method. Results: A total of 1737 pharmacy students and pharmacists participated in this study. Among the 691 participants who are currently practicing pharmacists, 549 (79.4%) reported working in a community pharmacy. About half of the pharmacy students (53.6%) had studied a course in ethics, while 110 (15.9%) of the pharmacists had not. While students and pharmacists have shown significantly different attitudes, less than 20% of the participants demonstrated a high level of awareness regarding the pharmacy code of ethics. On the other hand, more than 60% of pharmacy students and practicing pharmacists concurred that they might permit others to carry out the duties of a pharmacist. Surprisingly, the data revealed that student pharmacists performed better than practicing pharmacists, highlighting that students appreciate the principles of professionalism and that exposure to a work environment can help modulate negative behavior and beliefs. Conclusions: These findings underscore the need for ongoing ethical education and training for both pharmacy students and practicing pharmacists to ensure that everyone in the field upholds a high standard of moral behavior in patient care. Full article
20 pages, 432 KiB  
Article
Divine Bestowal or Moral Guidance: The Interpretations of Tian You Qi Zhong 天誘其衷 and the Heaven–Human Relationship in Early Confucian Thought
by Cheng Wang
Religions 2025, 16(7), 822; https://doi.org/10.3390/rel16070822 - 23 Jun 2025
Viewed by 813
Abstract
This paper explores how the interpretations of the phrase “tian you qi zhong 天誘其衷” in the Zuozhuan 左傳 (The Zuo Commentary) have changed over time. These changes reflect early Confucian perspectives on the relationship between Heaven and humanity. By examining [...] Read more.
This paper explores how the interpretations of the phrase “tian you qi zhong 天誘其衷” in the Zuozhuan 左傳 (The Zuo Commentary) have changed over time. These changes reflect early Confucian perspectives on the relationship between Heaven and humanity. By examining the polysemous terms (you 誘 and zhong 衷) and by comparing transmitted texts with excavated manuscripts (e.g., Guodian 郭店, Shangbo 上博, and Tsinghua corpora), the paper demonstrates a vital dilemma in early Chinese philosophy: whether Heaven endows moral qualities or simply awakens the innate dispositions of human beings. The paper traces the moralization of tian 天 (Heaven) from the Shang 商 dynasty’s theocentric worldview to the Zhou’s 周 focus on ethical responsibility, showing how the Zuozhuan bridges archaic religious beliefs and emerging Confucian humanism. Traditional commentaries read tian you qi zhong as Heaven “bestowing goodness” or “guiding moral intention,” while the manuscript evidence suggests that the phrase actually meant Heaven “descending its heart or will” to attune human affairs to the cosmos. Han exegetes redefined the term you as pedagogical guidance due to Confucianism’s growing emphasis on self-cultivation. By contextualizing the phrase at a larger backdrop of discussions of the Mandate of Heaven (tianming 天命) and moral cultivation, the study contends that early Confucians transformed tian from a deity figure to a moral principle dwelling in the human capacity, integrating religious reverence and ethical emancipation. This interdisciplinary approach studies ongoing scholarly discussions on the interrelationship between religion, ethics, and philosophy in early China. Full article
(This article belongs to the Special Issue Ethical Concerns in Early Confucianism)
27 pages, 739 KiB  
Viewpoint
The Land That Time Forgot? Planetary Health and the Criminal Justice System
by Alan C. Logan, Colleen M. Berryessa, John S. Callender, Gregg D. Caruso, Fiona A. Hagenbeek, Pragya Mishra and Susan L. Prescott
Challenges 2025, 16(2), 29; https://doi.org/10.3390/challe16020029 - 18 Jun 2025
Viewed by 1863
Abstract
Planetary health is a transdisciplinary concept that erases the dividing lines between individual and community health, and the natural systems that support the wellbeing of humankind. Despite planetary health’s broad emphasis on justice, the promotion of science-based policies, and stated commitments to fairness, [...] Read more.
Planetary health is a transdisciplinary concept that erases the dividing lines between individual and community health, and the natural systems that support the wellbeing of humankind. Despite planetary health’s broad emphasis on justice, the promotion of science-based policies, and stated commitments to fairness, equity, and harm reduction, the criminal justice system has largely escaped scrutiny. This seems to be a major oversight, especially because the criminalization of mental illness is commonplace, and the system continues to be oriented around a prescientific compass of retribution and folk beliefs in willpower, moral fiber, and blameworthiness. Justice-involved juveniles and adults are funneled into landscapes of mass incarceration with ingrained prescientific assumptions. In non-criminal realms, such as obesity, there is a growing consensus that folk psychology ideas must be addressed at the root and branch. With this background, the Nova Institute for Health convened a transdisciplinary roundtable to explore the need for a ‘Copernican Revolution’ in the application of biopsychosocial sciences in law and criminal justice. This included discussions of scientific advances in neurobiology and omics technologies (e.g., the identification of metabolites and other biological molecules involved in behavior), the need for science education, ethical considerations, and the public health quarantine model of safety that abandons retribution. Full article
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16 pages, 693 KiB  
Article
Shifting Students’ Perceptions About Homelessness: Quantitative Assessment of a Project-Based Approach
by Diana A. Chen, Mark A. Chapman and Joel Alejandro Mejia
Educ. Sci. 2025, 15(5), 608; https://doi.org/10.3390/educsci15050608 - 15 May 2025
Viewed by 477
Abstract
Although engineering institutional bodies uphold public welfare and the impact of engineering on people and society, engineering curricula rarely scaffold students to connect their technical learning with sociotechnical perspectives. This paper describes a project-based learning approach where engineering students engaged with issues faced [...] Read more.
Although engineering institutional bodies uphold public welfare and the impact of engineering on people and society, engineering curricula rarely scaffold students to connect their technical learning with sociotechnical perspectives. This paper describes a project-based learning approach where engineering students engaged with issues faced by people experiencing homelessness to better understand the sociotechnical nature of effective, user-centered, engineering design. We conducted a quantitative assessment to determine how well and in what ways the project-based learning curriculum shifted students’ perceptions about homelessness. We collected pre-/post-survey data from students on 21 statements about their perceptions and attitudes about homelessness prior to and after an engineering project with a focus on homelessness in San Diego, CA, USA. The study aimed to measure the effectiveness of the course/project on shifting students’ perceptions from myths about homelessness towards reality, which supported the course objectives regarding diversity, inclusion, and social justice. We found that, from data from 166 students over 8 semesters, students’ perceptions had statistically significant (p < 0.05) shifts in five survey statements, which regarded beliefs about the personal choices or perceived moral decisions of those experiencing homelessness, and that students were able to more strongly identify with an engineer’s duty to care for those experiencing homelessness. Full article
(This article belongs to the Special Issue Project-Based Learning in Integrated STEM Education)
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19 pages, 1108 KiB  
Article
Bridging Human Behavior and Environmental Norms: A Cross-Disciplinary Approach to Sustainable Tourism in Vietnam
by Tran Thi Thu Thuy, Nguyen Thi Thanh Thao, Vo Thi Thu Thuy, Su Thi Oanh Hoa and Tran Thi Diem Nga
Sustainability 2025, 17(10), 4496; https://doi.org/10.3390/su17104496 - 15 May 2025
Viewed by 1143
Abstract
Vietnam’s tourism sector has experienced rapid expansion, yielding significant economic gains, but also escalating environmental and socio-cultural challenges. This necessitates a shift toward sustainable tourism practices. This study develops and tests an integrative model combining the Theory of Planned Behavior (TPB) and Value–Belief–Norm [...] Read more.
Vietnam’s tourism sector has experienced rapid expansion, yielding significant economic gains, but also escalating environmental and socio-cultural challenges. This necessitates a shift toward sustainable tourism practices. This study develops and tests an integrative model combining the Theory of Planned Behavior (TPB) and Value–Belief–Norm (VBN) theory to investigate the Sustainable Consumption Behavior (SCB) of domestic travelers in Vietnam. Grounded in the country’s collectivist culture—characterized by a strong emphasis on communal values and social harmony—the research examines how rational decision-making and normative pressures jointly drive eco-friendly travel behaviors. Data were collected from 549 Vietnamese tourists through stratified sampling across three major regions, and were analyzed through a robust multi-step methodology, including Exploratory Factor Analysis, Confirmatory Factor Analysis, and structural equation modeling (SEM), supplemented by regression analysis. The SEM results indicate that the proposed model accounts for 60.8% of the variance in SCB, underscoring its explanatory power. Within the TPB framework, Attitude, Subjective Norms, and Perceived Behavioral Control significantly predict Behavioral Intention, which, in turn, mediates their influence on SCB. In the VBN component, Environmental Awareness shapes Altruistic and Biospheric Values, fostering the New Environmental Paradigm and activating Personal Norms, which exert a direct effect on SCB. This direct influence of Personal Norms, bypassing Behavioral Intention, highlights the role of implicit moral obligations in Vietnam’s collectivist cultural context and challenges Western-centric behavioral models. Beyond these frameworks, Destination Attributes and Consumer Innovativeness emerge as critical direct predictors of SCB, with Destination Attributes showing the strongest effect. Mediation analyses confirm Behavioral Intention’s central role, while moderation tests reveal that gender and travel experience modulate TPB-based relationships, suggesting the value of targeted interventions. Theoretically, this study advances TPB–VBN integration by applying it to a collectivist setting, revealing how cultural norms amplify normative influences on sustainable behavior. Practically, it advocates for strategies such as community-driven initiatives leveraging Personal Norms, educational campaigns to enhance Perceived Behavioral Control, and sustainable destination management initiatives in locations like Da Nang and Ha Long Bay. While the cross-sectional design limits causal claims, the findings provide a foundation for future longitudinal studies and cross-cultural comparisons, particularly in other collectivist societies, potentially incorporating digital engagement and policy incentives as novel factors. Full article
(This article belongs to the Section Tourism, Culture, and Heritage)
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28 pages, 4160 KiB  
Article
Analyzing the Overturn of Roe v. Wade: A Term Co-Occurrence Network Analysis of YouTube Comments
by Rodina Bizri-Baryak, Lana V. Ivanitskaya, Elina V. Erzikova and Gary L. Kreps
Informatics 2025, 12(2), 49; https://doi.org/10.3390/informatics12020049 - 14 May 2025
Cited by 1 | Viewed by 1531
Abstract
Objective: This study examines YouTube comments following the overturn of Roe v. Wade, investigating how perceptions of health implications differ based on commenters’ gender and abortion stance. Methods: Using Netlytic, 25,730 comments were extracted from YouTube videos discussing the overturn of Roe v. [...] Read more.
Objective: This study examines YouTube comments following the overturn of Roe v. Wade, investigating how perceptions of health implications differ based on commenters’ gender and abortion stance. Methods: Using Netlytic, 25,730 comments were extracted from YouTube videos discussing the overturn of Roe v. Wade, half of which featured physicians discussing public health implications. Manual coding of 21% of the comments identified discussions on abortion stance and medical implications, while Gender API approximated the commenters’ gender. A term co-occurrence network was generated with VOSviewer to visualize key terms and their interrelations. Custom overlays explored patterns related to gender, abortion views, and medical implications, and comparisons within these overlays intersected with the medical implications overlay to illustrate contextual differences across demographics. Results: Four clusters emerged in the network: Constitutional Law, addressing the U.S. Constitution’s interpretation and legal impacts; Reproductive Rights and Responsibility, discussing alternatives to abortion and access; Human Development, exploring the intersection of abortion laws and individual beliefs; and Religious Beliefs, linking abortion laws to faith. Prochoice users focused on medical and socioeconomic impacts on women, whereas prolife users emphasized the prevention of unwanted pregnancies and moral considerations. Gender analysis revealed males centered on constitutional issues, while females highlighted medical and personal effects. Conclusion: The findings underscore that monitoring YouTube discourse offers valuable insights into public responses to shifts in health policy. Full article
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14 pages, 476 KiB  
Review
From Doubt to Direction: Untangling Pediatric Scrupulosity
by Rachel E. Mathews and Shivali Sarawgi
Children 2025, 12(4), 528; https://doi.org/10.3390/children12040528 - 21 Apr 2025
Viewed by 840
Abstract
Background: Up to 33% of individuals with obsessive-compulsive disorder (OCD) have scrupulosity symptoms, although less is known regarding the prevalence rates in youth, specifically. Scrupulosity translates to “fearing sin where there is none” and describes pathological guilt and distress related to religion [...] Read more.
Background: Up to 33% of individuals with obsessive-compulsive disorder (OCD) have scrupulosity symptoms, although less is known regarding the prevalence rates in youth, specifically. Scrupulosity translates to “fearing sin where there is none” and describes pathological guilt and distress related to religion and morality. Disentangling scrupulosity from true religious beliefs and actions may be difficult in youth for a number of reasons, including the nature of youth as a time of developing independent identities and values, expected ritualistic behavior (e.g., confession, ritualistic cleansing), scrupulosity being reinforced in some religious communities, and the discomfort or inexperience of clinicians with both these symptoms and various belief systems. The literature suggests limited knowledge of scrupulosity among mental health providers, including pediatric clinicians, and apprehension to discuss or target scrupulous beliefs and behaviors. Apprehension may be enhanced for providers working with youth populations, particularly given broader misconceptions about the efficacy and safety of gold-standard interventions. Objectives: This narrative review with practice guidelines examines the existing literature related to pediatric scrupulosity and its challenges and describes evidence-based treatments for scrupulosity in pediatric populations. Recommendations for clinical practice and research are discussed. Full article
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22 pages, 582 KiB  
Article
Understanding Church-Led Adolescent and Youth Sexual Reproductive Health (AYSRH) Interventions Within the Framework of Church Beliefs and Practices in South Africa: A Qualitative Study
by Vhumani Magezi, Jaco Hoffman and George W. Leeson
Healthcare 2025, 13(8), 907; https://doi.org/10.3390/healthcare13080907 - 15 Apr 2025
Viewed by 579
Abstract
Background: The existing literature often oversimplifies the complex relationship between religion and Adolescent and Youth Sexual and Reproductive Health (AYSRH), particularly regarding church-based interventions. This study aimed to investigate the nature and implementation strategies of church AYSRH programmes within their belief systems to [...] Read more.
Background: The existing literature often oversimplifies the complex relationship between religion and Adolescent and Youth Sexual and Reproductive Health (AYSRH), particularly regarding church-based interventions. This study aimed to investigate the nature and implementation strategies of church AYSRH programmes within their belief systems to inform effective programme development. Methodology: An interpretive descriptive design was employed. Data were collected in the Vaal Triangle region of South Africa (Vanderbijlpark, Vereeniging, and Sasolburg) between August 2019 and February 2020. In-depth interviews were conducted with pastors, government officials, and school principals. Focus group discussions were held with parent and youth church groups alongside youth groups from Technical and Vocational Education and Training (TVET) colleges. Data were analyzed using Atlas.ti v.23. Results: Church-based AYSRH interventions primarily emphasize information provision and abstinence until marriage, aligned with prevailing moral values. These interventions are delivered through integration into existing church programmes and collaborations with external stakeholders for specialized areas like contraception. Limitations identified included ineffectiveness, superficiality, impracticality, tensions between religious doctrine and lived realities, a reductionist focus, a singular information-sharing approach, and limited pastor understanding and openness regarding AYSRH. Conclusions: Churches possess valuable communication platforms and partnerships that could be leveraged for AYSRH interventions. However, this study highlights a one-sided focus on church teachings and significant tensions between idealized approaches and practical implementation, raising critical questions about the overall efficacy of church-led AYSRH projects. This research validates prior findings on church-based AYSRH interventions while offering nuanced insights and heuristic perspectives for a more comprehensive and less simplistic understanding of church-driven AYSRH services. Full article
(This article belongs to the Section Community Care)
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