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Knowledge of dementia and dementia care in a cross-sectional sample of individuals living in rural and urban areas in KwaZulu-Natal, South Africa 南非夸祖鲁-纳塔尔农村和城市居民横断面样本中的痴呆症和痴呆症护理知识
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-11-25 DOI: 10.1177/00812463221139651
X. P. Mfene, B. Pillay
Knowledge of dementia is considered one of the facilitators of dementia risk reduction because it has been linked to early detection, diagnosis, and help-seeking in people with dementia. This study explored knowledge of dementia symptoms, causes, and care in a community sample of individuals living in rural and urban areas in KwaZulu-Natal, South Africa. A cross-sectional household study of 300 participants, ⩾ 18 years old, using semi-structured individual interviews was conducted. Of the 300 participants, 94% recognised the presence of the cognitive decline symptoms, and 12.4% identified the symptoms as dementia. Participants emphasised biological and medical risk factors over socio-cultural factors. Although the participants primarily adopted a biomedical understanding of dementia, with a small number acknowledging a traditional understanding, they preferred a multi-disciplinary approach to care. Participants advocated for a multidisciplinary care approach that included medical, family, social work, mental health services, and spiritual and traditional care for people with dementia and their families. Therefore, policy and care services for African people with dementia and their families need to holistically integrate multiple care approaches. This will maximise the benefit of public health interventions while also building capacity in our understaffed and burdened healthcare systems.
对痴呆症的了解被认为是降低痴呆症风险的促进因素之一,因为它与痴呆症患者的早期发现、诊断和寻求帮助有关。本研究探讨了生活在南非夸祖鲁-纳塔尔省农村和城市地区的社区样本中人们对痴呆症症状、原因和护理的了解。对300名年龄大于或等于18岁的参与者进行了一项横断面家庭研究,使用半结构化的个人访谈。在300名参与者中,94%的人认为存在认知能力下降的症状,12.4%的人认为这些症状是痴呆。与会者强调生物和医疗风险因素胜过社会文化因素。虽然参与者主要采用了对痴呆症的生物医学理解,少数人承认传统的理解,但他们更喜欢多学科的护理方法。与会者主张采取多学科护理办法,包括医疗、家庭、社会工作、心理健康服务以及对痴呆症患者及其家人的精神和传统护理。因此,针对非洲痴呆症患者及其家庭的政策和护理服务需要全面整合多种护理方法。这将最大限度地发挥公共卫生干预措施的效益,同时也将在我们人手不足和负担沉重的卫生保健系统中进行能力建设。
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引用次数: 0
Investigating parenting factors, traumatic brain injury and callous and unemotional traits among high school students in a South African setting 调查南非高中学生的父母因素、创伤性脑损伤和冷酷无情的特征
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-11-15 DOI: 10.1177/00812463221135256
Aimee Tredoux, Nathan Phillander, Huw Williams, C. Ward, Leigh Schrieff-Brown
Aggressogenic parenting styles are associated with increased rates of callous and unemotional traits, and in turn, with antisocial behaviours. Traumatic brain injury is also associated with antisocial behaviour, but not callous and unemotional traits specifically. No study has previously investigated these three variables, aggressogenic parenting, traumatic brain injury, and callous and unemotional traits, in a single study. The study setting was Cape Town, South Africa. The sample included high school boys (N = 54), aged 13–21 years in an observational, descriptive study. We hypothesised that boys who reported that they had sustained a traumatic brain injury and who had been exposed to aggressogenic parenting would display increased levels of callous and unemotional traits, and that those with traumatic brain injury but had experienced positive parenting would display lower levels of such traits. The main measures included the Comprehensive Health Assessment Tool, the Inventory of Callous/Unemotional traits, and the Alabama Parenting Questionnaire. Results show that almost 41% (22/54) of participants reported sustaining a traumatic brain injury. Aggressogenic parenting significantly moderated callous and unemotional traits only in participants with traumatic brain injury, F(1.46) = 4.76, p = .03, while positive parenting and substance use did not. In conclusion, traumatic brain injury in the presence of aggressogenic parenting is associated with greater callous and unemotional traits in this sample of adolescent boys.
攻击性的养育方式与冷酷无情的性格特征的增加有关,反过来,与反社会行为有关。创伤性脑损伤也与反社会行为有关,但与冷酷无情的特征无关。在此之前,还没有研究在一项研究中调查这三个变量,攻击性父母,创伤性脑损伤,以及冷酷无情的特征。研究地点是南非的开普敦。在一项观察性描述性研究中,样本包括13-21岁的高中男生(N = 54)。我们假设,报告称遭受过创伤性脑损伤并受到攻击性教育的男孩会表现出更多的冷酷无情的特征,而那些遭受过创伤性脑损伤但经历过积极教育的男孩会表现出更低水平的这些特征。主要测量方法包括综合健康评估工具、冷酷无情特征量表和阿拉巴马州父母问卷。结果显示,近41%(22/54)的参与者报告遭受了创伤性脑损伤。攻击性教养仅在创伤性脑损伤的参与者中显著调节冷酷和无情的特征,F(1.46) = 4.76, p =。而积极的养育方式和药物使用则没有。综上所述,在本样本的青春期男孩中,攻击性父母的创伤性脑损伤与更大的冷酷和无情的特征有关。
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引用次数: 0
Adverse childhood experiences, psychological well-being, and substance use in Pakistani university students 巴基斯坦大学生的不良童年经历、心理健康和物质使用
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-11-11 DOI: 10.1177/00812463221136958
Rabia Hanif, W. Kliewer, R. Riaz
Adverse childhood experiences are associated with risky health behaviors and adverse health outcomes worldwide, including substance use; yet, relatively fewer studies have examined linkages between adverse childhood experiences and health behaviors and outcomes in low- and middle-income countries, including countries in sub-Saharan Africa and large portions of Asia. Furthermore, fewer studies of adverse childhood experiences have examined the pathways or processes connecting adverse childhood experiences to health behaviors and outcomes. This study addressed these gaps by investigating three competing models of associations between adverse childhood experiences, psychological well-being, and substance use in 595 Pakistani University students (40.5% female; Meanage = 21.96, Standard deviation = 2.37) using path analysis. Controlling for the effects of age, sex, and socioeconomic status, adverse childhood experiences were associated with both diminished psychological well-being and higher levels of substance use. However, psychological well-being and substance use were unrelated and neither accounted for indirect effects of adverse childhood experiences on adjustment. Suggestions for furthering research on adverse childhood experiences, particularly in low- and middle-income countries, are discussed.
儿童不良经历与全球范围内的危险健康行为和不良健康结果有关,包括药物使用;然而,在中低收入国家,包括撒哈拉以南非洲和亚洲大部分地区的国家,研究儿童不良经历与健康行为和结果之间联系的研究相对较少。此外,很少有关于儿童不良经历的研究探讨儿童不良经历与健康行为和结果之间的联系途径或过程。这项研究通过调查595名巴基斯坦大学生(40.5%为女性;平均年龄 = 21.96,标准偏差 = 2.37)。考虑到年龄、性别和社会经济地位的影响,不良的童年经历与心理健康水平下降和药物使用水平升高有关。然而,心理健康和药物使用是不相关的,也没有考虑到不良童年经历对适应的间接影响。讨论了进一步研究儿童不良经历的建议,特别是在中低收入国家。
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引用次数: 0
Racism, climate activism, and the politics of apology: the image exclusion of Black youth activists 种族主义、气候行动主义和道歉政治:黑人青年活动家的形象排斥
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-10-18 DOI: 10.1177/00812463221131213
B. Barnes
Global heating is associated with historical and contemporary climate racism. Apologies for (climate) racism have the potential to facilitate meaningful discussions about a way forward. However, apologies are complex and can reveal assumptions about privilege. There has been very little work on understanding apologies concerning climate racism. I focus on the apologies received by three Black women activists who (separately) had their images excluded from reporting about their climate activism. The activists alleged that the acts were racist at the individual and systemic levels. I analysed the apologies, online responses, and actions to repair the damage using thematic analysis. I argue that the apologies were not meaningful. Apologies also reveal how privilege operates, including controlling the narrative, drawing on unconscious racism, silence, and ignoring victim reparations. I discuss the importance of apology expectations for climate change from countries in the global North towards the global South. I also discuss the implications for future psychological studies on climate racism.
全球变暖与历史和当代气候种族主义有关。为(气候)种族主义道歉有可能促进有关前进道路的有意义的讨论。然而,道歉很复杂,可能会暴露出对特权的假设。关于理解与气候种族主义有关的道歉的研究很少。我关注的是三位黑人女性活动家收到的道歉,她们(分别)在报道自己的气候活动时被排除了自己的形象。活动人士声称,这些行为在个人和系统层面上都是种族主义的。我使用主题分析分析了道歉、在线回复和修复损害的行动。我认为这些道歉没有意义。道歉还揭示了特权是如何运作的,包括控制叙事、利用无意识的种族主义、沉默和忽视受害者赔偿。我讨论了全球北方国家对全球南方国家对气候变化的道歉期望的重要性。我还讨论了气候种族主义对未来心理学研究的影响。
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引用次数: 1
Conceptualising eco-anxiety using an existential framework 使用存在主义框架概念化生态焦虑
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-10-17 DOI: 10.1177/00812463221130898
Joseph TC Rehling
There is a lack of conceptual clarity regarding the nature of distress caused by confrontations with climate change as a generalised or global phenomenon (distress often labelled ‘eco-anxiety’). However, existing literature has suggested that existential concerns might be central to the experience. This article explores and conceptualises the experience of eco-anxiety through semi-structured interviews with 15 self-selecting adults. Data were analysed using thematic analysis, which utilised an existential framework – consisting of the concerns of death, meaning, isolation, and freedom/responsibility – in a theory-driven analysis of interview transcripts. Participants’ experiences were conceptualised by four themes derived from the existential framework and six subthemes. Climate change was equated with death or loss and associated with guilt, anger, isolation, powerlessness, and chronic uncertainty about what to do as well with challenges to meaning in life. The study indicates that distress about climate change is a diverse and distressing phenomenon that can be appropriately conceptualised through an existential lens. Implications of this are discussed for climate and clinical psychology.
面对气候变化所造成的困扰作为一种普遍的或全球性的现象(困扰通常被称为“生态焦虑”),其本质缺乏概念上的清晰性。然而,现有的文献表明,存在主义的担忧可能是这种体验的核心。本文通过对15名自我选择的成年人进行半结构化访谈,探索并概念化生态焦虑的体验。数据分析采用主题分析,在访谈记录的理论驱动分析中使用了存在主义框架——包括对死亡、意义、孤立和自由/责任的关注。参与者的经历被概念化为来自存在主义框架的四个主题和六个副主题。气候变化与死亡或损失等同,与内疚、愤怒、孤立、无能为力、长期不确定该做什么以及对生活意义的挑战联系在一起。该研究表明,对气候变化的担忧是一种多样的、令人担忧的现象,可以通过存在主义的视角来适当地概念化。这对气候和临床心理学的影响进行了讨论。
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引用次数: 1
Eco-anxiety and its divergent power holds: a youth climate activist’s perspective 生态焦虑及其分歧力量:一个青年气候活动家的观点
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-10-15 DOI: 10.1177/00812463221130586
Jennifer Olachi Uchendu
I am a climate activist living and working in Nigeria. I have always had an interest in environmental protection, I remember feeling very hurt as a child when a Mango tree was unnecessarily cut down in our compound. Years later, I have become a youth organizer working with hundreds of young Nigerians on community-led, climate action through advocacy and activism. Eco-anxiety can be broadly referred to a range of emotions a person can feel because of direct or indirect impacts of ecological breakdown, climate change, and biodiversity loss. As a Black, youth climate activist, my experience of eco-anxiety has mostly been filled with anger, frustration, and powerlessness. In this commentary, I briefly explore the role of power (and the lack of it thereof) in understanding eco-anxiety, drawing from a subjective experience and research conducted in 2020 with some youth climate activists living in the United Kingdom (Uchendu, 2020). A helpful framework that has supported my understanding of how power relates to eco-anxiety is Bronfenbrenner’s social-ecological theory, the framework helps to situate the complex system of relationships between young people and their surrounding contextual environment. These relationships could either span from the young person’s immediate family and peer networks to or even broader cultural and societal backdrops (Bronfenbrenner, 1979; Kilanowski, 2017). Starting with the personal space of self-identity and other external relationships, I have shared my thoughts on some emerging power links worth considering. The terms eco-anxiety and climate anxiety are used interchangeably in this article.
我是一名在尼日利亚生活和工作的气候活动家。我一直对环境保护感兴趣,我记得小时候,当我们大院里的一棵芒果树被不必要地砍倒时,我感到非常受伤。几年后,我成为了一名青年组织者,通过倡导和行动主义,与数百名尼日利亚年轻人一起开展社区主导的气候行动。生态焦虑可以广泛指一个人由于生态破坏、气候变化和生物多样性丧失的直接或间接影响而感受到的一系列情绪。作为一名黑人青年气候活动家,我的生态焦虑经历大多充满了愤怒、沮丧和无能为力。在这篇评论中,我简要探讨了权力在理解生态焦虑中的作用(以及缺乏权力),借鉴了2020年与一些生活在英国的青年气候活动家进行的主观经验和研究(Uchendu,2020)。Bronfenbrenner的社会生态学理论是一个有助于我理解权力与生态焦虑之间关系的框架,该框架有助于定位年轻人与其周围环境之间的复杂关系系统。这些关系可以跨越年轻人的直系亲属和同伴网络,也可以跨越更广泛的文化和社会背景(Bronfenbrenner,1979;Kilanowski,2017)。从自我认同和其他外部关系的个人空间开始,我分享了我对一些值得考虑的新兴权力联系的看法。生态焦虑和气候焦虑在这篇文章中可以互换使用。
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引用次数: 2
Chasing the ghosts: stories of people left behind on the frontline of climate and ecological crisis 追逐幽灵:在气候和生态危机前线落伍的人们的故事
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-10-14 DOI: 10.1177/00812463221130902
Ayushi Rai
Human-induced global climate change is associated with population migration as places become uninhabitable. Uttarakhand is one of India’s most ecologically fragile and climatically vulnerable states. There are massive disparities between the hill and the plain districts as the development initiatives remain concentrated in the plain districts. The inadequacy of the state government, coupled with environmental changes, has made the life of the hill communities challenging. Many people have migrated from the hills resulting in depopulated or ghost villages. Based on interviews with 75 people, the article attempts to shed light on changes that occur when the inhabitants of a place leave. Loss of a place and its community life can have severe implications on the well-being of the people. Respondents showed a range of emotions, including the longing for their homes before the onset of environmental changes. With more intense and frequent climatic events, it has become essential to understand such social and cultural costs of migration.
人类引发的全球气候变化与人口迁移有关,因为这些地方变得不适合居住。北阿坎德邦是印度生态最脆弱、气候最脆弱的邦之一。山区和平原地区之间存在巨大差异,因为发展举措仍然集中在平原地区。州政府的不足,加上环境的变化,使山区社区的生活充满挑战。许多人从山上迁移而来,造成了人口减少或人烟稀少的村庄。基于对75人的采访,这篇文章试图揭示一个地方的居民离开时会发生的变化。失去一个地方及其社区生活可能会对人民的福祉产生严重影响。受访者表现出一系列情绪,包括在环境变化开始之前对家园的渴望。随着气候事件的加剧和频繁,了解移民的社会和文化成本变得至关重要。
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引用次数: 0
Psychology and the climate emergency 心理学与气候紧急情况
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-10-14 DOI: 10.1177/00812463221130900
Garret Barnwell, B. Barnes, Lynn Hendricks
The climate emergency is rapidly intensifying, and urgent action to safeguard the future of life on earth is imperative (Intergovernmental Panel on Climate Change [IPCC], 2021). Nowhere will be unaffected by the dramatic impacts of climate change, such as climate change–exacerbated disas-ters, economic devastation, and social upheaval (IPCC, 2022). Climate change is centrally shaping ecologies and society’s health and psychological well-being on a planetary scale. A crisis that some 20 years ago may have seemed disparate and hard to measure in our daily lives is now intersecting with all areas of life, compounding hardships and igniting social action. When we, as Special Issue Guest Editors, published South African Journal of Psychology ’s (SAJP) call for papers during the 2021 UN Climate Summit in Glasgow, we already knew that psychology has been responding to the climate emergency. A growing number of Special Issues have addressed different aspects of psychology and climate change, some of which we have also worked on in the past (Barnes et al., 2022; Fernandes-Jesus et al., 2020). We know that there is a great appetite for spaces to highlight how psychology is being used around the world in different ways.In our original call, we were seeking pragmatic papers related to psychological impacts of climate change; experiences of climate-exacerbated disasters; risk perceptions; resilience and adapta-tion; engaging governments, extractive and fossil fuel industries; public education and curriculum development; evaluating novel interventions; clinical case studies (intervention, group or commu-nity); community mobilisation; ethical case studies (e.g., engaging with statutory bodies); climate activism; climate psychologies’ roles supporting climate action; and climate inequities and mental health.
气候紧急情况正在迅速加剧,必须采取紧急行动,保护地球生命的未来(政府间气候变化专门委员会,2021年)。任何地方都不会不受气候变化的巨大影响,例如气候变化加剧的灾害、经济破坏和社会动荡(IPCC, 2022)。气候变化正在全球范围内对生态、社会健康和心理健康产生核心影响。大约20年前,在我们的日常生活中似乎是不相干的、难以衡量的危机,现在却与生活的各个领域交织在一起,加剧了困难,引发了社会行动。当我们作为特刊客座编辑在2021年格拉斯哥联合国气候峰会期间发表《南非心理学杂志》(SAJP)的论文征集时,我们已经知道心理学一直在应对气候紧急情况。越来越多的特刊讨论了心理学和气候变化的不同方面,其中一些我们过去也研究过(Barnes et al., 2022;Fernandes-Jesus等人,2020)。我们知道,人们非常需要空间来突出世界各地以不同的方式使用心理学。在我们最初的呼吁中,我们正在寻找与气候变化的心理影响有关的实用论文;气候加剧灾害的经验;风险认知;恢复力和适应性;与政府、采掘和化石燃料行业接触;公共教育及课程发展;评估新的干预措施;临床病例研究(干预,团体或社区);社区动员;道德个案研究(例如,与法定机构合作);气候行动;气候心理学支持气候行动的作用;气候不平等和心理健康。
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引用次数: 0
Perceptions of thermal comfort and coping mechanisms related to indoor and outdoor temperatures among participants living in rural villages in Limpopo province, South Africa 居住在南非林波波省农村的参与者对室内和室外温度相关的热舒适和应对机制的看法
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-10-14 DOI: 10.1177/00812463221129363
C. Wright, B. Wernecke, T. Kapwata, Z. Kunene, A. Mathee, Joshua Vande Hey, L. Theron
Global heating is considered one of the greatest threats to human health and well-being. Supporting human resilience to heating threats is imperative, but under-investigated. In response, this article reports a study that drew together results from quantitative data on perceptions of thermal comfort and mechanisms for coping with thermal discomfort among 406 households in a study in Giyani, Limpopo province. Indoor dwelling and outdoor temperatures were also analysed. Most participants perceived their dwellings to be too hot when it was hot outdoors. People relied on recommended heat health actions such as sitting outdoors in the shade or opening windows. While this agency is meaningful, resilience to climate change requires more than personal action. In light of the climate threats and climate-related disaster risks facing South Africa, an all-encompassing approach, including education campaigns, climate-proofed housing, access to basic services, and financial considerations that will help support resilient coping among South Africans, is urgently required.
全球变暖被认为是对人类健康和福祉的最大威胁之一。支持人类抵御气候变暖威胁的能力势在必行,但却未得到充分调查。作为回应,本文报告了一项研究,该研究收集了在林波波省Giyani的406个家庭中对热舒适感知和应对热不适机制的定量数据。还分析了室内居住和室外温度。大多数参与者认为,当室外很热时,他们的住所太热了。人们依靠建议的热健康行动,如坐在户外阴凉处或打开窗户。虽然该机构意义重大,但应对气候变化需要的不仅仅是个人行动。鉴于南非面临的气候威胁和与气候相关的灾害风险,迫切需要采取一种全面的方法,包括开展教育活动、提供耐气候住房、提供基本服务以及考虑财政因素,以帮助南非人有弹性地应对气候变化。
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引用次数: 3
The role of critical methodologies in climate psychology scholarship: themes, gaps, and futures 批判性方法论在气候心理学学术中的作用:主题、差距和未来
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-10-12 DOI: 10.1177/00812463221130158
Fatima Peters
Climate change is a global problem caused by humans. Climate psychology scholarship aims to assist human beings in mitigating and adapting to this problem’s consequences. A brief scoping review was conducted first. The findings indicated that most of the literature was quantitative and theoretical in orientation, with only two qualitatively focused. A dearth of information exploring qualitative methodologies was found. The brief scoping review justified the need for this narrative review that explored the critical methodologies used by climate psychology scholars. The narrative review covered the period 2009–2022. Search terms included ‘climate psychology’ and ‘climate change and psychology’. A critical transformative paradigm informed the analysis. The narrative review found that climate psychology scholars in the selected articles actively addressed social justice and represented marginalised peoples’ voices through participatory action research, grounded theory, narrative theory, capabilities theory, discursive psychology, and strengths-based approaches. Three authors presented their positionality statements. Ten articles used a qualitative approach, while three used a quantitative approach. The use of interviews and thematic analysis was dominant. Researchers demonstrated an awareness of power and its influence on the research process. The methodology could be enhanced if they provided more detail on how they addressed power as a guide for future researchers. Furthermore, it would be beneficial to explore their perceptions of how critical methodologies can be more actively incorporated into climate psychology scholarship.
气候变化是由人类引起的全球性问题。气候心理学奖学金旨在帮助人类减轻和适应这一问题的后果。首先进行了一次简短的范围界定审查。研究结果表明,大多数文献都是定量的和理论的,只有两篇是定性的。研究发现,缺乏探索定性方法的信息。简短的范围界定审查证明了这篇叙述性审查的必要性,该审查探讨了气候心理学学者使用的批评方法。叙述性审查涵盖2009-2012年期间。搜索词包括“气候心理学”和“气候变化与心理学”。一个关键的变革范式为分析提供了依据。叙事综述发现,气候心理学学者在所选文章中积极探讨社会正义,并通过参与行动研究、扎根理论、叙事理论、能力理论、话语心理学和基于优势的方法来代表边缘化人群的声音。三位作者介绍了他们的立场声明。10篇文章采用了定性方法,3篇采用了定量方法。访谈和专题分析的使用占主导地位。研究人员展示了对权力及其对研究过程的影响的认识。如果他们提供更多关于如何处理权力的细节,作为未来研究人员的指南,那么这种方法可能会得到加强。此外,探索他们对如何将批判性方法更积极地纳入气候心理学学术的看法将是有益的。
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引用次数: 0
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