Obsessive-Compulsive Disorder (OCD) is a mental disorder characterized by engaging in time-consuming mental or behavioral activities to reduce the impact and anxiety caused by intrusive and invasive thought content, leading to significant distress. OCD is often accompanied by anxiety disorders, depression, and suicidal thoughts, resulting in substantial functional impairments in work and social life, as well as a significant decline in quality of life. In the treatment of OCD, selective serotonin reuptake inhibitors (SSRIs) and cognitive-behavioral therapy (CBT) are commonly used. However, promising results suggest that Acceptance and Commitment Therapy (ACT), a third-generation therapy, may be effective in reducing OCD symptoms. Unlike directly eliminating symptoms, ACT aims to increase psychological flexibility. It progresses through six core processes: acceptance, cognitive defusion, being present, contextual self, contact with values, and commitment to value-driven behaviors. In the context of OCD, ACT teaches individuals to let go of controlling distressing thoughts and feelings, accept them, and pursue a meaningful life aligned with personal values despite these internal experiences. Studies indicate that ACT achieves reductions in OCD symptoms comparable to CBT and exposure therapy, particularly enhancing treatment efficacy when combined with SSRIs. In conclusion, ACT emerges as an effective option for OCD treatment, though further randomized controlled trials are needed.

The article considers the theoretical foundations and practical aspects of the formation of the readiness of future primary school teachers to develop aesthetic competence of primary school students in the context of their professional training. The specific psychological characteristics of children in this age period are taken into account, which creates favorable opportunities for the aesthetic education of primary school students in art lessons, in extracurricular educational work, and leisure. The scientific and methodological principles of the research problem, the main directions in the scientific achievements of teachers, psychologists, and modern research in the field of aesthetic education of children are analyzed. The significant role of the teacher in the aesthetic education of primary school students in the cultural and educational space, the role of the primary school teacher in the organization of school art education as an essential component of the system of artistic and aesthetic education are considered. The process of spiritual and aesthetic enrichment of the individual through involvement in the values of art in the social and cultural space and the factors of ensuring specially organized pedagogical conditions for the formation of the spiritual world of future teachers by means of art in educational institutions are substantiated. The article clarifies the concept of "competence" - as a set of requirements, characteristics and skills that can improve the effectiveness of a specialist's work and "competence" - that is, the totality of experience, information and knowledge that a person has in a certain field; an ability that is the result of training and includes knowledge, experience, values and approaches that can be successfully applied in practice. It is proved that an innovative approach is a specific, structural-organizational, procedural- functional, synthetically-integrated set of methods and techniques that reflect the dynamism and variability of modern society, the implementation of innovative activity of specialists in the process of their activities, the creation of an innovative environment for primary school students. The dynamics of the process of forming the readiness of future primary school teachers to develop aesthetic competence of primary school students, their aesthetic awareness through the organization of education and leisure, which depends on the child's ability to emotionally and aesthetically experience, the possibility of further artistic and aesthetic self-education, is presented. The leading role of art education is determined, which acts as a mediator between socially significant cultural values and personal values of a person and ensures the acquisition of basic competencies - general cultural, artistic and cognitive, communicative; forms the desire and ability for artistic and creative self-realization and spiritual self-improvement throughout life. The importance of the teacher's role in mastering artistic values of primary school students is emphasized.

Learning from government communication strategies to promote infant RSV immunisation: A cross-national study of France, Luxembourg, Spain, and Australia.

Spirituality is recognized in the U.S. occupational therapy (OT) practice framework and several practice models but it is not consistently addressed in practice. This study explored how older adults understand spirituality and which occupations they consider spiritual. This descriptive qualitative study involved interviews of 37 older adults. Transcribed interview data were analyzed using reflexive thematic analysis. Four themes emerged: (a) reflection was important for participants' understanding of spirituality and spiritual occupations, (b) most participants linked spirituality to a higher being or personal values, (c) spirituality and spiritual occupations provide positive life influence, and (d) many occupations can be spiritual. Views on spirituality and spiritual occupations are individualized and often not recognized by participants. Practitioners should initiate discussions with clients related their views on spirituality and how it is enacted in meaningful occupations.

The literature on psychedelic experiences often highlights their transformative potential. This raises ethical questions about informed consent in psychedelic-assisted therapy: if the altered state of consciousness induced by psychedelic drugs can profoundly alter a person's value system in ways that are epistemically inaccessible to them beforehand, it is unclear whether their informed consent before the experience can be considered valid. I argue that this view stems from a simplistic understanding of psychedelic-mediated transformation, which overemphasises the power of the psychedelic experience in driving change. In most psychedelic-mediated changes, the experience of an altered state of consciousness is only the beginning of the transformative process: a lasting transformation requires patients to undertake a sober, authentic agential process following the psychedelic experience. I suggest that this two-step view of psychedelic transformation alleviates the pressure on informed consent.

Why do some people want to migrate while others do not, and why are only some willing to do so irregularly? Existing explanations emphasise socio-demographic characteristics, political and economic contexts, and access to migrant networks. This article tests socio-psychological factors as predictors of variation in migration aspirations, plans, preparations, and irregularity willingness. Using original, nationally representative survey data from Montenegro, it tests the effects of personal values, risk aversion, self-efficacy, interpersonal trust, behavioural inhibition, and personality traits. In particular, individuals who value openness-to-change and self-enhancement and are less risk-averse are significantly more likely to express a desire to migrate, even when controlling for conventional predictors. Psychological factors play a more limited role in explaining the more behavioural plans and preparations, where structural and enabling factors dominate, consistent with the aspirations–capabilities framework, though perhaps reflecting statistical power. Willingness to migrate irregularly displays a largely distinct pattern of associations, particularly higher interpersonal trust and lower conscientiousness. Overall, the results suggest that psychology is particularly well suited to explaining why people want to migrate and how they would be willing to do so, while migration behaviour depends more heavily on capabilities.

Effective recruitment and retention of donors are essential for the supply of blood components and blood-derived medicines. In many high-income Western countries, there is an imbalance between demand and production of blood-derived medicines. Motivational factors behind donations range from altruism and health concerns to incentives or responding to a need from friends or family. Motivations might differ according to beliefs and social norms. The aim of this review was to identify the motivations that influence blood and plasma donation behavior in high-income Western countries. We conducted a scoping review following the PRISMA-ScR guidelines. A comprehensive search was performed in MEDLINE, EMBASE and CINAHL for studies published from 2013 onwards that examined motivations for blood or plasma donation in high-income Western countries. Reported motivations were coded and grouped into predefined categories and subcategories. Thirty-eight studies including 147,010 participants met the inclusion criteria. Most studies assessed motivations for blood donation, while few focused on plasma donation. Across studies, prosocial motivations were the most frequently reported drivers of donation. Among blood donors, altruistic reasons such as helping others and social responsibility predominated. Non-donors more often cited collectivist motives, such as donating when a friend or relative needed blood. For plasma donation, prosocial motivations remained important, although incentives were cited more often than for blood donation. Prosocial motivations, particularly altruism and personal values, are the main drivers of blood and plasma donation in high-income Western countries. However, motivations vary across donor groups and between blood and plasma donation.

ABSTRACT Many people place friendships at the centre of their lives, yet systemic therapists often focus exclusively on familial and romantic relationships. In this study, we explored how systemic therapists understand and approach working relationally with friends in therapy. We interviewed 17 UK‐based systemic practitioners and analysed the data using reflexive thematic analysis. Although most participants were unfamiliar with friend therapy, they expressed curiosity, ambivalence, and thoughtful reflection on their personal and professional values. Participants recognised that practitioners could apply systemic skills to friendships, especially given social and cultural shifts that elevate the role of friends. At the same time, they identified barriers, including institutional norms, a lack of evidence, and concerns about applying therapeutic frameworks to these relationships. Our findings suggest that systemic therapists may be well‐placed to work therapeutically with friends, but doing so could require shifts in training, tools, and ideology. Friend therapy challenges the field to reconsider which relationships deserve therapeutic attention.

Sharing one's HIV status with others (onward HIV disclosure) for youth with perinatally acquired HIV (PAH) is often difficult but may assist with challenges associated with living with HIV. We describe the development of an intervention to help HIV-sharing decision-making for UK and Ugandan youth with PAH. The methods included : (1) semi-structured interviews with 50 participants (20 with PAH patients aged 18–25 years, 20 friends, family or partners and 10 professionals), (2) a survey of 57 UK participants with PAH patients aged ≥17, (3) the development of an intervention conceptual model, (4) intervention development, including obtaining intervention feedback from 13 youth with PAH. The survey showed that group (23/57; 40%) and mixed individual and group formats (21/57; 37%), mixed gender groups (52/57; 91%) and peer worker involvement (54/57; 95%) were preferred. The interviews highlighted the importance of overcoming feelings of shame and accepting one's status before sharing, having support to feel confident to share, personal values playing a part in sharing decisions and friends and partners explaining that they had not been educated about HIV until someone had shared their status with them. We describe the finalised intervention, and strengths and limitations of the intervention development process are outlined. Trial registration: ISRCTN Registry, ISRCTN31852047, Registered on 21 January 2019.

ABSTRACT In the context of rapid urbanisation and climate change, initiatives like Singapore’s One Million Trees movement offer promising solutions to the challenges facing urban life. Co-production is a key focus in governance reform agendas, emphasising increased citizen participation in shaping their environments. This study explores how co-production manifests and is experienced in Singapore’s context. This article examines the experiential dynamics of public participation in Singapore’s One Million Trees movement, drawing on original empirical results from a survey, semi-structured interviews and journaling with participants in that program. Our analysis highlight’s themes of belonging, responsibility and empowerment while also showing how participants’ desires for ownership and belonging in urban greening processes can sit together uneasily, marking the difference between feeling ‘responsible’ and being ‘responsibilised’. We argue that understanding these tensions are critical for overcoming barriers to participation, internal or personal confliction, and the differences between government and personal values in urban greening.

The alternative plant-based foods (APBFs), such as plant-based meats and milks, are increasingly popular among conscious consumers. APBFs are designed to mimic the flavor and texture of animal-based products. This study explores why consumers choose plant-based foods and examines consumer behavior within the context of agricultural economics. A semi-structured interview was conducted in Bangkok from July to December 2024 with 31 experienced consumers. Using Schwartz’s human value theory, the means-end chain framework guided the interviews. Content analysis and a hierarchical value map (HVM) were used to analyze the results. The HVM revealed associations among product attributes (A), consequences (C), and personal values (V). Key product attributes identified include ingredients, price, packaging, and taste. Prominent consequences were health, worthiness, and pleasant flavor. Four primary personal values emerged: security, hedonism, universalism, and benevolence. The findings highlight the importance of Thailand’s agricultural supply chains and rural economy. As demand for plant-based foods increases, the need for agricultural ingredients such as beans, soy, peas, and rice becomes critical. The agricultural sector and Thailand’s Bio-Circular-Green (BCG) economy model are heavily dependent on consumer demand. This study provides insights from theoretical, practical, and societal perspectives, emphasizing the role of consumer preferences in shaping agricultural and economic policies.

The aim of this article is to present the findings of a Swiss survey on climate-related attitudes among coaches and professionals, and to explore how coaching can contribute to sustainability through mindset and cultural transformation. In response to the escalating climate crisis and its implications for individuals and organisations, the Swiss chapter of the Climate Coaching Alliance (CCA Switzerland) conducted a national survey in 2024 to explore how coaching can support sustainability-oriented transformation. The survey gathered insights from 75 participants- including coaches, sustainability professionals, and employees from various sectors – revealing a high level of concern for sustainability and desire to do something about it, but a significant misalignment between personal values and organisational priorities. The findings underscore the untapped potential of coaching as a systemic lever for change. Coaches are well-positioned to foster inner transformation, enabling individuals and organisations to align purpose, action, and impact. To conclude, there is a clear need for more tools, training, and support to empower coaches to address sustainability with confidence and care. This includes helping them reflect on their own roles, biases, and behaviours, so they can more effectively contribute to the broader societal transformation needed for a regenerative future.

ABSTRACT Offering retail investors the opportunity to implement personal values in their investment decisions, the demand for sustainable finance products is increasing. However, despite the growing popularity, there is still no consensus on the definition of sustainable finance. Instead, it is used as an umbrella term for investment activities guided by sustainability-oriented strategies. Thus, when banks in their intermediary role promote sustainable finance products, they must fill these gaps. This study aims to develop an understanding of how banks present sustainability and sustainable investing when offering sustainable finance products, what they understand by it, and how they demonstrate their benefits. Using a mixed-methods approach consisting of quantitative and qualitative content analysis and qualitative frame analysis, this research analyzes bank webpages from the DACH region. It shows that banks predominantly refer to environmental, social, and governance (ESG) criteria to define sustainability. They explain and justify the offerings of sustainable investment products with societal expectations and thus describe it as the interplay of the realization of individual values while achieving financial benefits. The results challenge the perception of ESG criteria as described in signaling theory, as the presented lack of depth in argumentation blurs the line between costly signals and “cheap talk.”

ABSTRACT This study examines the role of luxury sustainability in shaping consumer behavior through pro-environmental self-identity and luxury consumption, focusing on how consumers leverage sustainable luxury choices for self-expression and self-presentation. The research explores the impact of luxury sustainability as a vehicle for social and ethical signaling, showing that pro-environmental self-identity enhances self-presentation, which contributes positively to perceived prestige and increases the consumer’s willingness to pay a premium for sustainable luxury goods. Findings reveal that self-presentation strongly impacts prestige, while self-expression alone does not significantly influence prestige value. This suggests that the role of luxury sustainability is primarily driven by social perception, allowing consumers to align their personal values with visible, ethical status symbols, rather than purely personal expression.

Purpose This study aims to analyze the influence of attitudes and perceived behavioral control on the intention to consume halal and environment-friendly products, and to explore the role of intention as a mediator in bridging these linkages by considering the differences in marital status between married and unmarried groups. Design/methodology/approach The quantitative approach with a self-administered survey was performed through an online survey to 323 respondents who consume halal and environment-friendly products. Data were analyzed using the structural equation modeling technique based on partial least squares (PLS) with the help of SmartPLS version 3.0 to estimate direct and indirect relationships between variables. Findings The findings reveal the contradictory results for married and unmarried groups for the role of attitude and perceived behavioral control in promoting intention to consume halal and environment-friendly products. The consensus exists in the linkage between intention and consumption behavior among these groups. This study also shows that intention cannot mediate between variables for the married group, while it can fully mediate for the unmarried group. Research limitations/implications The unbalanced composition of respondents based on marital status is dominated by the group of unmarried respondents. The result can affect the generalizability of the results to married and unmarried groups. Further investigation is suggested to involve more proportional samples and consider additional variables such as social norms and religiosity in understanding intention and consumption behavior. Practical implications The study shows that marital status can shape the pathways to halal and environment-friendly consumption. This refines the theory of planned behavior (TPB) by showing the life-stage differences and supports integration with the value–attitude–behavior (VAB) framework. For practical matters, it informs differentiated strategies for unmarried consumers to respond to personal attitudes and ethical values, while married consumers prioritize household welfare and affordability. Businesses operating in the halal and environment-friendly sectors are required to align their strategies with Islamic principles to enhance the wider market for both married and unmarried groups. Originality/value This study provides a new approach by integrating TPB and VAB in the context of halal and environment-friendly product consumption and considering marital status as a predictor, which has been overlooked by preliminary studies in this theme.

A pronominal dual formative derivable from *tsi, *ntsi, or *tsiŋ is attested sufficiently broadly across the Tibeto-Burman languages to require that these be reconstructed to the proto-language. In most of these languages only one of these forms occurs, and combines with pronouns to form compositional duals. However, several languages show clear association of *tsi with inclusive dual, and *ntsi with second person dual; there is also some evidence for an originally exclusive value of *tsiŋ. This paper presents the comparative evidence for these, with evidence from various clades supporting the reconstructed person values of the three forms, and suggests a preliminary account of the develoments which have resulted in the replacement in most languages of the original 3-term paradigm with compositional forms.

The language used to describe health equity efforts has become increasingly contested. Understanding how language influences public attitudes is essential to effectively communicate equity-focused concepts across ideological groups. To assess the association of language and framing with public receptiveness to health equity concepts, including alignment of definitions with shared values, reactions to common terms, and preferences for public health framing statements. This cross-sectional online survey of 1000 US adults was conducted between April 9 and April 25, 2025, using an international public opinion research firm that recruited from a nonprobability-based online panel with matching and weighting to national benchmarks. Participants were stratified by age, sex, race and ethnicity, self-reported political ideology, and geographic region to approximate national demographics. The survey included 3 modules: (1) random assignment to a definition of health equity or health equality with values-alignment questions; (2) evaluative reactions to 10 common health equity terms; and (3) preferences for 4 pairs of equivalent public health statements differing only in framing. Primary outcomes included participant ratings of values alignment (including personal values and values core to national identity, the latter of which were termed American values in the survey), evaluative reactions to equity-related terms (negative to nonnegative), and framing preferences across ideology groups. Descriptive statistics assessed values alignment, reactions to terms, and framing preferences. Among 1000 US adults (weighted number, 513.2 [51.3%] female; 105.8 [10.6%] very liberal, 164.0 [16.4%] liberal, 344.0 [34.4%] moderate, 205.9 [20.6%] conservative, 98.7 [9.9%] very conservative, and 81.5 [8.2%] not sure), respondents represented a broad range of ages, racial and ethnic backgrounds, and educational attainment. Respondents assigned to the health equity definition reported higher alignment with personal values (42.9%-87.4% across groups) than those assigned to health equality (28.5%-79.0% across groups), with endorsement of either concept increasing progressively from very conservative to very liberal respondents (P < .001 in both cases). When assessing perceived core American values, health equity (47.0% [95% CI, 33.1%-60.8%]) was more frequently endorsed than health equality (21.1% [95% CI, 9.6%-32.5%]) among those identifying as very conservative. Four terms-accessible health care, health care investment, population health, and community health-were broadly well received (<10% negative responses in most groups), whereas the terms marginalized communities and inclusive health elicited more divergent reactions across ideologies (P < .01 in both cases). Collectivist (our health vs your health) and affirming (start, support, and increase) framings were consistently preferred across groups. In this national online survey of 1000 US adults, respondents showed both ideological differences and areas of convergence in responses to health equity language and framing. These findings suggest that strategic use of broadly resonant terms and collective, affirming framings may foster understanding of and support for health initiatives across political ideologies.

Burnout is a work-related syndrome recognised by the World Health Organization and included in the International Classification of Diseases 11th revision (ICD-11) as resulting from chronic workplace stress that has not been successfully managed. Characterised by emotional exhaustion, depersonalisation, and a reduced sense of professional accomplishment, it predominantly affects healthcare professionals exposed to sustained emotional and organisational demands at the workplace. Global evidence indicates that nearly half of practising clinicians experience burnout, with higher prevalence in emergency medicine, anaesthesiology, surgical subspecialities, radiology, internal medicine, family medicine and primary healthcare, as well as among registrars and students. Burnout is a syndrome that is closely associated with other mental health conditions, such as depression, anxiety, substance use, and increased suicide risk, while compromising patient safety through elevated rates of diagnostic and medication errors. Contributing factors include excessive workloads, administrative burden, limited autonomy, poor work-life balance, and misalignment of personal and institutional values. Effective management requires a dual focus: individual strategies such as mindfulness, exercise, and stress-management programmes, and organisational reforms including workload optimisation, streamlining electronic documentation, leadership development, and value alignment. When recognised early and addressed comprehensively, burnout is reversible with improved clinician well-being and enhanced patient outcomes. A coordinated response from healthcare institutions, professional councils, and policymakers is essential to safeguard the workforce and sustain high-quality health services. This article aims to provide readers with evidence-based strategies to help themselves or to support a colleague who may be experiencing burnout.

ABSTRACT As digital technologies continue to reshape the nature of work, their impact on workers' experience of the meaning of work has attracted growing scholarly interest. However, the existing body of findings remains largely fragmented and conceptually inconsistent. To address this gap, we conduct a systematic literature review and develop a process‐oriented theoretical framework that explains how digital technologies influence the meaning of work. We show that digital technologies first trigger changes in work characteristics, such as autonomy, skill use, feedback, and the relational aspects. These changes then influence key meaning‐making processes, including skill mastery and growth, personal value alignment, impact recognition, and the integration of societal values. We also highlight the active role of workers in navigating these changes through different coping strategies. Importantly, we identify a set of contextual factors, spanning societal, organizational, technological, and individual domains, that condition these dynamics. This integrative approach advances theoretical understanding of the meaning of work in the digital era and offers practical insights for human resource management by underscoring the importance of supporting worker adaptation and sustaining the meaning of work amid technological change.

This study aims to address the challenge of high dropout rates during the absolute bed rest period of Morita therapy in clinical practice in China. It explores the integration of Acceptance and Commitment Therapy (ACT) and Dialectical Behaviour Therapy (DBT) theory and techniques to enhance the operability and completion rate of this critical phase, while preserving the core therapeutic mechanisms of Morita therapy. The research examines the common ground between Morita therapy, ACT, and DBT in core concepts such as acceptance, action orientation, and psychological flexibility, as well as their potential shared biological mechanisms (e.g., modulating the default mode network, facilitating prediction error learning, and promoting neuroplasticity). By reviewing the current state of clinical practice in China, it analyses the underlying causes of implementation difficulties during the absolute bed rest period (e.g., patient psychological characteristics, socio-cultural background, and healthcare system constraints). A structured operational framework is proposed, integrating specific ACT and DBT techniques - such as cognitive defusion, mindfulness, values clarification, and distress tolerance skills - into the different stages of the absolute bed rest period. The integrated framework provides patients with operable, structured skill-based support during the absolute bed rest period. It facilitates the progressive development of awareness, enhances acceptance capacity, improves distress tolerance, and fosters a connection with personal values. This framework not only has the potential to reduce dropout rates but also deepens patients' understanding and practice of the Morita therapy philosophy of 'accepting reality as it is.' It offers a new theoretical foundation and practical pathway for the effective implementation of Morita therapy within the Chinese cultural context. The integration of ACT and DBT techniques shows promise in enhancing the clinical feasibility and patient completion rate of the absolute bed rest period in Morita therapy. It achieves this by adapting to the psychological characteristics and socio-cultural realities of Chinese patients while preserving core therapeutic mechanisms, such as facilitating 'sudden insight' and awakening life energy. Future directions include the development of a structured operational manual and validation of its efficacy through randomised controlled trials, thereby promoting the deeper integration and application of Morita therapy in contemporary mental health practice.