Jesuit Theatre in Action

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rachel
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Jesuit Theatre in Action

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Theater for Vaccine Hesitancy—Setting the Stage for Difficult Conversations
https://jamanetwork.com/journals/jama/f ... le/2796160
With almost one-quarter of Americans unwilling to get immunized with available COVID-19 vaccines,1 vaccine hesitancy remains a substantial obstacle to controlling the coronavirus pandemic. This essay describes our experience with a Theater for Vaccine Hesitancy training program that uses improvisational theater techniques to help health care workers have collaborative conversations with unvaccinated patients about the benefits of COVID-19 vaccination.

The program had 2 precedents. One of us (J.P.C.) had previously trained in the methods of Forum Theater, one of the components of “Theater of the Oppressed”—a style of improvisational theater developed in the 1970s by social theorist Augusto Boal to catalyze critical dialogue, explore alternative solutions to challenging social situations, and advance social justice—to teach health care workers appropriate, authentic, and respectful responses to patient expressions of bias in clinical encounters.2,3 In 2021 the Centers for Disease Control and Prevention and the University of Rochester funded a 16-month Finger Lakes Rural Immunization Initiative (FLRII) that supported efforts of medical center faculty, health project coordinators, and graduate students to address low vaccination rates in rural areas. With underuse of COVID-19 vaccines a substantial public health problem, we adapted the theater methods we had used in medical education to try to help regional health care staff navigate potentially challenging conversations about vaccination with vaccine-hesitant patients.

Each training session is framed as a 60-minute workshop comprising a didactic component (titled The Science of Motivation), an improvisational theater component (Difficult Conversations), and an interactive improvisational follow-up component (Changing the Conversation) (eFigure in the Supplement). The session begins with a review of the importance of autonomy, competence, and relatedness—key tenets of self-determination theory (SDT) and motivational science4,5—and how they relate to vaccine hesitancy, including imagining what it might be like to hear and believe conspiracy theories and then have a trusted clinician tell you they are not true. Using SDT techniques, including maintaining unconditional positive regard4 toward the individual and making a clear recommendation supporting vaccination, the session reviews how to guide patients through that cognitive dissonance in a way that prioritizes their autonomy and competence.6

In the improvisational theater component (Difficult Conversations), team members acting as health care workers and patients read scripted conversations reflecting the give-and-take of vaccine recommendation and hesitancy. The scripts are based on interviews previously conducted with health care workers and staff at affiliated community-based organizations (CBOs) as part of the FLRII to identify real-world social and behavioral drivers of patient reluctance; a variety of scripted cases address pregnancy, childhood vaccination, younger healthy adults, concerns about speed of vaccine development, and other reasons to fit the audience. An impartial facilitator introduces the actors and instructs attendees (the “theater audience”) to watch and notice parts of the dialogue that do not lead to increased vaccination acceptance. After an initial run-through in which vaccine hesitancy is not effectively addressed, audience participants are asked to share feedback, including about specific parts of the dialogue that might have prevented increased vaccine acceptance. The scene is then reenacted, with audience members urged to yell “stop” if they would change the dialogue of health care workers to improve the scenario outcome. The performance is paused, the facilitator asks the person why they stopped the performance, and the person is asked to step into the role of the health care worker to use the suggested approach to change the outcome of the conversation, becoming a “spect-actor” (spectator-actor, in accordance with the Forum Theater tradition). The format compels spect-actors and the audience to realize it is easier to suggest what should be done than to do it effectively in an actual situation, although the health project coordinator playing the role of the vaccine-hesitant patient is trained to express less vaccine hesitancy when the spect-actor does a good job using the tenets of SDT in the conversation.

In the postperformance interactive improvisational follow-up component (Changing the Conversation), the session facilitator asks the spect-actors, “Did you accomplish what you set out to do?” and asks the team member playing the patient role how they felt during the encounter. If the spect-actor playing the clinician was successful, generally the team member patient will respond that they found it challenging to find continued reasons to decline vaccination; examples of responses to vaccine skepticism judged to be especially effective by attendees are provided in the Table. Finally, the facilitator asks the audience members what they think the spect-actors accomplished, trying to avoid disapproval of the spect-actors and their performance. Critics of the performance are asked to explain what they would do differently and are invited to assume the role of clinician and act out the patient encounter incorporating their suggestions. These scenarios are reenacted multiple times, permitting a number of individuals to practice having these difficult conversations.
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dirtybenny
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Re: Jesuit Theatre in Action

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Wow....talk about a scripted reality. Similar to the scripts that the third world slaves use doing "customer service" for Fedex, comcast, UPS, etc....your interactions with the health care "provider" is scripted as well.

Is anything in this realm not scripted? We must do our best to act and respond spontaneously and unpredictably to maintain being usurped by the Beast, scripting our digital twin in the metaverse.

The NLP in this article is on display...

"unwilling to get immunized"

"vaccine hesitancy"

"controlling the coronavirus pandemic"

"collaborative conversations"

"benefits of COVID-19 vaccination"

" including imagining what it might be like to hear and believe conspiracy theories and then have a trusted clinician tell you they are not true. "

"how to guide patients through that cognitive dissonance in a way that prioritizes their autonomy and competence."

"watch and notice parts of the dialogue that do not lead to increased vaccination acceptance. "

These scenarios are reenacted multiple times, permitting a number of individuals to practice having these difficult conversations.

The enemy is hellbent on injecting manKIND...with what? who knows...but the persistence and intensity of this effort is clear and suggests that it is critical, perhaps vital to the enemy to inject as many as possible.
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rachel
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Re: Jesuit Theatre in Action

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Walter Veith a series of lectures on the Jesuit takeover.

THE NINE SITUATIONS
ART OF WAR I


ART OF WAR II


ART OF WAR III
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