, carry damaging stigma—but respiratory diseases typically don’t. “How often do people feel ashamed that they got the flu?” says Joe Gieck, an assistant professor of psychiatry and behavioral medicine at the Virginia Tech Carilion School of Medicine.
Norman is working on a therapeutic intervention for people who have struggled with COVID-19-related shame based on her previous work treating U.S. veterans. It guides people to recognize why they feel ashamed; addresses “hindsight bias,” or the tendency to judge past decisions based on present knowledge; and finds strategies for releasing guilt and shame in the future. Norman is still studying the program and its efficacy but says she has gotten promising feedback from patients.
Public health authorities like the CDC can use similar tactics. Jennifer Manganello, a health communications expert at the University at Albany School of Public Health, says the language used to describe COVID-19 is important. Talking about people “acquiring” or “contracting” COVID-19 is better than saying someone “transmitted” the virus or “infected” someone else, she says, because it takes blame out of the equation.
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