Pre-requisites
None, basic psychology can be helpful
Explanation of activity
The idea for this activity is to based on the patient cases presented, identify the psychological factors, individual stories or personality factors that caused the individuals to fall victim to misinformation in terms of health.
Teacher materials
Some hints to guide the students (but not all / nor complete list – rather something to start discussion with students):
- Cognitive errors
- Mental illnesses
- Need to believe in something
- Lack of trust in science
- Lack of trust in “authorities”
- Lack of time
- Need to rely on intuition
- Need for simple answers to the complexity of the world
- Satisfying the need for self-esteem, belonging, etc.
- Defensive reaction to failure
Other
Relevant reading to understand the materials:
- Ecker, U.K.H., Lewandowsky, S., Cook, J. et al. The psychological drivers of misinformation belief and its resistance to correction. Nat Rev Psychol 1, 13–29 (2022). https://doi.org/10.1038/s44159-021-00006-y
- Munusamy, S., Syasyila, K., Shaari, A.A.H. et al. Psychological factors contributing to the creation and dissemination of fake news among social media users: a systematic review. BMC Psychol 12, 673 (2024). https://doi.org/10.1186/s40359-024-02129-2
Further reading to further develop the activity/understanding of the topic:
- 1st Edition. The Psychology of Fake News: Accepting, Sharing, and Correcting Misinformation Edited By Rainer Greifeneder, Mariela Jaffe, Eryn Newman, Norbert Schwarz. Copyright 2021
Student Materials
Disinformation cases:
Case 1
Tom was working in an accounting office, raising two children and trying to ensure the best possible future for them. He was not the type of person who spent a lot of time in front of the computer, preferring instead to watch a soccer game or go for a walk with his family. However, a series of unfortunate events caused him to delve more and more into the online depths of medical misinformation.
The first moment that shook his faith in official medicine was the death of his uncle. Uncle Marian was suffering from an advanced form of cancer and – despite costly treatment – eventually lost his battle with the disease. Tom felt that the doctors had not tried hard enough, that perhaps there were other methods that no one had told him about. He despaired that perhaps there was a “secret therapy” that the doctors had not used. The seed of distrust began to sprout.
Then came the COVID-19 pandemic, and at first Tom firmly believed in safety rules: washing hands, wearing a mask. Over time, however, he noticed that there was conflicting information in the news – one day someone was saying that masks were crucial, the next that they were irrelevant. Various scientific “authorities” were making often inconsistent recommendations. On top of that, there have been rumors that the government wants to “cash in” on vaccines, and pharmaceutical companies are hiding the facts. Tom, already prone to doubt, began to feel a growing distrust: of doctors, of scientists, of politicians.
The confirmation effect was reinforced in his mind: he sought only information that reinforced his belief that “something is wrong.” Whenever he came across an online forum where someone wrote that various diseases could be contracted through COVID vaccines, he immediately remembered similar “stories” and treated them as evidence. In contrast, reports proving the safety of vaccines in his eyes were irrelevant or “false” – “after all, sooner or later the media will twist the facts anyway.”
He also began to struggle with elevated levels of anxiety. He spent long hours reading blogs and watching YouTube videos in which self-proclaimed experts preached “secret cures” – herbal concoctions, hunger pangs, “healing” sound frequencies. Each promised simple answers to extremely complex medical issues. Tom became increasingly overwhelmed and confused over time – until he finally decided that these simple, alternative methods were the only “truth.” In essence, he wanted to feel special, better informed, more informed than the rest of the population, whom he believed had been “brainwashed.”
In addition, Tom had been struggling with a sense of low self-worth for a long time. At work, although he was a solid accountant, he felt undervalued. So when he started visiting Facebook groups for people distrustful of science, he found like-minded people there who appreciated him and supported his beliefs. He became more and more engaged, commenting on posts and getting hundreds of “likes.” This heightened his impression that he had finally found a community where he felt important and needed.
Over time, experiencing further disappointments in his personal life (his wife left him, deeming him “completely crazy”), Tom closed himself off even more tightly to the online world. This was a form of defensive reaction to failure – he found it difficult to admit that maybe he should just seek specialized psychological or psychiatric help. Instead, he took refuge in simple answers to complicated questions and, more importantly, in the human kindness he found among like-minded people.
Eventually, he found that he no longer had time for anything else. He obsessively tested new theories – increasingly radical and contradictory to official medicine. He believed that viruses were a lie, that the “real cause” of most diseases was “disturbed cell vibrations,” that chemicals in drinking water were a conspiracy by corporations, and that doctors were deliberately prescribing “harmful drugs” to make patients addicted to the system.
He stopped going to the doctor altogether, although he had been struggling with high blood pressure for years. “I’ll brew myself some herbs, I’ll cure myself,” he said. – he repeated with conviction. He warned all his friends that official medicine was “a fraud on a huge scale” and that the only way to health was to completely reject modern pharmacology.
Anyone who tried to discuss with him substantively was immediately labeled a “sacrificial sheep of the system” or an agent of the corporations. Tom defended himself against any criticism because he felt he had finally found his worldview, which gave him a sense of meaning and belonging.
Case 2
Anna has always been a practical and busy person. She was busy running a small business while taking care of her two children. Accustomed to constantly solving problems “here and now,” she rarely had time for lengthy analysis. She was guided by her intuition and always looked for the simplest possible solutions.
A few years ago, Anna heard a story from a friend – someone in the family had supposedly become seriously ill, and doctors had long made the wrong diagnosis. It wasn’t until a certain “alternative” therapist came up with what ailed the patient, and reportedly brought him almost to full health in a matter of weeks. The friend told the story with such passion that Anna – despite her skepticism – admitted deep down that maybe official medicine wasn’t so reliable. The thought stuck in her head for a long time.
As Anna entered adulthood, she repeatedly observed situations in which representatives of various industries (and it was politicians, and it was scientific people) changed their minds or revealed inconsistent messages. She saw that norms, recommendations or “official positions” can completely reverse themselves within a year. So she was used to treating various authorities with a certain distance.
Anna ran a small handicraft accessories store, which had to close during the hard times of the COVID-19 pandemic. She spent practically all day solving problems: lack of supplies, overdue invoices, customer complaints. She was very upset about the political lockdown situation in Poland. She didn’t like the vaccination policy implemented by the Ministry of Health, which she viewed through the prism of her own company’s troubles. In the end, however, she decided to accept the vaccine for herself. She deliberated for a long time whether to vaccinate her children after all. She lacked the time and energy to search for reliable medical information. As a result, she turned more often to easily accessible content from Facebook or YouTube, where self-proclaimed experts presented their “revelations.”
Simple, catchy slogans appealed to Anna. Over time, she realized that it was easy to find confirmation of any thesis on the Internet. If she just typed something like “natural treatment works better than antibiotics?” into a search engine, sites supporting the theory popped up in a flash. She felt like she had “discovered” a truth that doctors were hiding from us for some reason.
Anna’s life was complicated. Work, mortgage, raising children, problems with timely payments. Information about inflation, tax changes and other complexities came from everywhere, which she no longer had the strength for. A complicated world demanded simple answers – and this is where conspiracy theories about “big pharma” or alleged “super medicines” that can be obtained from herbal stores came in. It was easy to believe the message, “You are able to take care of your health better than you think. All it takes is a few natural methods!”
When she got involved in online discussions, she came across a community of people preaching similar beliefs. There she found support and even praise: “How good of you to see through!”, ‘Don’t let them fool you!’. These words gave her encouragement. Whenever someone cited scientific evidence, Anna immediately encountered the opposite “evidence” in this group – often taken out of context or unsupported by solid research, but given in a friendly form.
At one point, Anna began to convince others that “doctors know everything, but remain silent because they are on the corporations’ belt.” When a friend tried to explain to her how scientific research works, she dismissed him with the words: “I know they have to say that, but I prefer to trust facts and my own intuition, not sponsored analyses.”
The result was that Anna visited doctors less and less often, and when she had to, she looked at them with undisguised suspicion. She also happened to advise others on home treatments in situations that required professional diagnosis. Her friends noticed that she was once open-minded and cheerful, but now, in conversations, she increasingly echoed slogans about a “pharmaceutical conspiracy” and urged people to stop making follow-up visits.
It was difficult to explain to her that the theories on which she bases her knowledge often contain great simplifications or cognitive errors. In her mind, any doubts about the “official” version of the world were arranged into a neat story: the authorities and scientists are lying, and ordinary people have to save themselves. This gave her a sense of importance and independence.
Case 3
Ms. Teresa is 73 years old and lives in a small village in southern Poland. She has always been extremely religious – praying the rosary every day, attending Mass every Sunday and being actively involved in the life of the parish. Her parents instilled in her a deep faith in the fact that God watches over the world and that in difficult moments one should first and foremost rely on God’s grace.
For many years, Ms. Teresa didn’t give much thought to medical innovations; she trusted doctors, especially if they had a good reputation in the area. However, when the COVID-19 pandemic reached her small village, conflicting information began to come to her. Television said something different from her favorite Catholic radio station, and friends from the Rosary Circle still had different opinions. Ms. Teresa felt confused. She no longer knew who to believe.
She began to say more and more often: “Only the Lord God knows everything, and people have limited reason.” On the one hand, she did not want to fully reject medical advice, but on the other hand, she observed that authorities often change their minds. So she had a hard time trusting anything called “scientific consensus.” In her view, the only sure foundation was religion.
A fellow parishioner showed Ms. Teresa an article from a Catholic portal that described vaccines as a tool for “controlling people” and that the Church allegedly warns against the work of unclean forces through “world medicine.” This information was not backed up by either official Episcopal positions or credible research, but Ms. Teresa did not know how to verify it. Her previous trust in “Church circle” publications was such that she took the content at face value.
Moreover, during one of the masses, she heard the priest’s words (taken out of context) that “one should always be aware of Satan, who meddles in human affairs and can also hide in apparent goodness.” Ms. Teresa read this as a confirmation that something could also be “hiding” in matters of medicine – maybe some sin, maybe someone’s greed.
At a certain point, instead of consulting her primary care physician – Mrs. Teresa decided to listen mainly to recordings on the Internet, where religiously-speaking “experts” cited quotes from the Bible and combined them with conspiracy theories about “world government” and “fake drugs.” These recordings often included the phrase, “Trust in God alone, don’t believe what they say on TV.”
This form of message appealed to Mrs. Teresa much more strongly than dry medical explanations – it was short, emotional and alluded to her faith. It gave her a renewed sense of inner peace: “If God is watching over us, why all this panic?”
Deep inside, she still felt anxious – after all, she had hypertension and diabetes, and doctors had been asking her for regular checkups for years. However, she had also heard voices among her friends that “most medications don’t do anything anyway.” It’s a nicer and simpler explanation: the world is black and white, and she, relying on “God’s care,” doesn’t have to bother with conflicting scientific reports.
She found several people in the parish who also shared her doubts. Some were able to quote passages from private revelations, the words of saints or quotations from Scripture, proving that the “end of times” is near, and that widely understood “modern medicines” are a trap of Satan. Others urged fasting, daily prayer and holy oils, claiming that these were the best prophylaxis for all diseases.
Over time, she stopped taking her high blood pressure medication regularly. “If I haven’t died so far, maybe I didn’t need them at all?” – she explained to herself. She didn’t inform the doctor of her doubts, because she thought he “wouldn’t understand it” anyway. When a neighbor asked her if she was afraid of complications, she replied: “You are afraid because you don’t trust God. And I entrust my whole life to Him.”
The family became concerned. Her son tried to explain to her that the Church does not officially forbid the use of medical treatment at all, and the Pope has encouraged in many statements to listen sensibly to medical recommendations. However, Mrs. Teresa was convinced that the Church’s official positions were “manipulated” and that the real message could be found in “messages” appearing on the Internet.
Modulations
- Students can start with a list of some concepts and causes of misinformation, and then independently try to think of examples taken from life or that they have encountered
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June 11, 2025