opinion: the 9 barriers that lead to vaccine hesitancy

the fourth wave of the covid-19 pandemic is putting pressure on hospital networks, upsetting many and making vaccine refusals seem foolish. to better understand what leads someone refuse or delay vaccination, it is important to   identify the psychological barriers that underlie the decision .

as a clinical psychologist who works mainly with adults suffering from personality, anxiety and mood disorders, i have a front-row seat for observing the distress, frustration and unease of those at the heart of this pandemic. behind the refusal to be vaccinated, there is a complex emotional spectrum that colours each person’s behaviour and choices .

misunderstanding and lack of information
a first barrier is lack of understanding about the vaccine or misunderstanding the necessity of vaccination.

not finding satisfactory answers to these questions can paralyze someone’s thinking and reduce their willingness to take action .

fear of needles … and vaccines
some people have a strong fear of needles or the pain related to vaccination . although this fear may seem irrational to others, it is something the sufferer feels intensely.

apprehension about needles or pain is sometimes so anxiety-producing that it can lead a person to avoid any situation that involves vaccination. sometimes just seeing images of vaccination can provoke anxiety.

feelings of helplessness
a further psychological barrier comes from the feelings of helplessness and discouragement in response to the possibility that the pandemic will continue, despite vaccination efforts, especially given the detection of new variants.

the term “pandemic fatigue” reflects the weary and demotivated feeling that arises during a time of crisis when events appear to repeat themselves.   resignation and loss of hope can lead to reduced motivation , and an unwillingness to follow recommendations, including vaccination.

aware but not concerned
other people are aware of the impact of the pandemic, but do not feel personally concerned: “i’m healthy, so that protects me.”

these individuals often lack knowledge about the disease and vaccination, so  they are not particularly concerned about the harmful effects of the virus on their health or the risks of transmission  to others. it’s worth noting that these people are not actually be opposed to the vaccine.

mistrust of ingredients
some people pay close attention to what goes into their bodies and may be concerned about the ingredients of the covid-19 vaccine. they experience visceral discomfort at the idea getting a vaccination, and may perceive the covid-19 vaccine as an intrusion, contamination or aggression.

not knowing about the  ingredients of the vaccine , they may be  reluctant or even opposed to receiving it .

anxiety and denial
everyone reacts differently to anxiety-provoking situations. some will jump into action and look for solutions, others will confide in loved ones  or feel emotionally overwhelmed .

still others will go  into denial . denial is an automatic, unconscious reflex that works as a band-aid to control anxiety. in the pandemic context, this may be expressed as denial of the seriousness of the disease, denial of one’s own vulnerability to contracting the virus, or even denial of the existence of the virus itself.

sense of rejection and exclusion
as social beings, we are extremely sensitive to rejection. rejection may be more common and painful for some than for others. these people feel more excluded from society and do not recognize themselves in the official discourse or the norms being proposed in response to the pandemic.

these people will also feel  excluded and less likely to follow recommendations . they are also more likely to feel  better understood by alternative and refractory voices that make them feel heard at last .

dependency and conflict avoidance
some people are more dependent on the opinions of those closest to them. the dynamics of the relationship are such that the person doubts themselves, relies on the other person to make day-to-day decisions for them and idealizes the other person or seeks to minimize conflicts with them.

crisis of confidence
the previously mentioned factors, such as mistrust of what goes into the body, denial and rejection, may crystallize into a  greater distrust of government sources, health authorities and the pharmaceutical industry . this can also turn into a  crisis of confidence and distrust of public health recommendations .