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- Communication x
Rebekah H. Nagler and Susan M. LoRusso
Clinicians, medical and public health researchers, and communication scholars alike have long been concerned about the effects of conflicting health messages in the broader public information environment. Not only have these messages been referred to in many ways (e.g., “competing,” “contradictory,” “inconsistent,” “mixed,” “divergent”), but they have been conceptualized in distinct ways as well—perhaps because they have been the subject of study across health, science, and political communication domains. Regardless of specific terminology and definitions, the concerns have been consistent throughout: conflicting health messages exist in the broader environment, they are noticed by the public, and they impact public understanding and health behavior. Yet until recently, the scientific evidence base to substantiate these concerns has been remarkably thin. In the past few years, there has been a growing body of rigorous empirical research documenting the prevalence of conflicting health messages in the media environment. There is also increasing evidence that people perceive conflict and controversy about several health topics, including nutrition and cancer screening. Although historically most studies have stopped short of systematically capturing exposure to conflicting health messages—which is the all-important first step in demonstrating effects—there have been some recent efforts here. Taken together, a set of qualitative (focus group) and quantitative (observational survey and experimental) studies, guided by diverse theoretical frameworks, now provides compelling evidence that there are adverse outcomes of exposure to conflicting health information. The origins of such information vary, but understanding epidemiology and the nature of scientific discovery—as well as how science and health news is produced and understood by the public—helps to shed light on how conflicting health messages arise. As evidence of the effects of conflicting messages accumulates, it is important to consider not just the implications of such messages for health and risk communication, but also whether and how we can intervene to address the effects of exposure to message conflict.
Young Yun Kim
The contextual theory of interethnic communication is an interdisciplinary theory that provides a comprehensive and interdisciplinary account of the associative and dissociative communication behaviors of individual communicators when interacting with ethnically dissimilar others. Integrating a wide range of salient issues, concepts, theories, and related research findings across disciplinary lines of inquiry across social sciences, the theory offers a multidimensional and multifaceted model explaining a full spectrum of interethnic decoding and encoding communication behaviors from highly dissociative to highly associative. Grounded in an open-systems perspective, the interethnic behavior and the context surrounding the behavior are conceived as co-constituting the basic interethnic communication system, operating simultaneously in a dynamic interplay. In varying degrees of salience and significance, all contextual forces are regarded in Kim’s theory to operate in any given interethnic communication event, potentially influencing, and being influenced by the nature of individual communication behaviors of association and dissociation. The theory identifies eight key contextual factors of the communicator (identity inclusivity/exclusivity and identity security/insecurity), the situation (ethnic proximity/distance, shared/separate goal structure, and personal network integration), and the environment (institutional equity/inequity, relative ingroup strength, and environmental stress). Eight theorems are proposed for empirical tests, linking each contextual factor with associative/dissociative behavior. Together, the eight theorems explain the dynamic and reciprocal behavior-context interface in interethnic communication. The theory also provides a conceptual blueprint for conducting case studies on specific interethnic communication events, and suggests pragmatic insights into ways to strengthen the social fabric of an ethnically diverse society from the ground up.
Conversation analysis is a distinctive approach to research on language and communication that originated with Emanuel Schegloff, Harvey Sacks, and Gail Jefferson. It assumes a systematic order in the minute details of talk as it is used in situ. That orderliness is understood to be the result of shared ways of reasoning and means of doing things. Conversation analytic studies aim to identify and describe how people produce and interpret social interaction. For example, the interpretation and response to the question, “How are you” differs depending on whether it is asked by a doctor in a medical consultation or a friend during a casual conversation. Overwhelmingly, data are naturalistic audio (for telephone-mediated talk) or video recordings (for copresent interactions). The recordings are transcribed using conventions first established by Gail Jefferson. They have been further developed since to better capture features such as crying and multimodality. Specialized notations are used to highlight features of talk such as breathiness, intonation, short silences, and simultaneous speech. Analyses typically examine how everyday actions are done over sequences of two or more turns of talk. Greetings, requests, and complaints are actions that have names; others don’t. Studies may examine a range of linguistic, embodied, and environmental phenomena used in coordinated action. Research has been conducted in a broad range of mundane and institutional settings. Medical interaction is one area where conversation analysis has been most applied, but others include psychotherapy and classroom interaction.
A conversation analytic perspective on identity is also distinctive. Typically, approaches to intergroup communication presuppose a priori the importance of social identities such as age, gender, and ethnicity. They are theorized as independent variables that impact language behaviors in predictable and measurable ways. This view strongly resonates with common sense and underpins popular questions about gender-, race- or age-based differences in language use. In contrast, a conversation analytic approach examines social identities only when they are observably and demonstrably relevant to what participants are doing and saying. The relevance of an identity category rests on it being clearly consequential for what is happening in a particular stretch of talk.
Conversation analysis approaches identity as a type of membership categorization. The term “member” has ethnomethodological roots that recognizes a person is a member from a cultural group. Categories can be invoked, used and negotiated in the flow of interaction. Membership categorization analysis shows there is a systematic organization to category work in talk. Using conversation analysis and membership categorization analysis, discursive psychology studies how social identity categorizations have relevance to the business at hand. For example, referring to your wife as a “girl” or a “married woman” invokes different inferences about socially acceptable behavior.
Wayne A. Beach, Kyle Gutzmer, and Chelsea Chapman
Beginning with phone calls to an emergency psychiatric hospital and suicide prevention center, the roots of Conversation Analysis (CA) are embedded in systematic analyses of routine problems occurring between ordinary persons facing troubling health challenges, care providers, and the institutions they represent. After more than 50 years of research, CA is now a vibrant and robust mode of scientific investigation that includes close examination of a wide array of medical encounters between patients and their providers. Considerable efforts have been made to overview CA and medicine as a rapidly expanding mode of inquiry and field of research. Across a span of 18 years, we sample from 10 of these efforts to synthesize important priorities and findings emanating from CA investigations of diverse interactional practices and health care institutions. Key topics and issues are raised that provide a unique opportunity to identify and track the development and maturity of CA approaches to medical encounters. Attention is also given to promising new modes of research, and to the potential and challenges of improving medical practices by translating basic and rigorous empirical findings into innovative interventions for medical education. A case is made that increasing reliance on CA research can positively impact training and policies shaping the delivery of humane and quality medical care.
Laura Loeb and Steven E. Clayman
The news interview is a prominent interactional arena for broadcast news production, and its investigation provides a window into journalistic norms, press-state relations, and sociopolitical culture. It is a relatively formal type of interaction, with a restrictive turn-taking system normatively organized around questions and answers exchanged for the benefit of an audience. Questions to politicians are sensitive to the journalistic norms of neutralism and adversarialness. The neutralism norm is relatively robust, implemented by interviewers adhering to the activity of questioning, and avoiding declarative assertions except as prefaces to a question or as attributed to a third party. The adversarialism norm is more contextually variable, implemented through agenda setting, presupposition, and response preference, each of which can be enhanced through question prefaces. Adversarial questioning has increased significantly in the United States over time, and in some other national contexts. Adversarial questioning creates an incentive for resistant responses from politicians, which are managed with overt forms of damage control and covert forms of concealment. News interviews with nonpartisan experts and ordinary people are generally less adversarial and more cooperative. Various hybrid interview genres have emerged in recent years, which incorporate practices from other forms of broadcast talk (e.g., celebrity talk shows, confrontational debates) within a more loosely organized interview framework. These hybrid forms have become increasingly prominent in contemporary political campaigns and current affairs discussions.
Copyright is a bundle of rights granted to the creators of literary, artistic, and scientific works such as books, music, films, or computer programs. Copyright, as one of the most controversial areas of communication law and policy, has always been the subject of political contention; however, debates surrounding the subject have reached new levels of controversy since the 1990s as a result of the new formats of creative works made possible by digital media, and as a result of the new practices of authorship, creativity, consumption, collaboration, and sharing that have arisen in light of networking and social media. Technological change has not been the only driving force of change; social and political change, including changing concepts of authorship, the recognition of the rights of women and indigenous peoples, and the changing structures of international relations and international civil society, have also been reflected in copyright law. Copyright policymaking has become an increasingly internationalized affair. Forum-shifting has contributed to the proliferation of regional and international copyright policymaking forums under the rubric of stand-alone intellectual property institutions such as the World Intellectual Property Organization (WIPO), as well as under institutions dedicated more broadly to international trade negotiations.
Communication scholars and others have contributed extensively to the field of copyright and intellectual property law. Communication scholars have made significant contributions in examining the cultural significance, political economy, history, and rhetoric of copyright, drawing on diverse fields that include cultural studies and critical political economy. Communications scholars’ influence in the field of copyright scholarship has been significant.
Irina A. Iles and Xiaoli Nan
Counterfactual thinking is the process of mentally undoing the outcome of an event by imagining alternate antecedent states. For example, one might think that if they had given up smoking earlier, their health would be better. Counterfactuals are more frequent following negative events than positive events. Counterfactuals have both aversive and beneficial consequences for the individual. On the one hand, individuals who engage in counterfactual thinking experience negative affect and are prone to biased judgment and decision making. On the other hand, counterfactuals serve a preparative function, and they help people reach their goals in the future by suggesting effective behavioral alternatives.
Counterfactual thoughts have been found to influence an array of cognitive processes. Engaging in counterfactual thinking motivates careful, in-depth information processing, increases perceptions of self-efficacy and control, influences attitudes toward social matters, with consequences for behavioral intentions and subsequent behaviors. Although it is a heavily studied matter in some domains of the social sciences (e.g., psychology, political sciences, decision making), counterfactual thinking has received less attention in the communication discipline. Findings from the few studies conducted in communication suggest that counterfactual thinking is a promising message design strategy in risk and health contexts. Still, research in this area is critically needed, and it represents an opportunity to expand our knowledge.
Creating Authentic and Lasting Community Relationships to Enhance Awareness and Understanding of Cancer Research
Linda Fleisher, Evelyn González, and Armenta Washington
Building and sustaining relationships fundamentally requires mutual trust based on authentic and reciprocal communication. Successful academic and community partnerships require a deep understanding of the needs of all stakeholders facilitated through dialogue and ongoing communication strategies. This dialogue is especially crucial to address health disparities and bridge the divide between academics and other professionals and the communities they serve. Innovative and sound health communications and community engagement approaches can help to address this divide. For those working with communities to improve health, Community Based Participatory Research (CBPR) principles can serve as a compass to guide those efforts of building on the strengths and resources within the community and ensuring co-learning to address social inequities. Moreover, using innovative and interactive health communication strategies, such as community forums, photovoice projects, and the development of culturally sensitive and relevant messaging, can empower and engage the community, facilitating long-lasting relationships between the academic institutions and communities that ultimately address the unique concerns and values of those most in need.
For organizations, crises are pervasive, difficult to keep quiet in today’s global multimedia environment; they are challenging, potentially catastrophic; they can even be opportunities for organizations to thrive and emerge stronger. Crises come in many shapes and sizes including media blunders, social media activism, extortion, product tampering, security issues, natural disasters, accidents, or negligence, just to name a few. The first research on crisis communication appeared in 1953, and since then the field has grown steadily. However, in the last five to six years there has been an explosion of theoretical development, international engagement, methodological diversity, and topic diversity within the field to reflect the growing multinational and multiplatform environment in which organizations and people interact.
Therefore, in order to understand the field of crisis communication, as a public relations and management function, it is important to focus on the critical factors that affect our understanding of the concept and proliferation of research and practice in the area. There are five critical factors that drive our understanding and research in crisis communication: (1) issues and reputation management as crisis mitigation and prevention, (2) crisis types in a modern global environment, (3) organizational factors affecting crisis response, (4) stakeholder factors affecting crisis response, and (5) response factors to consider in crisis response. In addition, it will review the critical trends in crisis communication research, challenges within the field, and resources for further development.
Claire Sisco King
Within the field of communication studies, critical cultural scholarship examines the interarticulation of power and culture. Drawing from critical theory and cultural studies, this research offers analysis of texts, artifacts, practices, and institutions in order to understand their potential to promote or preempt equality and social justice. Critical theory, which has Marxist origins, uses theory as a basis for critiquing and challenging systems of domination or oppression. The field of cultural studies focuses on social formations with a particular emphasis on media texts and the reception practices of audiences. Both critical theory and cultural studies emphasize the important interrelationship between ideology, or structures of belief, and the material conditions in which people live. Critical cultural research examines discourse and representation, including language and visual culture, as well as social relations, institutional structures, material practices, economic forces, and various forms of embodiment.
Central to critical cultural scholarship is attention to the construction, regulation, and contestation of categories of identity, including race, ethnicity, gender, sexuality, ability, and class. A significant branch of critical cultural studies examines how ideas about gender and sex develop and circulate, asking how and why some constructions of gender and sex become normative and gain hegemony—or, cultural privilege—in a particular context. For example, such scholarship might critique the idealization of certain performances of masculinity and the attendant devaluation of femininity or other subordinated masculinities; or, this research might consider how particular iterations of masculinity or femininity may be counter-hegemonic, operating in opposition to prevailing ideologies of gender and sex. Critical cultural approaches also emphasize the intersectionality of gender and sex with other categories of identity. For instance, ideas about masculinity or femininity can rarely be separated from assumptions about race and/or sexuality; as such, prevailing ideologies of gender and sex often reflect the presumed normativity of whiteness and heterosexuality.