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As the use of online technologies has grown in recent years, so has the study of computer-mediated communication.

Online communication began in universities through the use of e-mail. Soon, spaces such as multi-user dungeons (MUDs), Listserv, and bulletin boards were developed, which not only allowed people who knew each other offline to interact but also enabled individuals who were not previously acquainted to communicate via the Internet. The development of Web 2.0, which allowed for more user-generated content, led to new and innovative ways of interacting online, most notably thorough social media sites. Social media sites, such as Facebook and Twitter, allow not only for text-based interaction to occur but also for image- and video-based interaction.

Through all these developments, interactional norms and practices have developed. A key factor in these norms is what the medium enables, or affords, participants to do. Features such as whether an interactional platform is synchronous or asynchronous can impact the nature of the interaction. Similarly, the lack of visual or verbal contact when interacting may impact upon the interaction, through the potential for misunderstandings. Participants do, though, develop practices to suit the medium. If we examine these practices in detail, it is possible to also analyze the role which technology plays in the interaction. One method that has been used to do this is conversation analysis, which was developed for and using spoken interaction. Conversation analysis examines conversation in forensic detail to illuminate the norms and practices through which we conduct our everyday lives. In using this method for analyzing online interaction, we can not only understand the practices but also examine the affordances of particular interactional platforms.

Various interactional features of computer-mediated communication (CMC) have been examined from a conversation analytic perspective, including sequential organization, openings, turn-taking, and repair. A common focus of these studies it to explore the interactional patterns but also to understand how these might be impacted by the technology itself. The development of norms for a variety of forms of technologized interaction demonstrates how individuals are capable of adapting their interactional practices for new contexts.

A majority of the extant literature in health and risk message processing focuses—for obvious reasons—on social influence and compliance-gaining. Interpersonal and relational issues with doctors and patients are a secondary focus. In contrast, research that specifically addresses comprehension of health and risk messaging is somewhat scant. However, other domains (e.g., cognitive psychology, reading studies) offer models and studies of comprehension that address message processing more generally. This material can usefully inform research in a health and risk context.

An important aspect of any communicative event is the degree to which that event allows interactivity. This can be described in terms of a continuum from static messaging to dynamic messaging. Message features may affect simple comprehension (in the former case) and active understanding (in the latter case) of messaging along this continuum. For static messaging, text features are the dominant focus; for dynamic messaging, how communicators cooperate, collaborate, and adjust their behavior relative to each other’s knowledge states is the focus. Moderators of these effects, which include sources’ dual goals informing and influencing targets, are also important to consider. Examples of this include direct-to-consumer-advertising (DTCA) of pharmaceutical medicines and pharmaceutical companies, which must meet the demands of the government regulatory bodies (e.g., fair and balanced presentation of benefits and risks) while simultaneously influencing the message processing experience of the target to minimize negative perceptions of their products. Impediments to creating understanding can arise in both the highly interactive setting of the face-to-face doctor-patient context as well as more static messaging situations such as PSAs, pamphlets, and pharmaceutical package inserts.

Making sense of message comprehension in health and risk communication is complex, and it is complex because it is broad in scope. Health and risk communication runs the gamut of static to dynamic messaging, employing everything from widely distributed patient information leaflets and public service announcements, to interactive web pages and massively connected social networking sites, to the highly interactive and personalized face-to-face meeting between doctor and patient. An equally comprehensive theoretical and methodological tool box must be employed to develop a thorough understanding of health and risk communication.

It is well documented that African American/Black and Hispanic individuals are underrepresented in biomedical research in the United States (U.S.), and leaders in the field have called for the proportional representation of varied populations in biomedical studies as a matter of social justice, economics, and science. Yet achieving appropriate representation is particularly challenging for health conditions that are highly stigmatized such as HIV/AIDS. African American/Black, and Hispanic individuals, referred to here as “people of color,” are greatly overrepresented among the 1.2 million persons living with HIV/AIDS in the United States. Despite this, people of color are substantially underrepresented in AIDS clinical trials. AIDS clinical trials are research studies to evaluate the safety and effectiveness of promising new treatments for HIV and AIDS and for the complications of HIV/AIDS, among human volunteers. As such, AIDS clinical trials are critical to the development of new medications and treatment regimens. The underrepresentation of people of color in AIDS clinical trials has been criticized on a number of levels. Of primary concern, underrepresentation may limit the generalizability of research findings to the populations most affected by HIV/AIDS. This has led to serious concerns about the precision of estimates of clinical efficacy and adverse effects of many treatments for HIV/AIDS among these populations. The reasons for the underrepresentation of people of color are complex and multifaceted. First, people of color experience serious emotional and attitudinal barriers to AIDS clinical trials such as fear and distrust of medical research. These experiences of fear and distrust are grounded largely in the well-known history of abuse of individuals of color by medical research institutions, and are complicated by current experiences of exclusion and discrimination in health care settings and the larger society, often referred to as structural racism or structural violence. In addition, people of color experience barriers to AIDS clinical trials at the level of social networks, such as social norms that do not support engagement in medical research and preferences for alternative therapies. People of color living with HIV/AIDS experience a number of structural barriers to clinical trials, such as difficulty accessing and navigating the trials system, which is often unfamiliar and daunting. Further, most health care providers are not well positioned to help people of color overcome these serious barriers to AIDS clinical trials in the context of a short medical appointment, and therefore are less likely to refer them to trials compared to their White peers. Last, some studies suggest that the trials’ inclusion and exclusion criteria exclude a greater proportion of people of color than White participants. Social/behavioral interventions that directly address the historical and contextual factors underlying the underrepresentation of people of color in AIDS clinical trials, build motivation and capability to access trials, and offer repeated access to screening for trials, hold promise for eliminating this racial/ethnic disparity. Further, modifications to study inclusion criteria will be needed to increase the proportion of people of color who enroll in AIDS clinical trials.

The Breast Cancer and Environment Research Program (BCERP) is a transdisciplinary program of research created to investigate environmental exposures and their relationship to breast cancer with a particular focus on puberty as a potential window of increased susceptibility to environmental exposures. A transdisciplinary approach has a strong focus on translating scientific findings into usable health practices as well as health prevention messages so that current research informs practice as well as communication to the lay public. BCERP engaged in communication science to develop health messages for lay audiences, health professionals, and outreach organizations. The precautionary principle, used as a primary guide in regards to message translation and dissemination, yields a useful discussion of the BCERP organizational structure. An exploration of formative communication science efforts in BCERP, areas of sensitivity for creating BCERP messages, and resources created for BCERP toolkits serves to illustrate and describe this one approach to designing health and risk messages.

Depending on how you approach it, economic justice is either an extremely old intellectual tradition or a relatively new one. From the first perspective, economic justice is part and parcel of classical political philosophy—Plato’s The Republic and Aristotle’s The Politics, for instance, both discuss property distribution in an ideal society, emphasizing the philosophy of justice over economic precepts. From the second perspective, the one we embrace, economic justice is a uniquely modern inquiry that emerged with the writings of Karl Marx and his revolutionary critique of the capitalist political economy. For Marx, economic justice can be understood as a critical enterprise that attempts to locate contradictions between universal and particular conceptions of human freedom and intervene politically into these contradictions with the aim of creating a more just, equitable, and egalitarian society. So conceived, economic justice liberates the collective potential of humanity from its exploitation and degradation by capitalism as well as the various legal institutions it develops to control human behavior for the purpose of extracting of surplus-value. It is this Marxist perspective and the various historical reformulations that it has authorized that influence the way rhetoricians and scholars of cultural studies conceptualize economic justice in the discipline of communication. While not all of these scholars endorse an explicitly Marxist line of thought, they all attempt to conceptualize economic justice as a normative political category that influences various models of rhetorical agency and social change.

Humans live not only in a physical world but also in a mental world. Theory of mind reflects the understanding that the mind is comprised of different mental states, such as intentions, desires, and beliefs. This conception of the mind is a critical achievement in human development because it directly impacts effective communication and social interaction. It allows for the understanding of others’ behaviors by inferring their mental states. The formation of a theory of mind has been a central topic in psychology, neuroscience, cognitive science, and philosophy. It impacts related processes, such as communication skills, perspective-taking ability, and social cognition.

Across the life span, the understanding of the mind becomes increasingly complex. Early in development, infants and toddlers can discern the intentions of others. Later, more sophisticated reasoning about the mental states of others becomes possible. For instance, the ability to follow and understand the recursive thought that “Sam believes, that Mary said, that Jose wanted . . .” develops. Additionally, within distinctive developmental time periods, people differ in their ability to take into account mental states. Once people’s beliefs, including their misconceptions, are identified, it is possible to generate effective communication strategies designed to teach, learn, and even reduce risk-taking behaviors.

Social psychological research on thinking has generally focused on the attitudes, emotions, motivations, and biases that affect thinking and consequent behavior. What has received less attention is the speed of thinking: how quickly thinking occurs and whether thoughts accelerate or slow down. Communication design and processing may take for granted that the structure and reception of messages occur at a certain speed. Recent findings from the psychological study of thought speed shed light on ways that this research may be applied to health communication. Fast and slow rates of thinking are correlated with distinct patterns of affective, cognitive, physiological, and behavioral events. Fast thinking is associated with positive mood, energy, approach motivation, arousal, creativity, and risk-taking. Slow thinking is associated with negative mood and depression, low energy, and cognitive impairment. Potential theories exist for why psychological and physiological experiences are associated with thought speed.

Recent experimental research demonstrates that thought speed can be successfully manipulated to elicit psychological effects, and it can be manipulated independent of thought content. Researchers, healthcare practitioners, and communicators should be aware of the psychological correlates and consequences of thought speed and consider harnessing the effects of thought speed to augment communication. Thought acceleration and deceleration can be integrated into the design and processing of health communication.

The transcription system for Conversation Analysis (CA) was originally developed by Gail Jefferson, one of the founders of CA, in the 1960s. Jefferson’s transcription conventions aim to represent on paper what had been captured in field audio recordings in ways that would preserve and bring to light the interactionally relevant elements of the recorded talk. Conversation analytic research has demonstrated that various features of the delivery of talk and other bodily conduct are basic to how interlocutors carry out social actions in interaction with others. Without the CA transcription system it is impossible to identify these features, as it represents talk and other conduct in ways that capture the rich subtlety of their delivery. Jefferson’s system of conventions evolved side by side with, and was informed by the results of, interaction analysis, which has shown there are many significant aspects of talk that interactants treat as relevant but that are entirely missed in simple orthographic representation.

Conversation analysts’ insistence on capturing not only what is said but also details of how something is said, including interactants’ visible behaviors, is based on the assumption that “no order of detail in interaction can be dismissed a priori as disorderly, accidental, or irrelevant” (according to John Heritage in 1984). Conversation analytic transcripts need to be detailed enough to facilitate the analyst’s quest to discover and describe orderly practices of social action in interaction.

The journalism industry has used technology and cooperation to convey information around the world since the mid-1800s when six American newspapers aligned to form the Associated Press. The nonprofit news agency was a business collaboration that allowed members to share content with one another. Cooperation in journalism was not always compatible with the industry’s traditional business model, however, which valued exclusivity. As technology progressed, cooperation grew ever easier and more productive. The ultimate emergence of the internet has consummated this trend, facilitating collaborations among groups of reporters across the globe. These collaborations allow individual groups to retain and capitalize upon their geographical exclusivity while enhancing their collective ability to provide domestic stories with a transnational context or to cover cross-border or even global issues.

The international flow of news has traditionally been dominated by that from North to South, with the West being at the core. Within the West itself, news flow is dominated by Anglo-American media, a situation which has its roots in the way that journalism developed historically. The historical context of global news begins with the introduction of the telegraph and undersea cables in the nineteenth century, which created a global market for news. Major players emerged—including news agencies—and shaped the transnational news flows. What emerges is that, in all ages, key innovations in transnational news flows have been closely linked to commerce, geopolitics, and war, from the telegraph to online news outlets. The increasing availability and use of news media, from major non-Western countries, are now affecting transnational news flows. Global journalism has been transformed in the digital age by internet-based communication and the rise of digital media opportunities—allowing for multi-directional news flows for growing global news audiences.

The Transtheoretical Model (TTM) is an integrative health behavior change theory that describes the process of how people change their behavior. The central organizing construct in the theory is stages of change, which are five distinct stages of readiness to change behavior, ranging from not ready to change (precontemplation), thinking about change (contemplation), preparing to change (preparation), changing (action), and maintaining the change (maintenance). Movement through the stages may be nonlinear, and cycling and recycling through the stages is viewed as a natural part of the change process. Other model constructs explain what drives individuals forward through the stages of change. Decisional balance involves a weighing of pros and cons of changing behavior, while self-efficacy involves situation-specific confidence that one can change. Increases in pros, deceases in cons, and increases in self-efficacy propel people forward through the stages of change. The processes of change are experiential and behavioral strategies that people use to change their behavior. In early stages of change, people use experiential strategies while they use behaviorally oriented strategies in later stages of change. The TTM holds significant implications for message design. Most notably, messages should be targeted and tailored to stages of change, and where possible, to other model variables as well. Studies indicate that the TTM has been successfully applied to health communication campaigns, and to a larger extent, to computer-tailored interventions to change health behavior. Meta-analyses indicate that scores of computer-tailored interventions have been efficacious, including many based upon the TTM and stages of change. New applications of the model include a focus on novel health behaviors, multiple behavior change, and advancing an understanding of message design in the context of the TTM in combination with other theoretical approaches.

Uncertainty regarding the self—about who we are, our place in the world, and our future is typically an unsettling and aversive state. It is a state that we are motivated to reduce in order to gain predictability over events in the world around us. One of the most effective ways of managing uncertainty regarding the self is by seeking group memberships and belonging to groups. Thus, uncertainty reduction can be construed as a drive, such that we join and identify with groups in order to manage uncertainty about and related to the self; this is the core tenet of uncertainty-identity theory, which discusses uncertainty reduction as one of the motives for seeking group memberships.

Previous work in uncertainty-identity theory has shown that when uncertain about the self, individuals seek highly entitative groups to identify with. Such groups are characterized by clear, distinct boundaries—a clear sense of what the group stands for while spelling out who we are versus who we are not. Highly entitative groups have interdependent members and a clear sense of identity that is distinct from those of other groups. According to uncertainty-identity theory, identifying with such groups can reduce self-uncertainty, as individuals can define the self in terms of a clear, distinct prototype and manage uncertainty regarding who they are. Research in uncertainty-identity theory shows that when uncertain, group members perceptually polarize their group away from the outgroup in order to enhance the perceived entitativity and distinctiveness of their group prototype relative to other groups. Thus, the group moves to an extreme and polarized position that is far removed from that of an outgroup with the need to fashion a distinctive identity. The preference for a clearly defined and highly entitative social identity that helps delineate who we are versus who we are not when group members are self-uncertain should increase group members’ vulnerability to ingroup rhetoric that emphasizes the distinctiveness of group boundaries and an us versus them thinking. This is a dangerous trend, especially in the context of intergroup conflict, as influential group members, such as leaders, might seek to mobilize group members by demonizing outgroup members while attributing suffering and unpredictability experienced by ingroup members to the actions of outgroup members. Thus, gaining an understanding of the processes through which the uncertainty of group members is exploited to mobilize support for extreme ideologies might be one way to explain extremism and radical behavior by groups.

The subjective state of uncertainty can be understood as deriving from reduced predictability of and control over events and the world around us. There are different ways to conceptualize the nature of uncertainty, its antecedents and predictors, and the strategies that individuals use to manage & reduce uncertainty within communication science and social psychology.

Prominent theories of uncertainty within communication—uncertainty reduction theory, anxiety/uncertainty management theory, and approaches to uncertainty management—focus on states of uncertainty and lowered predictability within the context of interactive communication with others. In these theories, communication with others plays a central role in the production, maintenance, and management of uncertainty. These three communication-based approaches also differ in the ways in which they conceptualize uncertainty and its management in communicative contexts. Uncertainty reduction theory treats uncertainty as an aversive state that individuals always aim to reduce. In contrast, although anxiety/uncertainty management theory and approaches to uncertainty management discuss uncertainty as an aversive state, they also provide for conditions under which uncertainty might be a desired state.

Within social psychology, the construct of uncertainty has received different treatments. Some approaches have conceptualized the extent of uncertainty experienced and tolerated by individuals as an enduring individual difference or a personality attribute. Social psychologists have also conceptualized uncertainty as an aspect of a person’s identity and self-concept. For instance, uncertainty-identity theory explains uncertainty as a context-invoked aversive state associated with lowered perceived predictability of self and others—uncertainty about who one is, how one should behave, and how one will be treated by others. The theory argues that individuals are motivated to reduce such uncertainty by seeking group memberships, as groups provide a framework for self-definition that helps manage self-conceptual uncertainty.

The United States military is a frequent point of public conversation since the terrorist attacks on September 11th, 2001. Approximately two and a half million service members have deployed in the Global War on Terror, and many have completed multiple deployments with almost 7,000 fatalities across operations in Iraq and Afghanistan. Communication research on the military has a long history but since 9/11 has picked up pace with scholars seeking to understand the military’s relationship with the media, its discussion in the public sphere, and the interpersonal/familial experiences of service members and their families. The theoretical and methodological approaches are wide ranging within the discipline, but an intergroup perspective is noticeably absent. Many opportunities exist for answering intergroup communication questions, most notably at the military and civilian divide and, in turn, offering insight about and practical suggestions for communication within and about the military.

Given the numerous possibilities for intergroup communication research related to the military, researchers should seize the opportunity to bring new theoretical and methodological approaches to the area. One theory, which has not been used in the intergroup communication scholarship but has great potential for this part of the discipline, is relational dialectics theory. Relational dialectics theory (RDT) is a critical/interpretive theory/method package that explores the substance and form of relational talk with a keen eye for dominant and marginalized discourses. For example, intergroup communication scholars who study the military from an RDT perspective could help illuminate how different groups (e.g., military families and civilian families; same-sex military married couples; and opposite-sex military married couples) understand and construct, for example, their similarities and differences with the goal of improving their interactions. Intergroup communication scholars could use also RDT to study how multiple group-related discourses are present within military groups who have diverse membership (e.g., Family Readiness Groups, FRGs) where members constitute the intersections of several identities (e.g., military wives are simultaneously members of military culture but technically are not military personnel; members are also often simultaneously women, spouses, who, in some cases, are mothers who come from different socioeconomic and ethnic groups, as well as identify as officer or enlisted wives).