Same-sex couple relationship maintenance involves the exchange of communication and relational behaviors to sustain these romantic relationships. In communication studies, same-sex couple relationship maintenance began in the late 1990s, and while it remains understudied, research in this area continues to grow and illuminate understanding of how communication plays a central role in the maintenance of same-sex couple relationships. Social exchange, along with minority stress, have been the predominant theoretical frameworks in studies of same-sex couple relationship maintenance. Overall, evidence suggests that relational maintenance behaviors (assurances, shared tasks, openness, positivity, conflict management, advice, and shared networks) are associated with positive relational functioning and quality in same-sex couple relationships. Lesbian, gay, bisexual, transgender, and queer+ (LGBTQ+)-specific relational behaviors, such as being “out” as a couple and seeking out LGBTQ+-supportive environments, also have been highlighted. Research also points to the positive impact of partner social support and same-sex marriage on same-sex couple commitment and satisfaction, and a negative relational impact from concealing LGBTQ+ identity and same-sex relationship status. Future research is needed to continue to illuminate the evolving impact of increasing social legitimacy (e.g., same-sex marriage) on same-sex couple relationship maintenance.
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Same-Sex Couple Relationship Maintenance
Stephen M. Haas
Article
Self-Affirmation
Xiaoquan Zhao
Self-affirmation theory posits that people are motivated to maintain an adequate sense of self-integrity. It further posits that the self-system is highly flexible such that threats to one domain of the self can be better endured if the global sense of self-integrity is protected and reinforced by self-resources in other, unrelated domains. Health and risk communication messages are often threatening to the self because they convey information that highlights inadequacies in one’s health attitudes and behaviors. This tends to lead to defensive response, particularly among high-risk groups to whom the messages are typically targeted and most relevant. However, self-affirmation theory suggests that such defensive reactions can be effectively reduced if people are provided with opportunities to reinforce their sense of self-integrity in unrelated domains. This hypothesis has generated substantial research in the past two decades.
Empirical evidence so far has provided relatively consistent support for a positive effect of self-affirmation on message acceptance, intention, and behavior. These findings encourage careful consideration of the theoretical and practical implications of self-affirmation theory in the genesis and reduction of defensive response in health and risk communication. At the same time, important gaps and nuances in the literature should be noted, such as the boundary conditions of the effects of self-affirmation, the lack of clarity in the psychological mechanisms underlying the observed effects, and the fact that self-affirmation can be easily implemented in some health communication contexts, but not in others. Moreover, the research program may also benefit from greater attention to variables and questions of more direct interest to communication researchers, such as the role of varying message attributes and audience characteristics, the potential to integrate self-affirmation theory with health communication theories, and the spontaneous occurrence of positive self-affirmation in natural health communication settings.
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Self-Disclosure
Jenny Crowley
Self-disclosure, or revealing information about the self to others, plays an integral role in interpersonal experiences and relationships. It has captivated the interest of scholars of interpersonal communication for decades, to the extent that some have positioned self-disclosure as the elixir of social life. Sharing personal information is the means by which relationships are built and maintained, because effective disclosures contribute to greater intimacy, trust, and closeness in a relationship. Self-disclosure also confers personal benefits, including reduced stress and improved physical and psychological health. Furthermore, disclosing private thoughts and feelings is often a necessary precondition for reaping the benefits of other types of communication, such as supportive communication. Despite the apparent advantages for personal and relational well-being, self-disclosure is not a panacea. Revealing intimate information can be risky, awkward, and incite judgment from close others. People make concerted efforts to avoid self-disclosure when information has the potential to cause harm to themselves, others, and relationships. Research on self-disclosure has primarily focused on dyadic interactions; however, online technologies enable people to share personal information with a large audience and are challenging taken-for-granted understandings about the role of self-disclosure in relating. As social networking sites become indispensable tools for maintaining a large and robust personal network, people are adapting their self-disclosure practices to the features and affordances of these technologies. Taken together, this body of research helps illuminate what is at stake when communicating interpersonally.
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Sexual Communication Between Queer Partners
Brandon T. Parrillo and Randal D. Brown
Effective communication is vital to any relationship, and sexual communication is no different. Given its importance, sexual communication and its relation to a variety of topics has been studied in recent years. Included among these are its relation to safer sex behaviors, sexual and relationship satisfaction, and fertility and family planning among heterosexual partners. Yet, for queer partners, the data reflect interest in sexual communication as it relates to safe sex behaviors such as condom use and HIV status. Further, the current base of published literature on sexual communication among queer partners focuses almost exclusively on men who have sex with men and leaves out other types of queer partnerships. To be truly inclusive, it is imperative that sexual communication research broaden its focus to include topics that do not medicalize queer couples, such as sexual pleasure, satisfaction, and relationship well-being.
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Sexual Orientation and Gender Identity Disclosure in the Medical Context
L. Brooke Friley and Maria K. Venetis
For individuals who identify as LGBTQ+, disclosing sexual orientation and/or gender identity can be a complex and risky conversation. However, in the medical context this conversation frequently becomes a central part of communication between patient and provider. Unfortunately, this conversation can also become a barrier that prevents patients from receiving or even accessing necessary medical care.
LGBTQ+ individuals have reported experiencing significant discrimination in day-to-day life, and more specifically in patient–provider interactions. This discrimination leads LGBTQ+ individuals to avoid seeking necessary medical care and also frequently results in unsatisfactory care and poor health outcomes. This is of concern as LGBTQ+ individuals present with significantly higher rates of health issues and overall higher risks of cancer, chronic illnesses, and mental health concerns.
Unfortunately, many medical providers are unequipped to properly care for LGBTQ+ patients and lack opportunities for education and training. This lack of experience leads many providers to operate medical offices that are unwelcoming or even inhospitable to LGBTQ+ patients, making it difficult for those patients to access inclusive care. This can be of particular concern when the patient’s sexual orientation or gender identity becomes relevant to their medical care, as they may feel uncomfortable sharing that information with a provider.
Patient self-disclosure of sexual orientation or gender identity to a medical provider not only can contribute to a more positive relationship and improved quality of care but also can improve the psychological outlook of an LGBTQ+ individual. However, potential stigmatization can lead to the concealment of sexual orientation or gender identity information. These acts of concealment serve as intentional mechanisms of impression management within the patient–provider interaction.
When LGBTQ+ patients do discuss their sexual orientation or gender identity with a provider, it is most often because the information is directly relevant to their health and disclosure, and therefore becomes essential and often forced. There are instances where LGBTQ+ patients are motivated to disclose to a provider who they believe will respond positively to information about their sexual orientation or gender identity.
Disclosure of sexual orientation or gender identity may be direct in that it is clear and concrete. It may also be indirect in that individuals may use particular topics, such as talking about their partner, to broach the subject. Participants may also use specific entry points in the conversation, such as during taking a medical history about medications, to disclose. Some individuals plan and rehearse their disclosure conversations, whereas others disclose when they feel they have no other choice in the interaction.
Increasing inclusivity on the part of providers and medical facilities is one way to promote comfortable disclosure of sexual orientation or gender identity. Additionally, updating the office environment and policies, as well as paperwork and confidentiality procedures, can also promote safe disclosure. Finally, improvements to training and education for healthcare professionals and office staff can dramatically improve interactions with LGBTQ+ patients. All of these efforts need to make integration of knowledge about how LGTBQ+ individuals can disclose comfortably and safely a central part of program design.
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Simultaneous and Successive Emotion Experiences and Health and Risk Messaging
Andrea Kloss and Anne Bartsch
Emotions are an important part of how audiences connect with health and risk messages. Feelings such as fear, anger, joy, or empathy are not just byproducts of information processing, but they can interact with an individual’s perception and processing of the message. For example, emotions can attract attention to the message, they can motivate careful processing of the message, and they can foster changes in attitudes and behavior. Sometimes emotions can also have counterproductive effects, such as when message recipients feel pressured and react with anger, counterarguments, or defiance. Thus, emotion and cognition are closely intertwined in individuals’ responses to health messages. Recent research has begun to explore the flow and interaction of different types of emotions in health communication. In particular, positive feelings such as joy and hope have been found to counteract avoidant and defensive responses associated with negative emotions such as fear and anger. In this context, research on health communication has begun to explore complex emotions, such as a combination of fear and hope, which can highlight both the severity of the threat, and individuals’ self-efficacy in addressing it. Empathy, which is characterized by a combination of affection and sadness for the suffering of others, is another example of a complex emotion that can mitigate defensive responses, such as anger and reactance, and can encourage insight and prosocial responses.
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Social Influence Processes and Health Outcomes in Alcoholics Anonymous
Kevin Wright
Social influence processes play an important role in the recovery process for alcoholics who affiliate with Alcoholics Anonymous (AA). Group norms at AA emphasize the sharing of stories about past difficulties with alcohol, the circumstances that led a person to join AA, and how life has changed since achieving sobriety. These narratives serve to increase collective identity among AA members via shared experiences and to reinforce AA ideology. In discussions and interpersonal interactions at AA meetings, AA ideology is also communicated and reinforced through AA literature and the discussion of central tenets, such as the Twelve Steps and Twelve Traditions, the idea that alcoholism is a progressive disease, and the need to be active in one’s sobriety. Moreover, AA meetings provide an opportunity for recovering alcoholics to find others who share similar experiences, an opportunity for greater social comparisons to other alcoholics than are typically available in primary social networks, and group-suggested role obligations that influence commitment to AA and long-term sobriety. These social influence processes have been linked to important health outcomes, including longer abstinence from alcohol use than with other treatment options, reduced stigma associated with alcoholism, reduced stress/depression, increased self-efficacy, and the acquisition of coping skills that are important to the recovery process.
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Stepchild-Stepparent Relationships and Resilience
Bailey M. Oliver-Blackburn
Stepfamilies have existed throughout time and refer to families that form after re-partnering when at least one partner brings a child from a previous relationship into the new union. Stepfamilies can be complex, spanning across multiple residences, and may include full biological, half-biological, and step siblings. Although stepfamilies can be found within nearly every culture in the world, they are most prevalent in Westernized cultures such as the United States. Stepparents at one time were most likely the result of the death of a spouse or partner. However, since the 1970s, stepparents have served as an additional kin or family relationship, as remarriage is more likely to follow a divorce than bereavement. As the demographics of stepfamilies have changed over time, so has the stepparent role. Stepfamilies were originally studied for how they fall short of first-marriage, intact family outcomes, and research has well-documented the inherent challenges to stepparent-stepchild relationship development, noting the ambiguous roles, expectations, and boundaries for stepfamily interaction. Stepfamilies lack cultural models to derive these roles and expectations from and thus rely on communication to make sense of the relationships within their family unit, and to externally validate their family to outsiders. Instead of exclusively focusing on their deficits, current research looks to how stepfamilies are developmentally unique yet functional, and how communication can contribute to positive and resilient stepparent-stepchild relationships. Affinity-seeking strategies, remaining flexible in roles, and negotiating boundary and ritual changes can aid in developing positive and resilient stepparent-stepchild relationships over time.
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Supportive Communication Providers for Chronic Disease Management
Kristin L. Farris and Maureen P. Keeley
Social support in the context of chronic illness management is important, as individuals diagnosed with these conditions and their loved ones often experience increased distress, reduced relational quality, and diminished physical health as a result of coping with these long-term symptoms. Therefore, diagnosed individuals and their close relational partners rely on others to provide support in their time of need. The communication of social support is characterized by “verbal and nonverbal behavior produced with the intention of providing assistance to others perceived of needing that aid” (MacGeorge, Feng, & Burleson, 2011, p. 317). Individuals living with these chronic illnesses and their loved ones often turn to a variety of interpersonal others, including friends, family, health care providers, and support groups to manage the difficulties that accompany their physical symptoms. Although some researchers suggest that diagnosed individuals seek support most frequently from close relational partners, other scholars assert that chronic care support groups (whether meeting face to face or via computer-mediated channels) offer support recipients an opportunity to discuss their challenges and receive help from experientially similar others.
On the one hand, regardless of the support provider, individuals who have been diagnosed with chronic conditions generally perceive effective supportive communication to be messages in which their support providers enact competent tangible assistance in managing the illness, provide an opportunity for them to vent their feelings, and express messages of empathy and affection, among others. Ineffective messages, on the other hand, are those in which diagnosed individuals feel their partners are overly involved in helping them make decisions about their care or portraying negative attitudes or discomfort around them. Overall, research in this area suggests that support recipients and their relational partners have improved emotional, relational, and physical outcomes when they perceive support to be available or receive effective support from these resources.
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Support Seeking
Ningxin Wang, Wanming Ning, and Anran Mao
Support seeking refers to the communication process through which individuals elicit supportive actions from their social networks. Although the bulk of research on supportive communication has focused on support provision, theories and emerging evidence suggest that the support seeker may play a critical role in influencing the process of supportive exchange and the quality of support provided. Research on support seeking has addressed several key questions. First, what factors are inhibiting or driving individuals’ support-seeking behaviors? Individuals are more likely to seek support when they feel capable of doing so, and when they anticipate the benefits of seeking support to outweigh the costs of it. Gender and culture are among the most widely studied factors that affect the likelihood of support seeking. Second, what communication strategies do people employ to seek support, and how do they decide what strategies to use? The sensitive interactions systems theory serves as an important guiding framework for the conceptualizations of support-seeking behaviors. Most existing research has examined support-seeking strategies along the dimensions of direct-indirect, verbal-nonverbal, and approach-avoidant. The choice of support-seeking strategy is determined by the support seeker’s communication ability and subjective evaluation of the costs and benefits of using certain strategies. In particular, the literature has highlighted several factors that could increase perceived costs of direct support seeking and thus drive the use of indirect or avoidant support-seeking strategies, including perceived stigma of the stressor, dispositional qualities (e.g., insecure attachment style, low self-esteem), and collectivistic cultures. Last, how do different support-seeking strategies impact the outcomes of supportive interactions? There is some empirical evidence that direct support seeking, compared to indirect, avoidant means of seeking, is more effective in terms of eliciting helpful support and facilitating personal coping. Findings revealed a phenomenon called “the paradox of indirect support seeking” that describes an irony where individuals may strategically choose to seek support indirectly due to face needs or fear of rejection, yet the indirect strategies backfire, leading to the rejection and the unhelpful responses that they dread. Overall, support seeking maintains an area that attracts growing scholarly attention. There are opportunities for new insights on the message features and interactive process of support seeking.
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Thought Speed and Health Communication
Kaite Yang and Emily Pronin
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.
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Tourism and Intergroup Communication
Hiroshi Ota
This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Communication. Please check back later for the full article.
Tourism connects people across geographical, chronological, and cultural borders. In Henri Tajfel’s terms, it is a prime example of intergroup process where collective and interpersonal factors play major roles. People become tourists to fulfill their self-derived motivations, including sensation-, novelty-, and pleasure-seeking, or even good will. Their motivations to travel are influenced by group-related factors, such as media portrayals of the destination and the sense of connectedness to the place of visit. Moreover, contextual variables, such as the presence of diplomatic relations or the level of peace and security, should indicate whether the borders are permeable and open to the tourists, and if the destination is accessible as a viable option for them to visit. Needless to say, simply wanting to be different from one’s everyday selves or desiring to be in a different environment are legitimate reasons for one to be a tourist.
Tourists have contact with other people at various phases of their travel to and from their destinations. Through contact, tourists as guests communicate with their hosts, who are local residents of the destination and tourism-related service providers. Guest-host contact often takes place in limited contexts, and tends to be fleeting, non-intimate, and power-structured, often cast in a “they-us” frame. However, such contact can ultimately bring important social consequences to the tourists and to the destination.
Communication accommodation holds an important key to some of the major outcomes of host-guest contact. Accommodation involves adjustment of one’s linguistic and non-linguistic behaviors during communication for smooth interaction and social approval from others. Successful contact through accommodation can bring positive outcomes to the communicators such as an increase in positive attitudes toward the other and advances in intercultural communication competence, while exploitation, deception, and maintenance of power-differentiated relations are also likely associated with communication accommodation. Likewise, contact between tourists and local residents has potential to contribute to long-term changes in the macro cultural milieu of the destination, including the resurgence or erosion of the traditional culture and languages, increased presence of foreign languages, and building of peaceful relationships between societies, all of which in turn become precursors to the further development of tourism.
Article
Using Guilt to Motivate Individuals to Adopt Healthy Habits
Monique Mitchell Turner
In social marketing, the use of guilt appeals can be effective for influencing healthy behaviors. Guilt, being a moral, other-based emotion, can spur people to think of others, act honestly, and be empathetic. Likewise, collective guilt, the feeling that arises when people believe their in-group caused illegitimate harm to others, can lead people to feel positively toward the victimized others and desire policies that will help them. We can see then, that guilt, though often considered “negative” can lead to an array of prosocial, constructive, behaviors. In that vein, a number of researchers have assessed the possibility that guilt based persuasive appeals can induce such positive behaviors.
Clearly, guilt-appeals can be an effective tool for reducing risk (STI testing), increasing prevention practices (encouraging mammograms), and effecting altruistic health-related behaviors (donating blood). In the correct conditions, guilt appeals can induce guilty feelings, lead people to want to “right the wrong,” generate positive attitudes about the message’s advocacy, and intend to engage in a behavior.
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Using Quotations in Health and Risk Message Design
Rhonda Gibson
Quotations, something that a person says or writes that is then used by someone else in another setting, have long been a staple of news stories. Reporters use quotations—both direct and paraphrased—to document facts, opinions, and emotions from human and institutional sources. From a journalistic standpoint, quotations are beneficial because they add credibility to a news report and allow readers/viewers to consider the source of information when evaluating its usefulness. Quotations are also valued because they are seen as adding a “human” element to a news report by allowing sources to present information in their own words—thus providing an unfiltered first-person perspective that audiences may find more compelling and believable than a detached third-person summary. Research into the effects of news report quotations has documented what journalists long assumed: Quotations, especially direct quotes using the exact words of a speaker, draw the attention of news consumers and are often attended to in news stories more than statistical information. Studies show that the first-person perspective is considered both more vivid and more credible, a phenomenon that newspaper and website designers often capitalize on through the use of graphic elements such as the extracted quote. Quotations in news stories have also been found to serve as a powerful persuasive tool with the ability to influence perception of an issue even in the face of contradictory statistical information. This is especially true when the topic under consideration involves potential risk. Direct quotations from individuals who perceive high levels of risk in a situation can sway audience perceptions, regardless of whether the quoted risk assessments are supported by reality. The power of quotations remains strong in other forms of communication involving risk, such as public service, health-related, or promotional messages. The vivid, first-person nature of quotes draws the attention of audiences and makes the quoted information more likely to be remembered and to influence future judgments regarding the issue in question. This presents the message creator, whether it be a journalist or other type of communicator, with a powerful tool that should be constructed and deployed purposefully in an effort to leave audiences with an accurate perception of the topic under consideration.
