Discourse of “Asian values” in journalism is commonly contrasted with non-Asian or Western/Occidental libertarian values. This dualistic treatment of Asian versus Western journalism implies a professional and cultural dichotomy when in actuality the forms and methods of journalism are two sides of the same coin. Regardless of cultural contexts, journalists essentially address the who, what, where, when, why, and how questions in their reporting. Journalists react to events and issues. They source for credible reactions, fact check, and construct their news narratives in the interests of the general public. Reporting fairly, accurately, and truthfully are universal journalism principles. The issues that journalists in Asia confront daily are not radically different from journalists in the West. There are, nonetheless, variations of emphases in the goals, motivations, methods, and content in journalism as practiced in the West and parts of Asia. These variations are manifested in the practice of development-oriented journalism, which media scholars in parts of Asia deem to be more in line with the nation-building priorities of developing economies. It is worth revisiting the debates for a New World Information and Communication Order in the 1970s when responses to the normative theories of the press by media institutions and agencies in developing countries led to the conceptualization of “development journalism,” which, as an alternative to the adversarial journalism practice of media agencies in the West, was theoretically more reflective of the “Asian values” for social harmony, collective well-being, and deference to authority. Even as the binary perception of journalism practices by media scholars in the West and parts of Asia remains contentious, it is less about Asian cultural values per se that influence the methods, form, and substance of journalism but the political system, stringent media laws, public expectations of the media, role perception of the journalists, and power relation structure that ultimately shape journalism practices in Asia.
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Reading “Asian Values” into Journalism Practices in Asia
Eric Loo
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Religion, Culture, and Communication
Stephen M. Croucher, Cheng Zeng, Diyako Rahmani, and Mélodine Sommier
Religion is an essential element of the human condition. Hundreds of studies have examined how religious beliefs mold an individual’s sociology and psychology. In particular, research has explored how an individual’s religion (religious beliefs, religious denomination, strength of religious devotion, etc.) is linked to their cultural beliefs and background. While some researchers have asserted that religion is an essential part of an individual’s culture, other researchers have focused more on how religion is a culture in itself. The key difference is how researchers conceptualize and operationalize both of these terms. Moreover, the influence of communication in how individuals and communities understand, conceptualize, and pass on religious and cultural beliefs and practices is integral to understanding exactly what religion and culture are.
It is through exploring the relationships among religion, culture, and communication that we can best understand how they shape the world in which we live and have shaped the communication discipline itself. Furthermore, as we grapple with these relationships and terms, we can look to the future and realize that the study of religion, culture, and communication is vast and open to expansion. Researchers are beginning to explore the influence of mediation on religion and culture, how our globalized world affects the communication of religions and cultures, and how interreligious communication is misunderstood; and researchers are recognizing the need to extend studies into non-Christian religious cultures.
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Representations of Drag Culture
Niall Brennan
Drag may be understood as performing a gender other than one’s self-identified gender. Drag is therefore underpinned by the concept of gender performativity, or acts that naturalize constructs of gender, yet drag complicates gender performativity by imitating and parodying such “natural” performances of gender. Drag is also underpinned by camp, a sensibility combining incongruity, theatricality, and humor emanating from the 1960s gay liberation movement and more recently appropriated by heteronormative culture industries, bringing forth the need to differentiate queer (political) from gay (mainstream) camp deployment. In American popular culture, the focus of this entry, drag most closely approximates cross-dressing as a mainly humorous narrative trope involving a duplicitous cross-dresser (and knowing viewer) and a duped (and often amorous) “victim.” Cross-dressing therefore should be discerned from transvestism, which involves greater subjective investment in performing a gendered other, and from the antiquated terminology of transsexualism, which implies the desire to become a gendered other. In these differences, drag can invoke gender, race, and ethnicity with different levels of performative consequence, such that women and Black men performing drag assume historical and institutional significance differently from (white) men role-playing as women. Lastly, RuPaul’s Drag Race, the American reality/competition television series, has brought drag into global, commercial mainstream culture by establishing drag as a paradigmatic, professionalized set of performances. While Drag Race has moved queer politics into public discourse with greater visibility for LGBTQ+ peoples and communities, the reality series has circumscribed “winning” and “losing” versions of drag and, by consequence, versions of gender performativity, most notably by circumscribing the boundaries of drag between gender performativity and transgender identities.
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Rhetorical Approaches to Communication and Culture
Soumia Bardhan
The convergence of rhetoric, culture, and communication has led to the development of two predominant areas of study within the field of communication: intercultural rhetoric and comparative rhetoric. Intercultural rhetoric illustrates how culture-based arguments are constructed by advocates during intercultural interactions and how the arguments make sense within a particular cultural frame or worldview. These studies attempt to represent the cultural sensibility and rhetorical traditions invoked by a particular intercultural interaction. Rhetorical practices are seen as emerging from the beliefs and values of distinctive cultural communities, and the convergence of intercultural communication and rhetoric becomes evident when people act rhetorically and their diverse cultural assumptions gradually or suddenly become apparent during intercultural interactions. Comparative rhetoric focuses on the cross-cultural study of rhetorical traditions, past or present, in societies around the world. Comparison of (rather than interaction between) the rhetorical practices of two or more cultures is often the focus of comparative rhetoric studies. Comparison helps in the identification of rhetorical features in one culture that might not be evident otherwise, to unearth what is universal and what distinctive in any rhetorical tradition, including that of the West. Intercultural rhetoric and comparative rhetoric share some conceptual and methodological features; both fields are characterized by similar beginnings and some shared debates. However, they also have distinct characteristics, challenges, and historiographies.
For intercultural rhetoric, approaching intercultural contexts and situations utilizing theories and concepts from rhetorical studies affirms non-Western modes of reasoning and advocacy. Recent methodological developments have allowed critics to more comprehensively represent rhetorical traditions and to discover novel ways to understand intercultural conflicts and mediate cultural differences. Conceptualizing rhetorical situations as intercultural dialogues suggests the ways in which intercultural rhetorical theorists need to be mindful of the multivocal quality of social discourses.
Rhetorical interpretation of texts benefits from a comparative approach that allows for speculation with respect for and grounding in another culture’s history, as well as reflection on the cultural outsider’s motive and assumptions. It is useful for the quest of meaning not to be limited to the standpoints within each disparate culture; pragmatically, they must have a dialogue since comparative rhetoric allows the analysis of different discourses, the discovery of common grounds of engagement, and the revelation of cultural assumptions.
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Rhetorical Approaches to Health and Medicine
Jennifer A. Malkowski, J. Blake Scott, and Lisa Keränen
Rhetoric, commonly understood as the art, practice, and analysis of persuasion, has longstanding connections to medicine and health. Rhetorical scholars, or rhetoricians, have increasingly applied rhetorical theories, concepts, and methods to the texts, contexts, discourses, practices, materials, and digital and visual artifacts related to health and medicine. As an emerging interdisciplinary subfield, the rhetoric of health and medicine seeks to uncover how symbolic patterns shape thought and action in health and medical texts, discourses, settings, and materials.
In practice, rhetoricians who study health and medicine draw from the standard modes of rhetorical analysis, such as rhetorical criticism and rhetorical historiography, as well as from social science methods—including participant observation, interviewing, content analysis, and visual mapping—in order to deepen understanding of how language functions across health and medical objects, issues, and discussions. The objects of analysis for rhetorical studies of health and medicine span medical research, education, and clinical practice from laboratory notes to provider–patient interaction; health policymaking and practice from draft policies through standards of care; public health texts and artifacts; consumer health practices and patient advocacy on- and offline; public discourses about disease, death, bodies, illness, wellness, and health; online and digital health information; popular entertainments and medical dramas; and alternative and complementary medicine. Despite its methodological breadth, rhetorical approaches to science and medicine consistently involve the systematic examination and production of symbolic exchanges occurring across interactional, institutional, and public contexts to determine how individuals and groups create knowledge, meanings, identities, understandings, and courses of action about health and illness.
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Rhetorical Contexts of Colonization and Decolonization
Tiara R. Na'puti
Colonization and decolonization continue to be debated both in terms of their meaning and their efficacy in Communication Studies scholarship and across related fields of inquiry. Colonization is part of ongoing processes of subjugation that are linked to other forms of oppression including labor, occupation, and resource extraction. Inquiries about processes of colonization also involve examining corresponding efforts in decolonization processes. Decolonization entails an effort to critically reflect on colonialism and its impact upon colonized people and environments, it involves processes entangled with issues of sovereignty, self-determination, and territory, and so on. Indigenous Studies scholarship helps to foreground Indigeneity as a place from which broader inquiries on colonization and decolonization may be launched. The legitimacy of colonialism and its communicative dimensions has been a concern for scholars. Within the field of Communication, it notes particular contexts of colonization inquiry that overlap across topics and various areas of the discipline. Research on colonialism and its influence spans throughout rhetorical theory and critical/cultural studies to organizational communication and global communication. This scholarship has employed expansive methodologies from applied research to theoretical work and considered a wide range of issues from domestic, international, and transnational perspectives. The study of these powerful structures in rhetoric draws on interdisciplinary fields and raises challenges to intellectual traditions of the West, which have maintained the rhetoric canon. Rhetorical scholars call for the need to examine artifacts that exist at the “margins” and “outside” the imperial centers. They have theorized methods of rhetorical analysis that attend to the colonial and decolonial elements of discourse, power, and identity.
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Rhetorical Field Methods/Rhetorical Ethnography
Roberta Chevrette, Jenna Hanchey, Michael Lechuga, Aaron Hess, and Michael K. Middleton
Rhetorical scholars have recently taken up rhetorical field methods, rhetorical ethnography, and other participatory methods to augment textual approaches. Following critical rhetoric, field researchers engage emplaced and embodied perspectives, thereby gaining an immediate understanding of rhetoric and its effects on audiences. Rhetorical field methods/ethnography challenge key assumptions and ethics about rhetorical research, including conceptions of text, context, the critic, the rhetor, and audiences. Although antecedent work at this intersection exists, only recently have rhetorical scholars given full attention to how fieldwork orientations and participatory approaches challenge the project of rhetoric. Rhetorical field methods/ethnography have been applied in a wide array of topic areas, including social movement research, public memory, environmental/ecological rhetoric, digital rhetoric, international contexts, and audience studies. Tensions that have arisen as a consequence of taking up participatory perspectives include whether such research engages in critical/cultural appropriation or can effectively be conducted within groups that researchers ideologically oppose. Moreover, incorporating participant perspectives, non-textual elements, and affective considerations opens rhetoric to forms of expression that span well beyond traditional, logos-centered criticism. Such a move may dilute rhetorical research by flattening expression, making nearly all elements of human life open for critical consideration. Finally, rhetorical field methods/ethnography have emerged in a larger context of disciplinary reflexivity, with many questioning rhetoric’s racist and colonial histories and legacies. To this end, we offer anti-colonial landmarks, orienting toward multidimensionality, liquidity, queering, and community, while disorienting from citizenship. These landmarks trouble rhetoric’s legacies, and invite scholars to engage more deeply with de/colonial possibilities of rhetorical fieldwork.
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The Rhetoric of Style
Barry Brummett
Style is in the traditional canon of rhetoric and means the manipulation of language for rhetorical effect. Historically, eras that emphasized style in rhetoric also tended to regard rhetoric as of secondary importance in public discourse, as the window dressing for logic and more substantive modes of invention.
When we think of style more broadly as the use of gesture, clothing, decoration, objects, grooming—in short, of style in the more colloquial sense of “he’s got style”—then we see a wider and more important role for style as a major form of rhetoric. Today, the need of global capitalism to sustain artificially high levels of consumption is largely achieved through a rhetoric of style. The public must be persuaded to churn its clothing, decoration, grooming styles, and so forth constantly to keep consumption up, and the most effective way to achieve that end is through creating in people a preoccupation with style. Once that happens, then style becomes the major way in which we think about presenting ourselves to others. Style becomes the way in which people say who they are, who they want to be, and who they feel opposed to. Style becomes a major expression of political commitment.
In short, style has become a major if not the major rhetorical system at work in the world today. We understand what others mean, and we influence others, through style much more than we do through carefully planned discursive discourses, argument, and expository presentations. Because global capitalism is the engine behind this preoccupation with style, style is a system of communication likely to increase in dominance and importance.
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Ritual and Journalism
Chris Peters
For millennia, the idea that rituals create a shared and conventional world of human sociality has been commonplace. From common rites of passage that exist around the world in various forms (weddings, funerals, coming-of-age ceremonies) to patterned actions that seem familiar only to members of the in-group (secret initiations, organizational routines), the voluntary performance of ritual encourages people to participate and engage meaningfully in different spheres of society. While attention to the concept was originally the purview of anthropology, sociology, and history, many other academic disciplines have since turned to ritual as a “window” on the cultural dynamics by which people make and remake their worlds. In terms of journalism studies in particular, the concept of ritual has been harnessed by scholars looking to understand the symbolic power of media to direct public attention, define issues and groups, and cause social cohesion or dissolution. Media rituals performed in and through news coverage indicate social norms, common and conflicting values, and different ways of being “in the world.” The idea of ritual in journalism is accordingly related to discussions around the societal power of journalism as an institution, the ceremonial aspects of news coverage (especially around elite persons and extraordinary “media events”), and the different techniques journalists use to “make the news” and “construct reality.” Journalism does more than merely cover events or chronicle history—it provides a mediated space for audiences and publics that both allows and extends rituals that can unite, challenge, and affect society.
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Sara Ahmed’s Critical Phenomenology of Communication
Rachel Stonecipher
Sara Ahmed is a feminist philosopher specializing in how the cultural politics of language use and discourse mediate social and embodied encounters with difference. She has published field-shaping contributions to queer and feminist theory, critical race and postcolonial theory, affect and emotion studies, and phenomenology. Since the publication of Differences that Matter: Feminist Theory and Postmodernism in 1998, her work has epitomized the value of contemporary feminist cultural studies to speak to and against the masculinist traditions of continental philosophy. Unequivocally inserting feminist politics into the rarified air of academic theory, it crosses the sexist boundary which corrals feminist thought into the category of “studies” while opposing it to male-authored philosophy—the latter automatically authorized to speak on the social and material “Real.” In doing so, her work sits squarely within discourse-analytical traditions that seek to expose how various epistemic scenes – activism, the media, and academia, to name a few -- sediment false authority on such issues as happiness, utility, and the good. Moreover, in contesting New Materialism’s search for some monist “matter” beneath experience, she traces how those linguistic moves impose insidiously singular concepts of what social “reality” is, and how it unfolds, for real people. As a field, communication studies concerns itself centrally with matters of social influence, scale, and power, such as the electoral effects of political speech, or the ability of a message to morph as it reaches new audiences. Turning a critical eye upon the (re)production of cultural norms and social structure through interpersonal and institutional encounters, Ahmed’s oeuvre explores the discursive logics and speech acts that sediment or transform the social meanings of race, gender, and other differences.
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Social Media, Culture, and Communication
Todd L. Sandel and Bei "Jenny" Ju
Social media encompass web-based programs and user-generated content that allow people to communicate and collaborate via mobile phones, computers, and other communication technologies. Unlike other media linked to a particular technology, social media are a phenomenon associated with a set of tools, practices, and ideologies for connecting and collaborating. Social media blur distinctions between one-to-many and face-to-face communication. They allow individuals and groups to connect across boundaries of space and time, both synchronously and asynchronously. Afforded by changing technology, social media are ever-expanding as users develop novel uses and creative content. Scholars have studied social media across a range of topics, including such issues as message content and construction, identity formation, relationship development, community development, political activism, disinformation, and cyber threats.
Social media vary culturally. For instance, in China social media are impacted by internet censorship, including not only the kinds of apps that are used in China—WeChat and Weibo instead of Facebook and Twitter—but also forms of expression and online activities. While Chinese social media can be a site for political activism, and creative, humorous, and satirical messages, they are constructed in ways that avoid online censorship. Social media also afford the construction and maintenance of local communities and cultural identities. For instance, users with a shared interest, occupation, activity, or offline connection, such as a hometown, may communicate online using a shared language, vocabulary, or code. Hence, unlike mass media that can promote a collective, national identity, social media may facilitate the re-emergence and construction of local and diverse identities. Finally, social media can empower subaltern individuals and groups to mobilize and effect change through collective action. Yet social media, when employed by the state and/or neoliberal corporate powers, can work to suppress subaltern groups by co-opting social media as a technology that affords surveillance. They may also be used to spread misinformation or extremism by both state-sponsored and non-state actors.
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Social Movement Media and Media Activism
John D. H. Downing
Social movements are the matrix of many forms and formats (technologies, genres) of media that contest dominant power. Such media are in many ways the lifeblood of such movements. Media activism denotes collective communication practices that challenge the status quo, including established media. Frequently, such media are underfunded or unfunded and have a much shorter life cycle than capitalist, state, or religiously funded media. They are a “tribe” within a much larger continent of nanomedia (also called alternative media and citizens’ media). Their functions may spill over at times within the operation of established media, especially in times of social turbulence and crisis.
The “dominant power” in question may be quite variously perceived. Extreme-right populist movements, as in several European countries, may define the political establishment as having betrayed the supposed racial purity of the nation, or in the case of India’s Islamophobic Hindutva movement, as having traduced the nation’s religious purity. Labor movements may attack capital, feminist movements, or patriarchal and sexist structures. Sometimes these movements may be local, or regional; other times, they are transnational.
The impact of these media is still a matter of considerable debate. Often, the debate begins from a false premise—namely, the frequently small size and/or duration of many social movement media projects. Yet women’s right to vote and the abolition of slavery in the Americas were not won overnight, and neither was the dismantling of South Africa’s racist apartheid system. The Hindutva movement goes back over a century. We should not hold social movement media to a higher standard of impact, any more than we should ascribe instantaneous power to established media.
Social movements wax and wane, and so do their media projects. But the persistence of some such media activism between the peaks of movement activism is generally essential to the regeneration of social movements.
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Space in Rhetorical Theory
J. Faber McAlister
The phrase “space in rhetorical theory” refers to scholarship that explores the relationships between place and persuasion, location and identity, and/or spatial dimensions of communication and communicative functions of spaces. These relationships have been theorized in a wide variety of ways, from classical conceptions of topos and the agora to recent work on new materialist and mobile rhetorics. Key themes in this research have included (1) settings where rhetoric takes place, (2) spatial metaphors for theorizing rhetoric, (3) rhetorical representations of public places, (4) the role of place in identity, (5) spatial aspects of rhetoric, (6) rhetorical functions of space, and (7) spatial-temporal-material relations.
Rhetorical scholarship on such topics has been shaped by metadisciplinary movements, such as the visual, spatial, and affective “turns” in the humanities and social sciences. Rhetoricians of space have drawn on and contributed to widespread interest in public memory, mobile technologies, national borders, environmental communication, and global flows of capital and labor and tourism. Researchers in this arena of rhetorical studies have also addressed problems taken up by critical/cultural theorists more recently, including collective agency, posthuman subjectivity, and animate matter—each of which poses challenges to conventional distinctions between subjects (as individual human rational actors) and objects (as lifeless things to be acted upon). Reconsidering these categories is important when conceptualizing place-making processes and the forces exerted by living landscapes. In pursuing these topics and questions, rhetorical theorists have contributed to conversations among researchers in multiple areas of specialty within communication studies. Such research also engaged themes of interest to scholars of cultural geography, urban planning, gender and sexuality studies, literary criticism, environmental science, and additional diverse disciplines as well as interdisciplinary movements.
Communication scholars studying precarity, mobility, and other evolving topics are generating promising new contributions to conversations on space and rhetoric each year. However, essential insights regarding space and rhetorical theory are still being mined from postcolonial/decolonial, critical race, feminist, and queer approaches that many critics argue are insufficiently incorporated into the rhetorical theories of space or spatial theories of rhetoric most often applied and taught.
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Theory of Mind and Communication in Health and Risk Messaging
M. Jeffrey Farrar, Yao Guan, and Kaitlyn Erhardt
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.
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Using Pictures in Health and Risk Messages
Sarah C. Vos and Elisia Cohen
Using pictures (also called images) in health and risk messages increases attention to messages and facilitates increased retention of message content, especially in low-literate populations. In risk communication, researchers have found that pictorial warnings stimulate communication and that images without text can communicate risk information as effectively (or, in some cases, more effectively) than text. However, little empirically based guidance exists for designing images for health and risk messages because most studies use an absence-presence model and compare visual communication to textual communication, rather than compare different types of visual communication. In addition, visual communication theories focus on describing the “how” aspect of communication instead of offering proscriptive guidance for message design. Further complicating the design of visual messages is that the number of possibilities for a visual message is, like text-based messages, almost infinite. Choices include colors, shapes, arrangement, and the inclusion of text, logos, icons, and so on. As a result, best practices on visual messages often draw on design recommendations. Before the widespread advent of Internet use and the adoption of social networking sites like Facebook and Twitter, using images—especially color images—could be cost prohibitive. However, these online platforms facilitate the distribution of visual content, and many public health organizations use these platforms to distribute visual messages. The need for guidance and research on using pictures effectively is growing. Although there has been increasing focus on images in health messages, many questions still exist about how visual messages should be composed and what their effect is. The existing evidence suggests that visual information can improve persuasive and, on social networking sites, diffusion outcomes. However, visual information may be prone to misinterpretation. Researchers should also evaluate ethical considerations when choosing pictures. Message testing is highly recommended.
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Verbal Communication Styles and Culture
Meina Liu
A communication style is the way people communicate with others, verbally and nonverbally. It combines both language and nonverbal cues and is the meta-message that dictates how listeners receive and interpret verbal messages. Of the theoretical perspectives proposed to understand cultural variations in communication styles, the most widely cited one is the differentiation between high-context and low-context communication by Edward Hall, in 1976. Low-context communication is used predominantly in individualistic cultures and reflects an analytical thinking style, where most of the attention is given to specific, focal objects independent of the surrounding environment; high-context communication is used predominantly in collectivistic cultures and reflects a holistic thinking style, where the larger context is taken into consideration when evaluating an action or event. In low-context communication, most of the meaning is conveyed in the explicit verbal code, whereas in high-context communication, most of the information is either in the physical context or internalized in the person, with very little information given in the coded, explicit, transmitted part of the message. The difference can be further explicated through differences between communication styles that are direct and indirect (whether messages reveal or camouflage the speaker’s true intentions), self-enhancing and self-effacing (whether messages promote or deemphasize positive aspects of the self), and elaborate and understated (whether rich expressions or extensive use of silence, pauses, and understatements characterize the communication). These stylistic differences can be attributed to the different language structures and compositional styles in different cultures, as many studies supporting the Sapir-Whorf hypothesis have shown. These stylistic differences can become, in turn, a major source of misunderstanding, distrust, and conflict in intercultural communication. A case in point is how the interethnic clash between Israeli Jews and Palestinian Arabs can be exacerbated by the two diametrically opposite communication patterns they each have, dugri (straight talk) and musayra (to accommodate or “to go along with”). Understanding differences in communication styles and where these differences come from allows us to revise the interpretive frameworks we tend to use to evaluate culturally different others and is a crucial step toward gaining a greater understanding of ourselves and others.
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Vision and Promoting Health
Marla L. Moon
A visual impairment can affect cognitive, emotional, neurological, and physical development. Visual impairment impairs reading speed and comprehension, and is often mistaken for a learning disability. Learning is accomplished through complex and interrelated processes, one of which is vision. As a result, visual impairments limit the range of experiences and kinds of information to which one is exposed. A reliance on visual cues in health and risk messages intensifies these effects with regard to health information. The millions of children and adults who are affected by visual impairments worldwide thus require specific consideration regarding how best to make health information accessible for them. The reliance on caretakers to address the health information needs of those living with visual impairments violates their privacy and threatens their emotional well-being. Technological and modality advances that rely on touchscreens that lack tactile or auditory cues marginalize a broad segment of society that is in need of gateways to overcome barriers to accommodating visual impairment. In designing strategic health and risk messages, consideration should be given to this scope of possible limitation and its implications for access to and processing of health and risk information. Health and risk message designers should understand both the realities of challenges to accessing information for the visually impaired and strategies for addressing these realities and the scope of the issue worldwide and across the lifespan.