Medical tourism (MT), sometimes referred to as health tourism or medical travel, involves both the treatment of illness and the facilitation of wellness, with travel. Medical tourism is a multifaceted and multiphase process involving many agents and actors that requires careful planning and execution. The coordinated process involves the biomedical, transportation, tourism, and leisure industries. From the communication perspective, the process can be viewed as a 5-stage model consisting of the: (a) orientation, (b) preparation, (c) experiential and treatment, (d) convalescence, and (e) reflection phases. Medical tourism is uniquely situated in a nexus of academic literature related to communication, business and management, travel and tourism, policy and law, healthcare and health administration. Communication permeates and perpetuates the medical tourism process and does so at the levels of interpersonal interactions (provider-patient communication), small group (healthcare teams), organizational (between healthcare providers), and mass and computer-mediated communication (marketing, advertising, and patient social support). This process may, in some cases, involve high rates of international and intercultural variation. Further study of the MT process can help to gain a better understanding of how healthcare consumers evaluate information about medical procedures and possible risks, as well as the specific message features and effects associated with various communication channels and information delivery systems. Continuing scholarly efforts also should focus on the relationship between medical tourism and communication.
Medical Tourism and Communication
Cognitive Skills Acquired From Video Games
Emma G. Cunningham and C. Shawn Green
Due to the massive engagement with video games worldwide in innumerable forms and iterations, researchers have sought to understand the impact playing video games might have on the human brain and behavior. Although research on video games resides in a vast array of disciplines, including social, developmental, clinical, and educational psychology, this work focuses on research specifically in the cognitive sphere. From early research providing sound evidence for the positive impacts of action games on perceptual cognitive skills, to recent work refining methodologies for differentiating the effects of a wide range of embedded mechanics within broader game genres, the field has addressed a number of increasingly complex and critical questions. Research in the field has explored the effects of many game genres’ unique mechanics and in-game goals. Specifically, studies have found that action games positively impact perceptual skills as well as higher-order attentional control and executive function skills, while game genres that utilize action-oriented mechanics including Action-Role Playing Games and Real Time Strategy games also induce similar effects, if to a lesser extent. These results have been observed both through correlational studies, where player status is an existing characteristic of participants, and through intervention studies, where novice participants are trained on a specific game to establish causality between game play and cognitive performance. Although less research has been dedicated to the effects of puzzle games, playing such games has been found to impact higher cognitive skills such as problem-solving and fluid intelligence. Building upon this body of work, future research should explore the cognitive impacts of a more diverse set of game types, in-game experiences, and cognitive constructs as well as the mechanisms through which they are impacted. This should include work dedicated to the effects of puzzle and mini games, and the impact of games on higher cognitive skills including planning, problem-solving, and fluid intelligence, where relatively little research has been dedicated in the past. Further, research should explore the differences in training outcomes from games, between immediate transfer of skills from training to test and the enhancement of the meta-skill of “learning to learn.” Together, such work will allow game play to continue to evolve from pure entertainment to a force for good.
The Ethnic Undercurrents in the Ethiopian Media
The ethnic aspect of Ethiopian media development can be described in four phases: During the Ethiopian empire, a lasting media policy was established reflecting Amharic hegemony. In the years of the communist Derg regime (1974–1991), cultural origin was suppressed for the sake of political control. With the Ethiopian People’s Revolutionary Democratic Front (EPRDF) (1991–2018), the media sector developed through emerging ethnic representation and regional self-governance. After Abiy Ahmed came to power and transformed the EPRDF into the Prosperity Party (2018–), media markets became freer and ethnic frictions surfaced. Ethnicity transpires as an undercurrent in all of Ethiopia’s media history as well as in newsrooms. The situation is reflective of a society of more than 80 ethnic groups and a similar number of languages. The political history of the country can be read as a contestation between different regions and peoples and between ethno-nationalistic and unitarian preferences. Fault lines in the media sector can be understood in similar terms. Ethnification of the media augmented after 2018, witnessed not least by the rise of ethno-nationalistic media channels established by the returned digital diaspora. The armed conflict which broke out between the federal government and the Tigray region in 2020 amplified the ethnic discord in the media. The media in Tigray pledged allegiance to its region, while the federal media remained loyal to the central government. Various newsrooms and departments in Ethiopia news organizations appear as professional monocultures where groups among staff have a similar ethnic background. The identity question has gained little attention in Ethiopian media analysis, but recent studies have put the issue on the research agenda.
The Impact of Televangelism on Christian Beliefs and Cultural Values in Tanzania
Kaanaeli Kaale and Joyce Bazira
Religion is a collection of beliefs and rituals derived from societal and cultural norms and practices to create a bond with God. Africans practiced traditional religions before the 19th century, adopting modern Christian beliefs that spread via radio and newspapers. The development of information and communications technology enabled Christians in Africa, especially in Tanzania, to use the media to increase religious freedom and start modern African Traditional Religion (ATR) churches. the past two decades, African scholars have observed the proliferation of the media landscape from a more holistic perspective to understand both the positive and negative relationships between religions and the media, generally used to promote ATR. ATR combines beliefs from different African cultures, such as worshipping spirits, the sun, trees, stones, and other things based on their location. Televangelists, which mainly include prophets and apostles, have used the media extensively to persuade people to become more religious in traditional ways. Televangelism’s contribution to promoting ART beliefs among Christians has given rise to cyber churches, which have contributed to changes in church shape, structure, textual content, and social behavior. Scholars use culture and critical theories to understand the unique ways in which televangelists use the media to develop neo-Pentecostal groups that depart from the Protestant and Catholic Churches. Three critical concepts relate to a better understanding of televangelists’ media use: (a) televangelism’s promotion of African Indigenous religion among Christians, (b) televangelism’s influence on modernist changes in churches, and (c) Christians’ perception of the consequences of televangelism among Christians. In general, discussing the media’s impact brings ethnically diverse groups together to solve social–economic issues and advance ATR in Jesus Christ’s name.
Race and Political Communication in Brazil: The Afro-Brazilian Electorate of Salvador
Antonio José Bacelar da Silva, Adelmo dos Santos Filho, Marieli de Jesus Pereira, and Eduardo Joselito da Costa Ribeiro
Historically, Black candidates running for elected office in Brazil, a country that purports to lack racial divisions, have not been able to pitch to Black voters with a clear racial justice message. The city of Salvador (Bahia), where over 80% of the population is brown or black, is an interesting case in point. In his critique of racial liberalism, Charles Mills repeatedly argued for the importance of engaging with race and racial justice in the political field dominated by white supremacy. Only by making determined effort to deal with white dominance can we fight anti-Black sentiment in specific cultural manifestations. This is a crucial task in the struggles to correct historical racial injustices in democratic governance. For the past thirty years, Blackness and the rights of the Black population have decidedly reemerged as a political emblem throughout Brazil, with an important role in the electoral debate. However, Black candidates who use a racial appeal in their political commnication have obtained comparatively fewer votes. This has been a serious challenge in Black struggles' attempts to reduce the inequality between Blacks and non-Blacks in the electoral field. As a rule, this situation across the country has not been different, since there is no tradition of electoral support for Black politicians among the Black population (Blacks and Browns), even with a majority of demographic representation. In addition to the increased number of Black candidates, compared to the past, recent campaigns by Black candidates have worked to broaden the electoral discourse of defending and promoting social equity, rather than adopting explicit racial appeals. All this to achieve what, Charles Mills has defended as the Blackening of politics in the context of racist liberal politics.
Race, Ethnicity, Gender, and Communication in Africa: An Intersectional Perspective
Kristin Skare Orgeret
When examining diversity in mediated spheres of communication, crucial questions to be asked would be whose stories are told and through which voices, to be relevant for the widest spectrum of a society and secure an informed citizenry. Approaching questions of access and representation in media and communication, it is valuable to allow for intersecting perspectives. Instead of the binary terms associated with power relations and oppression the intersectional model references the ability of race, ethnicity, class, gender, and sexual orientation (oppressions) to mutually construct one another and ensures a broader scope of relevant representations and mediated stories. Hence it is necessary to combine knowledge from several sources, such as the Négritude movement, feminism, and queer theories. An intersectional approach proves relevant when discussing African contexts where specific historical, cultural, and economic/political contexts play together and the populations are often complex and manifold, as, for example, the Rhodes Must Fall campaign and the media coverage of athlete Caster Semenya show.
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.
Delineating the World of eSport Motivation Measures
Andrew C. Billings, Kenon A. Brown, and Joshua R. Jackson
Understanding of esport from a communicative perspective is offered, covering the history, expansion, and operationalization of esport, while highlighting five main areas to bolster the understanding of communication-based esport scholarship. First, theories that are often used for explaining the phenomenon of esport are explored. This section gives particular deference to uses and gratifications approaches as the most-often adopted theoretical lens for investigations in the area, while also listing parasocial interaction as a common secondary focus. Other theories include the theory of reasoned action, self-determination theory, entertainment theory, and media dependency. Second, motivations for esport consumption are advanced, showing that as many as 30 (and likely more) could at least conceivably be part of the equation for the appeals of esport consumption. Third, the sociocultural elements of esport participation are extrapolated upon, particularly with an eye to disparities in participation based on biological sex, race or ethnicity, nationality, and elements of the digital divide. Fourth, formal measurements of the motives for esport media consumption are offered, highlighting areas of overlap and deviation in equal measure. Finally, the Motivation Scale for esport Spectatorship Consumption. Along with consumption measures, 13 factors are advanced, each with a trio of Likert-based statement for measurement. More specifically, these factors include (alphabetically): (a) aggressive behaviors, (b) communication, (c) escapism, (d) family gathering, (e) friend gathering, (f) information load, (g) information supremacy, (h) knowledge acquisition, (i) personal education, (j) skillful performance, (k) support, (l) vicarious achievement, and (m) wholesome environment. Collectively, these five areas summarize the current state of esport scholarship in the communication discipline while signaling various trajectories for further understanding.
Propaganda and Rhetoric
Propaganda was first identified as a public crisis following World War I, as citizens discovered that their own governments had subjected them to deception and emotional manipulation. Today, it seems no less disturbing. Accusations swirl decrying fake news, spin, active measures, and, again, propaganda. But with nearly every accusation there is also a denial and, more important, a counteraccusation: that propaganda is merely a label applied to messages one dislikes, a slippery word that says more about the accuser’s politics than it does about supposed defects in communication. The slipperiness surrounding propaganda has fascinated scholars for over a century, as they have grappled with whether and how it can be distinguished from other kinds of rhetoric. One crucial sticking point concerns propaganda’s means of persuasion. It is commonly supposed that propaganda relies on falsity, emotion, and irrational appeals. However, adjudicating what is true and reasonable is not as clear-cut as it may seem, and much work attempts to differentiate manipulation from legitimate persuasion. Another key concern is the morality of propaganda. Some theorize that it is intrinsically wrong because it seeks its own partisan agenda. But others argue that partisanship is characteristic of all advocacy, and they wonder whether propaganda can and should be employed for worthy democratic purposes. Finally, scholars propose different models for how propaganda works. One model features a propagandist who deliberately targets a passive audience and attempts to move them for selfish ends. But other models see propaganda as a more collective activity, something that audiences pass around to each other, either purposefully or without any design. Difficult as it is to define propaganda, however, scholars do agree on two things: It is enormously powerful, and it shows no signs of slowing down.
Race and Affect in Digital Media Cultures
Media has always been central to the social production and contestation of racial and ethnic difference. The politics of representation has formed the conceptual frame for much of the seminal scholarship examining the role of media in reproducing ideologies of race. Yet, with the advancement of digitally mediated communicative spaces, emerging experiences of interactive social encounters with racial difference compound people’s spatially proximous, “offline” encounters. And the circulation of controversy, together with the changing relationship between counterpublics and mainstream media, further complicates questions of race and media. From online hate speech to hashtagged antiracism movements, ideologies of race and practices of racial and ethnic ordering and discrimination are being reproduced, rethought, and, to some extent, reinvigorated in ways that are unique to the widespread uptake of digital technologies. Race and representation bear revisiting in light of these developments. In what has been called the “affective turn,” scholars have theorized “nonrepresentational” and affective communications as a way of explaining some of the important developments associated with digital media phenomena, such as online virality and digital attention economies. Affect has helped conceptualize the paracognitive and emotional dimensions of social life, as well as the spatial and material dynamics of mediated experiences of encounter and interaction. Through a discussion of literature at the nexus of affect, media, and race/ethnicity, this article maps and draws relations between longer-running debates on media, representation, and race and more current notions of digital affect and emotion. It suggests that the notion of representation has sustained relevance for understanding how emergent digital media forms produce ideologies of race and ethnic difference.The article also signals where the entwinement of affect and representation suggests productive directions for further understanding of race in relation to a changing range of digital-media technologies and practices.