Advice is a recommendation for action that includes both suggestions for behavior and ways of feeling and thinking about the problem. It is a ubiquitous phenomenon in personal and professional settings, and functions as a form of both social support and social influence. Advice often improves coping and decision-making outcomes but can also be perceived as intrusive, threaten recipient’s sense of competence and autonomy, and damage relationships. Although advisors often have expertise that can benefit the recipient, advice recipients often discount and underutilize advice, to their disadvantage. Recipients are more likely to utilize advice from advisors they trust, who engender confidence, and who have more expertise or experience. They are also more likely to seek and use it when they have not thought of solutions independently. Recipients who are overconfident, have more expertise, or have more power than an advisor are much less likely to seek and utilize advice. When giving advice, advisors often consider different factors than they would if they were making decisions for themselves, resulting in advice that is more normative and less tailored to individual preferences. Advice can be delivered in a variety of ways, and this stylistic variation has consequences for recipient outcomes. For example, highly direct or blunt forms of advice underscore the advisor’s implicit claim to status and often generate more negative evaluations of the advice and advisor. Advice message content also influences recipients’ advice evaluation. Content that emphasizes efficacy of the action, feasibility, and limitations of the advice tends to improve evaluation and utilization of advice. This research is synthesized in advice response theory (ART), which indicates that advice outcomes are influenced by message content and style, interaction qualities, advisor characteristics, recipient traits, and features of the situation for which or in which advice is sought. Behaviors that co-occur with advice, such as argumentation, emotional support, and planning, also influence outcomes. The sequencing of advice in interaction also matters; the integrated model of advice (IMA) indicates that advice in supportive interactions is best placed after emotional support and problem analysis. The contexts in which advice are given influence the exchange and outcomes of advice. These include personal and professional relationships, in which relational cognitions and professional norms affect the process and outcomes of advising; groups and organizations, in which advising processes become complex due to the multiplicity of relationships, goals, and expectations; cultures, in which advice-seeking and advice-giving varies in perceived appropriateness; and digital environments, which are often valued for advice that is unobtainable elsewhere.
Advice: Communicating to Support and Influence
Erina MacGeorge and Lyn Van Swol
Alternative Media and Ethnic Politics in Kenya
Susan M. Kilonzo and Catherine Muhoma
The history of the use of alternative media in Kenya’s politics shows evidence that it was in use in 2007, when the country came into the brink of a genocide; and, prominently in use, in the recent 2022 general elections. The development of fiber optic cable, and availability of Internet connection, with expanded use of mobile telephony in the country, is a direct link to the change in political dynamics, and increased use of social media. Subsequently, the availability of alternative media has revolutionized political engagements by enhancing participatory approach while connecting marginalized populations to the political elite. The new wave of alternative media also strengthens the arguments that politics and political processes are no longer for the elite. Further, the new wave of social media can also be used to explain changes seen in the use of ethnicity as a card for mobilization as well as demobilization in political processes surrounding elections. Campaigning and canvasing is no longer bounded by geographical spaces. Ethnic coalescing is not just a physical phenomenon. Mobile telephony and the Internet, which facilitate connection to alternative media platforms allows for virtual spaces for ethnic meetings and discussions. Anyone, even in remotest areas of the country, is able to participate in political debates and forums so long as they can afford a smart phone, and/or Internet connection. The former physical political processes and engagements, especially during campaigns, elections, tallying and acceptance or rejection of results, and which were perceived to be highly sensitive given the ethnic politics that has characterized the country for several decades, are now neutralized through virtual representation of facts as well as propaganda. The vibrancy of these activities present the research arena with a rich field of vignettes from alternative media accounts in the form of Twitter, Facebook and Blogs, to exemplify how ethnic groups align to their preferred candidates, specifically the Presidential contestants. This kind of approach allows for unveiling of an era of e-democracy and e-politics, developments that were otherwise impossible a few years back. Such platform allows for an exposé of a discourse that shows that, social media platforms may be possible tools for reducing physical violence and neutralizing extreme ethnicity as seen in the surprising calmness witnessed after the Supreme Court of Kenya upheld the contested 2022 election results.
Ambiguity Intolerance Considerations when Designing Health and Risk Messages
The concept of ambiguity tolerance (TA), variously called Uncertainty Avoidance, Ambiguity Avoidance, or Intolerance, can be traced back nearly 70 years. It has been investigated by many different types of researchers from clinical and differential, to neuro- and work psychologists. Each sub-discipline has tended to focus on how their variable relates to beliefs and behaviors in their area of expertise, from religious beliefs to reactions to novel products and situations. The basic concept is that people may be understood on a dimension that refers to their discomfort with, and hence attempts to avoid, ambiguity or uncertainty in many aspects of their lives. There have been many attempts to devise robust and valid measures of this dimension, most of which are highly inter-correlated and require self-reporting. There remains a debate as to whether it is useful having just one or more dimensions/facets of the concept. Using these tests, there have been many correlational studies that have sought to validate the measure by looking at how those high and low on this dimension react to different situations. There have also been some, but many fewer, experimental studies, which have tested very specific hypotheses about how TA is related to information processing and reactions to specific stimuli. There is now a welcomed interest by neuroscientists to explore the concept from their perspective and using their methodologies. These studies have been piecemeal, though most have supported the tested hypotheses. There has been less theoretical development, however, of the concept attempting to explain how these beliefs arise, what sustains them, and how, why, and when they may change. However, the concept has continued to interest researchers from many backgrounds, which attests to its applicability, fecundity, and novelty.
Becoming Chinese: Sinicization, Nation, and Race in Xinjiang, China
David O'Brien and Melissa Shani Brown
“Chineseness” is often depicted in public discourses within the People’s Republic of China (PRC) as an identity that blurs together varied notions of shared cultural heritage, as well as common descent, within discourses of a unified national identity. This combines what might be called “ethnicity” (as cultural heritage), “race” (as common descent, physical or intrinsic characteristics), and “nation” (as territory and political state) in complex ways. And yet, a standard position within Chinese discourses (and often replicated in non-Chinese scholarship) is that historically informing the present, Chinese notions of “ethnic difference” are based on differences in “culture,” thus precluding “racism.” This characterization in part derives from the narrative that Chinese history was an ongoing process of “sinicization”—namely “backwards,” “barbarian” ethnic groups eagerly assimilated into the “more advanced” Han “civilization,” thus becoming “Chinese.” However, there are numerous scholarly challenges to this narrative as historically inaccurate or overly simplistic, as well as challenges to the positioning of this narrative as not “racist.” The idea that an emphasis on civilization versus barbarism is “cultural” and not “racial” delimits racism to a narrow definition focusing on “biophysical” difference. However, wider scholarship on race and racism highlights that the latter rests on diverse articulations of hierarchical difference; this includes and mobilizes cultural difference as an active part of racist discourses predicated on the acceptance of ideas of the “inferiority” versus “superiority” of peoples, as well as notions of “purity” within discourses of homogeneous imagined communities. Increasingly, “being Chinese” is being conceptualized in PRC official rhetoric as a culturally, and racially, homogeneous identity. That is, not only is Han culture being positioned as emblematic of “Chinese culture” generally but also it is being asserted that all ethnic groups are descended from the Han and are thus genetically bound by “Chinese bloodlines.” Such discourses have repercussions for ethnic minority groups within China—most clearly at the moment for Uyghurs and other Muslim minorities who are positioned as “infected” by “foreign influences,” namely their religion. This is particularly clear in the contemporary sinicization campaign in Xinjiang (XUAR: Xinjiang Uyghur Autonomous Region), a region in northwest China that has gained increasing international attention due to the government’s use of “re-education” camps in a program it argues is designed to eliminate terrorism. The accompanying sinicization campaign involves a combination of propaganda emphasizing “Chinese socialist characteristics” and “core values” that should be adopted, an emphasis in the media on Uyghurs engaging in Han cultural practices as a demonstration of their loyalty to the state, as well as the removal of many visible signs of Chinese Islamic history and Uyghur culture. The turn toward politically policing culture is hardly new in China; however, the increasing emphasis on racial notions of identity—foregrounding physical appearance, genetics, lineage, and metaphors of “bloodlines”—is an attempt to turn a national identity into a “natural” one, something that raises urgent questions with regard to how China deals with the diversity of its population and the stakes in being, or becoming, “Chinese.”
Bella Figura: Understanding Italian Communication in Local and Transatlantic Contexts
Denise Scannell Guida
Bella figura—beautiful figure—is an idiomatic expression used to reflect every part of Italian life. The phrase appears in travel books and in transnational business guides to describe Italian customs, in sociological research to describe the national characteristics of Italians, and in popular culture to depict thematic constructs and stereotypes, such as the Mafia, romance, and la dolce vita. Scholarly research on bella figura indicates its significance in Italian civilization, yet it remains one of the most elusive concepts to translate. Among the various interpretations and references from foreigners and Italians there is not a single definition that captures the complexity of bella figura as a cultural phenomenon. There is also little explanation of the term, its usage, or its effects on Italians who have migrated to other countries. Gadamerian hermeneutics offers an explanation for how bella figura functions as a frame of reference for understanding Italian culture and identity, which does not disappear or fuse when Italians interact with people from different countries but instead takes on an interpretive dimension that is continually integrating new information into the subconscious structures of the mind. In sum, bella figura is a sense-making process, and requires a pragmatic know-how of Italian communication (verbal and nonverbal). From this perspective, bella figura is prestructure by which Italians and some Italian migrants understand and interpret their linguistically mediated and historical world. This distinction changes the concept bella figura from a simple facade to a dynamic interplay among ever-changing interpretations and symbolic interactions. The exploration of bella figura is relevant to understanding Italian communication on both local and transnational levels.
Cognitive and Interactive Mechanisms for Mutual Understanding in Conversation
Ashley Micklos and Marieke Woensdregt
Everyday conversation is, as the term suggests, a frequent and seemingly effortless phenomenon. However, when closely examined, it is seen that the process of achieving mutual understanding in conversation involves both complex social reasoning and finely tuned interactive mechanisms. Referential communication provides an excellent case study for what makes everyday language interactions complex: people recruit an intricate web of cognitive capacities and interactive resources in order to get their message across. In terms of cognitive capacities, reaching mutual understanding in conversation involves social reasoning in order to establish common ground and take into account one’s conversational partner when producing and interpreting utterances. Specifically, people continuously adapt to their conversational partner by keeping track of what information is or is not shared (based on the situational context, preceding discourse, and general knowledge) and adjusting their utterances and interpretations accordingly. In terms of interactive resources, mechanisms that allow us to keep a conversation on track (e.g., backchannels) and the mechanisms that allow us to recover from breakdowns in communication (i.e., repair) contribute to mutual understanding. Specifically, other-initiated repair, a conversational phenomenon that has been documented cross-linguistically and observed in experimental settings, is an interactional resource for (re)establishing intersubjectivity between interlocutors. The historic separation between cognitive capacities on the one hand and interactive resources on the other hand has created an artificial divide, when in fact both mechanisms interact with, and even presuppose, one another. This article puts forward a unified perspective on the cognitive and interactive mechanisms for mutual understanding, moving towards better understanding of the complementary roles of these mechanisms in interaction.
Collective Protest, Rioting, and Aggression
In understanding crowd psychology and its explanation of conflict and violence, there are different theoretical approaches that turn on different understandings of communication processes. There are three models of communication in the crowd worth reviewing: classic, normative, and dynamic. Classic models suggest that crowd members are influenced by an idea of emotion presented to them. Normative models suggest that influence is constrained by what is seen as consonant with group norms. And, finally, dynamic models examine how that which becomes normative in the group depends upon intergroup relations. The last of these approaches can explain the patterned, socially meaningful and yet changing nature of crowd action. Crowd action, itself, is a form of communication because it serves to shape the social understandings of participants as well as the social understandings of those beyond the crowd. It is argued that the nature and centrality of crowds contribute to the understanding and creating of social relations in society.
Conversation Analysis and Medicine
Wayne A. Beach, Kyle Gutzmer, and Chelsea Chapman
Beginning with phone calls to an emergency psychiatric hospital and suicide prevention center, the roots of Conversation Analysis (CA) are embedded in systematic analyses of routine problems occurring between ordinary persons facing troubling health challenges, care providers, and the institutions they represent. After more than 50 years of research, CA is now a vibrant and robust mode of scientific investigation that includes close examination of a wide array of medical encounters between patients and their providers. Considerable efforts have been made to overview CA and medicine as a rapidly expanding mode of inquiry and field of research. Across a span of 18 years, we sample from 10 of these efforts to synthesize important priorities and findings emanating from CA investigations of diverse interactional practices and health care institutions. Key topics and issues are raised that provide a unique opportunity to identify and track the development and maturity of CA approaches to medical encounters. Attention is also given to promising new modes of research, and to the potential and challenges of improving medical practices by translating basic and rigorous empirical findings into innovative interventions for medical education. A case is made that increasing reliance on CA research can positively impact training and policies shaping the delivery of humane and quality medical care.
Conversation Analysis and News Interviews
Laura Loeb and Steven E. Clayman
The news interview is a prominent interactional arena for broadcast news production, and its investigation provides a window into journalistic norms, press-state relations, and sociopolitical culture. It is a relatively formal type of interaction, with a restrictive turn-taking system normatively organized around questions and answers exchanged for the benefit of an audience. Questions to politicians are sensitive to the journalistic norms of neutralism and adversarialness. The neutralism norm is relatively robust, implemented by interviewers adhering to the activity of questioning, and avoiding declarative assertions except as prefaces to a question or as attributed to a third party. The adversarialism norm is more contextually variable, implemented through agenda setting, presupposition, and response preference, each of which can be enhanced through question prefaces. Adversarial questioning has increased significantly in the United States over time, and in some other national contexts. Adversarial questioning creates an incentive for resistant responses from politicians, which are managed with overt forms of damage control and covert forms of concealment. News interviews with nonpartisan experts and ordinary people are generally less adversarial and more cooperative. Various hybrid interview genres have emerged in recent years, which incorporate practices from other forms of broadcast talk (e.g., celebrity talk shows, confrontational debates) within a more loosely organized interview framework. These hybrid forms have become increasingly prominent in contemporary political campaigns and current affairs discussions.
Discursive Approaches to Race and Racism
Kevin A. Whitehead
In the wake of what has been called the “discursive turn” or “linguistic turn” in the social sciences, research at the intersection of language and communication and race and racism shifted from being largely dominated by quantitative and experimental methods to include qualitative and particularly discursive approaches. While the term “discursive” potentially encompasses a wide range of modes of discourse analysis, discursive approaches share a focus on language use as social action, and as a constitutive feature of actions, events, and situations, rather than as merely a passive means of describing or transmitting information about them. When applied to the study of race and racism, such approaches have examined ways in which language functions to construct, maintain, and legitimate as well as subvert or resist racial and/or racist ideologies and social structures. Research in these areas has made use of a range of empirical materials, including “elite” texts and talk (media texts, parliamentary debates, academic texts, etc.), individual interviews, focus groups and group discussions, “naturally occurring” talk-in-interaction from conversational and institutional settings, and text-based online interactions. Although these different data types should not be seen as strictly mutually exclusive, each of them serves to foreground particular features of racial or racist discourse(s), thus facilitating or constraining particular sorts of discourse analytic findings. Thus, different data sources respectively tend to foreground ideological features of racial discourse(s) and their intersection with power and domination, including examination of “new” racisms and the production and management of accusations and denials of racism; discursive processes involved in the construction and uses of racial subjectivities and identities; interactional processes through which prejudice and racism are constructed and contested; and the everyday interactional reproduction of systems of racial categories, independently of whether the talk in which they occur can or should be considered “racist.”
Globalization of Formal Debate Training, Civil Society, and Democratic Institutions
Despite myriad sponsoring organizations and formats around the world, student debates at multiple educational levels share some fundamental characteristics. A better understanding of these characteristics can illuminate the activity and the cultural and civilizational assumptions that constitute debate, as well as debate’s relationship to democratic thinking. Debate pedagogy exists as a part of forensics, an Aristotelian term for speech and debate. While oral disputation has classical roots, contemporary debate assumed a more recognizable form with European and British practices in the modern era. Debate then grew tremendously in the United States. Argument models, competition structures, and assumed fundamentals of the activity developed in the 20th century in the United States have been extended into the global debate community. The 2020 World University Debating Championship featured in-person debates between 1,177 students from 243 universities in 50 countries. Formal debates between college students from competing schools is promoted as a tool for critical thinking instruction and empowerment. Generally, this instruction is carried out by advisers, coaches, faculty, alumni, and volunteers. In some cases, debate aids self-education: Students run their own debate teams, using the structure to supplement their normal curricular education. College debate is intrinsically international. Debaters often travel internationally to compete. The events are international in scope and the issues debated are international by nature. Debates that focus on current events or perennial philosophical questions cannot avoid international elements and implications. Economics, interconnected international politics, international media, social media, and other forces ensure that debates cross borders conceptually if not physically, and even critique of borders has been a feature of intercollegiate debate for many years.
Globalizing and Changing Culture
Hans J. Ladegaard
Although there is no exact definition of globalization, and relatively little empirical evidence on how it affects people’s lives, most scholars argue that it reflects an increasingly mobile and interconnected world. People travel for pleasure or work, or they migrate to other parts of the world. They also communicate with linguistic and cultural others, either face-to-face or via modern communication technologies, which requires them to use a global lingua franca (English). This leads to greater interdependence and a sense of sharedness, but also to more intergroup conflicts. Thus, the world has become more interconnected, but also more fragmented, and social and economic inequality both within and across nation-states has become more visible. The importance of culture as an analytical concept in (intercultural) communication research is another pertinent topic in the literature. Some scholars have argued that culture has lost its potency as a meaningful analytical concept and therefore should no longer take center stage in communication research. Others claim that culture will always be salient and influence behavior. How and to what extent globalization changes culture has also been discussed extensively in recent years. Some scholars argue that globalization leads to sameness and uniformity, and ultimately to the end of the nation-state. Others disagree and posit that globalization leads to a strengthening of the nation-state and of the cultural values we associate with it. A meaningful way to test theoretical assumptions about globalization and culture is to analyze communication and work practices in global organizations. Research from these contexts suggests that globalization has not led to cultural assimilation and uniformity. Employees in the global workplace and student sojourners use national stereotypes as a frame of reference when they communicate with cultural others, and they demonstrate high awareness of cultural differences and how they impact their communication, study, and work practices. Recent research on cultural change and globalization has included a critical dimension that questions a world order where the increase in power and cultural and economic wealth in developed countries happens at the expense of poor people with no voice and little visibility living in developing countries. Critical (intercultural) communication research considers these imbalances and also provides a critique of Anglocentric research paradigms, which do not include the cultural and linguistic experiences of non-Western cultural others.
Global Jihad and International Media Use
el-Sayed el-Aswad, M. Joseph Sirgy, Richard J. Estes, and Don R. Rahtz
Globalization and international media are potent contributors to the rise of the Islamist global jihad. Widespread digital communication technologies that connect people all over the world are a substantial component of globalization. Over the past three decades, “virtual jihad” has emerged as a potent disseminator of radical religious-political ideologies, instilling fear and fostering instability worldwide. Western and global media, while often misrepresenting Islam and Muslims, have played a significant role in disseminating jihadist ideologies. The involvement of global jihadists (mujāhidīn) across myriad media outlets and platforms has allowed them to promote their agenda around the world. Using the Internet and media outlets, global jihadists are able to attract and recruit people to their ranks in an accelerated manner. Jihadists have engaged in media activities that have empowered and expanded the global jihad movement, even in the face of increased mitigation efforts.
Health Literacy and Health/Risk Communication
Michael Mackert, Sara Champlin, and Jisoo Ahn
Health literacy—defined as the ability of an individual to obtain, process, understand, and communicate about health information—contributes significantly to health outcomes and costs to the U.S. health-care system. Approximately one-quarter to one-half of U.S. adults struggle with health information, which includes understanding patient education materials, reading medication labels, and communicating with health-care providers. Low health literacy is more common among the elderly, those who speak English as a second language, and those of lower socioeconomic status. In addition to conceptualizing health literacy as an individual-level skill, it can also be considered an organizational or community-level ability. Increased attention to the field of health literacy has resulted in debates about the definition and the best ways to assess health literacy; there is also a strong and growing movement within the field of health literacy research and practice to frame health literacy less as a deficit to overcome and more as an approach to empowering patients and improving outcomes. As health-care providers have recognized the importance of health literacy, workshops, and training programs have been developed and evaluated to improve the care of low-health-literate patients. Similarly, health promotion professionals have developed best practices for reaching low-health-literate audiences with traditional and new digital media, which can also increase access for patients with hearing or visual impairments. Additionally, recent policy changes in the United States, including those related to the Affordable Care Act, contribute to a greater focus and regulation of factors that impact health literacy. Researchers and practitioners together are advancing understanding of health literacy, its relationship to health outcomes and health-care costs, and improved strategies for improving the health of lower health literate patients. Development and review of health literacy pieces can aid in shared decision making and provide insights for patients on various health-care services.
Ingroup Love and Outgroup Hate
Silvia Moscatelli and Monica Rubini
In everyday life, we are faced with disparate examples of intergroup bias, ranging from a mild tendency to ingroup favoritism to harsh episodes of discrimination, aggression, and even conflicts between groups. Where do they stem from? The origins of intergroup bias can be traced back to two main motivations, that is, attachment to one’s own group (“ingroup love”) and negative feelings toward outgroups (“outgroup hate”). Although lay people, but also some researchers, see the two motivations as intertwined, growing evidence from different fields (e.g., social psychology, evolutionary psychology, and neuroscience) has indicated that intergroup bias is more often driven by needs of ingroup protection and affiliation, which do not imply outgroup hostility or competitive attitudes. Outgroup hate is instead likely to arise in intergroup contexts characterized by a high degree of enmity. It is important that members of the groups involved, but also external observers, recognize ingroup love as the primary motor of intergroup conflict: the attribution of hate to the outgroup’s behavior renders negotiation and conflict resolution harder while at the same time justifying severe aggression or even annihilation of the opposing outgroup. In the domain of intergroup communication, an intriguing way through which group members express their ingroup love and outgroup hate is represented by variations of linguistic abstraction and valence in depicting behaviors performed by ingroup or outgroup members. This unintended use of language reveals that group members are more prone to express ingroup love also at a linguistic level. However, specific changes in intergroup relations along variables such as group size, group status, or relative deprivation can give rise to linguistic patterns of outgroup hate.
Language and Culture
Ee Lin Lee
Language is an arbitrary and conventional symbolic resource situated within a cultural system. While it marks speakers’ different assumptions and worldviews, it also creates much tension in communication. Therefore, scholars have long sought to understand the role of language in human communication. Communication researchers, as well as those from other disciplines (e.g., linguistics, anthropology, psychology, and sociology), draw on each other’s works to study language and culture. The interdisciplinary nature of the works results in the use of various research methods and theoretical frameworks. Therefore, the main goal of this essay is to sketch the history and evolution of the study of language and culture in the communication discipline in the United States. Due to space constraints only select works, particularly those that are considered landmarks in the field, are highlighted here. The fundamentals of language and the development of the Sapir–Whorf hypothesis in leading to the formation of the language and social interaction (LSI) discipline are briefly described. The main areas of LSI study—namely language pragmatics, conversation analysis, discourse analysis, and the ethnography of communication—are summarized. Particular attention is paid to several influential theories and analytical frameworks: the speech act theory, Grice’s maxims of implicatures, politeness theory, discursive psychology, critical discourse analysis, the ethnography of speaking, speech codes theory, and cultural discourse analysis. Criticisms and debates about the trends and directions of the scholarship are also examined.
Language attitudes are evaluative reactions to different language varieties. They reflect, at least in part, two sequential cognitive processes: social categorization and stereotyping. First, listeners use linguistic cues (e.g., accent) to infer speakers’ social group membership(s). Second, based on that categorization, they attribute to speakers stereotypic traits associated with those inferred group membership(s). Language attitudes are organized along two evaluative dimensions: status (e.g., intelligent, educated) and solidarity (e.g., friendly, pleasant). Past research has primarily focused on documenting attitudes toward standard and nonstandard language varieties. Standard varieties are those that adhere to codified norms defining correct usage in terms of grammar, pronunciation, and vocabulary, whereas nonstandard varieties are those that depart from such norms in some manner (e.g., pronunciation). Standard and nonstandard varieties elicit different evaluative reactions along the status and solidarity dimensions. Status attributions are based primarily on perceptions of socioeconomic status. Because standard varieties tend to be associated with dominant socioeconomic groups within a given society, standard speakers are typically attributed more status than nonstandard speakers. Solidarity attributions tend to be based on in-group loyalty. Language is an important symbol of social identity, and people tend to attribute more solidarity to members of their own linguistic community, especially when that community is characterized by high or increasing vitality (i.e., status, demographics, institutional support). As a result, nonstandard language varieties can sometimes possess covert prestige in the speech community in which they are the speech norms. Language attitudes are socialized early in life. At a very young age, children tend to prefer their own language variety. However, most (if not all) children gradually acquire the attitudes of the dominant group, showing a clear status preference for standard over nonstandard varieties around the first years of formal education and sometimes much earlier. Language attitudes can be socialized through various agents, including educators, peers, family, and the media. Because language attitudes are learned, they are inherently prone to change. Language attitudes may change in response to shifts in intergroup relations and government language policies, as well as more dynamically as a function of the social comparative context in which they are evoked. Once evoked, language attitudes can have myriad behavioral consequences, with negative attitudes typically promoting prejudice, discrimination, and problematic social interactions.
Limited English Proficiency as a Consideration When Designing Health and Risk Messages
Maricel G. Santos, Holly E. Jacobson, and Suzanne Manneh
For many decades, the field of risk messaging design, situated within a broader sphere of public health communication efforts, has endeavored to improve its response to the needs of U.S. immigrant and refugee populations who are not proficient speakers of English, often referred to as limited English proficient (LEP) populations. Research and intervention work in this area has sought to align risk messaging design models and strategies with the needs of linguistically diverse patient populations, in an effort to improve patient comprehension of health messages, promote informed decision-making, and ensure patient safety. As the public health field has shifted from person-centered approaches to systems-centered thinking in public health outreach and communication, the focus in risk messaging design, in turn, has moved from a focus on the effects of individual patient misunderstanding and individual patient error on health outcomes, to structural and institutional barriers that contribute to breakdown in communication between patients and healthcare providers. While the impact of limited proficiency in English has been widely documented in multiple spheres of risk messaging communication research, the processes by which members of immigrant and refugee communities actually come to understand sources of risk and act on risk messaging information remain poorly researched and understood. Advances in risk messaging efforts are constrained by outdated views of language and communication in healthcare contexts: well-established lines of thinking in sociolinguistics and language education provide the basis for critical reflection on enduring biases in public health about languages other than English and the people who speak them. By drawing on important findings about language ideologies and language learning, an alternative approach would be to cultivate a deeper appreciation for the linguistic diversity already shaping our everyday lives and the competing views on this diversity that constrain our risk messaging efforts. The discourse surrounding the relationship between LEP and risk messaging often omits a critical examination of the deficit-based narrative that tends to infuse many risk messaging design efforts in the United States. Sociolinguists and language education specialists have documented the enduring struggle against a monolingual bias in U.S. education and healthcare policy that often privileges proficiency in English, and systematically impedes and discriminates against emerging bilingualism and multilingualism. The English-only bias tends to preclude the possibility that risk messaging comprehension for many immigrant and refugee communities may represent a multilingual capacity, as patients make use of multiple linguistic and cultural resources to make sense of healthcare messages. Research in sociolinguistics and immigration studies have established that movement across languages and cultures—a translingual, transcultural competence—is a normative component of the immigrant acculturation process, but these research findings have yet to be fully integrated into risk messaging theory and design efforts. Ultimately, critical examination of the role of language and linguistic identity (not merely a focus on proficiency in English) in risk messaging design should provide a richer, more nuanced picture of the ways that patients engage with health promotion initiatives, at diverse levels of English competence.
Memory for Media Content in Health Communication
Soyoon Kim and Brian G. Southwell
Typical discussion about the success of mediated health communication campaigns focuses on the direct and indirect links between remembered campaign exposure and outcomes; yet, what constitutes information exposure and how it is remembered remain unclearly defined in much health communication research. This problem mainly stems from the complexity of understanding the concept of memory. Prolific discussions about memory have occurred in cognitive psychology in recent decades, particularly owing to advances in neuroimaging technologies. The evolution of memory research—from unitary or dichotomous perspectives to multisystem perspectives—has produced substantial implications for the topics and methods of studying memory. Among the various conceptualizations and types of memory studied, what has been of particular interest to health-communication researchers and practitioners is the notion of “encoded exposure.” Encoded exposure is a form of memory at least retrievable by a potential audience member through a conscious effort to recollect his or her past engagement with any particular unit of campaign content. While other aspects of memory (e.g., non-declarative or implicit memory) are certainly important for communication research, the encoded exposure assessed under a retrieval condition offers a critical point at which to establish the exposure-outcome link for the purpose of campaign design and evaluation. The typical methods to assess encoded exposure include recall and recognition tasks, which can be exercised in various ways depending on retrieval cues provided by a researcher to assess different types and levels of cognitive engagement with exposed information. Given that encoded exposure theoretically relies on minimal memory trace, communication scholars have suggested that recognition-based tasks are more appropriate and efficient indicators of encoded exposure compared to recall-based tasks that require a relatively high degree of current-information salience and accessibility. Understanding the complex nature of memory also has direct implications for the prediction of memory as one of the initial stages of communication effects. Some prominent message-level characteristics (e.g., variability in the structural and content features of a health message) or message recipient-level characteristics (e.g., individual differences in cognitive abilities) might be more or less predictive of different memory systems or information-processing mechanisms. In addition, the environments (e.g., bodily and social contexts) in which people are exposed to and interact with campaign messages affect individual memory. While the effort has already begun, directions for future memory research in health communication call for more attention to sharpening the concept of memory and understanding memory as a unique or combined function of multilevel factors.
Message Recipient Psychological Characteristics: Incurious and Curious Motives to Learn about Health Risks
Successfully conveying information about the risk of potential threats to an individual’s physical and mental health is a serious challenge for healthcare practitioners. Adding to the challenge is the role of individual differences in people’s tendencies to want to learn (or in their choice to passively avoid) new information. These characteristic motives can be both curious and incurious in nature and interact with the perceived locus of the relevant health threat, which must be taken into account first. Some health threats are relatively “external,” and involve addressing the potential risk of an undesired event (e.g., developing illness, encountering relationship troubles). Research indicates that individuals who view external threats as “controllable” are more likely to respond positively to relevant information, but perception of control alone does not determine whether health-relevant information is likely to be sought or acted on. Besides perceived controllability, individual differences in incurious worry reduction motives (IWRM) play an important role as well. Two different kinds of IWRM have been identified: focus on distress (IWRM-FD) and focus on relief (IWRM-FR). Dispositional tendencies toward IWRM-FD are associated with greater willingness to seek out information when risk is perceived as low (i.e., information about the potential external threat is expected to make one feel better), but a tendency to passively avoid any information when risk is considered high (i.e., information is expected to intensify distress). In contrast, tendencies toward IWRM-FR reflect wanting more information about potential threats when risk is believed to be high, while passively avoiding news when perceived risk is low. In regard to coping with perceived risk, IWRM-FD scores predict avoidant coping, whereas IWRM-FR levels are associated with proactive coping and seeking others’ advice. Other risks are more “internal,” and involve threats to an individual’s certainty about his or her self-concept, purpose in life, or the wisdom of past behavior; in short, an “identity crisis.” Such threats underlie wondering things like “Who am I, really?” and are associated with less self-awareness, lower self-esteem, and greater overall distress. In response to internal threats, intrapersonal curiosity (InC) motivates individuals to engage in introspective self-exploration that may help them to clarify, to elaborate on, and to improve their understanding of their self-concept. Recent research has found that individual differences in InC are positively associated with IWRM, suggesting that dealing with identity crises involves the desire to better know oneself, as well as wishing to mitigate worries about experiencing self-doubt. Bearing the above in mind, research on individual differences in tendencies to avail oneself of different coping strategies indicates that proactive coping (e.g., positive reframing, seeking advice) tends to result in beneficial outcomes, such as personal growth and improved health, but some proactive strategies are “double-edged” and may lead to some negative outcomes as well. In particular, proactive strategies like acceptance of one’s limitations or discussing them with others when seeking social support were helpful, but they also had the potential to leave individuals feeling less sure of themselves. These findings suggest that practitioners who wish to more effectively communicate information about risk of potential health threats should consider whether the nature of the threat is internal or external, the role of individual differences in IWRM and InC, and how to help their patients to focus on the positive benefits of acceptance (i.e., identify solvable problems) and seeking social support (i.e., acquiring useful advice) over the negative aspects (i.e., admitting limitations).