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Article

Affection Exchange Theory  

Kory Floyd and Benjamin E. Custer

Affectionate communication constitutes verbal behaviors (e.g., saying “I love you”), nonverbal gestures (e.g., hugging, handholding), and socially supportive behaviors (e.g., helping with a project) that humans employ to develop and maintain close relationships with others. In addition to its relational benefits, affectionate communication contributes to health and wellness for both senders and receivers. Affection exchange theory (AET) addresses the questions of why humans engage in affectionate communication and why diverse benefits are associated with such behaviors. A robust empirical literature supports AET’s contention that both expressing and receiving affectionate behavior are associated with physical and mental health benefits. Despite these contributions, however, some compelling questions about affectionate communication remain to be addressed, and AET can provide a useful framework for doing so.

Article

Agenda Setting in Health and Risk Messaging  

Karyn Ogata Jones

Since McCombs and Shaw first introduced the theory in 1972, agenda setting has emerged as one of the most influential perspectives in the study of the effects of mass media. Broadly defined, “agenda setting” refers to the ability of mass media sources to identify the most salient topics, thereby “setting the agendas” for audiences. In telling us what to think about, then, mass media sources are perceived to play an influential role in determining priorities related to policies, values, and knowledge on a given topic or issue. Scholars have studied this phenomenon according to both object (issue) salience and attribute salience and along aggregate and individual audience responses. The audience characteristics of need for orientation, uncertainty, relevance, and involvement are advanced as moderating and predicting agenda-setting effects. When agenda-setting theory is applied to the study of messaging related to health and risk communication, scholars have reviewed and identified common themes and topics that generally include media’s role in educating and informing the public about specific health conditions as well as public health priorities and administrative policies. Agenda setting is often examined in terms of measuring mass media effects on audiences. Looking at interpersonal communication, such as that coming from medical providers, opinion leaders, or peer networks, in studies will allow research to examine the combined effects of interpersonal and mass communication. Testing possible interactions among differing sources of information along with assessment of issue and attribute salience among audiences according to an agenda-setting framework serves to document audience trends and lived experiences with regard to mass media, health, and risk communication.

Article

Aging Grandparents and Grandchildren and Communication  

Quinten Bernhold

Grandparents and grandchildren report their relationships with one another are meaningful in many respects, including having the opportunities to exchange affection, receive support, and learn new things from one another. Since 2000, theoretically grounded communication research on grandparent–grandchild (GP–GC) relationships has notably increased. This research has been largely centered in three theoretical domains: research using affection exchange theory (AET), communication accommodation theory (CAT), and communication theory of identity (CTI). AET is a bioevolutionary theory that holds that giving and receiving affectionate communication help facilitate viability and fertility. Consistent with this theory, grandparents have reported better mental health when they express more affectionate communication for their grandchildren, and grandchildren have reported better mental health when they receive more affectionate communication from their grandparents. Researchers can advance the study of GP–GC affectionate communication in the future by examining if affectionate communication is indirectly associated with health outcomes via certain indices of relational solidarity (e.g., shared family identity, relational closeness, perceived availability of social support). CAT is an intergroup and interpersonal communication theory that describes the adjustments speakers make during interaction, as well as the ramifications of those adjustments for receivers. Receivers might interpret a speaker as overaccommodating them (i.e., going too far in the adjustment necessary for appropriate interaction, such as patronizing talk) or underaccommodating them (i.e., not going far enough in the adjustment necessary for appropriate interaction, such as engaging in painful self-disclosures). When grandchildren receive more overaccommodation and underaccommodation from their grandparents, they report more negative prejudicial attitudes toward older adults as a whole. Future researchers should examine how perceptions of accommodation and nonaccommodation in GP–GC relationships are associated with other types of prejudice, such as religious prejudice. Finally, the CTI posits that people hold four frames of identity: personal identity (how people internally view themselves), enacted identity (how people behave or perform their identity), relational identity (how people perceive that their relational partners view them and how people define themselves as in relationships with others), and communal identity (how large social collectives are broadly defined, such as in the mass media). These identity frames can contradict one another, creating identity gaps. Both grandchildren’s and grandparents’ identity gaps (personal-relational and personal-enacted identity gaps) have been indirectly associated with lower intentions on the part of grandchildren to provide care for their grandparents via grandchildren’s reduced communication satisfaction. Future researchers would be well served to examine identity gaps between three or four frames of identity. In sum, many insights have been generated by GP–GC communication research informed by these three theories, and there are numerous ways to continue these lines of research in the future.

Article

Anger in Health and Risk Messaging  

Claude H. Miller and Reinaldo Cortes Quantip

Within a range of health communication contexts, anger can be either a detriment to the receptivity of health promotion messages when poorly controlled, or a benefit to information processing when appropriately directed. In the former case, anger can disrupt cognitive processing, leading to a range of negative outcomes, including emotional turbulence and a preoccupation with anger-eliciting events that can severely limit the receptivity of health promotion and risk prevention messages. However, when properly directed and elicited in moderation, anger can motivate greater purpose and resolve in response to health threats, stimulate more active processing of health warnings, sharpen focus on argument quality, and direct greater attention to coping-relevant information concerning harmful health risks.

Article

Audience Segmentation Techniques  

Rachel A. Smith

A premise in health promotion and disease prevention is that exposure to and consequences of illness and injury can be minimized through people’s actions. Health campaigns, broadly defined as communication strategies intentionally designed to encourage people to engage in the actions that prevent illness and injury and promote wellbeing, typically try to inspire more than one person to change. No two people are exactly alike with respect to their risk for illness and injury or their reactions to a campaign attempting to lower their risk. These variations between people are important for health messaging. Effective campaigns provide a target audience with the right persuasive strategy to inspire change based on their initial state and psychosocial predictors for change. It is often financially and logistically unreasonable to create campaigns for each individual within a population; it is even unnecessary to the extent to which people exist in similar states and share psychosocial predictors for change. A challenging problem for health campaigns is to define those who need to be reached, and then intelligently group people based on a complex set of variables in order to identify groups with similar needs who will respond similarly to a particular persuasive strategy. The premise of this chapter is that segmentation at its best is a systematic and explicit process of research to make informed decisions about how many audiences to consider, why the audience is doing what they are doing, and how to reach that audience effectively.

Article

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.

Article

Big Data’s Role in Health and Risk Messaging  

Bradford William Hesse

The presence of large-scale data systems can be felt, consciously or not, in almost every facet of modern life, whether through the simple act of selecting travel options online, purchasing products from online retailers, or navigating through the streets of an unfamiliar neighborhood using global positioning system (GPS) mapping. These systems operate through the momentum of big data, a term introduced by data scientists to describe a data-rich environment enabled by a superconvergence of advanced computer-processing speeds and storage capacities; advanced connectivity between people and devices through the Internet; the ubiquity of smart, mobile devices and wireless sensors; and the creation of accelerated data flows among systems in the global economy. Some researchers have suggested that big data represents the so-called fourth paradigm in science, wherein the first paradigm was marked by the evolution of the experimental method, the second was brought about by the maturation of theory, the third was marked by an evolution of statistical methodology as enabled by computational technology, while the fourth extended the benefits of the first three, but also enabled the application of novel machine-learning approaches to an evidence stream that exists in high volume, high velocity, high variety, and differing levels of veracity. In public health and medicine, the emergence of big data capabilities has followed naturally from the expansion of data streams from genome sequencing, protein identification, environmental surveillance, and passive patient sensing. In 2001, the National Committee on Vital and Health Statistics published a road map for connecting these evidence streams to each other through a national health information infrastructure. Since then, the road map has spurred national investments in electronic health records (EHRs) and motivated the integration of public surveillance data into analytic platforms for health situational awareness. More recently, the boom in consumer-oriented mobile applications and wireless medical sensing devices has opened up the possibility for mining new data flows directly from altruistic patients. In the broader public communication sphere, the ability to mine the digital traces of conversation on social media presents an opportunity to apply advanced machine learning algorithms as a way of tracking the diffusion of risk communication messages. In addition to utilizing big data for improving the scientific knowledge base in risk communication, there will be a need for health communication scientists and practitioners to work as part of interdisciplinary teams to improve the interfaces to these data for professionals and the public. Too much data, presented in disorganized ways, can lead to what some have referred to as “data smog.” Much work will be needed for understanding how to turn big data into knowledge, and just as important, how to turn data-informed knowledge into action.

Article

The Biology Of Affection  

Kory Floyd and Colter D. Ray

Affectionate communication comprises the verbal and nonverbal behaviors people use to express messages of love, appreciation, fondness, and commitment to others in close relationships. Like all interpersonal behaviors, affectionate communication has biological and physiological antecedents, consequences, and correlates, many of which have implications for physical health and wellness. Investigating these factors within a biological framework allows for the adjudication of influences beyond those attributable to the environment. In particular, there are observable genetic and neurological differences between individuals with a highly affectionate disposition and those less prone to communicating affection, suggesting that variance in the tendency to engage in affectionate behavior is not entirely the result of environmental influences such as enculturation, parenting, and media exposure. In addition, the expression of affection is associated with markers of immune system competence and appears to help the body to relax and remain calm. The biological effects of affectionate communication are perhaps most pronounced in situations involving either acute or chronic stress. Specifically, highly affectionate individuals are less likely than others to overreact physiologically to stress-inducing events. Whatever stress reaction they do mount is better regulated than among their less affectionate counterparts. Moreover, highly affectionate individuals—or simply those who receive expressions of affection prior to or immediately following a stressful situation—exhibit faster physiological recovery from their elevated stress. Perhaps unsurprisingly, therefore, being deprived of adequate affectionate communication is predictive of multiple physical and psychological detriments, including elevated stress and exacerbated depression, social and relational problems, insecure attachment, susceptibility to diagnosed anxiety and mood disorders, susceptibility to diagnosed secondary immune disorders, chronic pain, and sleep disturbances.

Article

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.

Article

Coming Out in Interpersonal and Relational Perspectives  

Yachao Li

In a heteronormative society, coming out to others, or sexual orientation disclosure, is a unique and crucial experience for many sexual minority individuals. Past theoretical models of sexual identity development often view coming out as a milestone that profoundly influences sexual minority people. Existing studies related to sexual orientation disclosure have mainly explored the processes and outcomes of people’s coming-out decisions or outness levels. However, coming out is inherently a communication behavior. The message content and processes of coming out remain understudied. Emerging studies have attempted to address the research void. Scholars have examined different types of coming-out conversations and patterns of those interactions. They also explored the contents and disclosure strategies of coming out, as well as motivations and antecedents to varying levels of sexual orientation disclosure. Results indicate that while coming-out conversations may unfold differently, explicit disclosure is the mostly used coming-out strategy. In addition, disclosure goals, coupled with personal factors such as internalized homophobia and relational factors like relational power, predict disclosure message contents (what people say) and features (how people say it), which in turn predict disclosure receivers’ reactions and disclosers’ personal and relational outcomes. Future studies should continue investigating the message contents, features, and outcomes of coming out. Researchers should also focus more on marginalized members’ coming-out experiences, and conduct longitudinal and experimental studies to understand the long-term effects of different coming-out messages and experiences.

Article

Communication and Recruitment to Clinical Research Studies  

Janice L. Krieger and Jordan M. Neil

Strategic communication is an essential component in the science and practice of recruiting participants to clinical research studies. Unfortunately, many clinical research studies do not consider the role of communication in the recruitment process until efforts to enroll patients in a timely manner have failed. The field of communication is rich with theory and research that can inform the development of an effective recruitment plan from the inception of a clinical research study through informed consent. The recruitment context is distinct from many other health contexts in that there is often not a behavioral response that can be universally promoted to patients. The appropriateness of a clinical research study for an individual is based on a number of medical, psychological, and contextual factors, making it impossible to recommend that everyone who is eligible for a clinical research study enroll. Instead, clinical research study recruitment efforts must utilize strategic communication principles to ensure that messages promote awareness of clinical research, maximize personal relevance, minimize information overload, and facilitate informed choice. This can be accomplished through careful consideration of various aspects of the communication context described in this chapter, including audience segmentation, message content, message channels, and formative, process, and outcome evaluation, as well as the enrollment encounter.

Article

Communication Privacy Management Theory  

Sandra Petronio and Rachael Hernandez

Have you ever wondered why a complete stranger sitting next to you on a plane would tell you about a recent cancer diagnosis? Why your parents never disclosed that you were adopted, feeling shocked when you accidently find out as an adult? These and many other actions reflect decisions individuals make about managing their private information. Being aware of how individuals navigate decisions to disclose or protect their private information provides useful insights that aid in the development and sustainability of relationships with others. Given privacy plays an integral role in everyone’s life, knowing more about privacy management is critical. communication privacy management (CPM) theory was first introduced by Sandra Petronio in 2002. CPM is evidence-based and accordingly provides a dependable understanding of how decisions are made to disclose and protect private information. This theory uses plain language to understand privacy management in everyday life. CPM focuses on the relationship people have with each other in communicative contexts, such as face-to-face interactions, on social media, and in dyads or groups. CPM theory is based on a communicative-social behavioral perspective and not necessarily a legal point of view. CPM theory illustrates that privacy is not paradoxical but is sustainable through the process of a privacy management system used in everyday life. The theory of CPM has been employed in a number of contexts shedding light on antecedents, mechanisms, and outcomes of private information management. In addition, a number of researchers across multiple countries, such as the Netherlands, United Kingdom, Japan, Kenya, South Korea, and the United States, have used CPM theory in their research investigations. Learning more about the system of private information management allows for a better understanding of how people navigate managing their private information when others are involved. Literature illustrates patterns of privacy management and demonstrates the challenges as well as the positive outcomes of the way individuals regulate their private information.

Article

Communication Privacy Management Theory and Health and Risk Messaging  

Sandra Petronio and Maria K. Venetis

Communication privacy management theory (CPM) argues that disclosure is the process by which we give or receive private information. Private information is what people reveal. Generally, CPM theory argues that individuals believe they own their private information and have the right to control said information. Management of private information is not necessary until others are involved. CPM does not limit an understanding of disclosure by framing it as only about the self. Instead, CPM theory points out that when management is needed, others are given co-ownership status, thereby expanding the notion of disclosing information; the theory uses the metaphor of privacy boundary to illustrate where private information is located and how the boundary expands to accommodate multiple owners of private information. Thus, individuals can disclose not only their own information but also information that belongs to others or is owned by collectives such as families. Making decisions to disclose or protect private information often creates a tension in which individuals vacillate between sharing and concealing their private information. Within the purview of health issues, these decisions have a potential to increase or decrease risk. The choice of disclosing health matters to a friend, for example, can garner social support to cope with health problems. At the same time, the individual may have concerns that his or her friend might tell someone else about the health problem, thus causing more difficulties. Understanding the tension between disclosing and protecting private health information by the owner is only one side of the coin. Because disclosure creates authorized co-owners, these co-owners (e.g., families, friends, and partners) often feel they have right to know about the owner’s health conditions. The privacy boundaries are used metaphorically to indicate where private information is located. Individuals have both personal privacy boundaries around health information that expands to include others referred to as “authorized co-owners.” Once given this status, withholding to protect some part of the private information can risk relationships and interfere with health needs. Within the scheme of health, disclosure risks and privacy predicaments are not experienced exclusively by the individual with an illness. Rather, these risks prevail for a number of individuals connected to a patient such as providers, the patient’s family, and supportive friends. Everyone involved has a dual role. For example, the clinician is both the co-owner of a patient’s private health information and holds information within his or her own privacy boundary, such as worrying whether he or she diagnosed the symptoms correctly. Thus, there are a number of circumstances that can lead to health risks where privacy management and decisions to reveal or conceal health information are concerned. CPM theory has been applied in eleven countries and in numerous contexts where privacy management occurs, such as health, families, organizations, interpersonal relationships, and social media. This theory is unique in offering a comprehensive way to understand the relationship between the notion of disclosure and that of privacy. The landscape of health-related risks where privacy management plays a significant role is both large and complex. The situations of HIV/AIDS, cancer care, and managing patient and provider disclosure of private information help to elucidate the ways decisions of privacy potentially lead to health risks.

Article

Communication Technology and Interpersonal Relationships  

Andrew M. Ledbetter

Owing to advances in communication technology, the human race now possesses more opportunities to interact with interpersonal partners than ever before. Particularly in recent decades, such technology has become increasingly faster, mobile, and powerful. Although tablets, smartphones, and social media are relatively new, the impetus behind their development is old, as throughout history humans have developed mechanisms for communicating ideas that transcend inherent temporal and spatial limitations of face-to-face communication. In the ancient past, humans developed writing and the alphabet to preserve knowledge across time, with the later development of the printing press further facilitating the mass distribution of written ideas. Later, the telegraph was arguably the first technology to separate communication from transportation, and the telephone enabled people at a distance to hear the warmth and intimacy of the human voice. The development of the Internet consolidates and advances these technologies by facilitating pictorial and video interactions, and the mobility provided by cell phones and other technologies makes the potential for communication with interpersonal partners nearly ubiquitous. As such, these technologies reconfigure perception of time and space, creating the sense of a smaller world where people can begin and manage interpersonal relationships across geographic distance. These developments in communication technology influence interpersonal processes in at least four ways. First, they introduce media choice as a salient question in interpersonal relationships. As recently as the late 20th century, people faced relatively few options for communicating with interpersonal partners; by the early years of the 21st century, people possessed a sometimes bewildering array of channel choices. Moreover, these choices matter because of the relational messages they send; for example, choosing to end a romantic relationship over the phone may communicate more sensitivity than choosing to do so via text messaging, or publicly on social media. Second, communication technology affords new opportunities to begin relationships and, through structural features of the media, shape how those meetings occur. The online dating industry generates over $1 billion in profit, with most Americans agreeing it is a good way to meet romantic partners; friendships also form online around shared interests and through connections on social media. Third, communication technology alters the practices people use to maintain interpersonal relationships. In addition to placing traditional forms of relational maintenance in more public spaces, social media facilitates passive browsing as a strategy for keeping up with interpersonal partners. Moreover, mobile technology affords partners increased geographic and temporal flexibility when keeping contact with partners, yet simultaneously, it may produce feelings of over-connectedness that hamper the desire for personal autonomy. Fourth, communication technology makes interpersonal networks more visibly manifest and preserves their continuity over time. This may provide an ongoing convoy of social support and, through increased efficiency, augment the size and diversity of social networks.

Article

Communicative Decisions in Families  

Rudy C. Pett, Kristina M. Scharp, and Yueyi Fan

Families represent a central relational unit within society and a formative context of interdependence throughout one’s life. How family members individually and collectively navigate communicative decisions therefore illustrates a process offering implications for each member within a family. Although various forms and contexts of decision-making might emerge, decisions guiding how family members communicate remain inevitable. Thus, particular importance emerges in understanding the processes and considerations that guide communicative decisions in families. Some decision-making processes might remain implicit, but several communication theories and models illuminate explicit considerations guiding family members’ communicative decisions. The first set of theoretical perspectives provides insights regarding communicative decisions relevant in contexts of uncertainty. The theory of motivated information management, for example, suggests that family members must make decisions regarding how they wish to manage a lack of information and any resulting uncertainty. However, those decisions likely remain guided by how family members assess their individual (or collective) ability to obtain the desired information, as well as cope with the outcomes of obtaining new information. Relatedly, uncertainty management theory illustrates the ways that family members experiencing uncertainty likely face decisions regarding if, as well as to what extent, they wish to acquire more information related to the source of uncertainty. Communication often serves as an information-seeking behavior family members decide to either enact or avoid, depending on how interested they are in reducing their uncertainty. A second set of theoretical perspectives illustrates the decisions family members face regarding if (and how) they communicate “private” information, as well as secrets. When managing private information, communication privacy management theory outlines decisions family members likely confront related to privacy ownership, privacy control, and privacy turbulence. In terms of secrets, the revelation risk model explicates considerations guiding if (and how) individuals decide to reveal secrets to their family members. These considerations include assessments of potential risk, perceived communication efficacy, and the relational closeness between the family members. The cycle of concealment model also examines decisions to reveal secrets, but this model suggests that these decisions also consider elements such as family interaction histories and, similarly, the quality of the relationship shared between the family members. A final theoretical perspective illuminates how health contexts introduce unique considerations that might dictate if (and how) family members decide to communicate about health-related information. Specifically, the disclosure decision-making model proposes that these types of communicative decisions remain guided by more unique considerations, such as (a) the type of information to be disclosed, (b) the relationships among the family members, (c) how a family member is likely to respond to the disclosure, (d) perceived disclosure efficacy, and (e) available strategies to disclose the information. Collectively, these six theoretical perspectives provide a multifaceted understanding of the central processes and considerations that guide communicative decisions in families.

Article

Communities of Practice in Health and Risk Messaging  

Nicola Andrew

A community of practice (CoP) situated in a health and risk context is an approach to collaboration among members that promotes learning and development. In a CoP, individuals come together virtually or physically and coalesce around a common purpose. CoPs are defined by knowledge, rather than task, and encourage novices and experienced practitioners to work together to co-create and embed sustainable outputs that impact on theory and practice development. As a result, CoPs provide an innovative approach to incorporating evidence-based research associated with health and risk into systems and organizations aligned with public well-being. CoPs provide a framework for constructing authentic and collaborative learning. Jeanne Lave and Etienne Wenger are credited with the original description of a CoP as an approach to learning that encompasses elements of identity, situation, and active participation. CoPs blend a constructivist view of learning, where meaningful experience is set in the context of “self” and the relationship of “self” with the wider professional community. The result is an integrated approach to learning and development achieved through a combination of social engagement and collaborative working in an authentic practice environment. CoPs therefore provide a strategic approach to acknowledging cultural differences related to translating health and risk theory into practice. In health and risk settings, CoPs situate and blend theory and practice to create a portal for practitioners to generate, shape, test, and evaluate new ideas and innovations. Membership of a CoP supports the development of professional identity within a wider professional sphere and may support community members to attain long range goals.

Article

Conflict in Family Communication  

John P. Caughlin and Emily Gerlikovski

Conflict is a common experience in families. Although conflicts can be intense, most conflicts in families are about mundane issues such as housework, social life, schoolwork, or hygiene. Families’ negotiations over even such mundane topics, however, have important implications. Through conflicts with other family members, children typically first learn about managing difficulties with others, and the skills they learn in such conflicts are important to their social lives beyond their families. Yet poorly managed conflicts that become more intense or personal can undermine the well-being of families and family members. Family conflicts are extremely complex, and understanding them requires analysis at multiple levels, including examining the individual family members, dyads and larger groups within the family, and the sociocultural context in which families are embedded. At the individual level, family members’ conflict behaviors (e.g., exhibiting positive affect vs. negative affect), conflict skills (e.g., whether they are able to resolve problems), and cognitions (e.g., whether they make generous attributions about other family members' intent during disputes) all are important for understanding the impact of family conflicts. Examining conflict from the dyadic and polyadic levels recognizes that there are important features of conflict that are only apparent with a broader perspective. Dyadic and polyadic constructs include patterns of behavior, conflict outcomes that apply to all family members involved, and beliefs shared by family members. There are also particular types of relationships within families that have salient conflicts which have drawn considerable scholarly attention, such as parent–child or parent–adolescent conflicts, conflicts between siblings, marital conflicts, and conflicts between co-parents. In addition, families experience various transitions, and the life course of families influences conflict. Some key periods for conflict are the early years of marriage, the period of launching children and empty nest, and a family member navigating the end of life. Finally, family conflicts occur in a larger sociocultural context in which societal events and conditions affect family conflict. Such contextual factors include broad social structures (e.g., societal-level power dynamics between men and women), financial conditions, different co-cultural groups within a country, cross-cultural differences, and major events such as the COVID-19 pandemic that have direct effects on families and also elicit dramatic social responses that affect families. Despite the complexities, it is important to understand family conflict because of its implications for the health and well-being of families and family members.

Article

Creating Authentic and Lasting Community Relationships to Enhance Awareness and Understanding of Cancer Research  

Linda Fleisher, Evelyn González, and Armenta Washington

Building and sustaining relationships fundamentally requires mutual trust based on authentic and reciprocal communication. Successful academic and community partnerships require a deep understanding of the needs of all stakeholders facilitated through dialogue and ongoing communication strategies. This dialogue is especially crucial to address health disparities and bridge the divide between academics and other professionals and the communities they serve. Innovative and sound health communications and community engagement approaches can help to address this divide. For those working with communities to improve health, Community Based Participatory Research (CBPR) principles can serve as a compass to guide those efforts of building on the strengths and resources within the community and ensuring co-learning to address social inequities. Moreover, using innovative and interactive health communication strategies, such as community forums, photovoice projects, and the development of culturally sensitive and relevant messaging, can empower and engage the community, facilitating long-lasting relationships between the academic institutions and communities that ultimately address the unique concerns and values of those most in need.

Article

Culture, Prejudice, Racism, and Discrimination  

John Baldwin

Prejudice is a broad social phenomenon and area of research, complicated by the fact that intolerance exists in internal cognitions but is manifest in symbol usage (verbal, nonverbal, mediated), law and policy, and social and organizational practice. It is based on group identification (i.e., perceiving and treating a person or people in terms of outgroup membership); but that outgroup can range from the more commonly known outgroups based on race, sex/gender, nationality, or sexual orientation to more specific intolerances of others based on political party, fan status, or membership in some perceived group such as “blonde” or “athlete.” This article begins with the link of culture to prejudice, noting specific culture-based prejudices of ethnocentrism and xenophobia. It then explores the levels at which prejudice might be manifest, finally arriving at a specific focus of prejudice—racism; however, what applies to racism may also apply to other intolerances such as sexism, heterosexism, classism, or ageism. The discussion and analysis of prejudice becomes complicated when we approach a specific topic like racism, though the tensions surrounding this phenomenon extend to other intolerances such as sexism or heterosexism. Complications include determining the influences that might lead to individual racism or an atmosphere of racism, but also include the very definition of what racism is: Is it an individual phenomenon, or does it refer to an intolerance that is supported by a dominant social structure? Because overt intolerance has become unpopular in many societies, researchers have explored how racism and sexism might be expressed in subtle terms; others investigate how racism intersects with other forms of oppression, including those based on sex/gender, sexual orientation, or colonialism; and still others consider how one might express intolerance “benevolently,” with good intentions though still based on problematic racist or sexist ideologies.

Article

Cybervetting  

Brenda L. Berkelaar and Millie A. Harrison

Broadly speaking, cybervetting can be described as the acquisition and use of online information to evaluate the suitability of an individual or organization for a particular role. When cybervetting, an information seeker gathers information about an information target from online sources in order to evaluate past behavior, to predict future behavior, or to address some combination thereof. Information targets may be individuals, groups, or organizations. Although often considered in terms of new hires or personnel selection, cybervetting may also include acquiring and using online information in order to evaluate a prospective or current client, employee, employer, romantic partner, roommate, tenant, client, or other relational partner, as well as criminal, civil, or intelligence suspects. Cybervetting takes advantage of information made increasingly available and easily accessible by regular and popular uses and affordances of Internet technologies, in particular social media. Communication scholars have long been interested in the information seeking, impression management, surveillance, and other processes implicated in cybervetting; however, the uses and affordances of new online information technologies offer new dimensions for theory and research as well as ethical and practical concerns for individuals, groups, organizations, and society.