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Article

The Cleaner, Happier, Healthier hygiene intervention was developed and tested in 2013, featuring the Sesame Workshop characters. Through broadcast television, four public service announcements (PSAs) addressed washing hands with soap, using a latrine, wearing sandals, and drinking clean water. The main audiences were young preschool children and their parents or guardians. Research occurred in Bangladesh, India, and Nigeria, exploring the reach and impact of these PSAs. Although low percentages, from well-drawn samples of extremely vulnerable populations in these countries, reported awareness and recall of these messages, such percentages can reflect large numbers of viewers. Considering data from the participating children, measures of knowledge and attitudes were associated with engaging in several of the behavioral outcomes. As well, awareness and recall of the PSA messages predicted “all the time” for several of the hygiene behaviors. In contrast, parents’ reports of PSA awareness and recall were not associated with reports of children’s hygiene behaviors. Conducting reach studies is extremely difficult, especially in developing countries and communities. Despite the challenges, this study is encouraging. Participants reported seeing the messages, and in several models, this “reach” predicted reports of hygiene and health behaviors. Lessons learned from this case study and research can offer valuable insight into the production of future health PSAs, especially with harder-to-reach populations.

Article

African American queer cinema was born as a reaction to the AIDS/HIV epidemic as well as the blatant homophobia that existed within the Black community in the 1980s. It began with the pioneering works of queer directors Isaac Julien and Marlon Riggs and continued during the new queer cinema movement in the 1990s, particularly including the works of lesbian queer director Cheryl Dunye. However, these works were infinitesimal compared to the queer works featuring primarily White lesbian, gay, bisexual, transgender, and queer (LGBTQ) protagonists during that time. That trend continues today as evidenced by looking at the highest-grossing LGBTQ films of all times: very few included any African American characters in significant roles. However, from the 1980s to the 2020s, there have been a few Black queer films that have penetrated the mainstream market and received critical acclaim, such as The Color Purple (Spielberg, 1982), Set It Off (Gary, 1996), and Moonlight (Jenkins, 2016), which won the 2018 Academy Award for Best Picture. The documentary film genre has been the most influential in exposing audiences to the experiences and voices within the African American queer communities. Since many of these films are not available for viewing at mainstream theaters, Black queer cinema is primarily accessed via various cable, video streaming, and on-demand services, like Netflix, Hulu, and HBO.

Article

In the last 20 years or so, the field of intergenerational communication as seen from an intergroup perspective has evolved to encompass a wide range of social, cultural, and relational contexts. Research into communication and age in organizations represents one particularly exciting and rapidly changing area of investigation within the intergenerational communication domain. The workplace, by its very nature, is rich with intergroup dynamics, with age in/out group distinctions being but one of many intergroup characterizations. Stereotypical age expectations—by management and coworkers alike—can serve as powerful harbingers to behavioral outcomes such as ageist communication, considerations of (early) retirement and reduced and/or lost training among older workers, and even reduced intentions among young individuals to take up careers involving older people. Ageist behaviors (including communication) are also at the core of many types of discriminatory practices toward older (and sometimes younger) workers. Age diversity strategies, which include intergenerational contact programs, cross-generational mentoring, age diverse teams, and the use of positive symbols of older age, are becoming more common in organizations.

Article

Anti-Semitism is the systematic hatred, discrimination, and attack on Jews. Anti-Semitism often manifests itself in hateful speech that functions as the precursor to hostile actions against Jews. Anti-Semitism is a subject matter that has occupied scholars dating back from antiquity, through the Middle Ages, and more intensely in modern times. Different perspectives have been employed to explain this scourge, covering the terrains of historical, political, psychological, and even pathological perspectives but rarely in rhetorical studies. Considering anti-Semitism as hateful speech enables a rhetorical explanation whereby suasive forces are employed to strategically find faults with one group functioning as a scapegoat for the action of others. From this perspective, anti-Semitism is a form of victimization that scapegoats Jews for causes not of their doing, yet their existence is argued time and again as the reason for various societal ills. Ostensibly, Jews have been targeted throughout history and faulted for events not linked to them. From charges of conspiring with the Devil in antiquity, to poisoning wells in the Middle Ages, to causing Germany’s defeat in World War I, and many more, anti-Semitism has consistently been employed at critical historical junctures as a convenient explanation for complicated and troubling events. The Holocaust and the systematic plan to decimate Europe’s Jewry was perhaps the most overt and egregious case of anti-Semitism. It was based on a powerful propaganda machine that dehumanized Jews first, blamed them for all that befell Germany, and readied the grounds for the mass murder of some six million of them. One root cause stands at the center of anti-Semitism: the death of Christ on the cross, and with it the charge that Jews are forever guilty of this crime. With religious interpretation and theological dogmas of the early Christian Church, the charge of Jews as Christ killer would establish the theology that Jews are forever guilty of this crime and fault every Jew at any time, even those not yet born, of this crime. This foundational charge has allowed other charges, including social, racial, and economic explanations, to be piled up against Jews, eventually identifying them as permanent pariahs. From a rhetorical perspective, an inherent guilt is the motivating force that has allowed anti-Semitism to survive through millennia. Hatred of Jews and hateful speech directed at them has never been erased, though one significant exception to the charge of eternal guilt was advanced by the Vatican II Council in 1965 in its document Nostra Aetate, and in it, the Church repudiated the charge of the eternal guilt of the Jew. The horrors of the Holocaust, more than any other cause, has brought the Catholic Church to change a century-old dogma, seeking an end to anti-Semitism. The Church correctly identified the charge of eternal guilt of the Jew as the root cause of anti-Semitism and stated its rejection of the faulty reasoning associated with the charge of eternal deicide. This significant move has done much to improve Christian–Jewish relations but it has not erased anti-Semitism. Recent incidents in various parts of the world have increased concerns that a new wave of anti-Semitism is under way. Anti-Semitism appeals to people’s base instincts and is often rationalized as the fear of the “other” and the preservation of the self and the dominant community. Anti-Semitism flourishes because the rhetorical process therein is simple: It absolves culprits of answering tough questions by scapegoating an other who has already been accepted as the pariah and whose “responsibility” for past iniquities has long been established. Anti-Semitism is processed through a tried and true persuasive formula that is manifested rhetorically in speech and in images. Anti-Semitism succeeds where people do not employ basic critical skills when confronting messages, preferring instead to accept convenient, if spurious, explanations.

Article

The effects of uncertainty and anxiety are profiled in association with intercultural communication and the initiation and development of intercultural relationships. Uncertainty is cognitive and refers to what one knows about another and one’s level of predictability about another. Anxiety is the affective equivalent of uncertainty and refers to the level of discomfort associated with interacting with a stranger. Two major theories are associated with this process, including uncertainty reduction theory and anxiety/uncertainty management theory. Other communicative factors also affect uncertainty and anxiety reduction and management during intercultural communication.

Article

Bystander intervention is a form of helping that occurs when onlookers intercede to provide direct or indirect aid to a victim. When bystanders step in to prevent or reduce harm to others, they act as agents of primary and secondary health prevention. But theory and research suggest the bystander intervention process is complex and multiple social-psychological and situational barriers imperil bystander action. Bystanders are often ill-prepared to intervene when others are at risk for emotional or physical harm. They may not notice that someone needs help due to distraction from self-focus, engagement in social interaction, intoxication, or aspects of the situation like crowding or noise. Due to inadequate knowledge, bystanders may misdiagnose the situation and believe intervention is unnecessary. The negative consequences of nonintervention may be unknown to them such that the situation fails to increase their empathic arousal and motivate their action. Lacking knowledge, they may not recognize the seriousness of the situation and or the potential costs of inaction, and so are insufficiently alarmed. Pluralistic ignorance can arise when multiple uncertain bystanders conceal their concern and hesitate to act, assuming others’ inaction means intervention is inappropriate or unnecessary. When there are multiple witnesses, bystanders may assume their help is unneeded, place intervention responsibility on others, or feel less responsible for helping due to diffusion of responsibility. When the victim is not a member of their in-group, or is assumed at fault for their predicament, they may feel less empathy and a reduced responsibility to help. Or, bystanders may assign responsibility for intervention to the victim’s friends or fellow in-group members, or to those “in charge” of the setting. Even when bystanders realize help is needed and take responsibility for helping, they may not act if they do not know how or lack confidence in their ability to successfully carry out the actions required to help. When they have the skills, they may not help if they perceive the costs of action to outweigh the benefits of action. Audience inhibition arising from group norms supporting inaction and from bystander worry about what others will think about them if they act unnecessarily or ineptly can prevent bystander action by increasing bystanders’ perceived helping costs. Recognition of bystanders as a potentially valuable public health asset has increased interest in promoting bystander intervention. Bystander intervention promotion and communications empower bystander action by combating intervention- and audience-specific barriers to bystander intervention using targeted information, communications, and skills training. Theory and research suggest that effective promotions and communications foster context-specific attitudes, beliefs, norms, and skills such that bystanders: (1) are able to quickly and accurately identify a situation as intervention-appropriate; (2) experience action-motivating arousal (including empathy) in the face of the event; (3) have positive attitudes towards intervention and perceive the benefits of action as outweighing the perceived costs; (4) are empowered to act and feel confident in their ability to effectively intervene (bystander efficacy); and (5) are resistant to evaluation apprehension and norms contraindicating action. Effective bystander intervention promotion draws on social psychology and communications studies, and best practices for health promotion and prevention programs. The application of social marketing and formative and summative program evaluation methods enhance the potential of bystander intervention promotions and communications to empower bystander action.

Article

“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.”

Article

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

João Nemi Neto

Brazilian cinema is born out of a desire for modernity. Moving images (movies) represented the newest technological innovation. Cinematographers brought to the growing cities of Brazil an idea—and ideal—of “civilization” and contemporaneousness. At the same time, queer identities started to gain visibility. Therefore, a possible historiography of cinema is also a potential for a historiography of queer identities. Nonetheless, as a non-Anglo country and former colony of Portugal, Brazil presents its own vicissitudes both in the history of cinema and in queer historiography. To understand dissident identities in a peripherical culture (in relation to Europe), one must comprehend the ways ideas and concepts travel. Therefore, queer and intersectionality function as traveling theories (in Edward Said’s terms) for the understanding of a Brazilian queer cinema. A critical perspective of the term “queer” and its repercussions in other cultures where English is not the first language is imperative for one to understand groundbreaking filmmakers who have depicted queer realities and identities on the Brazilian big screen throughout the 20th century and the first decades of the 21st century.

Article

A celebrity is a well-known person who commands public recognition and fascination. Although the celebrity may have existed for hundreds of years, the emergence of influencers gives rise to a new breed of celebrities on social media, who are ordinary-people-turned-experts in an area of interest (e.g., lifestyle). Together, the traditional celebrity and influencer illustrate the industry- and socially-constructed star-making processes. On the one hand, traditional celebrities’ path to fame is supported by networked media and the entertainment system. On the other hand, influencers create contents that netizens can pick and choose to like and follow, making their path to fame a socially-constructed process. Nevertheless, the star-making industries in the 21st century are embracing big data, AI, and machine-learning algorithms to “design” and “manufacture” celebrities. In so doing, they usher in a “new” industry-constructed process that has “created” K-pop stars and virtual influencers. Given the prevailing consumption culture, both the celebrity and influencer often engage in brand endorsement practices. The major strands of celebrity endorsement (CE) research highlight the celebrity, consumer, and endorsed brand. In addition to factors that can be traced directly to the celebrity (e.g., trustworthiness, attractiveness, images), CE research discusses how the celebrity’s match with a product or brand and how the celebrity’s relationship with consumers (both fans and the general public) offers important contingency factors that impact the effects of CE. Meanwhile, influencer-marketers are passionate about their area of expertise. They share their personal brand usage experiences with and provide contextualized recommendations to consumers. Their relationship with consumers is characterized by trust, intimacy, and dialogue. Without the traditional celebrity’s glamour, they use “authentic” and “similar” strategies in their self-branding efforts. These practices allow them to address the consumer’s instrumental and relational needs when making purchase decisions, an act that a traditional celebrity is less effective in making happen. Armed with big data and the like, the current star-making industries has the power and control at an unprecedented scale. The K-pop stars and virtual influencers thus created and managed have been successful. However, their path to fame raises concerns over institutional governance, regulatory control, and ethics of the celebrity and endorsement businesses as well as the means of cultural production. These issues together render celebrity studies and endorsement research a discipline both interesting and challenging to pursue.

Article

Celebrity politicians are having a profound impact on the practice of politics within the United States and United Kingdom in the 21st century. With the adoption of social media platforms, celebrity and image candidates have deployed new strategies for attracting constituents. Taken together, the proliferation of celebrity politics and the ubiquity of digital platforms have fostered a unique atmosphere in the contemporary political moment, wherein “outsider” candidates may leverage their fame to launch themselves into the public spotlight. In turn, through their celebrity brands and digital presence both populists such as the U.S. President Donald Trump and left-wing leaders including U.K. Labour leader Jeremy Corbyn have established an “authenticity” in which they “occupy” a public space to define their candidacies. Consequently, as celebrities and image candidates promote political agendas among target audiences/citizens, it is necessary to reflect upon their significance in election campaigns, policy agendas, and activism.

Article

In the post-Soviet era, ethnocultural identity and nationhood have been dominant themes in the cinemas of Kazakhstan and the Sakha Republic (officially known as the Republic of Sakha, or Yakutia). Despite their different sociopolitical contexts (unlike the Sakha Republic, which remains a federal republic within the Russian Federation, Kazakhstan has been an independent nation for 30 years), both were colonies within the Russian Empire and were later subjected to Soviet rule. Furthermore, both cinemas are keen to project their visions of collective identity to local, national, and global audiences. Sakha cinema seeks to consolidate and promote an ethnocultural Sakha identity against the encroaching presence of Russian culture in the republic, resulting in the manifest absence of Russian culture within its films. The growth, promotion, and success of Sakha art house cinema (which focuses on Sakha history, customs, and folklore) in recent years is a central part of its strategy to appeal to global audiences, allowing it to bypass the national (i.e., Russia), both offscreen and onscreen. Debates around post-Soviet nationhood remain an important aspect of the political discourse in Kazakhstan, which is reflected in the country’s cinema. Despite operating within an authoritarian regime, cinema remains one of the few areas in which sociopolitical discord can be articulated in Kazakhstan. Nation-building narratives have centered around Kazakhstan’s pre-imperial history and the Kazakh steppe, and these have likewise been a preoccupation of state-sponsored cinema and its alternative since the 2000s. While Russia is not such an overt “other” in Kazakh cinema as it is in Sakha film, the fact that debates around post-Soviet Kazakh nationhood and society continue to dominate Kazakh cinema three decades since the collapse of the Soviet Union suggests that its colonial past nonetheless remains a significant context against which the Kazakh nation is imagined.

Article

Sophie Christman Lavin and E. Ann Kaplan

Ecocinema involves the human gaze looking at cinema through the lens of the environment, in a manner analogous to the way feminists provided the cinematic lens of gender in the 1970s. However, as with feminism, enormous differences pertain in regard to how the ecocinema lens is mobilized. In analyzing films from the late 1800s to the early 21st century, ecocinema studies has evolved to include critical lines of inquiry from perspectives of psychology, feminism, socioeconomics, science, and activism. Research frames used in these inquiries include: setting and landscape in films, ecological analyses of mainstream and independent fictional films, posthuman cinematic representations, transnational and regional, and more recently, trauma in speculative dystopian films. Ecocinema critics analyze films of various types, including Hollywood, independent, transnational, documentary, animated, art cinema, and especially climate fiction (“cli-fi”) films. Ramachandra Guha’s transnational typology of environmental ideologies will provide a useful starting place for the mapping of different perspectives in ecocinema. Guha distinguished utopian wilderness environmentalism, pervasive in the United States, from the agrarian focus typical in India. Meanwhile, most developed nations utilize scientific industrial methods to exploit the environment. Oftentimes, these latter approaches are grounded in growth economies and are thus in conflict with the unrealistic ideals of so-called neo-primitivism (NP). Neo-primitivism involves returning to simple, sustainable lifestyles within or close to the natural world—lifestyles that do no environmental damage. NP is beloved by many, but the consensus is that it is idealistic to consider going back to this way of life. A film such as Avatar (produced and directed by James Cameron in 2009) addresses the complexity of diverse constructions of nature by providing examples of utopian wilderness ideology that compete with, and are opposed to, the destructive scientific industrialism that disregards and dominates nature without compunction. Other films, such as Amazon Sisters (Sweeny, 1992), Elemental (Koch, Roshan, & Vaughan-Lee, 2012), Into the Wild (Blocker, Hildebrand, Kelly, & Penn, 2007), or Grizzly Man (Beggs & Herzog, 2005), act as simultaneous celebrations and critiques of wilderness ideologies and deal with gender and racial identities, and thus they have been a central focus of ecocinema scholarship. Although films from all genres have historically engaged environmental issues, it was rarely in a way that made a self-conscious or critical statement about the human impact on the natural world from the perspective of ecological concerns—this is the focus of ecocinema. See for example, Birt Acres’s Rough Sea at Dover (1895), the Lumiere Brothers’ Oil Wells of Baku (1896), Thomas Edison’s Sorting Refuse at Incinerating Plant, NYC (1903), and the British South Africa Company’s Rhodesia To-Day (1912). In the early 21st century, the genre that most often engages with the contemporary politics of climate change is the documentary. Documentaries, such as An Inconvenient Truth (Guggenheim, 2006), Manufactured Landscapes (Baichwal, 2006), Into Eternity (Eskilsson & Madsen, 2010), Chasing Ice (Ahrens & Orlowski, 2012), E-Waste Tragedy (Esteve, Popp, Úbeda, & Dannoritzer, 2014), This Changes Everything (Cuarón & Lewis, 2015), among others, critique human damage to the planet and thus position viewers as ethical witnesses. Such works hope to influence the outcome of our shared anthropocentric future. The analyses of ecocinema are addressed using two distinct methods—the macro and the micro. The macro method studies how films represent the large-scale processes of earth-based climate systems, and its lens evaluates how films represent climate and environmental dilemmas facing humans as a species. The micro-lens provides enhanced analyses that explore how gender, race, and class figure into the cultural work climate fantasies perform. This lens indexes the ways in which various cultures are often disproportionately impacted by climate systems.1 Oftentimes the macro and micro levels are both incorporated in a single film and reveal the intersection between climate and culture, as seen in Taklub (Trap, Castillo & Mendoza, 2015), a film that portrays Super-typhoon Haiyan and its impact on residents in Tacloban, Philippines. As background to mapping the texts, evolving science discourses will be emphasized as evidence for global warming but with the understanding that this evidence relies on modeling. Although our main concern with this cultural work in ecocinema is how climate change impacts across gender, race, and class, the inequalities revealed also speak to the politics of climate change evident in cinematic treatments of the issue.

Article

The rejection of coming out as a linear narrative must be accompanied by an alternative to the formulas of confession, disclosure, and identity adoption that have pervaded the current representations of coming out in the West. The appearance of coming out in film narratives provides important opportunities to observe how elements such as repetition, rehearsal, and, above all, contrasts are incorporated into the stories that are recounted. Conventional coming-out films have relied so heavily on the restrictive nature of the genre’s narrative structure that the potential for alternative, or queered, realities of coming out is erased. The continual reappearance and adaptations of coming out will enable a better understanding of the ways in which the act is presented as a moment that is never finished and that often evades a final, perfected, and polished performance. Four specific narratives from queer film—Beautiful Thing (1996), Summer Storm(2004), Brotherhood (2009), and North Sea Texas (2011)—will be presented to offer counter models for coming out. In Beautiful Thing, the visual narrative demonstrates the importance of the reiterative, adaptable, and unanticipated representation of the act in visual media. In Summer Storm, the audience witnesses how coming out occurs in a world of competitive sports and where the teenage athletes reveal secrets that everyone already knows. In Brotherhood, the act of coming out is transformed into a moment when identities are instantaneously accepted and rejected within a homophobic, neo-Nazi subculture. In North Sea Texas, the script of coming out is reimagined by two characters who ambiguously decline any opportunity to define their identities. Coming out in visual narratives must be understood through an elaboration of Janet Harbord’s belief that the audience gravitates toward particular visual narratives where a comfort zone is created. These films have authored reiterative and adaptable approaches to the act of coming out that both comfort and challenge the audience.

Article

Roxanne L. Parrott, Amber K. Worthington, Rachel A. Smith, and Amy E. Chadwick

The public, including lay members who have no personal or familial experience with genetic testing or diagnosis, as well as individuals who have had such experiences, face many intrinsic decisions relating to understanding genetics. With the sequencing of the human genome and genetic science discoveries relating genes to cancer, heart disease, and diabetes, the scope of such decisions broadened from prenatal genetic testing related to reproductive choices to genetic testing for contributors to common causes of morbidity and mortality. The decision about whether to seek genetic testing encompasses concerns about stigma and discrimination. These issues lead some who can afford the cost to seek screening through online direct-to-consumer sites rather than in clinical settings. Many who may benefit from genetic testing lack awareness of family health history that could guide physicians to recommend these diagnostic tests. Families may not discuss health history due to genetic illiteracy, with the public’s genetic illiteracy increasing their illness uncertainty and decreasing the likelihood that physicians will engage in conversations about personalized medicine with their patients. Physicians may nonetheless order genetic tests based on patients’ symptoms, during preoperative workups, or as part of opportunistic screening and assessment associated with a specific genetic workup. Family members who receive positive genetic test results may not disclose them to life partners, other family members, or insurance companies based on worries and anxiety related to their own identity, as well as a lack of understanding about their family members’ risk probability. For many, misguided beliefs that genes absolutely determine health and disease status arise from media translations of genetic science. These essentialist beliefs negatively relate to personal actions to limit genetic expression, including failure to seek medical care, while contributing to stereotypes and stigma communication. As medical science continues to reveal roles for genes in health across a broad spectrum, communicating about the relationships that genes have for health will be increasingly complex. Policy associated with registering, monitoring, and controlling the activities of those with genetic mutations may be coercive and target individuals unable to access health care or technology. Communicating about genes, health, and risk will thus challenge health communicators throughout the 21st century.

Article

Elisabetta Crocetti and Monica Rubini

A main developmental task for young people is to form a coherent and stable sense of personal and social identity. In fact, in adolescence (from ages 10 to 18), the multiple biological, cognitive, and social changes that occur stimulate young people to rethink about themselves, to reflect on the kind of person they want to become, and to find their own place in the society. Similarly, in emerging adulthood (from ages 19 to 29), young people have the possibility to explore a large array of alternatives in multiple life domains (e.g., education, work, relationships, worldviews) before enacting enduring adult commitments. Process-oriented identity models have been proposed to capture the dynamic process by which young people form and revise their identity over time, committing to relevant life domains, reflecting on their choices, and reconsidering them when they no longer fulfill personal aspirations and/or social expectations. This dynamic process is strongly intertwined with interpersonal and group communication processes. In fact, youth identity formation does not occur in a social vacuum; rather, young people form their identity by means of continuous interactions with significant others and relevant social groups. In particular, in youth, family, peers, and school represent main social contexts in which communication processes are likely to affect young people’s identities. Thus, communication processes are crucial for obtaining identity-relevant information that might foster individuals’ reflection on themselves and processes of social comparisons. Furthermore, through communication processes young people can manage their own reputation, striving to achieve and maintain a good reputation within relevant groups. Individuals’ efforts to enhance reputation are, indeed, important for gaining symbolic (e.g., satisfaction of esteem needs) and instrumental (e.g., the likelihood to be trusted by others and becoming influential) benefits that are important for youth psychosocial adjustment and well-being.

Article

Religion encompasses many forms of communication: between groups, within groups, and with God (or other deities). Such communication can be especially powerful when group members highly identify with their religious group and the beliefs therein. Equally, it can be divisive, as evidenced by religion-based intergroup conflict and intolerance (which often overlaps along ethnic or political lines). However, not all religious communication is verbal or explicit. Religious individuals also commonly transmit their beliefs, values, and identities through symbols, physical spaces, and music. Likewise, communication with God is often pursued with silent prayer, meditation, or ritual, which also serve to reinforce one’s spirituality alongside religious group boundaries. Taken together, these varying forms of communication have implications not only for religious intergroup relations (e.g., intergroup contact or conflict), but also for intragroup relations (e.g., the strengthening of social ties) and individual health outcomes (e.g., effective communication with health care providers and coping practices). Given the importance of religious identity for many individuals, the benefits for individual well-being and intragroup relations, and yet the intergroup strife that religious group divisions can incite, the ways in which we communicate our religious group identities deserve closer attention.

Article

Robert M. McCann

Research into age and culture strongly suggests that people of different adult generations, regardless of culture, typically regard others and act in ways that display bias in favor of one’s own age group. While people across cultures share some basic patterns of aging perceptions, there is considerable variance in views on older people from one country to the next. Over the past two decades, the tenor of communication and aging research has shifted dramatically. Traditional research into aging across cultures painted a picture of Asia as a sort of communicative oasis for elders, who were revered and communicated to by the younger generations in a respectful and mutually pleasing manner. Compelling evidence now suggests the opposite, which is that (interregion variability in results notwithstanding) elder denigration may be more pronounced in Eastern than Western cultures. Accelerated population aging, rural-to-urban shifts in migration, new technologies, rapid industrialization, and the erosion of cultural traditions such as filial piety, may partially account for these results. Additionally, there are well-established links between communication and the mental health of older people. Specifically, communication accommodation in all of its forms (e.g., over accommodation, nonaccommodation, accommodation) holds great promise as a core predictor of a range of mental health outcomes for older people across cultures.

Article

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

Lisbeth A. Lipari

Communication ethics concerns the creation and evaluation of goodness in all aspects and manifestations of communicative interaction. Because both communication and ethics are tacitly or explicitly inherent in all human interactions, everyday life is fraught with intentional and unintentional ethical questions—from reaching for a cup of coffee to speaking critically in a public meeting. Thus ethical questions infuse all areas of the discipline, including rhetoric, media studies, intercultural/international communication, relational and organization communication, as well as other iterations of the field.