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Mary E. Triece
A study of social movements advances a people’s history of the United States, providing a window into the ways ordinary people often took extraordinary measures to make laws, workplace conditions, the educational system, the quality of home life, and public spaces more open and responsive to the needs and concerns of marginalized groups. With the rise of industrial capitalism in the early 1800s came a host of social ills that prompted individuals to form organizations that enabled them to operate as a force for social change. As the Native American Chief Sitting Bull is purported to have said, “As individual fingers we can easily be broken, but together we form a mighty fist.”
The 1800s through the early 21st century provides numerous examples of people acting together as a mighty fist. As early as 1824, workers in textile mills in the Northeast United States enacted work stoppages and strikes in reaction to wage cuts and deplorable working conditions. The movement to abolish slavery in the mid-1800s provided a way for disenfranchised black men and women, such as the eloquent Frederick Douglass and Maria Stewart, as well as white women, to speak and organize publically. In the area of labor, female and black workers, excluded from the more formal organizing of trade unions through the American Federation of Labor, organized their own labor meetings (e.g., the National Labor Convention of the Colored Men of the United States), unions (e.g., the Women’s Trade Union League), and strikes (e.g., the Uprising of 20,000). By the late1800s through the 1930s, American socialism and the Communist Party, USA, influenced the philosophy and tactics employed by labor activists, many of whom were factory girls who played a formidable role in mass walk-outs in the Progressive Era. Struggles for workplace and civil rights continued throughout the 20th century to undo Jim Crow and segregation, to advocate for civil rights, to advance the rights of women in the workplace, and more recently, to fight for the rights of the lesbian/gay/bisexual/transgender communities, undocumented workers, and immigrants, and to fight against the police repression of black and brown communities and against imperialism and globalization. Activists’ tools for resistance have been as diverse as their causes and include petitioning formal legislative bodies, picketing and rallying, engaging in work stoppages, occupation of public spaces (e.g., sit-downs, walk-outs, occupying squares and parks), and most recently, using social media platforms, blogs, and other forms of Internet activism to facilitate empowerment of marginalized groups and progressive social change.
The Internet has provided an important tool for facilitating international connections of solidarity in struggle. Although what follows focuses specifically on movements in the United States from roughly the 1800s to the present, efforts should continue to focus on the ways movements join forces across and around the globe.
Music is a powerful form of communication. Many of the functions of music are shared across cultural groups (e.g., its uses in ritual celebration, group coordination, coalition signaling, dance, and the like), and certain musical phenomena are universal (e.g., recognition of octaves, distinguishing music from noise). These universals mean that music has the capacity to bring groups together, offering a communication code that is simultaneously expressive and emotionally intense, while also lacking in traditional semantic meaning (and thus reducing the opportunities for miscommunication between groups). However, music often serves to divide groups, with forms of music signaling or constructing group memberships that are distinct from and in opposition to other groups. Music can even be used to incite intergroup division and hatred, particularly when music and lyrics are combined. As we explore the ways in which communication unites and divides humans, we must look at codes beyond traditional verbal and nonverbal communication. Music is one such code meriting more focused attention from intergroup communication scholars.
Erin M. Hill
Narcissism is a personality trait characterized by perceptions of grandiosity, superiority, and the need for attention and admiration. There has been an increase in focus on examining the development of narcissism and how the trait influences a range of social and health behaviors. A key feature of narcissism is that it is characterized by high self-esteem with a simultaneously fragile ego that requires continual monitoring and manipulation. Therefore, much of the behaviors narcissists engage in are linked to the drive to maintain perceptions of superiority and grandiosity. In the area of health and well-being, narcissism has been positively correlated with psychological health, a relationship that may be accounted for by self-esteem. However, there has been less research on the relationship between narcissism and physical health and well-being. There is some evidence that narcissism is linked to a variety of physical appearance-oriented health behaviors (i.e., behaviors that could affect body weight or other aspects of physical appearance, including eating and exercise). Narcissism has also been positively linked to risk-taking behaviors, including use of substances, as well as risks that could significantly impact others, including sexual behaviors and risky driving. The relationship between narcissism and health is therefore complex, with some positive correlates (e.g., physical activity), but also various health risk behaviors.
In considering how narcissism might interact with health messages, communicators have to keep in mind that narcissists seem to have some deficits in judgment and decision-making, such as overconfidence and a narrow focus on rewards associated with behaviors. Their behaviors tend to be driven by managing their own ego and by drawing attention and admiration from others to maintain perceptions of superiority and grandiosity. In turn, health communicators may need to rely on creative strategies that tap into these domains of narcissism in order to effectively modify health behaviors among narcissistic individuals. Further research on the influence of narcissism in healthcare seeking and related preventive behaviors would also help to provide a more detailed understanding for how the trait influences health decisions, information that would be useful for both health researchers and practitioners.
In health and risk communication, evidence is a message feature that can add credibility, realism, and legitimacy to health and risk messages. Evidence is usually defined into two types: statistical or narrative. Statistical evidence employs quantifications of events, places, phenomena, or other facts, while narrative evidence involves stories, anecdotes, cases, or testimonials. While many health and risk messages employ statistical or factual information, narrative evidence holds appeal for health and risk communication for its utility in helping individuals learn their risks and illnesses through stories and personal experiences. In particular, narratives employed as evidence in a health or risk message especially hold value for their ability to communicate experiences and share knowledge, attitudes, beliefs, and ideas about complex health issues, propose behavior change, and assist individuals coping with disease. As a result, the personal experiences shared, whether they are from first-hand knowledge, or recounting another’s experience, can focus attention, enhance comprehension for risks, and recall of health and risk information. Furthermore, readers engage with the story and develop their own emotional responses which may align with the purpose of the health and risk message. Narratives, or stories, can occur in many ways or through various points of view, but the stories that “ring true” to readers often have a sense of temporality, coherence, and fidelity. As a result, formative research and pre-testing of health and risk messages with narratives becomes important to understand individual perceptions related to the health issue and the characters (or points of view). Constructs of perceived similarity, interest, identification, transportation, and engagement are helpful to assess in order to maximize the usefulness and persuasiveness of narratives as evidence within a health and risk message. Additionally, understanding the emotional responses to narratives can also contribute to perceptions of imagery and vividness that can make the narrative appealing to readers. Examining what is a narrative as evidence in health and risk messages, how they are conceptualized and operationalized and used in health and risk messages is needed to understand their effectiveness.
Holley A. Wilkin
When it comes to health and risk, “place” matters. People who live in lower-income neighborhoods are disproportionately affected by obesity and obesity-related diseases like heart disease, hypertension, and diabetes; asthma; cancers; mental health issues; etc., compared to those that live in higher-income communities. Contributing to these disparities are individual-level factors (e.g., education level, health literacy, healthcare access) and neighborhood-level factors such as the socioeconomic characteristics of the neighborhood; crime, violence, and social disorder; the built environment; and the presence or absence of health-enhancing and health-compromising resources. Social determinants of health—for example, social support, social networks, and social capital—may improve or further complicate health outcomes in low-income neighborhoods.
Social support is a type of transaction between two or more people intended to help the recipient in some fashion. For instance, a person can help provide someone who is grieving or dealing with a newly diagnosed health issue by providing emotional support. Informational support may be provided to someone trying to diagnose, manage, and/or treat a health problem. Instrumental support may come in the help of making meals for someone who is ill, running errands for them, or taking them to a doctor’s appointment. Unfortunately, those who may have chronic diseases and require a lot of support or who otherwise do not feel able to provide support may not seek it due to the expectation of reciprocity. Neighborhood features can enable or constrain people from developing social networks that can help provide social support when needed. There are different types of social networks: some can enhance health outcomes, while others may have a more limiting or even a detrimental effect on health. Social capital results in the creation of resources that may or may not improve health outcomes.
Communication infrastructure theory offers an opportunity to create theoretically grounded health interventions that consider the social and neighborhood characteristics that influence health outcomes. The theory states that every neighborhood has a communication infrastructure that consists of a neighborhood storytelling network—which includes elements similar to the social determinants of health—embedded in a communication action context that enables or constrains neighborhood storytelling. People who are more engaged in their neighborhood storytelling networks are in a better position to reduce health disparities—for example, to fight to keep clinics open or to clean up environmental waste. The communication action context features are similar to the neighborhood characteristics that influence health outcomes. Communication infrastructure theory may be useful in interventions to address neighborhood health and risk.
Vincent Chua and Barry Wellman
“Networked individualism” represents the phenomenon that people are managers of their own personal networks. Networked individualism in an East (and Southeast) Asian context draws attention to the significant role of Asian social institutions and culture in the patterning of personal communities. When compared to Western situations—particularly American—East Asian personal communities are just as vibrant and supportive. They have woven seamlessly with digital media, extend both near and far, and are rich in social support. There are several differences that make East Asian societies unique, such as their strong focus on kinship, the salience of hierarchical social capital, the culture of mutual monitoring occurring through strong ties (e.g., guanxi), and the accelerated rise of digital media in everyday life.
People can adjust their communication in a variety of ways for different contexts, audiences, and purposes. Although these adjustments often improve or facilitate interaction—that is, make it smoother, better, or easier—sometimes they do not. “Nonaccommodation” is a concept drawn from communication accommodation theory (CAT) and refers to adjustments in communication behavior associated with disaffiliation, expressing dissimilarity and/or obscuring information. Nonaccommodation can be defined and described in terms of either speakers’ or listeners’ experiences; it may also be intentional or unintentional on the part of a speaker. Researchers have studied nonaccommodation in terms of both its objective behavioral manifestations (e.g., linguistic divergence) and the subjective perceptions that relate to those behavioral manifestations (e.g., psychological divergence; over- and underaccommodation). Responding to nonaccommodation effectively can be challenging, and what constitutes the “best” or “most appropriate” response often depends on contextual factors and interactants’ goals. In line with the functions of accommodation described in CAT, nonaccommodation can influence communication effectiveness as well as the nature of interpersonal and intergroup relations. Generally, nonaccommodation hinders shared understanding and increases perceptions of social distance between individuals and their social groups. Often it is also associated with less positive evaluations of the people and groups involved, as well as lower levels of relational solidarity. Nonaccommodation occurs frequently across a wide variety of societally significant contexts, including intergenerational, medical/healthcare, police–civilian, family, and educational interactions. As such, it represents an important area for both theoretical and applied research.
Priscila G. Brust-Renck, Julia Nolte, and Valerie F. Reyna
The complexity of numerical information about health risks and benefits places demands on people that many are not prepared to meet. For example, much information about health is communicated numerically, such as treatment risks and effectiveness, lifestyle benefits, and the chances of side effects from medication. However, many people—especially the old, the poor, and the less educated—have difficulty understanding numerical information that would enable them to make informed health decisions. Some evidence also suggests cultural and gender differences (although their causes have been disputed). The ability to use and understand numbers (i.e., numeracy) plays an important role in how information should be displayed and communicated.
Measuring differences in numeracy provides a standard to guide one’s approach when communicating risk. Several surveys have been developed to allow for a descriptive assessment of basic and analytical mathematical skills in nationally representative samples (e.g., NAEP, NAAL, PISA, PIACC). Other measures assess specific skills, such as perception of numbers (e.g., number line, approximation, dots tasks), individual perception of one’s own ability (i.e., Subjective Numeracy Scale), and arithmetic computation ability (i.e., Objective Numeracy Scales, Abbreviated Numeracy Scale, and Berlin Numeracy Test).
Difficulties associated with low numeracy extend well beyond the inability to understand place value or perform computations. Understanding and remediating low numeracy requires getting below the surface of errors in judgment and decision making to the deeper level of scientific theory. Despite the relevance of numbers in decision making, there is a certain level of disagreement regarding the psychological mechanisms involved in numeracy. Studies show that people have a basic mental representation of numbers in which the discriminability of two magnitudes is a function of their ratio rather than their difference (psychophysical approaches). Numerical reasoning has been identified with quantitative and analytical processes, and such computation is often seen as an accurate and objective way to process information (traditional dual-process approaches as applied to numeracy). However, these approaches do not account for the contradictory evidence that reliance on analysis is not sufficient for many decisions and has been associated with worse performance for some decisions. Studies supporting a more recent dual-process approach—one that accounts for standard and paradoxical effects of numeracy on risk communication—emphasize the role of intuition: this is a kind of advanced thinking that operates on gist representations, which capture qualitative understanding of the meaning of numbers that is relevant in decision making (Fuzzy Trace Theory). According to Fuzzy Trace Theory, people encode both actual numbers (verbatim representations) and qualitative interpretations of their bottom-line meaning (gist representations) but prefer to rely on the qualitative gist representations when possible. Thus, potential difficulties in decision making arising from deficits in numeracy can be resolved through meaningful communication of risk. Creating narratives that emphasize the contextually relevant underlying gist of risk and using methods that convey the meaning behind numeric presentations (e.g., use of appropriate arrays to communicate linear trends, meaningful relations among magnitudes, and inclusion relations among classes) improve understanding and decision making for both numerate and innumerate individuals.
Nutrition Labeling in the United States and the Role of Consumer Processing, Message Structure, and Moderating Conditions
J. Craig Andrews, Scot Burton, and Laurel Aynne Cook
It has been since 1990 that the landmark Nutritional Labeling Education Act (NLEA) was passed in the United States, and since 1969 that the first White House Conference on Food, Nutrition and Health occurred. In the time since these important events, considerable research has been conducted on how U.S. consumers process and use nutritional labeling. An up-to-date review of nutritional labeling research must address key findings on the processing and use of nutrition facts panels (NFPs), restaurant labeling, front-of-pack (FOP) symbols, health and nutrient content claims, new labeling efforts (e.g., for meat products), and claims not regulated by the U.S. Food and Drug Administration (FDA). Message structure mediates the ways in which consumers process nutritional labeling while moderating conditions affect research outcomes associated with labeling efforts.
The most recent policy issues and problems to be considered (e.g., by the FDA) include nutritional labeling as well as identifying opportunities for consumer research in helping to promote healthy lifestyles and reducing obesity in the United States and throughout the world. For example, several unanswered research questions remain regarding how the proposed changes to the NFPs—beef, poultry, and seafood labeling; restaurant chain calorie labeling; alternative FOP formats; and regulated and unregulated health and nutrient content claims—will affect consumers. Researchers have yet to examine not only these different labeling and nutrition information formats, but also how they might interact with one another and the role of key moderating conditions (e.g., one’s motivation, ability opportunity to process nutrition information) in affecting consumer processing and behavior.
May O. Lwin, Jerrald Lau, Andrew Z. H. Yee, and Cyndy Au
Populated by a diverse spread of cultures, Southeast Asia is represented by the Association of Southeast Asian Nations (ASEAN), a regional organization comprising some 622 million people in ten countries. While food and beverage labeling policies differ across ASEAN member states, organizations such as the ASEAN Food and Beverage Alliance (AFBA) have pushed for standardization in the interest of facilitating interregional trade. Set against this backdrop of economic growth, nutrition labeling as a means of influencing consumer choices has become a significant area of focus for health authorities and researchers over the past two decades due to rising chronic disease levels within the region’s increasingly urbanized communities.
Food retail trends facing Southeast Asia challenge the state of existing regulations governing, as well as research on food labeling practices in the region. Two main points stand out. First, legislation has remained disparate among the ASEAN nations despite repeated calls for standardization by academics as well as other relevant bodies, with only Malaysia adopting mandatory regulations on food labeling and nutritional claims. Second, existing nutrition labeling research in ASEAN is sorely lacking. In addition, there is a lack of theoretical and methodological diversity in existing studies, leading to an incomplete understanding of nutritional label use in Asia and a crucial research gap that remains to be filled.