Stephen D. Reese
Journalism seeks to observe and communicate what it learns of social importance, something called news, and in doing so is always in the process of creating a public by bringing it into synchronized conversation with itself. Theories of journalism provide explanatory frameworks for understanding a complex combination of social practice, product, and institutional arrangement. Journalism’s late 20th-century professionalized, high modern version, which is still recognizable today, has continued to change, particularly with the disruptive effect of the Internet, as it has evolved to absorb other forms. The boundaries of profession and news organization have been destabilized within this rapidly shifting media terrain, but still there remain productive approaches for systematically organizing knowledge around the concept of journalism.
The early 20th-century perspectives on journalism—before becoming linked to the communication field and a more narrow media effects focus—were at home in the University of Chicago school of sociology, which emphasized community-based, multi-method participant observation. A sociology of news perspective resurfaced with more ethnographic research in newsrooms in the 1950s, and theories of journalism have continued to highlight the ethnographic method, especially in understanding the impact of technology on a more digitally-oriented journalism practice. A hierarchy of influences perspective, developed by Shoemaker and Reese, incorporates other perspectives beyond the ethnographic by considering factors at multiple levels of analysis that shape media content, the journalistic message system, from the micro to the macro: individual characteristics of specific newsworkers, their routines of work, organizational-level concerns, institutional issues, and the larger social system. At each level, one can identify the main factors that shape the symbolic reality constituted and produced by journalism, as well as how these factors interact across levels and compare across different contexts (e.g., national, technological).
A hierarchy of influences model worked well to disentangle the relationships among professionals and their routines, and the news organizations that housed them, which cohered into institutions. But journalism has been newly problematized, destabilizing and restructuring both the units and levels of analysis in journalism theorizing. The networked public sphere is constituted with new assemblages: of newswork, institutional arrangements, and global connections, which give rise to new emerging deliberative spaces. Journalism theories now have as much interest in process as product, in assemblage as outcome, but still need to be concerned with the nature of quality of these spaces. What shape do they take on and with what implications for healthy democratic discourse?
Katherine E. Rowan
Explanations designed to teach, rather than to support scientific claims in scholarly works, are essential in health and risk communication. Patients explain why they think their symptoms warrant medical attention. Clinicians elicit information from patients and explain diagnoses and treatments. Families and friends explain health and risk concerns to one another. In addition, there are websites, brochures, fact sheets, museum exhibits, health fairs, and news stories explaining health and risk to lay audiences. Unfortunately, research on this important discursive goal is less extensive than is research on persuasion, that is, efforts to gain agreement. One problem is that explanation-as-teaching has not been carefully conceptualized. Some confuse this communication goal and discursive type with its frequent verbal and visual features, such as simple wording or diagrams. Others believe explanation-as-teaching does not exist as a distinctive communication goal, maintaining that all communication is solely persuasive: that is, designed to gain agreement.
Explanation-as-teaching is a distinct and important health communication goal. Patient involvement in decision making requires that both clinicians and patients understand options underlying health-care choices. To explore types of explanation-as-teaching, research provides (a) several ways of categorizing health and risk explanations for lay audiences; (b) evidence that certain textual and graphic features overcome predictable confusions, and (c) illustrations of each explanation type. Additionally, explanation types succeed or fail in part because of the social or emotional conditions in which they are presented so it is important to note research on conditions that support patients, families, and clinicians in benefiting from explanations of health and risk complexities and curricula designed to enhance clinicians’ explanatory skill.