Dialogue and its extension to polylogue are presented as an intersubjective basis of communication. The intersubjective aspect cannot be explained by any discipline without a contradiction, since any explanation would require intersubjective awareness. While necessary, dialogue requires a third aspect: dialogue about something, a theme, a subject matter, a problem, a point of disagreement, such that the topic sets a limit to the dialogical partners. This third aspect shifts the discussion away from subject-to-subject encounter as inadequate and moves to the subjects as partners who first are engaged in a dialogue about something. While speaking to someone about something, there is a mutual exchange of awareness and a broadening of horizons of both, with an addition of others who are co-present even if they are not empirically available. To speak to someone of physical laws is also to speak with Newton, Einstein, Planck, and others who form a polylogical field—forming an extension of the awareness of dialogical partners. The issue that arises is whether the individual can form her own position, or whether she is dominated by a historical tradition of interpretation. The dialectical debate between Habermas and Gadamer shows the problem, which is finally resolved by an extension of dialogue through education. The final and most concrete aspect of dialogical communication is present at the level of praxis as bodily activity which is equally intercorporeal. We build our world and thus our history and form a depth of intercorporeal communication of what we can do.
While the dialogical domain is the focus of this research, it also includes suggestions on critical evaluation of specific theories and mutual controversies among theorists, e.g., Habermas and Gadamer. Such controversies are necessary to show how dialogical procedures not only posit different theoretical positions but help such positions to become clearer and more articulated.
Nonverbal communication is ever present in face-to-face interactions. In interpersonal interactions, individuals are simultaneously sending information with their appearance and nonverbal behavior and receiving comparable information from their partners. Typically, this sending and receiving of nonverbal communication happens automatically and outside of awareness. Consequently, nonverbal communication is a remarkably effective means of managing contact with others, signaling information about social goals, and providing feedback to partners. Although some patterns of nonverbal communication are biologically hardwired, culture, gender, and personality introduce important differences in the subtle give-and-take of nonverbal communication. Finally, because nonverbal communication typically occurs automatically and outside of awareness, people often have little insight into its critical role in interactions.
Maria K. Venetis
The degree to which patients are active and communicative in interactions with medical providers has changed in recent decades. The biomedical model, a model that minimizes patient agency in the medical interaction, is being replaced with a model of patient-centered care, an approach that prioritizes the individual patient in their healthcare and treatment decisions. Tenets of patient-centered care support that patients must be understood within their psychosocial and cultural preferences, should have the freedom to ask questions, and are encouraged to disclose health-relevant information. In short, this model promotes patient involvement in medical conversations and treatment decision-making. Research continues to examine approaches to effective patient-centered communication. Two interpersonal processes that promote patient-centered communication are patient question-asking and patient disclosure. Patient question-asking and disclosure serve to inform medical providers of patient preferences, hesitations, and information needs. Individuals, including patients, make decisions to pursue or disclose information. Patients are mindful that the act of asking questions or disclosing information, particularly stigmatized information such as sexual behavior or drug use, could make them vulnerable to perceived negative provider evaluations or responses. Thus, decisions to ask questions or share information, processes essential to the understanding of patient perspectives and concerns, may be challenging for patients. Various theoretical models explain how individuals consider if they will perform actions such as seeking or disclosing information. Research also explains the barriers that patients experience in asking questions or disclosing relevant health information to providers. A review of pertinent research offers suggestions to aid in facilitating improved patient-centered communication and care.
Melanie Booth-Butterfield and Melissa Wanzer
Effective humor enactment has been proven to be beneficial to both senders and receivers of the communication. Use of humor in social interaction has the potential to elicit positive perceptions, improve interpersonal interactions, reduce conflict, aid in coping, and even facilitate health outcomes. In contrast, poorly communicated, ill-timed, or maladaptive humor is often detrimental to both personal perceptions and relationships. Specific factors regarding these bidirectional outcomes are examined in this article.
Humorous enactments are inherently a goal-oriented form of communication that involves social, cognitive, emotional, and behavioral elements. The individual intends to accomplish some goal through communicating humor, no matter how obscure or subconscious the act might seem. Hence the communicator encodes verbal and/or nonverbal messages to achieve this aim. By comparison, genuine responses to humor (whether a trait pattern or situationally immediate) are not goal-oriented, but rather spontaneous reactions to humorous messages. Therefore, laughter, snickering, and the like may be authentic, unguarded amusement responses.
Research and discussion of interpersonal humor entail several foundational premises which must be addressed: productive and unproductive forms of humor, differences between source and receiver approaches, interactional versus presentational perspectives, varying functions and outcomes of humor across different stages of relationship development and decline, as well as attention to some less-often studied contexts. The application of theoretical frameworks such as Incongruity, Instructional Humor Processing, Superiority, Dispositional, and Benign Violations theories help guide our predictions and explanations of humorous messages.
Performance studies presumes that political economy, cultural continuity, self-fashioning, and interpersonal exchange are embodied, aesthetic, affective, creative, contested, and rhetorical processes whose work can be understood through analyses of their presentational and representational particulars. Scholars in the field investigate storytelling, ritual, dance, music, and theater: live and mediated, professional and amateur. But they also deploy “performance” as a heuristic tool for examining practices of everyday life, history, the economy and the law, material culture, and other cultural forms not typically considered performance with the goal of excavating their aesthetic, theatrical, spectacular, audience-directed qualities, then explaining how these qualities do cultural and political work. Thus, in performance studies, performance is both an object and a method of study: a mode of communication and a strategy for framing and examining cultural artifacts and processes. Performance practice is a primary commitment in performance studies; it is a site to be investigated, a mode of scholarly inquiry, and a tool of scholarly representation. Within the field of communication, it is most closely aligned with rhetoric and critical cultural studies. But its many interdisciplinary incarnations include those that privilege modes of communication other than the linguistic, including dance studies and ethnomusicology.
The field of performance studies is highly interdisciplinary, with its roots in the practices of elocution, the oral interpretation of literature, and theater, as well as anthropology and folklore studies. The fundamentally contested nature of performance as a concept requires researchers to clarify the parameters and presumptions about performance in their analyses, including who or what performs, and in what sense. The field’s investment in the body as a site of knowledge and cultural production is evidenced in its primary methodologies, including performance ethnography, performance historiography, and oral history. This investment in the body also emerges in the field’s use of performed and written autoethnography and in experiments with performative writing.
Brenda L. Berkelaar and LaRae Tronstad
How people negotiate the work–life interface remains a popular topic for scholars and the public. Work–life research is a large body of interdisciplinary scholarship that considers how people experience, navigate, and negotiate different roles, commitments, and boundaries within and across life domains—often with the goal of improving individual, organizational, and social well-being and success. Spurred by demographic, social, economic, and technological changes, scholars take difference perspectives on overlapping research areas which include work–life balance, work–life conflict, work–family conflict, boundary management, work–life enrichment or facilitation, as well as positive or negative spillover. Key issues addressed include the implications of framing work–life as a dichotomy, drivers of work–life outcomes, how ideals shape work–life negotiations, how individuals negotiate everyday work–life challenges and opportunities, and the influence of evolving information and communication technologies on the work–life interface. Research from multiple disciplines highlights the demographic, economic, moral, cultural, and national factors that affect work–life practices, processes, policies, tactics, and outcomes. This multidisciplinary perspective provides relevant insights for generative research and resilient practice for individuals, groups, organizations, or societies.
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.
Walid A. Afifi
The turn of the 21st century has seen an explosion of frameworks that account for individuals’ decisions to seek or avoid information related to health risks. The four dominant frameworks are Risk Perception Attitude Framework, the Risk Information Seeking and Process model, the Planned Risk Information Seeking Model, and the Theory of Motivated Information Management. A comparison of the constructs within each and an examination of the related empirical tests reveal important insights into (a) factors that have consistently been shown to shape these decisions across these approaches and (b) constructs in need of additional theorizing and empirical testing. Specifically, the analysis suggests that uncertainty, efficacy, affect, risk perceptions, and subjective norms all play crucial roles in accounting for decisions to seek or avoid risk-related information. However, inconsistencies in the direction of influence for uncertainty or information discrepancy, risk perceptions, and negative affect argue for the need for considerably more theoretical clarity and empirical rigor in investigations of the ways in which these experiences shape decision making in these contexts.
Michael L. Hecht and Michelle Miller-Day
Adolescent substance use and abuse has long been the target of public health prevention messages. These messages have adopted a variety of communication strategies, including fear appeals, information campaigns, and social marketing/branding strategies. A case history of keepin’ it REAL, a narrative-based substance abuse prevention intervention that exemplifies a translational research approach, involves theory development testing, formative and evaluation research, dissemination, and assessment of how the intervention is being used in the field by practitioners. The project, which started as an attempt to test the notion that the performance of personal narratives was an effective intervention strategy, has since produced two theories, an approach to implementation science that focused on communication processes, and, of course, a school-based curriculum that is now the most widely disseminated drug prevention program in the world.
At the core of the keepin’ it REAL program are the narratives that tell the story of how young people manage their health successfully through core skills or competencies, such as decision-making, risk assessment, communication, and relationship skills. Narrative forms not only the content of curriculum (e.g., what is taught) but also the pedagogy (e.g., how it is taught). This has enabled the developers to step inside the social worlds of youth from early childhood through young adulthood to describe how young people manage problematic health situations, such as drug offers. This knowledge was motivated by the need to create curricula that recount stories rather than preaching or scaring, that re-story health decisions and behaviors by providing skills that enable people to live healthy, safe, and responsible lives. Spin-offs from the main study have led to investigations of other problematic health situations, such as vaccination decisions and sexual pressure, in order to address crucial public health issues, such as cancer prevention and sex education, through community partnerships with organizations like D.A.R.E. America, 4-H clubs, and Planned Parenthood.
V. Santiago Arias and Narissra Maria Punyanunt-Carter
Through the years, the concept of family has been studied by family therapists, psychology scholars, and sociologists with a diverse theoretical framework, such as family communication patterns (FCP) theory, dyadic power theory, conflict, and family systems theory. Among these theories, there are two main commonalities throughout its findings: the interparental relationship is the core interaction in the familial system because the quality of their communication or coparenting significantly affects the enactment of the caregiver role while managing conflicts, which are not the exception in the familial setting. Coparenting is understood in its broader sense to avoid an extensive discussion of all type of families in our society. Second, while including the main goal of parenting, which is the socialization of values, this process intrinsically suggests cultural assimilation as the main cultural approach rather than intergroup theory, because intercultural marriages need to decide which values are considered the best to be socialized. In order to do so, examples from the Thai culture and Hispanic and Latino cultures served to show cultural assimilation as an important mediator of coparenting communication patterns, which subsequently affect other subsystems that influence individuals’ identity and self-esteem development in the long run. Finally, future directions suggest that the need for incorporating a nonhegemonic one-way definition of cultural assimilation allows immigration status to be brought into the discussion of family communication issues in the context of one of the most diverse countries in the world.