Rebekah H. Nagler and Susan M. LoRusso
Clinicians, medical and public health researchers, and communication scholars alike have long been concerned about the effects of conflicting health messages in the broader public information environment. Not only have these messages been referred to in many ways (e.g., “competing,” “contradictory,” “inconsistent,” “mixed,” “divergent”), but they have been conceptualized in distinct ways as well—perhaps because they have been the subject of study across health, science, and political communication domains. Regardless of specific terminology and definitions, the concerns have been consistent throughout: conflicting health messages exist in the broader environment, they are noticed by the public, and they impact public understanding and health behavior. Yet until recently, the scientific evidence base to substantiate these concerns has been remarkably thin. In the past few years, there has been a growing body of rigorous empirical research documenting the prevalence of conflicting health messages in the media environment. There is also increasing evidence that people perceive conflict and controversy about several health topics, including nutrition and cancer screening. Although historically most studies have stopped short of systematically capturing exposure to conflicting health messages—which is the all-important first step in demonstrating effects—there have been some recent efforts here. Taken together, a set of qualitative (focus group) and quantitative (observational survey and experimental) studies, guided by diverse theoretical frameworks, now provides compelling evidence that there are adverse outcomes of exposure to conflicting health information. The origins of such information vary, but understanding epidemiology and the nature of scientific discovery—as well as how science and health news is produced and understood by the public—helps to shed light on how conflicting health messages arise. As evidence of the effects of conflicting messages accumulates, it is important to consider not just the implications of such messages for health and risk communication, but also whether and how we can intervene to address the effects of exposure to message conflict.
Behavioral journalism is a term used to describe a theory-based health communication messaging strategy that is based on conveying “role model stories” about real people and how they achieve healthy behavior changes. The aim is to stimulate imitation of these models by audiences of their peers. Theoretical foundations for the strategy itself are in Albert Bandura’s social cognitive theory and Everett Rogers’s model of diffusion of innovations, but it can be used flexibly to convey various kinds of theory-driven message content. Behavioral journalism emerged as an explicit health communication technique in the late 1970s and was developed as a distinct alternative to the social marketing approach and its focus on centrally generated messages devised by experts. It has been used subsequently to promote smoking cessation, improvements in nutrition and physical activity, avoidance of sexually transmitted diseases and unplanned pregnancy, reduced intergroup hostility, advocacy for healthy policy and environmental changes, and many other diverse health promotion objectives. Formats used for behavioral journalism include reality television programs, broadcast and print news media, printed newsletters for special audiences, documentary film and video, digital and mobile communication, and new social media. Behavioral journalism is intended for use in concert with community organization and actions to prompt and reinforce the imitation of role models and to facilitate and enable behavior change, and its use in that context has yielded many reports of significant impact on behavior. With citations of use growing steadily in the past two decades, behavioral journalism has proven to be readily adaptable to new and emerging communication technologies.
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.
Laura Loeb and Steven E. Clayman
The news interview is a prominent interactional arena for broadcast news production, and its investigation provides a window into journalistic norms, press-state relations, and sociopolitical culture. It is a relatively formal type of interaction, with a restrictive turn-taking system normatively organized around questions and answers exchanged for the benefit of an audience. Questions to politicians are sensitive to the journalistic norms of neutralism and adversarialness. The neutralism norm is relatively robust, implemented by interviewers adhering to the activity of questioning, and avoiding declarative assertions except as prefaces to a question or as attributed to a third party. The adversarialism norm is more contextually variable, implemented through agenda setting, presupposition, and response preference, each of which can be enhanced through question prefaces. Adversarial questioning has increased significantly in the United States over time, and in some other national contexts. Adversarial questioning creates an incentive for resistant responses from politicians, which are managed with overt forms of damage control and covert forms of concealment. News interviews with nonpartisan experts and ordinary people are generally less adversarial and more cooperative. Various hybrid interview genres have emerged in recent years, which incorporate practices from other forms of broadcast talk (e.g., celebrity talk shows, confrontational debates) within a more loosely organized interview framework. These hybrid forms have become increasingly prominent in contemporary political campaigns and current affairs discussions.
Erik Albæk, Morten Skovsgaard, and Claes H. de Vreese
Three models are presented to explain variation in news content. In the first model the explanation is based on the individual journalist, in the second model on the professional journalist, and in the third model on the organized journalist. The individual journalist model focuses on how the background and values of individual journalists may impact their journalistic products; the professional journalist model considers the professional values and work norms that apply across individual journalists and across news organizations; the organized journalist model looks at how the organization within which journalists work may affect news content.
Understanding the role of gender in the newsroom involves tracing a shift from an initial consensus that women’s only journalistic role was to write with “a woman’s touch” about women, for women readers, to a claim that women should be allowed to produce the same “unmarked” news as men. The claim became that women’s forms—women’s sections or other materials intended for women audiences—represented professional ghettos, and that women were needed to produce better, more ethical journalism. That is, within the newsroom, gender was first dichotomized, rendering the interests of women and men as opposites, and then it claimed to be irrelevant. Feminist scholars point out that, over time, men have consistently tried to protect their status, jobs, and salaries, and have failed to acknowledge how journalism was set up as a male enclave with “macho” values and a culture that disadvantaged women, especially mothers, with its tradition of long and irregular hours and lack of childcare.
Research on gender and journalism can be divided into two categories: (a) gender “at work” in newsrooms (including opportunities or inequities in jobs, promotions, and salaries, as well as sexism), and (b) representations of women. Scholars often assume that the first issue over-determines the second. On both issues, research shows improvement, but also continuing problems. Now women journalists appear to be well established; the news includes issues associated with women’s quotidian concerns, and it takes women seriously. Yet a variety of gender divides continue to characterize journalism. Researchers find gendered patterns in coverage, especially in politics and sports. Women television journalists are routinely sexualized, and their high visibility in television broadcasting—through explicit scrutiny of their bodies, hairstyles, clothing, and voices—is countered by their invisibility in management. Gendered double standards and a glass ceiling continue to stymie the promotion of women to key decision-making and governance positions in print and broadcast news organizations. Moreover, women are far from enjoying equity in the online context.
Women continue to be concentrated in low-status media outlets and beats: they dominate community, small-town, and regional news organizations, and they produce “soft news,” human-interest stories and features. Men still dominate, although they do not monopolize, most of the high status areas of news production, particularly politics and business, as well as the lucrative and popular area of sports, a highly gendered and sexist domain. The most overtly gendered arena is war correspondence. Women who report on war and conflict are judged by very different standards than men. In particular, mothers are condemned when they go off to dangerous conflict areas, although fathers who cover war continue to be largely immune from public criticism. Women war reporters run a high risk of sexual violence and harassment, although women who have been sexually attacked rarely tell their supervisors—probably for fear of being pulled off an assignment.
Countless platforms are now available to citizens to disseminate their views as citizen journalists, including blogs and Twitter; these provide opportunities for challenging gender roles and democratizing relations between men and women. On the other hand, social media threaten the business model of professional journalism; the resulting trend to part-time, freelance, and even unpaid work creates a precarious and potentially highly feminized labor force.
Copyright is a bundle of rights granted to the creators of literary, artistic, and scientific works such as books, music, films, or computer programs. Copyright, as one of the most controversial areas of communication law and policy, has always been the subject of political contention; however, debates surrounding the subject have reached new levels of controversy since the 1990s as a result of the new formats of creative works made possible by digital media, and as a result of the new practices of authorship, creativity, consumption, collaboration, and sharing that have arisen in light of networking and social media. Technological change has not been the only driving force of change; social and political change, including changing concepts of authorship, the recognition of the rights of women and indigenous peoples, and the changing structures of international relations and international civil society, have also been reflected in copyright law. Copyright policymaking has become an increasingly internationalized affair. Forum-shifting has contributed to the proliferation of regional and international copyright policymaking forums under the rubric of stand-alone intellectual property institutions such as the World Intellectual Property Organization (WIPO), as well as under institutions dedicated more broadly to international trade negotiations.
Communication scholars and others have contributed extensively to the field of copyright and intellectual property law. Communication scholars have made significant contributions in examining the cultural significance, political economy, history, and rhetoric of copyright, drawing on diverse fields that include cultural studies and critical political economy. Communications scholars’ influence in the field of copyright scholarship has been significant.
Michael Karlsson and Kristoffer Holt
In the early 21st century, almost everyone takes journalism on the web for granted. However, it was not many years ago that journalism moved online and a distinct form of journalism began to develop. Ranging from online doubles of the paper editions to publications exclusively produced for the web, the evolvement of web journalism has entailed both dramatic and not-so-dramatic changes in the way that journalistic products are produced, disseminated, and received. Online journalism has usually been demarcated from traditional journalism by four traits: interactivity, immediacy, hypertextuality, and multimodality. These characteristics are generally identified by scholars as points where journalism on the web brings added value in comparison to the old print newspapers. Interactivity involves various aspects of user activity and participation in the processes of consuming, contributing to, and disseminating news afforded by the web. Immediacy refers to the nature and consequences of the faster pace of publication in web news. Hypertextuality has to do with the possibilities of linking journalistic texts to other texts, which makes the text more transparent and open. Multimodality denotes the telling of news with the use of many different modes at the same time. When studying research about these aspects of web journalism, three general observations can be made. First, researchers have approached these characteristics unevenly in terms of scope and interest. The interactive aspects of web journalism are by far the most investigated. Second, the four characteristics have been studied through the lenses of different theoretical frameworks. Third, empirical research shows that change in journalism is slow and not always as radical as many predicted when journalism on the web was in its infancy.
Culture is a broad term that is often used in a wide variety of contexts. Its meanings can be anything from very narrow conceptualizations such as the notion of high culture to a much broader view of culture being all-encompassing. In addition, scholars identify different types of cultures, such as regional, national, or even global cultures, as well as sub-cultures or cultures of shared social practices. At the social systems level, culture is often defined as relating to shared social practices, meanings, beliefs, symbols and norms. The relationship between journalism, culture, and society is a symbiotic one. Journalism influences culture, but it is also influenced by it. In fact, as some argue, journalism is culture.
While journalism’s influence on culture has found extensive attention in the cultural studies literature, cultural and societal influences on journalism have been far less researched. When studies examine broader media system influences on journalism, the focus tends to be on political and economic determinants. However, cultural influences also provide substantial explanatory potential when trying to understand why journalism is practiced differently across the globe. Culture as the broader system of beliefs and practices in a given society, as in the case of cultural values, has an established research tradition in cross-cultural psychology. Three key works on cultural values provide guidance for examining cultural influences on journalism, and involving these in research improves understanding of journalism cultures on a variety of levels. Both normative calls for the preferred role of culture in journalism, as well as empirical studies of the influence of cultural values on journalism demonstrate the value such approaches bring to journalism studies.
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?