共查询到20条相似文献，搜索用时 15 毫秒
1.
Christopher J. Koenig Leah M. Wingard Christina Sabee David Olsher Ilona Vandergriff 《Journal of Applied Communication Research》2014,42(3):244-267
This article uses the theoretical and methodological framework of Grounded Practical Theory (GPT) to provide a lens for analyzing and interpreting discourse as a situated form of social action in routine Type 2 diabetes visits. Drawing on a total data-set of 400 audio-recorded routine visits, we randomly selected 55 visits for qualitative analysis. In this article, we use Conversation Analysis to document communication techniques, which we in turn use as evidence to ground our claims within the GPT framework. We use two single cases of interaction to analyze communication techniques physicians use when recommending a change from oral medication to insulin. We argue treatment intensification is a key moment in health communication to reflect about patient centeredness because physicians can find themselves in an interactional dilemma: while insulin may effectively help control unstable disease, an insulin recommendation may simultaneously counter patient values and treatment preferences. Our analysis suggests that physicians use what we call interactional sensitivity to balance medical need and patient preferences when making medical decisions by tailoring their communication according to the local situation and the patient's larger illness trajectory. We propose that interactional sensitivity is a type of communication work and a quality of patient-centered communication characterized by the theoretical relationship between tailoring communication to the contingencies of the local interaction and the global illness trajectory. Overall, this article contributes to health communication scholarship by proposing a normative model for reflecting on how physicians negotiate challenging interactions with patients during routine chronic illness visits. 相似文献
2.
Rising rates of antibiotic-resistant infections make reducing unnecessary antibiotic use for outpatient illness a key public health issue. This study examines the association between parent-provider communication and rates of antibiotic prescribing for their children’s ear infections. Participants (N = 70) were recruited from parents of patients (6 months–12 years) at a medical center whose children were diagnosed with ear infections or had ear symptoms with an upper respiratory tract diagnosis. Results showed that parent self-reports of going into great detail and asking many questions about their children’s symptoms were associated with greater antibiotic prescribing, as was not insisting on a particular test or treatment. Further, antibiotic prescribing was less likely when parents reported that providers encouraged them to offer opinions about the child’s medical treatment. Findings suggest that communication skills training is needed for both patients and providers to minimize potential misinterpretations and thereby avoid unnecessary antibiotic prescribing. 相似文献
3.
《Communication monographs》2012,79(3):273-295
The primary goal of this study was to examine patterns or groupings of adolescents’ hypothalamic-pituitary-adrenal axis (HPA) (measured through cortisol) and sympathetic nervous system (SNS) (measured through salivary alpha amylase or sAA) responses as a function of their parents’ communication skills. A related goal was to decipher whether adolescents who demonstrate different patterns of physiological reactivity vary in their personal and relational health. The sample consisted of 118 parent–adolescent dyads who were asked to talk about something stressful related to the parents’ relationship. The results revealed that adolescents’ perceptions of their parent's communication skills predicted the likelihood that the adolescents would overreact, show no reaction, or down regulate in response to such a discussion, but only for sAA. All of the communication skills in question—social support, communication competence, feeling caught between the parents’ conflict, and inappropriate disclosures—supported the hypothesis that adolescents with parents who they think are more communicatively skilled are better able to recover from a stressful interaction than adolescents whose parents are less skilled. Adolescents who were considered “overreactors” in sAA also had more negative health indices, somewhat lower psychological well-being, and poorer quality relationships with their parents. 相似文献
4.
《Communication monographs》2012,79(4):657-684
Power and dominance are widely recognized as fundamental concepts in the study of human relationships. A theory of power, Dunbar's dyadic power theory (DPT), was tested experimentally by manipulating power in interactions with confederate strangers. Participants' verbal and nonverbal dominance behaviors were coded from videotapes of their interactions. DPT proposes that individuals will display more dominance in equal power relationships than in unequal relationships and increasing an individual's relative power will increase that individual's satisfaction with the encounter. The results revealed that the equal-power and unequal high-power conditions displayed more dominance and were more satisfied than those in the unequal low-power conditions but those in the unequal-high power condition were the least affected by their partners and maintained the most control over the partnership's decisions. Implications for DPT and the relationship between microlevel dominance behaviors and the macrolevel impressions of dominant interactants are discussed. 相似文献
5.
《Communication monographs》2012,79(2):125-149
The current study was conducted to investigate the thoughts romantic partners had as they discussed a topic of conflict in their relationship. A modified version of protocol analysis was employed to access couples' cognitions. Specifically, partners voiced their thoughts aloud as they engaged in a computer-mediated interaction. The findings yielded associations between individuals' cognitions and their relational satisfaction as well as differences between the cognitions of men and women. Individuals' vocalized thoughts also were associated with their partner's satisfaction. The results provide an interesting portrayal of various associations between the way partners feel about their relationship and the unspoken thoughts they have during the course of interaction. Possible theoretical and methodological implications for the literature on couples' cognitions and relational satisfaction are discussed. 相似文献
6.
This study examined the impact that changes in Internet-based technologies have on romantic relationships developed exclusively online. Thirty-six participants completed the 44-item Online Relationships Questionnaire. Participants were then divided into three categories based on self-reported media preference: asynchronous text, synchronous text, and rich media. No significant differences existed on measures of relational confidence or intimacy based solely on media selection. Participants utilizing the Internet to maintain a secondary romantic relationship reported higher levels of relational certainty and greater expectations of future interaction with their online partner than participants involved exclusively in online relationships (i.e., the online relationship was the participant's only romantic relationship). 相似文献
7.
《Communication monographs》2012,79(4):499-521
This study examined the bidirectional nature of the association between one's own topic avoidance and relationship dissatisfaction. It also explored how perceptions of a dating partner's communication competence and one's own communication efficacy affect this association. Three hundred undergraduates tracked their topic avoidance with their dating partner over a two week period. The results provided modest support for the idea that the association between topic avoidance and dissatisfaction is bidirectional for women, but not men. In addition, for men and women, global dissatisfaction with their dating relationship was a stronger predictor of daily topic avoidance (than daily topic avoidance was of daily dissatisfaction). Initial global levels of relationship dissatisfaction predicted greater levels of topic avoidance and this effect was quite stable over time, particularly for women. The results also revealed that the perception of a partner's communication incompetence was indirectly associated with increases in topic avoidance over time only because it affected one's communication efficacy. Finally, the results indicated that women who were highly efficacious were particularly dissatisfied by their topic avoidance over time. 相似文献
8.
《Communication monographs》2012,79(1):96-121
Dominance‐submission in interpersonal interaction typically has been conceptualized as largely a function of either highly stable characteristics of individual actors (e.g., basic termperament, genetic heritage, fixed social roles) or highly dynamic properties of situations (e.g., relational control sequences). Too, the dominance end of the continuum frequently has been infused with negative connotations. Here it is argued that a more balanced and comprehensive perspective is achieved by conceptualizing interpersonal dominance as influenced by a combination of person, situation, and relationship factors and as including positive qualities that also underwrite social competence. Experimental data relevant to this interactionist perspective were examined for the impacts of one traitlike actor variable (self‐reported social skills), two situational factors (communication format and message goal), and one relationship factor (acquaintanceship) on dominance displays during dyadic interactions. Sender and receiver perceptions were also triangulated with observational data from trained coders. Results support an interactionist conceptualization of dominance. 相似文献
9.
《Communication monographs》2012,79(4):484-509
Whereas the question of verbal versus nonverbal primacy has gained intensive interest, considerably less attention has been devoted to parental response to children's verbal/nonverbal incongruence. This study comprehensively analyzed parental responses to children's incongruence during mutual interactions. Parent–child interactions (n = 160) in structured joint game sequences were filmed in their homes and analyzed using a mixed multivariate design. Unexpectedly, parents related almost equally to verbal and nonverbal channels. The analysis of a wide range of social and situational contexts, including child's sex, parent's sex, SES, and task difficulty, highlighted their significant effects and delineated the contexts that activated verbal primacy, nonverbal primacy, and incongruent responses. This study provides a composite theoretical framework for the relative dominance of verbal versus nonverbal communication. 相似文献
10.
《Qualitative Research Reports in Communication》2013,14(1):67-78
This study examines the function of communication and humor in the older adult parent-adult child dyad when the parent has been diagnosed with cancer. Qualitative data of open-ended data from 46 adult children of a parent recently diagnosed with cancer revealed that discussing diagnosis and treatment procedures was perceived to be a satisfying conversation, whereas withholding information had an adverse affect. The discussion of the parents' feelings during the cancer period was a difficult and complex communicative experience. The Meta-Humorous Interaction Theory (MetaHIT) was used as a conceptual framework to understand the function of appropriate and inappropriate uses of humor in terms of cognitive, affective, and behavioral elements of humor. Humor was often used as a coping or relief function for discussing side effects of cancer treatment. This investigation underscores the importance of understanding how adult children use humorous communication to cope with the unknown conversational territory of a parent's cancer diagnosis. 相似文献
11.
This study examined the unique and combined associations among family communication patterns (i.e., conversation and conformity orientations) and young adult children's informational reception apprehension (IRA; i.e., listening anxiety and intellectual inflexibility). Participants included 592 young adult children from first-marriage and postdivorce families. Results indicated that family conversation orientations are inversely associated with listening anxiety and intellectual inflexibility, whereas conformity orientations are positively associated with both traits. Furthermore, an interaction effect between conversation and conformity orientations emerged, such that high-conformity orientations moderate (or reduce) the inverse association between family conversation orientations and young adults' listening anxiety. Among the more important implications in this study is the finding that family communication patterns have a small but meaningful association with individuals' information-processing skills. 相似文献
12.
《Communication monographs》2012,79(3):276-294
Despite the persistence of sex‐typed images of the expressivity of wife and husband, past observational studies have given little indication of sex‐linked differences in marital communication. Thus, we proposed that inter personally negotiated role expectations would be a better predictor of communication about marital conflict than sex. However, we also proposed that there might be sex differences within particular clusters of couples who endorse sex‐differentiated role expectations. Couples were classified into groups using Fitzpatrick's (1983) typology. The results of two studies indicated that couple type was significantly related to communication about marital conflict; however, there were neither any clear overall sex differences in communication nor sex differences within couple types. Rather, the results indicated that conflict styles are so strongly reciprocal that mutual influence within conversations tends to remove individual speaker differences. The research suggests that mutual influence processes and mutually established beliefs and expectations account for conflict styles more adequately than biological sex. 相似文献
13.
Scott A. Myers 《Communication Research Reports》2013,30(2):221-228
Sixty‐four (N=64) graduate teaching assistants (GTAs) enrolled at a large midwestern university were asked to rate the availability and helpfulness of GTA socialization activities. Daily interactions with other GTAs while working, other new GTAs, and the department secretary were among the most frequently available and helpful activities. Conversely, campus‐wide training programs, department orientation sessions, and trips with others from the department were rated as the least available and the least helpful activities. No significant relationship was found between gender of GTA or length of assistants hip for either the availability or the helpfulness of each socialization activity. 相似文献
14.
Debra Worley Scott Titsworth David W. Worley Myrna Cornett-DeVito 《Communication Studies》2013,64(2):207-222
Responding to calls for more holistic views on instructional communication, this study used interpretive methods to examine award-winning instructor's communicative practices to assess and to refine a definition of instructional communication competence. After observing and interviewing recipients of the Central States Communication Association Outstanding New Teacher Award, we describe how these award-winning teachers (a) understand the ebb and flow of the classroom, (b) use a wide repertoire of communication skills, (c) create relationships with students, and (d) effectively manage their classroom climates. 相似文献
15.
《Journal of Applied Communication Research》2008,36(2):121-127
This is an article in a series illustrating the way scholars in communication have pursued translating their research into practice. The translational nature of communication accommodation theory and examples of its application are the focus of this contribution. 相似文献
16.
17.
The present study examined the role of three interrelated factors—multimodal communication frequency, geographic distance, and coresidence—in relation to emerging adult college students’ perceptions of parental relationship quality. Hierarchical regression analyses revealed that emerging adults’ perceptions of relational closeness and communication satisfaction were related to lower levels of face-to-face interaction and higher levels of phone call interaction with their parents. Controlling for communication frequencies, students who lived separate from their parents reported greater communication satisfaction than those who coresided, yet coresidence was unassociated with relational closeness. Finally, geographic distance was unrelated to emerging adults’ perceptions of parental relationship quality. 相似文献
18.
《Communication monographs》2012,79(2):226-244
Two hundred ninety‐nine subjects completed the Revised Family Communication Patterns instrument (Ritchie & Fitzpatrick, ) and the Interpersonal Competence Questionnaire (ICQ; Buhrmester, Furman, Wittenberg, & Reis, ). Results indicate that both family communication patterns and sex of subject influence the ability to enact certain communication skills in both same‐sex friendships and romantic partnerships. Those growing up in a strong conversation‐oriented family are more likely to report the ability to enact a greater number of interpersonal skills in both types of relationships. Women were more likely to report the ability to self‐disclose in a same‐sex friendship; however, a family communication environment that stresses a lower conversation orientation (consensual) diminishes the likelihood of acquiring that skill for women. Women were also more likely to report being able to offer emotional support in both same‐sex friendships and romantic partnerships. Men were more likely to report being able to assert themselves negatively in a same‐sex friendship, and to self‐disclose and manage conflict in a romantic partnership. Additionally, this study found that men and women employ different communication skills depending on the sex of their relational partner. Implications and future research directions are discussed. 相似文献
19.
Social media can be used to assess public opinions and emotions during different stages of a crisis. Guided by the Crisis and Emergency Risk Communication (CERC) model, this study examined a systematic sample of 2,881 tweets from a corpus of over one million tweets posted during the initial, maintenance, and resolution stages of the 2015 California measles outbreak. It found that the public showed the greatest interest (as measured by the number of tweets and retweets) in the initial stage of the crisis, but their interest drastically declined afterward. The expression of humor/sarcasm was significantly more frequent in the initial stage than in the maintenance or resolutions stage, while the expression of reassurance increased significantly from the initial, maintenance, and resolution stage. The emotion of alarm/concern was most frequently expressed during the initial stage. For message types, the public were more likely to tweet about their personal opinions and less likely to tweet about resources during the initial stage. These findings allow public health professionals to better design messages in response to the public’s concerns and emotions during public health crises. 相似文献
20.
Howard Giles 《Journal of Applied Communication Research》2013,41(2):121-127
This is an article in a series illustrating the way scholars in communication have pursued translating their research into practice. The translational nature of communication accommodation theory and examples of its application are the focus of this contribution. 相似文献