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1.
ABSTRACT

The theory of stigma management communication has helped identify and categorize the tactics people use to manage stigmatization, but tactics' predictors remain unknown. To address this gap, we considered stigmatization through the lens of interpersonal influence: as an act in which stigmatizers attempt to persuade their targets to accept categorization and de-individualization into a social group with a marginalized social status. Obstacle hypothesis, a theory of resistance to interpersonal influence, was used to derive predictors. Participants (N = 124) facing possible stigmatization due to their genetic risk for a chronic health condition completed a survey and shared memories of their initial test disclosures. The empirical tests showed that having a stronger sense of meaning in life, more unsafe experiences, and a broader information network predicted resisting stigmatization. The practical implications of bolstering one's sense of meaning in life and argumentation skills and their connections to resilience research are discussed.  相似文献   

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3.
Women who test positive for a BRCA genetic mutation, but who have not been diagnosed, or 'previvors,' experience intense, chronological risk-related uncertainty. Women’s risk management medical decisions can be a way to manage their uncertainty, but little is known about how uncertainty informs their decision or how uncertainty is impacted by these medical decisions. Using an uncertainty management theoretical lens, we interviewed 46 previvors about their decision-making process. A thematic analysis revealed two uncertainty management (i.e., risk-reducing) decision-making pathways (preventive surgery and increased surveillance) with each pathway encompassing a three-part process of 1) uncertainty appraisal, 2) medical decision (i.e., uncertainty management strategy), and 3) outcomes. The findings advance theoretical thinking about uncertainty and risk management as an ongoing, distressful chronic experience, and highlight the importance of life-span phenomena in women’s decision-making process. Based on the findings, we constructed a translational tool to aid genetic counselors and previvors facing these medical decisions.  相似文献   

4.
The influence of health and socioeconomic status on perceptions of aging and adaptation strategies of older African/Caribbean-American women was examined. Responses of 38 women (average age=77.3 years) to: “What do you like and dislike about growing old?” and “To what would you attribute your long life?” were analyzed. Respondents were classified as: financially independent/healthy, financially dependent/healthy, financially independent/not healthy and financially dependent/not healthy. Narratives revealed declining health and restricted financial resources limited perceptions of opportunities for well-being. Despite differences in health and financial status, groups had some common strategies: avoiding risk behaviors, holding moral beliefs, optimism, altruism and spirituality. It was concluded that health and socioeconomic status had some influence on perceptions of aging and adaptation strategies.  相似文献   

5.
Pregnancy loss due to miscarriage is a pervasive health issue. Although talking about the miscarriage experience with friends and family members has been linked to better adjustment, revealing this loss can be difficult because discussing a miscarriage often makes people uncomfortable. Moreover, couples often manage this information jointly as they decide whether to share the miscarriage with people outside the dyad. We conducted in-depth interviews with couples to explore the nature of co-ownership in the miscarriage context and to identify the privacy rules that couples develop to manage this information. We found that couples frame miscarriage as a shared but distinct experience and that both members exert rights of ownership over the information. Couples' privacy rules centered on issues of social support and others' need to know about the loss. Even though couples described their privacy rules as implicitly understood, they also recalled having explicit conversations to develop rules. We discuss how the management of co-owned information can improve communication and maintain relationships.  相似文献   

6.
This paper discusses concepts and terminology of some aspects of disorders of hemostasis (stopping bleeding) and thrombosis (blood clotting) as it relates to medical reference work. Details of anatomic, biochemical, and pathologic processes are not discussed. Specific terminology involved in this area will be reviewed in order to help ensure a good approach to developing prudent strategies for database searching of the medical literature. MeSH thesauri terms are discussed and text word synonyms are presented that provide tools for thorough searching techniques. Examples of specific search strategies are illustrated.  相似文献   

7.
Domestic violence against women is a significant social and public health problem that requires a varied social service response for abused women and their children. Increasingly, this service response includes online sources and resources. Using content analysis methods, we examined the Canadian provincial E-Government response to providing information to women exposed to domestic violence. Our overarching question was “if an abused woman went to her province’s government website for information and help and used common search strategies, what would she find?”  相似文献   

8.
This study assessed the effects of cues of family history as a risk factor in direct-to-consumer advertisements. An experiment with a sample of 395 adults found significant impacts of familial risk cues on self-efficacy and behavioral intentions. Specifically, familial risk cues strengthened both intention to engage in healthy lifestyles and intention to seek advertised medications, partly through enhanced efficacy. Effects on perceived genetic risk for health conditions or belief in genetic determinism were not found. The findings suggest that familial risk cues incorporated in pharmaceutical appeals can enhance behavioral intentions in response to risk, without increasing a sense of fatalism. Theoretical and practical implications of the study are discussed.  相似文献   

9.
State and Local governments must develop an overarching legal foundation to manage critical service delivery in an electronic environment. Prior to establishing a foundation, decision-makers must first adopt a philosophy that focuses and harnesses expressions of law and public policy. The research and development community must supports the nation’s efforts with programs designed to aid in the risk assessment process. These programs must focus on identifying better ways to quantify risk, understanding infrastructure interdependency, and measuring cascading damages flowing from service outages. Finally, State and Local leaders should adopt security guidelines for industry and government service providers. Guidelines involve ten well-defined process requirements, all of which must be implemented to provide services online and in a safe and secure manner.  相似文献   

10.
In this article, we explore the extent to which heavy television viewers' beliefs about the real world are consistent with the most repetitive and overarching patterns that television presents, especially in its dramatic entertainment programs. We test the hypothesis (put forth by many besides Dan Quayle) that television encourages viewers to embrace alternatives to the traditional 2-parent family. For purposes of conceptual clarity, we chose to focus on the question of illegitimacy and single parenthood, which is most directly related to the Murphy Brown controversy and is frequently touched on in many strands of political discourse. We reviewed previous research on television portrayal of the family and then used the 1988 and 1994 General Social Surveys (Davis & Smith, 1996) to assess relations between television viewing and judgments about illegitimacy and single parenthood. The data do not contradict Quayle's contention that television viewing is contributing to fraying of traditional family values.  相似文献   

11.
《Communication monographs》2012,79(3):309-333
Despite continued interest in communication and family functioning, researchers have been challenged to adequately describe the complicated dynamics and complex configurations of stepfamilies. This study extends previous stepfamily research by classifying stepchildren according to their beliefs and experiences with key dimensions of stepfamily life, and by examining differences in perceptions of communication competence and mental health among different stepfamily types. Participants included 586 stepchildren from four different states who completed a series of survey measures. Results of cluster and discriminant analyses revealed five discrete types of stepfamilies, including bonded, functional, ambivalent, evasive, and conflictual stepfamilies. Estimates of validity for the typology revealed significant differences in self-reported communication competence and mental health among the five stepfamily types, as well as significant differences in perceptions of mothers’ and stepparents’ communication competence.  相似文献   

12.
Guided by Communication Privacy Management (CPM), the goal of the current study was to examine parental infidelity and to learn what, if any, rules were enacted by participants to either provide access to or protect the information of their parent's infidelity. Rules used by participants to manage this information inside their family were labeled as internal, while rules used to manage this information outside their family were labeled as external. Participants included 13 adult children whose still married parents' relationship involved infidelity. Results indicated that participants created protection rules including two internal (maintenance and cultural) rules and one external (protecting the family from outside scrutiny) rule. Five access rules (context, sex, age, physical environment, and code terms), all internal, were also identified. The results of this study highlight the usefulness of CPM when examining how the knowledge of a parent's infidelity is managed by their children.  相似文献   

13.
This study examines how a sample of African American women understands the uncertainties fundamental to cancer risk communication. Utilizing data from four focus groups, Problematic Integration (PI) theory is applied as an interpretive lens for illustrating their felt difficulties of talking openly about cancer and breast cancer in everyday life. The women describe worry about cancer and its prevalence among African American women; ambivalence and uncertainty; belief that what is not uncertain is certain and awful; fear and avoidance; contradictions in “claiming” and “rebuking” cancer; and hopefulness.  相似文献   

14.
We present a qualitative analysis of 186 women and gender minorities’ definitions of sex, sexuality, and sexual health, as well as their accounts of how those concepts changed for them over time. Participants describe these phenomena as communicative, layered, and related to identity. Definitions of sex produced themes of intimacy, consent, and who is involved; definitions of sexuality involved sexual orientation, sexual expression, and personal identity; definitions of sexual health included communication skills, an emphasis on physical and emotional health, and prevention and maintenance. Using the Communication Theory of Identity as a lens to guide our analysis and discussion, we argue that sex, sexuality, and sexual health are intergroup arenas that require an acknowledgment of group membership.  相似文献   

15.
《Communication monographs》2012,79(3):268-273
Using a scheme previously developed by the authors to define conceptually self‐disclosure, this study focuses on one dimension found in that investigation— prerequisite for disclosure. The research examines gender differences in perceived importance placed on four conditions: setting, receiver, sender, and relationship characteristics judged to be needed before disclosing private information about oneself to others. The study also looks at the influence of topic on males’ and females’ use of conditions. Results suggest that women find sender and receiver characteristics more important as prerequisite conditions for self‐disclosure than do men. No significant effect of topic on the use of conditions was found for men or women.  相似文献   

16.
知识管理中的风险与防范   总被引：7，自引：0，他引：7  
张智松 《图书馆论坛》2002,22(3):10-11,16
针对目前人们对知识管理理论研究较多，而知识管理中风险和防范问题探讨较少的情况，提出了知识管理的风险形式，即：技术创新风险、秘密风险、人才风险、信息风险、时滞风险等，同时从知识管理角度提出相关的防范措施。  相似文献   

17.
We use a sensemaking lens to explore how women managers experience and articulate work–life concerns upon their return to paid work following maternity leaves. We focus on 11 women who held different types of managerial positions, including vice presidents, circulation managers, and human resources experts. We found that our participants re‐framed the good mother image into a good working mother role that fit their lifestyles and interests. To accomplish this reframing, participants engaged in three thematic processes supportive of the good working mother image: (a) good working mothers arrange quality child care; (b) good working mothers are (un)equal partners; and (c) good working mothers feel pleasure in their working mother role. These themes and image were both ironic and fragile constructions of working motherhood. Because these themes and images enable participants to make sense of and establish the worth of working motherhood to family members, friends, acquaintances, organizational members, and community members, they provide a reason why middle‐ or upper‐class working and stay‐at‐home mothers may be in conflict about work and family choices.  相似文献   

18.
We used communication infrastructure theory to investigate oral health beliefs and behavior among young adults in Appalachian Kentucky. We conducted 7 focus groups with 67 participants who reported poor oral health behavior, but this was not necessarily the result of poor oral health knowledge. Participants identified several sociocultural factors affecting their oral health, including lack of oral health prioritization among older generations, and risky health behaviors that competed with good oral health. These sociocultural factors create a context in which standard oral health recommendations are commonly seen as excessive. Participants described various responses to the poor oral health in the region, including fatalism and a distrust of dentists, and that oral healthcare professionals may be using potentially problematic communication tactics. Practical implications for designing effective oral health promotion campaigns in the region and theoretical implications for developing social-contextual frameworks of oral health promotion are discussed.  相似文献   

19.
This study explores individuals' postcoital disclosures by investigating the role of orgasm and alcohol on communication after sexual activity over a two-week period. Assessments of the risks and benefits of disclosing were expected to influence the associations among orgasm, alcohol, and postcoital communication. The results revealed that individuals who orgasmed perceived greater benefits to disclosing to their partners after sexual activity. They also disclosed more positively valenced information and information of greater magnitude compared to those who did not orgasm, although risk–benefit assessments did not mediate this relationship. Additionally, the more alcohol individuals consumed, the fewer benefits they assessed to disclosing, the less deep and positively valenced their disclosures were, and the more unintentional they were in their disclosures. Similarly, the relationship between alcohol and the dimensions of disclosure was not mediated by risk–benefit assessments. Finally, individuals who consumed more alcohol and did not orgasm disclosed less positively valenced information than individuals who consumed less alcohol and did not orgasm across occasions. The implications of these findings for couples' communication and future research on the postcoital time interval are discussed.  相似文献   

20.
Guided by communicated narrative sense-making, the present study explored the themes that characterize adult siblings’ stories about their experiences with sharing care of aging parents. Interviews with 20 adult siblings revealed the varied and emotional nature of their shared parental caregiving stories. Adult siblings primarily constructed meaning of their caregiving experiences by drawing upon three overarching narratives: (1) the narrative of (in)equity, (2) the narrative of ideal versus real, and (3) the narrative of interconnectedness. These findings highlight the need for adult siblings providing care for their parents to work together as a team, exercise empathy in their interactions, and express gratitude for one another’s contributions. Several practical applications are discussed that can help siblings manage and overcome the relational challenges associated with caring for a parent.  相似文献   

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