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Chapter 5 addresses these weaknesses by combining STS with sociological systems theory, which provides a persuasive account of law in society, but has been criticised as technology-blind. This does not mean, however, that systems theory lacks the means to conceptualise the interface between the materiality of a distribution medium (e.g. the Internet) and the sociality of communicative systems (e.g. law), since structural coupling provides the means to explain how operatively closed systems can relate to each other, e.g. the sphere of technical materiality (the technosystem) and the sphere of communicative sociality (society and its subsystems). A separation between the material and the social is the prerequisite for adopting a critical or normative position vis-à-vis digital media, enabling us to empirically study the diverse interrelations between the two spheres in online communication. To do so, technologies must be understood as artefacts possessing affordances, that is possibilities and constraints, raising the question of how digital technologies acquire affordances. The final question concerns the concept of normativity in the digital ecosphere, namely whether normative expectations about digital technologies can emerge. Since normative expectations structure the legal system, our answer will explain the nature of the structural coupling between law and technology.
Moral distress as a reason for ethics consultation is common, but perceived or real racism is underrecognized as a potential cause. The consultation requested in this case was nominally for moral distress, but elements of cultural misunderstanding and culturally relevant value conflicts rapidly became apparent. Cultural concordance between the ethics consultant and the patient’s family enhanced communication and allowed the medical care team to change their perspective on interactions they had observed and previously considered to be belittling between family members and staff. This led to a broadening of medically permissible options being considered and ultimately resulted in a discharge plan that was acceptable and welcome by both the patient’s family and the ICU staff. Further discussion of reasons why greater diversity in ethics consultation members may be helpful.
This chapter examines Darwin’s analysis of emotional expression. It is widely accepted that Darwin wrote Expression to refute Sir Charles Bell’s theory that God created humans with special muscles to express their emotions. However, scholars have overlooked the fact that Bell developed his theory to refute Erasmus Darwin’s associationist analysis of emotional expression, inspired by David Hartley, and that Charles Darwin defends his grandfather’s analysis against Bell’s objections. I demonstrate that Charles’s defense of Erasmus’s associationist theory, which denies that expressions occur for the sake of communicating emotions, explains Charles’s puzzling reluctance to claim that expressions evolved to serve as signals in communication.
Clinical ethics prides itself on communication, collaboration, interdisciplinary cooperation and mediation. But what happens when all those skills and efforts fail? This chapter describes a difficult situation fraught with clinical uncertainty and complicated by an unbridgeable cultural divide that left the clinical parties feeling as if they failed the patient. This case demonstrates that sometimes there is no real closure, no understanding, and no sense of having been helpful. These are the kinds of cases that haunt us.
Open communication between parents and adolescents and young adults (AYAs) with blood cancer is key to managing cancer together. However, parents avoid difficult conversations about cancer care and lack support in navigating them. To inform a communication skills intervention to help parents of AYAs navigate challenging conversations in caregiving, this mixed-method study sought to identify difficult topics and better understand psychosocial factors associated with avoidant communication.
Methods
Phase 1 involved 20 interviews with parents of AYAs with blood cancer (aged 15–29) to capture difficult conversations and factors that inform why they are challenging. Phase 2 surveyed 80 parents about openness, avoidance, and psychosocial outcomes.
Results
In Phase 1, parents identified 5 challenging conversation areas: (1) expressing negative feelings; (2) discussing disease/care-related information; (3) addressing sexual health; (4) navigating triadic clinical interactions; and (5) talking about mortality. Parents described 3 interrelated factors that informed why these conversations were difficult: (1) lifespan/human development; (2) emotional/psychological well-being; and (3) relational-caregiving dynamics. Quantitative results (Phase 2) confirmed the same challenging conversation areas and extended them with an additional topic parents avoid: caregiver burden. Overall avoidance of these topics was associated with lower clinical communication skills and competence, less openness between parents and AYAs, reduced willingness to communicate about cancer, and greater parental distress. Avoidance of discussing caregiver burden and sexual health with their AYA was associated with higher burden. Younger parents reported higher overall avoidance compared to older ones. Hispanic/Latino parents reported higher overall avoidance than non-Hispanic/Latino. Parents without a high school degree had higher scores for avoiding treatment discussions compared to parents with higher education levels.
Significance of results
Findings highlight the need for supportive care interventions that strengthen parent caregivers’ communication skills. This study also provides a roadmap of key content to include, ensuring communication skills interventions are relevant and impactful.
Public support is crucial for the success of policy interventions that aim to change behaviour. While communicating evidence of policy effectiveness can increase support, it remains unclear which type of evidence is most effective. Statistical evidence is often seen as objective and persuasive, yet personal anecdotes can strongly influence beliefs. We examined how statistical and anecdotal evidence affect policy perceptions. In three online experiments with representative UK samples (N = 908), we showed participants different types of evidence (statistical, anecdotal, or both) that argued for or against six policies, such as meat taxes (climate change), banning e-cigarettes (public health), and 20 mph speed limits (community safety). We measured policy support and perceived effectiveness before and after exposure and explored participants’ reasoning through open-text responses. Results showed that positive statistical and anecdotal evidence did not significantly increase perceived policy effectiveness or support, even when combined. However, negative anecdotes significantly reduced both, though this effect was sometimes mitigated when paired with statistical evidence. Qualitative results found that participants have broader concerns beyond policy effectiveness, such as fairness. Our findings suggest that communicating evidence on policy effectiveness alone may not increase support, as it does not address broader public concerns.
Communicating a cancer diagnosis to a child is a complex challenge for parents. This study aims to explore (1) the communication strategies and beliefs of parents with cancer when communicating with their children and (2) the needs of these parents.
Methods
Semi-structured interviews were conducted with parents with cancer being treated at an Italian comprehensive cancer center and their healthy partners, when present. The interviews were analyzed through a constructivist approach using reflexive thematic analysis. The number of parents to be interviewed was not predetermined, but the meaning saturation procedure was followed.
Results
Ten parents were interviewed, meaning saturation was reached at the seventh interview. Five themes were created: (1) the challenges parents faced at this sensitive time; (2) the emotions parents experienced; (3) the beliefs that may have influenced how they communicate the illness to their children; (4) the strategies parents used to communicate the illness to their children and (5) parents’ perception of their children’s understanding of the illness. Fifty-seven needs, often unmet, were also identified and were grouped into three categories: (1) “existential” needs; (2) support needs; and (3) needs related to continuing to be and act as parents.
Significance of results
This study provides important insights for healthcare professionals to consider in order to better support and care for these parents.
Funding relationships in nonprofit management are increasingly defined by a philosophy of rational management, characterized by measurement of outputs and benchmarking, which represents an audit culture system (Burnley, Matthews, & McKenzie, 2005). There is concern that these approaches are constantly undermining the mission of community service nonprofit organizations (Darcy, 2002). In this research, we analyzed the management of funding relationships by examining dynamics within a nonprofit funding relationship in New Zealand. Through focus groups we explored the relationship between 17 representatives from nonprofit organizations and four Board members of a funding Trust. The management of this funding relationship was characterized by an appreciation of the diverse nature of nonprofit organizations, a balance between trust and control, and communication. We suggest that elements of these dynamics could be incorporated into nonprofit funding relationships in order to challenge an over-reliance on audit culture systems, and to re-establish relationships characterized by interaction between nonprofit organizations and their funders. Finally, we call for future research in this area.
This review surveys the state of research on nonprofit communication and collects and summarizes the resulting advice for nonprofit communication practice. The citations of research papers since 2000 were collected from standard bibliographic databases and selected bibliographies. The resulting collection of papers was summarized and synthesized into relevant themes and organized into five broad categories: (1) strategic planning, (2) management, (3) development, (4) outreach, and (5) accountability. From these broad themes, comparisons and contrasts arise between the research and current practice of nonprofit communications.
Are televised election debates (TEDs) a blessing for democracy, educating citizens and informing them of their electoral options? Or should they be viewed as a curse, presenting superficial, manipulating rhetoric in one-way communication? In this article, I evaluate TEDs from a deliberative point of view, focusing on the potential positive and negative outcomes of framing by politicians, as well as on the pros and cons of displaying emotions in debates. I argue that the use of these two rhetorical devices in TEDs is potentially helpful in inspiring deliberation, perspective-taking and subsequent reflection in both politicians and voters. This leads me to conclude that televised election debates should be critically approached as communicative venues with potential deliberative qualities.
Human services nonprofits increasingly provide a social safety net through interorganizational collaboration, and the effectiveness of these partnerships has important implications for the quality and sufficiency of those services. The purpose of this study is to investigate whether partner selection is related to partnership effectiveness and, if so, how. More specifically, the study examines the impact of partner selection on partnership effectiveness and the mediating roles of trust and communication in that relationship. Based on surveys on 201 voluntary human services nonprofit partnerships, trust, and communicative effectiveness are related to satisfaction with partnership outcomes. Trust and communicative effectiveness fully mediated the effects of prior experience and reputation on partnership effectiveness and communication. Interestingly and contrary to some findings from previous research, resource complementarity, homophily, and social networks across organizations’ members, as partner selection factors, were not found to be related to partnership effectiveness. We derived implications for partnership effectiveness research from the results.
Volunteer travel opportunities are more plentiful than ever and are now offered worldwide, with conservation projects being an increasingly popular choice. Some of the emerging questions in this field are concerned with the effective communication of these opportunities to young people. One theory that could guide the creation of these persuasive campaigns for conservation volunteering is regulatory focus theory. By adopting this theory, we reveal yet another possibility for understanding motivations of conservation volunteers. Results of the experiment suggest promotion messages are better received (more persuasive) because they induce expectations in line with general view of conservation volunteering as a hedonic experience. Moreover, this study is the first one of its kind to show this important effect of environmental attitudes on individuals’ responses to promotional messages about conservation volunteering travel.
Social enterprises pursue a dual mission: on the one hand, they strive for social purpose, while on the other, they try to achieve economic stability despite scarce resources. To achieve the dual mission, social enterprises avail themselves of both for-profit and non-profit institutional logics. Due to this combination of multiple institutional logics, such enterprises can be classified as hybrid organizations. This study focuses on these organizations and investigates tensions between social enterprises and various stakeholder groups caused by the use of commercial logics within the social sector. In particular, we examine the perception of commercial versus social welfare logics by various stakeholder groups, and investigate the effects on organizational communication. Our study is centered on social franchise enterprises. We use an exploratory qualitative research approach based on semi-structured interviews with 21 social franchisors and social franchisees of seven social franchise enterprises. Our main results suggest that the use of commercial logics in the social sector tends to decrease the legitimacy of social franchise enterprises in the eyes of internal stakeholders, the general public, and various (but not all) external stakeholder groups. Many stakeholders of social franchise enterprises show a strong aversion to commercial logics, and particularly to commercial terminology. Overall, we conclude that social franchise enterprises very consciously apply commercial and social welfare logics and use alternative terminology where necessary to retain legitimacy and prevent tensions.
Research on populist attitudes has bloomed in recent years, especially among political science and communication scholars. While this trend is undoubtedly positive to unravel what the causes and consequences of individuals’ populism are, rapid accumulation of knowledge is also challenging, as numerous articles are published simultaneously using diverse theoretical, methodological, and data strategies. This systematic literature review considers all articles stored in the Web of Science and published in English that refer to populist attitudes, without time restrictions (N = 138). After a detailed reading of all articles, we focus on the most relevant findings considering populist attitudes both as dependent and independent variables. Main areas of consensus, disagreements, and guidelines for future research are considered.
The gender gap pervades many core aspects of political science. This article reports that females continue to be under-represented as authors and reviewers in European Union Politics and that these differences have only diminished slightly since the second half of the 2000s. We also report that females use more cautious and modest language in their correspondence with the editorial office, but do not find evidence that this under-studied aspect of the gender gap affects the outcome of the reviewing process. The authors discuss some measures European Union Politics and other journals might take to address the imbalance.
This qualitative study sheds light onto the working structures, make-up, and strengths and weaknesses of civil society organizations working with Syrian refugees in Turkey. The research includes 22 interviews with a variety of national and international civil society organizations (CSOs) and aims to reveal strategies they employ to communicate with and advocate on behalf of refugees. The strategies utilized by international and domestic organizations are compared and their relationships elaborated within the specific sociocultural and political context of Turkey. Results reveal that Syrian refugee advocacy in Turkey can be defined as a balancing act, where civil society organizations need to establish and nurture positive government relations, while engaging closely with their beneficiary communities and each other due to their mutually dependent funding and implementation arrangements, as well as work closely with the media to ensure effective advocacy.
Civil society organizations (CSOs) have important roles to play in building trust in post-conflict societies. This research examined how 25 CSO peacebuilders use communication to build trust in Northern Ireland. Our findings suggest that peacebuilders work across different levels of society as trust intermediaries. Communication is central to CSO peacebuilders’ practice in engendering trust and in demonstrating their trustworthiness as individuals, inter-group facilitators and organizational representatives. Synthesized from our data, a communication toolkit from ‘low level’ communication intervention to ‘high level’ persuasion explains the strategies that CSO peacebuilders employ to mitigate distrust and nurture trust as they work towards peace in Northern Ireland. We propose this toolkit might be malleable to trust building in other conflict-affected contexts.
The constructionist approach argues that communication is central to language learning, language use, and language change. We argue that the approach provides a useful perspective on how autistic children learn language, as it anticipates variable outcomes and suggests testable predictions. First, a reduced ability and interest in tracking the attention and intentions of others should negatively impact early language development, and a wealth of evidence indicates that it does. Second, and less discussed until recently, a hyperfocus on specifics at the expense of generalizations, common among people on the spectrum, should also negatively impact language development, and recent evidence suggests this is also the case. Pace Kissine's 2021 target article, it is unsurprising that children can learn some second language from watching videos, and it is unclear how an appeal to ‘innate’ language-specific knowledge could explain the range of outcomes of individuals on the autism spectrum.
Although prior research has identified common attributes of a Good Death across cultures, few studies have simultaneously incorporated the views of patients, family caregivers, and physicians – particularly in Latin America, where structural barriers to palliative care persist. This study examines how these stakeholders in Mexico perceive and designate what constitutes a Good Death, aiming to identify its core components and cultural particularities.
Methods
Qualitative interviews were conducted with 14 advanced-stage oncologic and nononcologic patients receiving home-based palliative care, 12 family caregivers, and 21 physicians. Data were analyzed using principles of generic purposive sampling and thematic analysis.
Results
The most frequent designation for a Good Death was “Dignified and Peaceful Death,” perceived as a multidimensional and multitemporal process. Five core domains emerged: physical, psychological, interpersonal, spiritual, and structural. These dimensions manifested across distinct phases – before death (as preparation), during death, and after death.
Significance of results
A Dignified and Peaceful Death begins when individuals become aware of their mortality and encompasses cultural, emotional, and structural elements that transcend physical death. This perspective suggests that end-of-life care should respond not only to biomedical needs but also to broader existential and relational dimensions that shape patient and family experiences in resource-limited settings.
This study examined public attitudes and experiences in using the Internet for first aid guidance in real-life medical emergencies.
Methods
The study involved: (1) an analysis of YouTube comments (n = 6,786) on first aid videos using latent Dirichlet allocation topic modeling; (2) a survey of completers of an online Basic Life Support course (n = 731).
Results
Topic modeling of social media comments revealed users’ frustration with unskippable advertisements, reflecting a collective perception of online videos as a source of immediate advice on first aid in real-life emergencies. According to the survey data, 14.6% of respondents sought online first-aid instructions during a real-life emergency. An additional 8.9% reported similar experiences among friends or relatives. Of those who searched for advice, 90.7% found and implemented instructions. Most respondents showed readiness to attempt this in future as they believe it could be lifesaving.
Conclusions
The existing public demand for, and continued use of, the Internet as a source of advice on first aid, the risks arising from laypeople’s reliance on information of questionable quality, and the potential usefulness of authoritative digital guidance for instances where other means of assistance are unavailable constitute an intricate public health issue that requires attention and comprehensive solutions.