HIV/AIDS and Subaltern Autonomous Rationality: A Call to Recenter Health Communication in Marginalized Sex Worker Spaces

Sex workers in India constitute a marginalized population. They are considered at high risk of HIV/AIDS and are stigmatized for “selling sex” in a culture that generally censures sex outside marriage. HIV/AIDS initiatives targeted at this population have mostly adhered to promoting condom use, increasing awareness, and encouraging blood tests to screen for HIV/AIDS. Missing from this discourse are voices of sex workers and their autonomous consciousness. Based on an analysis of interview data from an eight-week field project, this paper seeks to centralize sex worker subaltern rationality in a call to reframe expert-led HIV/AIDS communication efforts that cater to sex worker communities.     

The Ethics of Keeping HIV/AIDS Newsworthy in Tanzania

This study focuses on the negotiation of ethical challenges when reporting HIV/AIDS in Tanzania by investigating how two newspapers, the Daily News and the Guardian, operate in an environment with marked limitations on resources. Interviews with journalists reveal how economic concerns and reluctance to invest money in reporting a disease, now perceived as “old news,” has opened up space for official news sources to gain privileged access to disseminate their messages, shaping the discourse on HIV/AIDS. Organizational news sources use many strategies, including providing a “transport allowance” and offering all-expenses paid trips to the field in order to gain media attention, raising ethical dilemmas for journalists and concerns about the quality of the news that gets published.     

Attachment and Relational Satisfaction: The Mediating Effect of Emotional Communication

This study investigated associations among one partner's relational satisfaction and the other partner's style of attachment and emotional communication. Findings from a questionnaire study involving 581 couples showed that participants reported more relational satisfaction when their partners scored high in security and low in dismissiveness and preoccupation. These associations between one's relational satisfaction and the partner's attachment style were partially mediated by how the partner reported communicating emotions. Specifically, participants were less satisfied in relationships with preoccupied partners who reported expressing anger using destructive communication. Participants were less satisfied with dismissive partners who reported using detached emotional communication. Finally, participants were more satisfied with secure partners who reported using prosocial emotional communication. These findings suggest that the often-cited relationship between attachment and relational satisfaction is partially explained by emotional communication.     

Role of Indian public libraries to increase the awareness of the community on HIV/AIDS

Abstract

Today Indian society is at high risk. AIDS, the most devastating disease humankind has ever faced, has become a conflagration on the Indian subcontinent and nearly 5.134 million people in the country are estimated to be HIV-positive. There is a perceived need for public libraries to provide necessary information to make the community aware of the threat of HIV/AIDS. Today's challenge is to reinvent the public libraries to respond to community needs. This paper explores the avenues created by ICT-enabled networking processes in providing HIV/AIDS information to the unprivileged population in India. It concludes with a number of recommendations that are intended to address the core problems and thereby improve the overall situation.     

HIV/AIDS Information in Public Libraries

Abstract

Despite well-publicized advances in the development of antiretroviral therapies, HIV infection remains an incurable condition. Worldwide, the disease threatens to gravely impact a wide range of developing nations, especially in Sub-Saharan Africa, South and Southeast Asia and South America. In the United States, the poor and particularly women of color are at great, and increasing, risk for infection. Public libraries, as trusted public institutions for the dissemination of information, can continue to play an important role in promoting public health information surrounding HIV/AIDS prevention and education. Public libraries are not immune, however, to the political and value-driven public discourse surrounding HIV infection. Through carefully identifying the issues, taking a nonjudgmental service approach, and building collaborations with community based organizations, public libraries can become common ground for providing proactive prevention-focused information services. This article examines the current state of epidemic HIV/AIDS infection, reviews the literature on public library responses, and identifies highly select consumer health and biomedical monographic, serial, audio-visual and Web-based HIV/AIDS information tools.     

When Online Meets Offline: The Effect of Modality Switching on Relational Communication

Collaborative partnerships developed via text-based computer-mediated communication (CMC) commonly shift interactions to alternative formats. Extant research indicates that shifting from one modality to another, or “modality switching,” can have profound positive and negative effects on relational outcomes. Drawing on social presence theory (Short, Williams, & Christie, 1976 Short, J., Williams, E. and Christie, B. 1976. The social psychology of telecommunications, London: Wiley.  [Google Scholar]) and social information processing theory (SIPT; Walther, 1992 Walther, J. B. 1992. Interpersonal effects in computer-mediated interaction: A relational perspective. Communication Research, 19: 52–89. [Crossref], [Web of Science ®] , [Google Scholar], 1996 Walther, J. B. 1996. Computer-mediated communication: Impersonal, interpersonal, and hyperpersonal interaction. Communication Research, 23: 3–43. [Crossref], [Web of Science ®] , [Google Scholar]), the present study examined the influence of meeting FtF after varying lengths of time interacting via CMC on relational communication. Consistent with predictions, remaining online yielded greater intimacy and social attraction than the other conditions in which FtF contact occurred. With respect to the CMC conditions, modality switching modestly enhanced relational outcomes in the “early” switching partnerships but more strongly dampened those of “late” switching ones.     

Centered but not Caught in the Middle: Stepchildren's Perceptions of Dialectical Contradictions in the Communication of Co-Parents

The researchers adopted a dialectical perspective to study how stepchildren experience and communicatively manage the perception of feeling caught in the middle between their parents who are living in different households. The metaphor of being caught in the middle is powerful for stepchildren and this metaphor animated their discourse. A central contribution of the present study was to understand the alternative to being caught in the middle and what this alternative means to stepchildren. Reflected in the discourse of stepchildren is that to feel not caught in the middle is to feel centered in the family. Stepchildren's desire to be centered in the family was animated by the dialectic of freedom–constraint, which co-existed within the contradictions of openness–closedness and control–restraint. These contradictions are detailed in the analysis, along with advice to parents from the perspective of stepchildren. Implications for the interaction of stepchildren and their parents are discussed.     

Centered but not Caught in the Middle: Stepchildren's Perceptions of Dialectical Contradictions in the Communication of Co-Parents

The researchers adopted a dialectical perspective to study how stepchildren experience and communicatively manage the perception of feeling caught in the middle between their parents who are living in different households. The metaphor of being caught in the middle is powerful for stepchildren and this metaphor animated their discourse. A central contribution of the present study was to understand the alternative to being caught in the middle and what this alternative means to stepchildren. Reflected in the discourse of stepchildren is that to feel not caught in the middle is to feel centered in the family. Stepchildren's desire to be centered in the family was animated by the dialectic of freedom-constraint, which co-existed within the contradictions of openness-closedness and control-restraint. These contradictions are detailed in the analysis, along with advice to parents from the perspective of stepchildren. Implications for the interaction of stepchildren and their parents are discussed.     

HIV/AIDS Outreach: Curriculum Development and Skills Training to Health and Information Professionals

With funding from the National Library of Medicine HIV/AIDS Community Information Outreach Program (ACIOP), librarians at the University of Florida Health Sciences Libraries partnered with university and community groups to facilitate collaboration, develop new information resources, develop information-seeking skills, and raise general awareness surrounding HIV/AIDS risks, prevention, and treatment. This article describes the skills development elements of the project, including development and implementation of an HIV/AIDS information resource curriculum for health care providers, social services professionals, and public librarians within the project’s partner organizations.     

Positive portrayals of ‘living with HIV’ to reduce HIV stigma: do they work in reality?

ABSTRACT

The study explored how the combinations of living-with-HIV portrayals and HIV onset controllability portrayals influence HIV stigma because the two frame coexist in our communication environment. Results from an experiment with 443 college students in the United States indicated different combinations of the two frames might be helpful, ineffective, or harmful in reducing HIV stigma. The positive portrayal-low onset controllability combination might reduce HIV stigma, the negative portrayal-low onset controllability combination might be ineffective in reducing HIV stigma, and the positive portrayal-high onset controllability combination and the negative portrayal-high onset controllability combination might even increase HIV stigma. These results contextualize the effectiveness of positive portrayals of living with HIV when audiences may be exposed to multiple frames of messages about HIV stigma; they highlight the potential interactions between the two frames that may reduce the effectiveness of anti-stigma messages or may be used against the efforts to reduce HIV stigma.     

Practically Perfect in Every Way: Communication Strategies of Ideal Relational Partners

This study utilized social exchange constructs to examine communication strategies used by self-defined ideal relational partners when initiating dating relationships. Two hundred forty-four participants generated 1183 communication strategies they would use to initiate relationships if they believed themselves to be ideal partners. A content analysis revealed 15 categories of communication strategies enacted by ideal relational partners. These categories included initiation, emotional disclosure, direct inquiry, impression management, shared activities, supportive behaviors, information gathering, gift giving, compliments, other-initiated behaviors, assistance from others, self-acceptance, pickup lines, bragging, and use of humor. Implications for interpersonal communication research are discussed.     

The Effect of Anticipated Future Interaction and Initial Impression Valence on Relational Communication in Computer-Mediated Interaction

This study applies the critical paradigm of “rhetorical enterprise” to the case of nineteenth‐century British reform efforts, particularly the organization and the “gospel” of the Birmingham Political Union, and concludes that cases of rhetorical enterprise challenge critics to account for the enterprising consistency of tactics and creed regardless of the relatively inconsistent factors of men andevents.     

Perceived and experienced stigma among people living with HIV: Examining the role of prior stigmatization on reasons for and against future disclosures

HIV remains a significant health concern entering the fourth decade of the epidemic [Centers for Disease Control and Prevention. 2014. HIV basics. Retrieved from http://www.cdc.gov/hiv/basics/index.html], and people living with HIV continue to grapple with stigma. This study uses Leary and Schreindorfer's [1998 Leary, M. R., &; Schreindorfer, L. S. (1998). The stigmatization of HIV and AIDS: Rubbing salt in the wound. In V. J. Derlega &; A. P. Barbee (Eds.), HIV and social interaction (pp. 12–29). Thousand Oaks, CA: Sage. [Google Scholar]. The stigmatization of HIV and AIDS: Rubbing salt in the wound. In V. J. Derlega &; A. P. Barbee (Eds.), HIV and social interaction (pp. 12 Lekas, H. M., Siegel, K., &; Schrimshaw, E. W. (2006). Continuities and discontinuities in the experiences of felt and enacted stigma among women with HIV/AIDS. Qualitative Health Research, 16, 1165–1190. doi:10.1177/1049732306292284[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]–29 Lekas, H. M., Siegel, K., &; Schrimshaw, E. W. (2006). Continuities and discontinuities in the experiences of felt and enacted stigma among women with HIV/AIDS. Qualitative Health Research, 16, 1165–1190. doi:10.1177/1049732306292284[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Thousand Oaks, CA: Sage] conceptualization of stigma to explore prior stigmatization on reasons for and against future disclosures. We interviewed HIV+ individuals (N?=?59) and used a combination of deductive and inductive coding to analyze participants’ responses. Deductive codes consisted of four stigma characteristics (pose a threat to others’ health and safety, deviate from group standards, create negative emotional reactions in others, and failure to contribute), experiences of feeling stigmatized due to HIV status (yes or no), and the degree to which HIV stigma was a concern (major, minor, or no concern). Inductive coding identified examples of perceived and experienced stigma and stigma concerns on future disclosure decision-making. Practical implications discuss individual, institutional, and societal stigma-reduction interventions and programs.     

Malevolence,stigma, and social distance: Maximizing intergroup differences in HIV/AIDS discourse

This study examined the intergroup language used by young heterosexual Australians in conversations about HIV/AIDS and safe sex. Sixty male and 72 female heterosexuals participated in four‐person facilitated conversations (same‐sex or mixed‐sex) about HIV/AIDS and safe sex, which were recorded and transcribed. We focused on extracts concerning strangers or malevolent individuals who appear to be group members, along with extracts involving foreign national groups. Discourse analysis showed that groups at lower levels of social distance were constructed mainly in terms of individual responsibility. At moderate social distance, stereotypes were more negative, but sub‐typing was common, whereas at the highest levels, people were constructed entirely in intergroup terms. The findings of this study suggest that HTV prevention programs should make reference to all salient outgroups, so as to neutralize communicative strategies that strengthen intergroup boundaries as a means of reducing perceived personal threat of HIV infection.     

An Examination of How People in Romantic Relationships Use Communication to Manage Financial Uncertainty

Money is critical for financial and relational well-being, yet financial communication is often considered taboo, and most Americans receive little financial guidance. Not surprisingly, romantic couples experience financial uncertainty, which has been negatively correlated with satisfaction and trust. Through in-depth, semi-structured interviews of 40 individuals in married or cohabitating relationships and the lens of Uncertainty Management Theory (UMT), this investigation examines how people are (un)able to manage financial uncertainty. The study uncovers tangible ways individuals can negotiate financial uncertainty via uncertainty reduction, maintenance, and adaption, as well as information, communication, time-management, and/or sociocultural barriers that can impede uncertainty management. The investigation suggests the extension of UMT to consider the role of the dyad and offers practical implications for financial literacy and communication efforts.     

Unspeakable PrEP: a qualitative study of sexual communication,problematic integration,and uncertainty management among men who have sex with men in Taiwan

ABSTRACT

This study explored how men who have sex with men (MSM) communicated their use of pre-exposure prophylaxis (PrEP) on smartphone applications. Informed by the theory of problematic integration and uncertainty management, we asked if revealing ‘HIV negative, on PrEP’ status on smartphone applications might increase one's uncertainty in communicating about safe sex with others. We conducted interviews with 31 Taiwanese MSM currently taking PrEP who participated in a national demonstration project. We identified three types of PrEP-related uncertainty: condition, information, and stigma uncertainty. Applied implications of our findings indicate the importance of the feasibility of medical infrastructure in implementing PrEP, the complication in translating scientific and medical jargon into everyday language, and dynamics of negotiating stigmas associated with HIV and AIDS in the context of HIV prevention.     

Subscribing to Governmental Rationality: HBO and the AIDS Epidemic

Between 1987 and 2013, HBO produced or distributed over twenty HIV/AIDS programs. These films trace a cultural shift from an early focus on AIDS as a public health issue to be dealt with through individual “safe-sex” practices and ethical citizenship to a later focus on AIDS as a global pandemic where the explicit strategy becomes a reliance on non-state actors to combat AIDS. This article argues that HBO's HIV/AIDS films are embedded within a cultural approach to AIDS that relies on governmental logics and neoliberal solutions – not direct action, but directing action.     

The Role of Relational Uncertainty in Topic Avoidance among Couples with Depression

To address a key gap in theorizing and research, we consider relational uncertainty as an explanation for why individuals experiencing depressive symptoms may be reluctant to talk about sensitive issues. We report closed-ended online survey data from 126 romantic couples in which one or both partners had been professionally diagnosed with depression. Results indicated that relational uncertainty mediated the positive association between depressive symptoms and topic avoidance. Partner effects from men to women also emerged. These findings are valuable for identifying relational uncertainty as a mechanism that may explain people's unwillingness to discuss challenging topics when they are experiencing depressive symptoms.     

The Ethnographer of Communication at the Table: Building Cultural Competence,Designing Strategic Action

Ethnographers of communication are increasingly working within interdisciplinary teams to address social problems in communities, corporations, and governments. This special forum brings together ethnographers of communication to reflect on the opportunities, tensions, and challenges involved in using the ethnography of communication to seek workable solutions to social problems with fellow scholars, practitioners, and community members. Through empirical case studies, contributors demonstrate how the ethnography of communication is used to build cultural competence and design strategic action.