Care, communication and conversation

The professionalisation of care has resulted in ever increasing specialisation, use of technical innovations and informatisation. This has had consequences for the level and way of involvement of the care provider vis-a-vis the patient. The result has been growing alienation on the part of the patient and flight into non-classical medicine, as well as frustration on the part of medical personnel, likewise with respect to the reactions of patients. A solution is usually sought in more communication. This might be styled the professional answer to alienation and frustration, whereby 'the human factor', it is hoped, can be better accounted for. Enhanced communication implies two elements: 1) to better cater for the feelings of patients by trained communicators, i.e. more openness, more client satisfaction; 2) to better take into account patient rights and to actually implement them. The question is whether measures in terms of communication, geared at enhancing client satisfaction and the implementation of patient rights, are the real answer to the above mentioned alienation and frustration. Perhaps the trouble has deeper reasons and requires taking other dimensions into account such as decency and human dignity, which cannot be captured simply in terms of satisfaction and rights. This would mean that the answer must be sought at a deeper level than communication. This level might be called 'conversation' (using a concept analysed by Michael Oakeshott). In the second part of the paper, the possible relationship between care and conversation will be briefly analysed.     

Affectionate communication,health, and relationships

A robust body of research attests to the mental and physical health correlates and consequences of affectionate communication. Like much research on personal relationships, however, this work may overrepresent certain portions of the population, may underrepresent others, and may not effectively account for intersections of identities. We define intersectionality as comprising the unique effects of two or more social identities interacting with each other. To assess this literature with an eye toward intersectionality and representation, the present article reports a systematic review of 86 individual empirical studies representing 26,013 participants. The review concludes that there is no explicit or implicit attention to intersectionality in the existing research on affectionate communication and health, and that U.S. Americans, women, younger individuals, white individuals, and students are overrepresented in research samples. The review ends with future directions to encourage more inclusive research on this topic.     

Auditory communication,meteorology, and the Umwelt

Animal communication is affected by a multitude of environmental factors including meteorological conditions, ground reflection, turbulence, and vegetative attenuation. Evolutionary and behavioral adaptations by animals to these challenges include elephant use of infrasound optimized for long-distance propagation. These adaptations in turn influence the perceptual sphere, or Umwelt, of calling animals.     

Intraorganizational communication, perceived organizational support, and gender

Gender differences in the relationship between perceived organizational support and employee perceptions of their communication with top management, immediate supervisors, and coworkers are investigated in a university and in two engineering firms. Respondents were predominantly Caucasian Americans. Gender moderated the relationship between perceived organizational support and two communication variables (coworker communication relationship and coworker information quality). Males reporting a positive coworker communication relationship also indicated higher perceived organizational support. This pattern did not emerge for females. Males who perceived receiving higher quality information from coworkers reported higher perceived organizational support. While a similar pattern emerged for females, the relationship was weaker.     

Parent-adolescent communication, family functioning, and school performance

This paper presents the results of a test of theoretical postulates proposed by Olson, Russell, and Sprenkle (1983) using a matched set of adolescents and their parents. One set of families (n = 40) consisted of adolescents who had been unsuccessful in public school and were attending alternative schools, while the other (n = 52) was a matched group of public school adolescents and their families. Results showed predicted differences in the direction of greater balanced functioning (i.e., optimal cohesion and adaptability) and more positive communication in the public school families. Public school families also perceived greater congruence between perceived and ideal family functioning. Congruence and differences between adolescent and parent perceptions, the importance of positive communication for optimal functioning, and implications for family treatment are discussed.     

Frontline,facilitated communication,and Stephen Jay Gould

Journal of Behavioral Education -     

Verbal communication, nonverbal communication, and private speech in lower and middle socioeconomic status preschool children.

Three types of communication--verbal, nonverbal, and private speech--were investigated in 4- and 5-year-old children. Multiple analyses of variance (MANOVAs) without IQ controlled and multiple analyses of covariance (MANCOVAs) with IQ as a covariate were computed and followed by ANOVAs and ANCOVAs to determine the effects of sex, age, and socioeconomic status (SES) on each of these types of communication. The ANOVAs and the ANCOVAs yielded the same conclusions. Results indicated that age and SES, but not sex, influence the use of the three communication types. From age 4 to age 5, private speech decreased for middle SES children and remained the same for lower SES children. Although lower SES children had more nonverbal communication at both age levels than middle SES children, nonverbal communication decreased for middle SES children and increased for lower SES children between the ages of 4 and 5 years. Both lower and middle SES groups increased in verbal communication between the two ages. The middle SES 4-year-olds used more verbal communication than their lower SES counterparts, and the difference was maintained at age 5. Although IQ is related to verbal communication, statistically controlling for the effects of IQ did not change the conclusions.     

Covert communication in classrooms,clinics, courtrooms,and cubicles

Interpersonal expectancy effects refer to the phenomena whereby one person's expectation for another person's behavior comes to serve as a self-fulfilling prophecy. The author examines the history and diversity of this area of inquiry, showing that the expectations of psychological researchers, classroom teachers, judges in the courtroom, business executives, and health care providers can unintentionally affect the responses of their research participants, pupils, jurors, employees, and patients. Using meta-analytic procedures, the author examines (a) moderator variables associated with the magnitude of interpersonal expectancy effects and (b) mediator variables implicated in the communication of interpersonal expectations. The author considers the social importance of the magnitudes of the obtained effects and points out research still needed to clarify issues in the mediation of these effects.     

Impulsivity,communication, and marital satisfaction in newlywed couples

The authors used a vulnerability–stress–adaptation framework to examine how and why impulsivity affects communication and marital satisfaction in a sample of 100 newlywed couples. We specifically examined the links between impulsivity and perceptions of conflict communication patterns and their associations with marital satisfaction. Using an actor–partner interdependence framework, the results demonstrated that impulsivity was negatively associated with one's own and partner's marital satisfaction. Impulsivity was also negatively associated with constructive communication and positively associated with destructive communication. Furthermore, mediation analyses showed that communication patterns mediated the impulsivity–satisfaction link. Taken together, these findings suggest that impulsivity is likely to lead to lower marital satisfaction, partly through its effect on communication between partners.     

Infant crying: Acoustics,perception and communication

This paper first reviews briefly the literature on the acoustics of infant cry sounds and then presents two empirical studies on the perception of cry and noncry sounds in their social-communicative context. Acoustic analysis of cry sounds has undergone dramatic changes in the last 35 years, including the introduction of more than a hundred different acoustic measures. The study of cry acoustics, however, remains largely focused on neonates who have various medical problems or are at risk for developmental delays. Relatively little is known about how cry sounds and cry perception change developmentally, or about how they compare with noncry sounds. The data presented here support the notion that both auditory and visual information are important in caregivers' interpretations of infant sounds in naturalistic contexts. When only auditory information is available (Study 1), cry sounds become generally more recognizable from 3 to 12 months of age; perception of noncry sounds, however, generally does not change over age. When auditory and visual information contradict each other (Study 2), adults tend to perform at chance levels, with a few interesting exceptions. It is suggested that broadening studies of acoustic analysis and perception to include both cry and noncry sounds should increase our understanding of the development of communication in infancy. Finally, we suggest that examining the cry in its developmental context holds great possibility for delineating the factors that underlie adults' responses to crying.