Nurturing communication by health professionals toward patients: A communication accommodation theory approach

This study explores the role of nurturing communication in distinguishing interpersonal and intergroup interactions between health professionals and patients, from the perspective of communication accommodation theory (CAT). Participants (47 men and 87 women) rated videotapes of actual hospital consultations on 12 goal and 16 strategy items derived from CAT. Health professionals in interpersonal interactions were perceived to pay more attention to relationship and emotional needs and to use more nurturant discourse management and emotional expression. These results point the way toward elucidating the perceived optimal balance in accommodative behavior, both group based and interpersonal, in these contexts, and they highlight the importance of nurturant communication to this process.

Strategies of accommodation: Development of a coding system for conversational interaction

This study describes a coding system developed to operationalize the sociolinguistic strategies proposed by communication accommodation theory (CAT) in an academic context. Fifty interactions between two students (of Australian or Chinese ethnic background) or a student and faculty member were videotaped. A turn- and episode-based coding system was developed, focusing on verbal and nonverbal behavior. The development of this system is described in detail, before results are presented. Results indicated that status was the main influence on choice of strategies, particularly the extent and type of discourse management and interpersonal control. Participants' sew and ethnicity also played a role: Male participants made more use of interpretability (largely questions), whereas female participants used discourse management to develop a shared perspective. The results make clear that there is no automatic correspondence between behaviors and the strategies they constitute, and they point to the appropriateness of conceptualizing behavior and strategies separately in CAT.

Contemporary sexism - The relationships among hostility, benevolence, and neosexism

Previous research has examined the relationship between the Modern Sexism Scale (Swim, Aikin, Hall & Hunter, 1995) and the Ambivalent Sexism Inventory (ASI; Glick & Fiske, 1996) or the relationship between the Modern Sexism Scale and the Neosexism Scale (Campbell, Schellenberg, & Senn, 1997; Tougas, Brown, Beaten, & Joly, 1995). The present study examined the relationship between the ASI and the Neosexism Scale. Across three samples (N = 907), neosexism was found to be associated primarily with the hostile rather than the benevolent component of ambivalent sexism. Hostile sexism, benevolent sexism, and neosexism were all significantly associated with attitudes toward lesbians' and gay men's rights, and both hostile sexism and neosexism were significantly associated with attitudes toward women's rights. Neosexism and hostile sexism were negatively associated with a humanitarian-egalitarian orientation, whereas benevolent sexism was positively associated with a Protestant-ethic orientation. It is concluded that, although both the Neosexism Scale and ASI measure contemporary sexism, only the Benevolent Sexism subscale of the ASI taps the subjectively positive side of contemporary sexism.

Attachment style, assertive communication, and safer-sex behavior

This research tested the proposition that the effect of attachment security on safer-sex practice may be mediated by communication patterns. One hundred eighty-five undergraduate students completed questionnaire measures of attachment, assertiveness, and attitudes to communication about AIDS. Eight weeks later, they reported on their practice of safer sex in the period since the first testing session. Hierarchical regressions showed that at Step 1, anxiety about relationships (a measure of insecure attachment) was associated with less safer-sex practice, for all outcome measures. Attitudes to communication about AIDS added to the prediction of general reports of safer-sex practice: in line with the mediational model, anxiety about relationships became unimportant as a predictor when communication variables were included. Communication variables failed to add to the prediction of safer sex on the most recent encounter, and both anxiety about relationships and attitudes to communication about AIDS predicted condom use. Some gender differences in patterns of prediction were noted. The results are discussed in terms of attachment style and its links with the negotiation of sexual practice and relationship issues.