Saturday, November 21, 2009

Small Group Communication- personal


I have never had more fun in a group then I did last Thursday. I thought back to all the times I had worked with others to accomplish a task, and none of them were as exciting. This perplexes me because after learning about group communication, I think it should be a dynamic experience. Working with people that come from different backgrounds and areas of expertise is probably the number one way people can broaden their horizons. Plus I figure, why would I do something alone when I can do it some much better in a group of people?
So what was my team asked to accomplish you might ask? We were given fifteen minutes to construct a contraption that would be able to keep an egg safe from breaking. This egg would be dropped off four flights of stairs. We were put in a group of four or five people. I absolutely loved my group! It helps when everyone in your team is kind and not afraid to utilize humor at 9:30 am. We were given a small amount of supplies- all of which we had to fight for. Unfortunately, I did not do so well grab the supplies and only ended up with construction paper, a box, and rubber bands. Immediately I felt like I let my team down, but instead, all the girls were encouraging and told me I did a good job. Right off the bat, Mallory informs us that she has done this before and the most successful way to keep the egg safe is to lessen its impact when it hits the ground. From there, we decide to fully trust here and create an “air balloon” looking contraption. You could say that this was group think, and it was, but in our case it worked. We figured that if she had seen it done before, we could trust her. Since everyone grabbed the bags, I had the idea that we could break down the fibers of the paper to make them softer- more like fabric for a parachute. Because of our time restraint, our members immediately began rubbing the paper against the desk to do this. Two other girls start to tape the papers together as we are running out of time. Our group is highly stressed, but we are assuring each other that the task will get accomplished. Many times a girl in the group said something that made us all laugh which made the environment so easy and comfortable! No ideas were being judged and I noticed that our class was having a blast. This made me really happy considering we tend to be a quieter bunch. We continued to work efficiently with shaking hands as our teacher counted down the moments. I was stressed, but in a way that made me productive. I think stress in a group is a great way to get the adrenaline going! We ended up finishing our odd contraption with a bit of doubt. Still though, we were really curious to see whether or not it would keep the egg safe. It ended up being successful. I was so excited after this. I felt like I made a difference in my team when I thought of that idea. It is so cool when you realize that you have something to “bring to the table”. Everyone in my group made the process so positive, and it made me examine communication in a different manner.
After dropping the eggs, we sat down as a class and discussed our experience. Three out of the four groups were victorious! That must mean that we work well together. We all analyzed the different ways that we accomplished our task. Every group was different. What was surprising about the discussion was that no one really noticed that they had a leader. Every group had a person that came up with the first idea, and the members decided to go from there. Many of the clusters experienced groupthink. What was amazing was that we never noticed it while it was happening. Next time I am in a group, hopefully I will consider more options and create a plan B. If our contraption wouldn’t have worked I don’t know what we would have done! In the end, the experience was a great one. Even something as tiny as that shapes the way we perform in a team. I hope to do something like that again in the near future!

Small Group Communication- Applied

I have to admit, I was stumped when it came time to write the applied blog for small group communication. I could not seem to think of a movie, book, or article I had ever read that really captured the complexity of small group communication. At first I thought of the movie “Dodgeball”- a funny film about a group of individuals who puts a team together to win a dodge ball tournament. But still, that didn’t seem like the ideal group of individuals I was searching for. Then, I had this brilliant idea- I could create the perfect team, give them a goal, let them brainstorm, and finally accomplish this task. I know it is impossible to have the “perfect” team because some conflict is constructive; however, I wanted to get close to enough to excellence.
So here is my team- it consists of three men, and three women. All the men and woman are between the age of 25-55, which comes in handy for the company who hired them. These men and women work for a dating website called “Match-Stick.com”. The website was created a couple of years ago by an older man called Andy, and it has been highly successful. Andy wants this holiday season to be full of love! Therefore, he wishes to meet a quota of matches by the end of New Years. Matches can only be successful if the couple reports to the website that they have made it past the first date. Andy has decided to higher this group of individuals to work together in a “work group” to create new questions and analyze past data. He also wants them to bring in their expertise on what is “attractive” at any age currently. All of the members have worked on teams many times before which will be the number one reason they are so effective.
Even before the group meets, they work though phase one of group development well. Each person detaches themselves from other obligations and learns about each member they will be working with. Based on John merits and background in this kind of matter, they decide to make him their leader. John will keep the group on track; he will be confident, and also supportive. He has been a leader many times before. Members call and email each other so that they know each person’s educational background and clue them in on what they can “bring to the table”. During phase two, storming, the group experiences constructive conflict. Amy, one of the girls does not agree with Dan’s idea because of some statistical evidence she knows. And Rachel asserts her educational background in gender studies from Harvard. The group does not get as much done during this phase, but still they are learning all about each other. During phase three, norming, the group will develop a wonderful balance. Each person starts to understand what they need to do to contribute the process. All members remain individuals, but the work and time they spend is a smoother process. During phase four, the group really starts performing! They brainstorm for hours and hours using the nominal group technique. The group is open to new ideas and instead of shooting other members down, they encourage them! Ideas are added, multiplied, divided, and subtracted. Questions are analyzed, tried, and researched. Every time a new question for the dating survey is developed, the group agrees on it fully- they form a consensus.
Meetings begin with a typed agenda written by John, the leader. The agenda states what the group accomplished during the last meeting and what they hope to accomplish next. For instance, during a certain day, half the group is asked to go out and walk the streets of New York City researching what “types” of people attract one another. The other half of the group is asked to analyze the data they have collected about what has worked for the site in the past. After a few weeks, the group has become close and tight knit. They enjoy each other’s company and they are highly invested in their work. Sometimes, they even stay later if they have not finished. They become highly cohesive. Humor is constantly used as a means to make the group less stressed as they are in constant pressure to meet a deadline. All channels and lines of communication are now open and the group has set high standards for themselves. Once in a while, the group experiences group think, but John tries to make sure all possible solutions are considered and all voices are heard. Their leader also tries to make each and every day fun because analyzing human beings is interesting and exciting. He thinks of new ways to brainstorm and sometimes he brings in media artifacts. When something doesn’t go as expected, the members still encourage each other. If problems arise, the group tries to “harmonize” and mediate their differences. All of the progress made by the group is kept in record and comprise is used all the time.
You may be sitting here thinking that this team is a “dream team”. It is not though, each and every person can change the way they function in a group. If every person changed their attitude and work ethics, possibly their team could be great. In today’s fast paced society people have a tendency to settle and create lower standards. But think of all the expertise that the world contains. There are so many people that could work together to solve enormous problems. This teams ends up creating a set of questions that allows people to pinpoint the exact person that would complement them. A graphic designer on the team worked with the website to make it look more romantic for the holidays. By the end of new years, 500 matches were made. This can happen! The group is excited beyond belief and this opportunity has shaped the way they work in a group.

Friday, November 20, 2009

Small Group Communication- Definitional

We spend so much of our lives working with other people! During one year, “eleven million meetings occur in the United States every day”, which makes for a lot of complex interaction (386). Unfortunately though, “Over 50 percent of this meeting time is wasted” (386). Some groups can come together and complete enormous tasks and make intelligent decisions, but they accomplish these things by working together in a positive and effective manner. Armour makes some suggestions on how we can make meetings more constructive. Some of the suggestions include but are not limited to: being prepared ahead of time, distributing an agenda, and starting and ending the meeting on time. As we look at small group communication we will focus in on problem solving, or task-oriented groups. To analyze group communication one must first look at the way a group typically functions, then more specifically, one must provide insight for how an individual group member can become more effective. Tubbs defines a small group as a, “collection of individuals who influence one another, derive some satisfaction from maintaining membership in the group, interact for some purpose, assume specialized roles, are dependent on one another, and communicate face to face” (387). This might seem like a lot of criteria, but a group does not have to use all six functions.
As soon as we are born, we are put into a primary group- our family. These groups are informal. Once a person belongs to a group their social identity forms and they continue to shape this identity as they extend their relationships to casual or social groups. Even if these relationships don’t last very long, the people influence our thoughts and ideas for years after. When people come together to teach or learn something about a given subject they are members of a learning or educational group. These types of groups can also include seminars or courses in which people interact in clusters. This type of group has also been called an, “enlightenment group” (Brilhart and Galanes). During our lives we will most likely be a part of a work group that includes us working with people to accomplish specific goals in a job setting. Members of these groups may have very little in common and they usually receive payment for their individual contributions. If you do not participate in this type of a group you will most likely lose your job, meaning the consequence is worse. Recently, the “employment world” developed this idea of the self-directed work team. This is defined as a group of individuals that must manage themselves and work with minimum supervision. These members, “handle job assignments, plan and schedule work, make production and/or service related decisions, and take action on problems” (Fisher). This seems to work well because those closest to the work know how to perform, employees want to feel like they own their jobs and are effective, and these groups feel empowered.
One of the most common complaints about small groups is that they take too much time and people rarely accomplish all that they should. In order to correct this problem, one must examine the behavior of each individual in the group. Dealing with conformity pressure is a huge part of working in a problem solving small group. An example of this would be the fact that if you were to ask a group of individuals a question, they would most likely all start answering the same way. Even if a person thought the answer wasn’t necessarily correct, they would still use it because the four or five people who answered before them chose that response. If you asked the question and then told the group members to disperse themselves in other rooms, they would most likely answer differently. This is such a problem because group members seldom get to establish their point against a mass decision. The example above looks at private acceptance and public compliance. These two ideas deal with whether, “people change their thinking as a result of hearing opinions different from their own or whether they say they agree with the group when in fact they disagree” (389). Private acceptance can happen when a person values the other members, their opinion is against him or her, the question begins as unclear, or when the group is under strain to reach their goal. This person that conforms is, “more submissive and dependent, high in need for social approval and low in need to be outstanding, more often female than male, and lacking in self confidence” (Hare).
When a person first joins a group, they tend to receive a lot of pressure to conform. This is because these new comers have not earned the right to go against the set norms. The most “closely-knit” a group is, they more likely they are to give off strong conformity pressures. What usually happens to a person that goes against the group norms? Well, at first this individual will get the group’s attention. Then, the group will try to persuade the individual to see it their way. If this person doesn’t come around, they become ignored or rejected. According to Festinger, we all yield to social pressure because, “human beings have a need to evaluate their own opinions and abilities and that when they cannot do so by objective nonsocial means, they compare them with those of other people”. For instance, you can compare yourself to other drives so that you know how good of a driver you are.
On the other hand, the risky shift phenomenon states that people are more likely to take risks when they are a part of a group. This is because not one member feels totally responsible for the decision. Also, people tend to be more persuasive in a group when they are arguing for something that is risky. Our western culture seems to value this behavior over conservative behavior. When working in a group, one might notice that the conclusion they come to might be riskier than the decision each individual would have concluded.
A very large part of being in a small group has to deal with this concept coined by Irving Janis called “groupthink”. As a part of groupthink we have to understand that the, “judgments of other people affect our attitudes, beliefs, and values as well as our perceptions” (392). The effect of these norms is not always negative. During groupthink ideas accepted by the group are not examined, and those ideas that oppose are concealed. You can see this happening in political and social contexts. This phenomenon is so powerful because people do not know when it is occurring, and people are afraid to say their own opinions because it will make them an outsider. Groupthink often causes, “us to use limited organizational resources in suboptimal ways” (393). Janis concurs that there are eight symptoms of groupthink: (1)members see themselves as not susceptible when it comes to risks, (2)warnings and negative feedback are rationalized, (3) members suppose that they are moral and can be excluded from ethical concerns, (4)leaders of other groups are considered terrible, (5)members who go away from the group are pressured to obey the rules, (6) members do not speak out when they oppose, (7) members believe that their choice is undisputed, (8) and finally, members screen the group from unpleasant information. In the end, the group doesn’t consider a “plan B”, fails to look at their decision, doesn’t gain all necessary information, and doesn’t see all sides of the issue.
Many times throughout our lives we are asked to brainstorm. This brainstorming allows us to be creative and think about a number of original ideas that could solve a dilemma. When this is asked of us, the more ideas we come up with, the better! When people come together after they have brainstormed they can play off each other’s ideas and come to a whole new conclusion. When people are sharing their ideas it is important that people do not “shoot them down” by saying things like, “that’s ridiculous,” or, “it’s impossible”. Instead, members should use terms that are positively reinforce the individual. An example of this would be, “We can do a lot with that idea”. Although it sounds cheesy, a creative group will yield the most ideas when they are considered happy. This is why humor is a thing to use in small groups. Humor alleviates stress and makes the group feel more energetic. Those people who believe in the power of brainstorming time and tasks will most likely be highly effective when it comes to generating new ideas. These people are not afraid to communicate their ideas and they have a higher tolerance for vagueness.
An imperative part of analyzing a team is realizing the role of each group member. Robert Bales of Harvard University developed a method that provides a framework that one can view the functions and patterns of communication. Each instance a group member interacts with another, their communication is assigned to one category, and after scoring, patterns of behavior become evident. The categories consist of (A) positive and mixed actions, (B) attempted answers, (C) questions, and (D) negative and mixed actions. Category A includes: seeming friendly, dramatizing, and agreeing. Category B includes: giving suggestions, giving opinions, and giving information. Category C includes: asking for information, asking for an opinion, and asking for a suggestion. Finally, category D includes: disagreeing, showing tension, and seeming unfriendly. Many groups need someone that challenges them. In terms of group task behaviors, Tubbs developed many roles that should be directed from each member towards accomplishing a goal. An individual that is initiating-contributing proposes new and exciting ways to deal with things. Perhaps this person could even rephrase the problem they are dealing with. An information seeking person makes sure that they ask questions so that they are clearly being told what is asked of them. Someone who is opinion seeking is not concerned with facts as much as they wish to know the reason behind the facts. On the other hand, an information giving person is constantly offering facts and data. Commonly, a group will have an elaborator that expands on the suggestions made by other members. The group coordinator will offer idea connecting suggestions, and they bring the group closer. A person who is orienting knows the positions of the group members and helps them stay on track. A group evaluator will compare the accomplishments of their group to those of another. Every group needs and energizer to help them when they do not feel like pulling forward. A member that is assisting on procedure will perform routine tasks for the group. And lastly, a group recorder will compile suggestions and outcomes.
Groups need to build their bond and maintain their roles in order to remain effective. To keep the group in proper functioning order, group members should be encouraging, work in harmony, and allow compromise. They should keep communication channels open, set standards, observe their group progression, and try to follow the group’s ideas. Each individual will also take on a role that more so benefits themselves than their group. Group members can sometimes be aggressive, they can block out information, and they can be recognition seeking. At some point, a group member may use the group to express their personal feelings. In many groups you will find the “jokester” and the person who wishes to dominate. One who is “help seeking” often expresses insecurity. And lastly, someone that is special-interest pleading will speak on the behalf of a predicament suppressing their own prejudices.
When group member problem solve together for a period of time they become emotionally dedicated. It is true that a cohesive group is in fact more effective. Cohesiveness is defined as, “the total field of forces acting on members to remain in the group” (Schachter). These groups contain members and are invested and they find joy in spending time together. Although this group is not always more productive because they can be “chatty” and more social, they tend to get through crisis situations, aid each other, and ask questions explicitly. These members might also feel more comfortable discussing a suggestion that doesn’t blend with the group’s proposal. For some people, working with others can be dull, exasperating, and very tiring. Feelings have a very important place in a problem solving group. These feelings should be carefully examined.
There are four imperative phases of group development. One’s understand of these phases allows them to measure the development of the group, make predictions about progress, and plan interventions to make the cluster more successful. Phase one is defined as “forming” which really beings prior to the group even meeting. During this stage, members will remove themselves from other things that could conflict with achieving their new goal, and they try to find out about each other. This can take anywhere from one day to many weeks, and the communication that takes place is usually guarded. During phase two, storming, individuals will begin to assert themselves and their place within the group. The language during this phase is direct, and things are not always as productive. People will question their leader, and ask themselves how emotionally committed they should be. During phase three, the group will develop norms and form a balance. This is the response to the storming phase and it doesn’t mean that all issues are resolved. The group becomes more closely knit and problem solving runs smoothly. During phase three, the group is most productive. At points during this phase, group members might make negative comments. Humor is also added to the mix. You may tend to see an overlap in behaviors for each phase.
Three variables add up to the structure of the group. These three variables are defined as group size, networks, and leadership. The group size will affect group effectiveness because you might notice that when working in a larger group, only a few people can contribute and not all ideas are expressed. Also, when groups get larger, smaller groups tend to form within the group. As groups expand beyond 20 the quality of their group progress decreases. Ideally, a group should have five members to remain successful. The group size and social pressure can affect the group interaction progression. Communication networks deal with the patterns of communication. Robert Townsend developed one model that includes three types of management organization. The best organization has a manger on top that delegates to two people on the same level at the bottom. The next has the manager on the top followed by people that go down in level below them. The weakest organization includes a manager that has an aide and two people right underneath. There are five types of communication networks: wheel, chain, Y, circle, and all-channel. In a wheel, one person becomes the leader and the source of comments from four others. For the chain network, “three people can communicate with those on either side of them, but the other two with only one other member of the group” (406). For a Y network, which resembles the chain, only three people can converse with that one person. During a circular function, one person can communicate with only two others. This circle arrangement may be “leaderless”. A group that uses the all channel network is allowed to communicate freely with each person- meaning all communication lines are open. The wheel usually yields the fasts performance, and the circle group is usually unsystematic. The circle function all accumulates a large number of errors in communication. The drawback of these networks is that a group really needs to look at its organization when solving a problem, and they should not just look at the problem in itself. If a group simply understands the procedure it must take to solve a problem, the network won’t matter as much. Centralized networks usually solve smaller problems while decentralized networks solve more complex issues. These decentralized networks have become more desirable for this reason.
Throughout the years, technology has taken shape everywhere around us! Technology improves group efficiency in immense ways. Groups can now communicate so many different ways. For instance, groups can now meet via video chat which makes “global groups” possible. People no longer have to sit next to one another to communicate. This can be troublesome though because members miss out on a lot of non verbal communication. This can also slow relationship building as conversations become fewer and fewer. For a flourishing online group to communicate it needs constant and available technical support, a way to know when the other members are logged on, and designed regulations for decision making. These online groups allow people to “be together”, without physically being in each other’s presence, which can be wonderful in this fast paced culture. People can interact whenever they find time throughout the day. Videoconferencing has allowed groups to meet together at a set time all across the globe. The availability of this technology has been widely increased. This sort of think makes group communication so exciting!
A lot of research has been put into shaping the characteristics of a great leader. Although a leader is usually bright and confident, there are no essential distinctive traits that they exhibit. New studies view leadership, “not as a quality, but as a series of functions that groups must have performed” (408). The leader will perform these functions and sometimes delegate them to others. Two major guidance actions include task functions and consideration functions. Task functions are duties that help the group successfully attain their goal. Consideration functions include tasks that improve the feelings of the members and group cohesiveness. These duties cannot usually be performed simultaneously, so many groups will ask for two leaders. It is still true today that leaders and not born, but are made. When we see someone emerging as a leader they usually have great ideas and a lot of concern for the group. This person will usually make sacrifices for the betterment of the group. An important characteristic of a wonderful leader is emotional intelligence. A leader should be self-aware, self-regulating, motivated, empathetic, and they should have great social skills.
At times, people can find that they are in group that is irritating, uninteresting, and lengthy. This may make them want to quit as they know that this will result in poor conclusions. Though, we must remember that there are certain things that must be done in a group, and for that reason we should try to work with people as well as possible. James Surowiecki believes that a group will perform well if they possess four elemental characteristics. A group must contain all different types of people and there should not be a definitive leader crowned. The group member’s thoughts should be put into one mutual answer, and each affiliate should access the group data. High performance teams get results, have shared purpose, and try to improve themselves, focus on the task at hand, and set high standards. The more training group members have, the more victorious they become. This experience is defined as social learning. In some horrible group situations, it is important to remember that we have the power only to change our characteristics.
For a small group to be effective problem solvers they should introduce applicable issues, inflate ideas, and document assertions. A group should also stick with a goal and accomplish it in an organized fashion. A couple of complaints made about small groups are that group members cannot seem to brainstorm, objectives are not set in stone, members don’t help each other, and conflict become prevalent. For many reasons, groups never even reach a conclusion because a discussion is not carried on long enough. Setting an agenda is a great way to make sure the group stays on task and looks at the problem in a different manner. Groups should ask themselves what the best solution really is, and what causes the problem. They should also question what an adequate solution could be and then analyze what needs to be done to accomplish that resolution. Brainstorming can be awesome when it comes to generating new ideas if a group follows a set of six rules. First, then group members should not judge each other, and second, people should let their minds “run wild” in order to produce results. Thirdly, a person should sit and think of as many ideas as he or she can. Fourthly, from these ideas, a person should combine and improve. Next, they should write down and keep record of all these ideas and evaluate them at a later time. Once many ideas are accumulated, a group should use them mathematically- multiply them, add them, divide them.
A new method commonly used in business and industry to create a positive discussion method is called nominal group technique. This method has six phases. During the first phase the group remains silent and writes ideas down on paper. Next, they list all these ideas so that they are visible to the entire group. Now the group will look over the ideas and discuss them. These ideas will receive a rating which leads to a vote. The last phase ranks the final ideas. The method helped teams make better decisions in the end. Most importantly, though, groups should first analyze a problem carefully before they ever attempt to solve it.
Some times conflict can benefit a group and push it to grow. You wouldn’t want someone to agree with you all the time- that becomes boring. Two types of conflict are constructive and destructive. This constructive conflict makes for intelligent discussion and is seen as intellectual. Destructive conflict has to do more with personal and emotional conflicts. When these types of conflicts arise, humor should be used to lighten the tension.
If we assume that a group will always make a decision, we can analyze the ways that they carry out the task. A consensus is, “an agreement among all members of a group concerning a given decision” (415). A high consensus group uses more than one method to problem solve, generates a variety of solutions, changes integration methods, and terminates “episodes”. On the other hand, low consensus groups rarely use more than one method of problem solving, repeat one type of integration, generate a minimal number of solutions that are made later, and introduce claims that are underdeveloped. If a majority vote is reached, that means that 51% of the group’s members agree. Unfortunately, some groups arrive at their decision by handclasping which happens when minority members within a group form a coalition to help each other achieve mutuality advantageous goals. When a few members force their opinion on the group it is defined as railroading. Usually the leader of a group will do this.
We can only know how well our group is performing if we have worked in a group before. Experience is key! Group leaders can evaluate their group using six criteria. Roles of the participants should be clarified, the right people should be in a leadership position, plans should be required, client feedback should be assessed, members should be invested, and finally, members should compensate.
There is still a lot to learn about group communication but it is important to remember that the more be place ourselves in group situations, the more we learn and grow. Perhaps someday, I will become a great leader, but it will take time!

Bibliography:
Tubbs, Stewart, & Moss, Sylvia (1974). Human Communication. New York, New York: McGraw-Hill .

Saturday, November 7, 2009

Health Communication- Personal


Because many aspects of health communication are so serious, I decided that I would discuss a personal experience that was somewhat humorous compared to a mass disease. I would like to talk about by practice with the stages of change model, and my need to quit drinking diet soda! Let’s face it; many women throughout the world share this same problem. I know that this “fake sugar” cannot benefit my body, and to be honest, I was having around twenty diet sodas a day. During my pre-contemplation stage, I was soooo not ready to change. I was out at restaurants drinking this carcinogenic liquid like it was my job. I loved every kind of diet soda, and my mind could not fathom the idea of giving up all this caffeine. Then one day I thought about how much I depended on diet soda to get through the day- I know it’s quite sad. I really needed it! I never wanted to depend on something in my life, so I began to contemplate changing. In preparation I thought about all the ways I could quit consuming this stuff. Oh, it was going to be hard!!! I first thought that I could quit “cold turkey.” This did not work as I had horrible headaches from the lack of constant caffeine. Even through this pain, I was in action. I then decided that for one week I would only have two diet sodas a day. Then, the next week I would only have one diet soda. This would happen until I could finally quit having any soda at all. One day, after many days of action, I believed that I could live without a soda. And I did- after that day I only drank water! I felt better, and I felt more hydrated. I also liked that I no longer was dependent on this substance to make me happy. These benefits allowed me to maintain drinking water for a couple of months. Then one night I went to dinner… and relapsed (gasp). Yes, I had five tall glasses of diet soda. And to this day I am drinking diet soda. You could say that I am stuck into the relapse stage which is quite sad. I am hoping to quit again someday, but right now I need a vice.

Health Communication- Applied


What was most interesting and perhaps scary about watching the film, “And the Band Played On”, was that we are in many ways under the control of health professionals. AIDS could only be diagnosed by health practitioners, and a great deal of research. Each time something was found, it was imperative that it was communicated to the nation so that a person could perceive their risk. The movie begins as two doctors enter Central Africa as it is experiencing the Ebola Virus. These two men enter a horrific scene as people do not understand what kind of horrible sickness is taking their mothers, fathers, sisters, and brothers. One doctor clings to a woman who is mumbling a different language in a ghastly state. Her inability to communicate with the doctor is quite concerning because it is obviously something that is imperative in order to understand what is going on. Her non-verbal communication says a lot to him because it is abrupt and from it he can understand she is in pain. In many ways you wish you could speak her language so that you may comfort this woman that is clearly in a great amount of distress. The two doctors, one man in particular that does research for the rest of the movie, feel powerless. He continues to feel this powerlessness throughout the entire film.
Fast forwarding a couple of years, the AIDS virus begins to take shape. The first case occurs in Copenhagen, Denmark. Then cases start to form at the UCLA Medical Center, and in New York. Doctors find quickly that the disease destroys t-cells and it is between gay men. So far, communication has been between doctors. As more cases come up, the Center for Disease Control is notified. Now, organizational communication is used. Messages are constantly being passed from doctor, to doctor, to lab technician, to epidemiologist, and back to doctors. As more information on the disease is found, the health professionals start communicating with the mass media. Health practitioners know that they must get information out to those who could contract the virus, but they also want to make the information correct. There is a lot of stress during the movie as some facts are withheld from the general public as a means to save time and money. For instance, the blood banks knew that they had received blood from people with AIDS, but they did not want to throw away their resources so they chose to still give it to people. In the end, this would be communicated to people, and they would be devastated. It makes you rather angry when you see these professionals covering up certain information.
In terms of non-verbal communication, statistics speak a thousand words. The number of those infected and dying would increase greatly over the eighties. Those statistics can be quite scary, and they allow a person to perceive their threat. This goes along with the health belief model because if a person perceives that they are in great danger of receiving this disease, they will most likely make behavioral changes. The incentive in itself is to not contract the disease. If a man would have continued going to a Bathhouse during that time, their risk increased. If this man understood this, he would comprehend the amount he could benefit by not going to a bathhouse. This person must also be confidence in his actions and know that his actions would help him. As numbers increased, the disease was not found in just gay men. A woman who used a needle received the viruses which lead professionals to conclude that the disease could infect another through the act of sex, and the “swapping” of blood. Throughout the entire movie, there is constant interaction between health professionals.
I found it interesting that most of the doctors became interested in the business aspect of the disease. In many ways, they lost their empathy. These doctors were more concerned with saving money by not using blood tests, and not depleting the blood banks resources. Both of these things could have saves hundreds of people. Unfortunately this made the public view doctors in a different light. A doctor should communicate peace, and they should advocate change for the betterment of health. Phlebotomists must have lied to many people as they gave them infected blood. During this time, different countries were also in completion. The French scientists and the American scientists were both working on identifying the virus. There was a cultural disconnect with communication as the French saw the American as sex obsessed. I’m sure at first both countries and the working scientists were concerned with public health, but in the end, it became a fight to recognized in the scientific world. This was like organizational communication because the person who knew the most about the disease would be the “go to” person, and then information would trickle down as it finally reached the public through mass communication. The public then plans protests with huge signs and silent marches that model non verbal communication.
The theory of planned behavior model was also used in many ways during that time. The man they showed who ran the bath house had to have a change of attitude in order to shut down the bath houses. He understood that this would cut off a lot of revenue, but in the end it would save many men from getting AIDS. He received social pressure from the Center of Disease Control, and finally from the government. Because of his position as manager, he was in full control of assembling this change.
The stages of change model is difficult to use throughout the movie. Sadly, once a person receives AIDS from another, they cannot get rid of the disease. They could though, stop using dirty needles and stop having intercourse with a variety of people. The flight attendant in this movie is a good example. He seems to be stuck in the pre contemplation stage. He knows that he has infected someone but he does not wish to change. If he did wish to change he would take action and stop sleeping with so many people. He would keep this behavior, and hopefully not relapse. Instead though, he gives the disease to many people after he receives it.
Positive group communication occurs when the researchers and doctors sit around a round table. Many times they are arguing, but they always end up getting somewhere. This interpersonal, group, and one on one communication is highly effective. In fact, with health communication, it seems as though all types of communication are positive and they bring people closer to better health. Gender communication is also used in an interesting way throughout the film. Because AIDS is focused on the relationship between two males, the dynamic becomes different. There is one powerful woman in the movie and she is portrayed as someone who is quite knowledgeable in her area. The men in her professional world communicate to her with serious respect. When the disease can be contracted by blood, women are become aware that they could receive it too. Information then becomes useful to both men and women throughout the world.
The AIDS disease is now perceived a lot differently as it was back then. We now see it as a disease that one can live with. We are now concerned with those third and fourth world countries that do not seem to have the resources to handle the disease. The movie changed the way I thought about health communication because it showed how many parts of it there are. It incorporates many models and it includes a variety of communication contexts. After dealing with such an unknown disease, hopefully health professionals learned how to better communicate for change the next time something like this happens.

Health Communication- Defintional

Health communication-
As we have learned, communication is an art, and it is a purposeful process. Communication is imperative as a means to improve someone’s health. Health promotion, according to Kiger, is a planned process. We can only know how effective the health communication is if the, “audience has achieved, acted, or responded to a message (Corcoran-6).”
We are used to seeing a three part communication model that flows from left to right with sender, message, and receiver. With health communication, two more components are added: complete understanding by the receiver and feedback to the sender. It is important to remember that this communication is a never ending process and it is not linear, it is indeed circular. Watzlawick breaks communication down into two simple part- content and relationship. The content is the message and information transmitted and the relationship “consists of the dynamic between those in the communication transaction (Corcoran-6).” For health communication, the sender with be the health practitioner and the receiver will be the intended audience. The messages will contain verbal and non verbal parts. The verbal aspects will obviously include words and sentences, while the non verbal parts will include four new elements according to Ellis and Beattie- prosodic, paralinguistic, kinesics, and standing features. Prosodic elements are defined by intonation and rhythm and paralinguistic features are vocal but non verbal. An example of paralinguistic expression would be “mmm.” Our body language, eye contact, and gestures would be examples of kinesics. Our appearance a factor in standing features, and many times people have beliefs how a doctor should look. The language and lexical content of a message are also imperative. The lexical content of the message is the words. If doctors use words or abbreviations that their audience does not understand, the lexical content is negative. Many researchers have found that repetition is a great way to get a message across to an audience so that it “sticks”. In health communication, the process of sending a message can happen in a variety of ways. If a physician wishes to hand out a pamphlet, his or her appearance doesn’t matter as much as what the pamphlet says. On the other hand, a nurse doing a one-on-one health screening should look at her appearance as influential in determining her effectiveness.
Health communication correlates with individual, group, organizational, community, and mass media communication. The focus in health communication is one specific to health information. Adding the word health in front of communication allows us to understand how we can effectively use what we know about the art of communication to educate people so that they may avoid poor health. The approach to health promotion is a holistic one. It is important to go back over the different levels that health communication can occur. Intrapersonal communication includes our “inner voice” and interpersonal communication happens one-on-one, in small groups, through emails, and telephone calls. Organizational communication can occur in lectures, seminars, and debates. Communication throughout the community can include local talk radio and news papers. And finally, public or mass communication can be spread through newspapers, magazines, television, and internet.
The UK government concluded that we do not lack information in health, but rather the information does not correlate with people and how they live their lives. Human behavior is the single most influential factor in morbidity and mortality. In order to organize a productive health campaign, one has to first look into the behavioral aspects of the specific problem. Tones and Tilford state that if we can understand factors that influence our behavior, “we will be in a better position to devise strategies and formulate methods that will achieve our health education goals (9).” A “theory” allows the health practitioner to look at the linkage between internal and external variables and the outcomes of an intervention. A practitioner should understand why and how people change their behaviors so that in the end, people for looking for health answers can have a set pathway to promote of take away that behavior. There are different models that inspect influence in the behavioral change process. The health practitioner will then choose a model according to what he or she wishes as an outcome. These theories allow for effective exchange between the sender and the receiver. A number of variables can influence this process such as beliefs, values, and even the message itself. Theory “can therefore help predict and explain behaviors, assist in the targeting of information and predict the effect that information will have (10). In some ways, a practitioner will find that a person cannot take on a certain behavior no matter how many resources they receive. Theory is not looked at as much when programs are implemented. An example of this would be a study about safe sex conducted by Abraham. They found that most safe sex pamphlets did not contain messages that targeted actions related with condom use. There was a gap, “between the evidence-based research and the practice in relation to designing safer sex promotion leaflets (10).”
Health promotion has made the practice of theory inconsistent. Some practitioners ignore theory and fail to use them as interventions. These practitioners may lack the expertise that is needed to use the theories and models that are available. Though many times they simple lack time, resources, and evidence. Communication based on a theoretical will get rid of problems in poor communication. In order to make a clear and concise health choice, Tones and Tilford argue that practitioners need a framework. This basis will help them build on better, cost-effective, and evidence based practice. Kobetz et al. say that one of the keys to effective communication is, “construction and strategic dissemination of finely tuned, theory-based health messages (10).
Models are formed using simplified theory, and they are commonly used to guide development in health promotion programs. These models can plan, implement and evaluate interventions. Elements in a model will be closely tied to behavior and our decision making process. Theories are important because they explain what influences our health and they suggest ways that we can change our behaviors to better our health. If a theory is sound and it takes into consideration all variables, then it is very logical and practical.
There are also problems that are associated with a theory-based approach. Theory sometimes “objectifies human experience and through this process deviates from the main health promotion ethos of holism and empowerment (11).” A person becomes a measurement and an analysis rather than a human being. Theory can also be inflexible, and it should apply to different contexts. It should guide behavior and not put in place a rigid path to follow. Also, designing a theory that can incorporate all variable and aspects of a problem is nearly impossible. Therefore, one should focus on two or three stages in a model to be practical. In many theories structural, political, and environmental factors are left out. Our behaviors are often influenced on society, and we should take those factors into consideration.
Five theoretical models have been selected to cover health communication. These models are most definitely not the only ones, but they are used most often and they incorporate a variety of approaches. For our class we have focused on three specific models. The theory of planned behavior was designed by Ajzen and Fishbein. This theory states that our behavior will reflect our desire to perform or not perform that certain behavior. The intention to perform the behavior is seen by three factors. One is our attitude toward the behavior. Our attitude is influenced as we see the pros and cons of the behavior and the risks and rewards. Another fact is the subjective norm which is our social pressure from others. Perceived behavioral control is our knowledge of our ability to keep or let go of this behavior. A person will likely perform the behavior if they have powerful intention, high behavioral control, support from those around them, and a positive attitude. All of those things added together construct a simpler model that adds up to a high perceived behavioral control. This model allows people to understand and predict behavior. It has been used most recently to promote exercise.
The second model one should look closely at is the health belief model. Becker developed this model using the early workings of Rosenstock. This model develops a pattern that looks at and influences a person’s behavior change. Most importantly, the model promotes this idea that a person can predict how effective their behavior change will be by their confidence and their perceived vulnerability. This vulnerability is defined by the risk of the behavior (perceived susceptibility) and the preceding consequence (severity). It is imperative that a person considers the pros and cons of performing a behavior. An example would be the recent H1N1 outbreak. Some may feel that they can contract the disease easily, while another may not believe they could get it at all. When a person decides to perform the health promoting or damaging behavior, it will be based, “on the outcome of this weighing up process (12).” Self-efficacy is added to the health belief model which is a person’s assuredness in their ability to perform or not perform the behavior. Four factors need to take place in this model for change to occur. A person must have an incentive, they need to fathom the amount of risk in keeping a bad behavior, and they have to believe that there is benefit in change. Lastly, and perhaps most importantly, the person must be confident! At the beginning of this model there is a ‘cue to action’ which makes a person want to change. For instance, if a woman finds out she is pregnant; she will wish to quit smoking. Or perhaps a friend expresses a need to see her friend quit drinking. Modifying factors can also be very important in considering behavioral change. These factors include demographics, socio-psychological variables, and structural variables. These influence the way a person sees disease severity, threats, and susceptibility. Age, gender, and peer pressure can also influence the change process. This model is used to predict both preventive health behaviors and sick role behaviors.
The health belief model excludes important factor such as friends, family, or social norms. The theory of planned belief may put too much emphasis on a person’s attitude to determine success- sometimes it cannot be predicted by attitudes. Professionals must look closely at which attitudes lead to a specific behavior. Both of these models may be better used by smaller or high risk populations. In non-Western cultures, behavioral intentions may be less important because, “these theories assume a degree of autonomy alongside the Western biomedical model (King-14).” Also, in non-Western populations, these theories may be, “less culturally sensitive (Lin et al. 14).”
The stages of change model (also called the transtheoretical model), is a circular model that was designed by Prochaska and Diclemente in 1983. This model concludes that people make behavioral changes throughout their entire life rather than at one specific time. During each stage, a person considers making a change. A circular model shows that, “people are at different levels of readiness to change and during the change process they move through a series of stages (Corcoran-15).” People move around the circle from pre-contemplation (not ready) to contemplation which is thinking of a change. Then they move to preparation as they get ready to change and after, they move into action or performing the change. Next, they maintain and continue the change or they move into relapse which is an abandoning of the change. A person can start at any stage which is why this particular model is interesting. An alternative model to the stages of change model is the perceived behavioral control model. This model uses communication and messages to help a person based on what stage they are at in the process. This model is not circular; it is a step by step process. The person moves from pre-knowledge, to knowledge, to approval, intention, practice, and finally to advocacy. A problem with this model could be that a person places themselves at a wrong stage.
The stage of change model is more likely to change short term behaviors then long term behaviors. Another problem with this model is that it assumes that the barriers between each stage will all be similar while this is rarely the case.
The communication persuasion model is mostly found in the field of advertising. It guides public health communication using mass media most times. The three factors that influence a person’s choice in this model are external factors (price), internal directive factors (beliefs), and internal dynamic factors (demographics). This model contains clear planning stages that a person can follow in order to get to a desired outcome. This model is criticized because it usually says that a person needs a specific number of steps while another person may need more steps.
If you wish to ask which model is more effective you will not be given an answer. All the models have potential if used in a practical and positive manor. In order to pick a specific model, a practitioner should ask him or herself a number of questions. Some of these questions include, “does [the model] include all relevant variables,” and, “does it make logical sense to use this model in this particular situation (Corcoran-22)?” Another question would be whether or not the model has been used for the same problem effectively before. Practitioners should also look at studies that illustrate its use in the problematic area. A person can also decide which behavioral model they want through looking at factors such as target group, funding, time, and the size of the project.
The theory of planned behavior has been used face-to-face, in groups, and in mass media. Example settings include schools, church, and universities. Example topics of intervention include physical activity, tobacco update and oral health. The health belief model is used face to face and in groups. Example settings include all group settings. Topics of intervention are preventative behaviors such as physical activity, sexual health, and vaccinations. The stages of change model can be used face-to-face, in groups, and though self help. Settings include all medical and group settings. Topics of intervention incorporate, but are not limited to alcohol or drug misuse and cancer screening.
Prior to an intervention, most models presume that there will be some pre-contact between the practitioner and the client. This way they can recognize which topics need to be addressed. Meeting with a client prior to the intervention can also help the practitioner make a “bottom up” approach. For instance, this is why most medical doctors ask a plethora of questions before they start treatment. Cohen et al. argues that all interventions can be divided into two main targets. Target one includes all interventions that request to change or manage and individual. Target two interventions inquire about the change of structure and are consequently not controlled by individuals. Individual advance interventions influence attitudes, beliefs, knowledge and skills. Those interventions at a structural level, “seek to change variables out of individual control (24).” An example of structural change would be a campaign that wishes to increase the number of condom machines at a university.
The theory of planned behavior is most practical if the practitioner can convene with the group in order to grow an idea about their major beliefs that could “hinder” their performance. Because this model includes the subjective norm, a person can focus on peer and family influences. The health belief model directs information at an individual that has an emotional appeal. These topics include drunk driving, domestic violence, and substance abuse. In this model, barriers can be more important than benefits. Barriers, “provide a focus for targeting communication (26).” An example would be the pain most women experience if they have a mammogram. Self-efficacy is important in determining sexual actions from this model, while perceived threat can establish dietary behavior. The stage of change model is very constructive when there is contact with the particular group which allows the practitioner to place each individual in a certain stage. Questions will be brief and asked at first which will include questions about activities and potential intentions. After this, the level of action will be determined that is proper to that stage. The level of action could be miniscule or quite large. During pre-contemplation, the practitioner should provide information and highlight benefits. During contemplation they should examine ways of overcoming barriers which include access and cost. Preparation would include support for problems and additional advice. Maintenance and action would consist of a practitioner being a positive advocate for the person’s change. When a person relapses they should be encouraged to try again.
The study of health communication couldn’t be more important as our health is very central to us and those who love us. These models cannot provide full explanations and variables of behavioral change, but they can identify, “potential factors of leverage points that may influence decisions that can help in the targeting and structuring of communication (28).” As science and the study of health evolve over time, so will these models.

Bibliography

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