Benjamin R. Bates

Public culture and public understanding of genetics: a focus group study

As the role of genetic science in everyday life has grown, policymakers have become concerned about Americans’ understandings of this science. Much effort has been devoted to formal schooling, but less attention has been paid to the role of public culture in shaping public understanding of genetics. Research into public cultural messages about genetics has claimed that the public is likely to adopt problematic accounts, but few studies have explored the public’s articulation of these messages. This study is based on 25 focus groups convened to explore the lay public’s understanding of genetics. The study found that the public processed a greater variety of messages than assumed by previous researchers, including documentaries, non-sciencefiction films, and popular television in addition to previous researchers’ focus on science fiction and news media. The study also found that the public does not process the messages through the linear, transmission model assumed by previous research. The public processes messages about genetics complexly and critically. On the basis of these findings, the study suggests that researchers should include a greater variety of texts about genetics in their research and attend more fully to audience processing in addition to content analyses of these texts.

The Use of Gain- or Loss-Frame Messages and Efficacy Appeals to Dissuade Excessive Alcohol Consumption Among College Students: A Test of Psychological Reactance Theory

The present study applies psychological reactance theory (PRT) to examine the effectiveness of a 2 (frame: gain, loss) × 2 (efficacy: present, not present) experiment to determine best practices in dissuading excessive alcohol consumption among college students. Results from the structural model revealed no association between a perceived threat to choose and message frame or efficacy appeals. As anticipated, a perceived threat to freedom was positively associated with state reactance, which in turn was positively associated with a boomerang effect and negatively associated with favorable source appraisal. State reactance was not associated with favorable attitudes toward preventing the overconsumption of alcohol. In addition to main effects, interactions between message frame and efficacy appeal with four person factors (participant age, trait reactance, perceived health risk, and alcohol consumption) were examined. Individuals perceiving health risk to be low would benefit from gain-frame messages, whereas loss-frame messages would be most effective for heavy drinkers. Finally, when communicating to underage drinkers, our results support using efficacy appeals when accompanied by a loss-frame message.

Exploration of the impact of messages about genes and race on lay attitudes

The effect of messages about genetics on lay audiences was assessed through an experimental study that exposed participants (n = 96) to a Public Service Announcement about race, genes, and heart disease. Participants who received a message that specified either ‘Whites’ or ‘Blacks’ as the subject of the message demonstrated elevated levels of racism, genetic basis for racism, and one dimension of genetic discrimination as compared to those receiving a version of the message with no race specification or in a no‐message control condition. The presentation of such messages to the public is not recommended until additional research clarifies this finding and perhaps describes mitigating vocabularies or approaches.

How lay people respond to messages about genetics, health, and race

There is a growing movement in medical genetics to develop, implement, and promote a model of race‐based medicine. Although race‐based medicine may become a widely disseminated standard of care, messages that advocate race‐based selection for diagnosing, screening and prescribing drugs may exacerbate health disparities. These messages are present in clinical genetic counseling sessions, mass media, and everyday talk. Messages promoting linkages among genes, race, and health and messages emphasizing genetic causation may promote both general racism and genetically based racism. This mini‐review examines research in three areas: studies that address the effects of these messages about genetics on levels of genetic determinism and genetic discrimination; studies that address the effects of these messages on attitudes about race; and, studies of the impacts of race‐specific genetic messages on recipients. Following an integration of this research, this mini‐review suggests that the current literature appears fragmented because of methodological and measurement issues and offers strategies for future research. Finally, the authors offer a path model to help organize future research examining the effects of messages about genetics on socioculturally based racism, genetically based racism, and unaccounted for racism. Research in this area is needed to understand and mitigate the negative attitudinal effects of messages that link genes, race, and health and/or emphasize genetic causation.

Dances and Discourses of (Dis)Ability: Heather Mills's Embodiment of Disability on Dancing with the Stars

This essay explores the relationships among disability, performance, and dance studies. Individuals with disabilities are often marginalized in current dance scholarship. Heather Millss performances on Dancing with the Stars insert a dancer with a disability into mainstream perceptions of dance. This essay discusses three themes that emerge from an analysis of journalistic and blogger reactions to her performances. These themes reveal both empowering and disempowering potentialities for individuals with and without disabilities. Conclusions and implications for our understanding of disability, dance, and performance are offered.

Evaluating Direct-to-Consumer Marketing of Race-Based Pharmacogenomics: A Focus Group Study of Public Understandings of Applied Genomic Medication

Some medical providers have advocated applied genomics, including the use of genetically linked racial phenotypes in medical practice, raising fear that race-based medication will become justified. As with other emerging medical genetic technologies, pharmaceutical companies may advertise these treatments. Researchers fear that consumers will uncritically accept pharmaceutical messages and demand the product. In this exploratory study, we examined public reactions to advertisements for applied genomic medications. A focus group methodology was employed. Participants tended to resist the message and generated warrants for doing so, indicating critical reception of the messages. Message accepters also provided warrants. Warrants for resistance and acceptance differ between self-identified racial groups. Consumers, health care providers, and pharmaceutical corporations will benefit from a better understanding of direct-to-consumer advertisements as medical communication. Our study concludes that both advocates and opponents of direct-to-consumer advertisements should recognize that potential consumers of pharmacogenomics act as critical consumers of health advertising discourse.

Audiences, metaphors, and the Persian Gulf war

This paper examines George Bushs Persian Gulf war addresses as a representative anecdote of Bushs campaign to build an international military coalition. The paper argues that in war rhetoric international audiences should be considered. A theorization of the international audience is offered. George Bushs public speeches are then analyzed as they use two metaphoric clusters. The SAVAGE cluster is used to justify a response to Iraqs 1990 invasion of Kuwait. The CIVILIZATION cluster is used to justify an American‐led military response. The metaphoric clusters are shown to be persuasive to the international audience as they are adopted and recirculated by this audience. Conclusions and implications of the interaction of these two metaphoric clusters for future war rhetoric are offered.

Examining Antecedents of Clean Indoor Air Policy Support: Implications for Campaigns Promoting Clean Indoor Air

This investigation sought to examine the association between knowledge of the risks associated with environmental tobacco smoke and voter support for clean indoor air policies. In doing so, 2 antecedents were employed to enhance understanding of this relationship: attitudes and subjective norms. In addition, differences between nonsmokers and smokers were assessed across the aforementioned variables. The study sampled participants (N = 550) living in the Appalachian foothills as a means of conducting formative research prior to developing messages promoting clean indoor air policies. The study controlled for tobacco usage, age, biological sex, and income. Results revealed that awareness of risk is a good predictor of attitudes and social norms, and in return, attitudes and social norms are good predictors of support for clean indoor air policies. In addition, results reveal that nonsmokers maintain a significantly stronger belief in the dangers associated with environmental tobacco smoke, as well as more favorable attitudes, subjective norms, and support for clean indoor air policies when compared with smokers. These findings are discussed with a focus on message design strategies for practitioners and academics with interests in promoting clean indoor air policies.

Care of the Self and Patient Participation in Genetic Discourse: A Foucauldian Reading of the Surgeon General's “My Family Health Portrait” Program

Critics of genetic discourse are concerned that deterministic and discriminatory views of genetics are increasingly becoming adopted. These views argue that current genetic discourse becomes a source of power whereby powerful institutions harm people with so-called “bad” genes. This essay argues that current analyses of the power of genetics discourse are grounded in an improper reading that disempowers patients. Deploying Michel Foucaults concept “care of the self,” this essay claims that genetics discourse is better understood as a way that patients take on power through rhetoric rather than a force that has power over patients. Through a close reading of the “My Family Health Portrait” program, this paper argues that patients experience a process of “subjection” wherein they become agents of and objects of genetics discourse both. This alternative mode of analyzing the power of genetics discourse has implications for our collective understanding of the operations of the care of the self and the uses of genetic information that we propose.

Narrative Constructions of Health Care Issues and Policies: The Case of President Clinton's Apology-by-Proxy for the Tuskegee Syphilis Experiment

The Tuskegee Syphilis Experiment (TSE) has shaped African Americans’ views of the American health care system, contributing to a reluctance to participate in biomedical research and a suspicion of the medical system. This essay examines public discourses surrounding President Clinton’s attempt to restore African Americans’ trust by apologizing for the TSE. Through a narrative reading, we illustrate the failure of this text as an attempt to reconcile the United States Public Health Service and the African American public. We conclude by noting the limitations of rhetoric when equal prominence is not given to policy proposals in national apologies.