African American and white women (N = 39) were interviewed about reproductive rewards and risks regarding genetics information and technologies. Analysis of their talk reflected several important themes. Emergent “reward” themes included the would-be parents' reproductive decision-making, preparation, and prevention. “Risk” themes, which were more predominant than reward themes, included genetic information as stress producing, “child-designing” as a likely outcome, and the creation of a superior race as probable. Findings are discussed within a Problematic Integration Theory framework.

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© 2014 Sense Publishers. All rights reserved. According to Goodall (2005) a narrative inheritance provides us with a framework for understanding our identity through the stories of those who preceded us in our families (p. 497). Their stories provide context and continuity to help us understand our lives.

I must confess that I am much more interested in problems about technologies of the self and things like that rather than sex. . . . Sex is boring.

Although personal bankruptcies and foreclosures have always been common, in Western culture people do not often share these stories. In this article, I briefly examine the literature surrounding narratives, "stories on the margin," and disenfranchised grief. I then present my family members' stories surrounding the loss of our home in 1991 through foreclosure. Following these stories, I examine how disenfranchised grief-through the lack of culturally sanctioned stories of loss-can lead to silence. Finally, I substantiate why eliciting noncanonical economic narratives is personally and collectively beneficial for research on grief and loss.

Purpose: International medical graduates (IMGs) represent a substantial portion of all medical residents in the United States. Yet, IMGs may be disadvantaged in their communications with U.S. patients for a variety of reasons. The authors conducted a qualitative study to examine IMGs' perceptions of the barriers to their communication with patients. Method: A convenience sample of 12 IMGs participated in interviews that lasted 1 to 1.5 hours. Residents from the Caribbean, Colombia, Denmark, India, Iran, Pakistan, and Peru participated in individual interviews conducted on-site at one of three clinics. Interviews were transcribed and then coded independently and jointly. The authors used a qualitative analysis of interview transcripts to identify primary and secondary themes. Results: IMGs' perceptions of the barriers to communication with their Appalachian patients fit into two broad themes: educational barriers and interpersonal barriers. Within each of these themes, the authors identified secondary themes: education-related barriers were science immersion and lack of communication training, and interpersonally related barriers were unfamiliar dialects, new power dynamics, and different rapport-building expectations. Conclusions: The analysis of the interview data yielded several important findings that residency programs should consider when designing orientations, training curricula, and communication interventions. Programs may need to address challenges related to regional dialect and "informal" English use, as well as communication barriers associated with cross-cultural differences in norms, values, and beliefs. Programs also need to draw on multilayered interventions to address the multidimensional challenges of cross-cultural physician-patient communication.

Underserved communities with high cancer rates often are not involved in implementing state cancer control activities locally. An East Tennessee State University research team formed 2 Appalachian Community Cancer Research Review Work Groups, 1 in northeast Tennessee and 1 in southwest Virginia. During 4 sessions, the research team presented regional cancer data to the work groups. Work group participants explored research from a lay perspective and identified possible reasons for cancer disparities in central Appalachia. The fifth session was a community dissemination activity in which work group participants engaged in cancer education and action by presenting the research to their local communities in unique ways. During a sixth session, both work groups discussed these interventions and further attempted to answer the question, "What makes the experience of cancer unique in Appalachia?" This article describes the key steps of this community-based participatory research process.

Too little theory and research has considered the effects of communicating statistics in various forms on comprehension, perceptions of evidence quality, or evaluations of message persuasiveness. In a considered extension of Subjective Message Construct Theory (Morley, 1987), we advance a rationale relating evidence form to the formation of impressions of evidence. We compare visual versus verbal representations of statistical evidence associated with multivariate relationships in a community-based field experiment (N = 206). Verbal forms were found to be better comprehended than visual forms and contributed to enhanced understanding when compared to an attention control condition. Comprehension was found to mediate the effect of statistical evidence form on perceptions of evidence quality, while comprehension and perceptions of evidence quality moderated judgments of message persuasiveness. In addition to the effects of evidence form on subjective impressions of statistical evidence, we advance perceiver characteristics as another realm in which persuaders may identify persistent patterns associated with comprehension and judgments of statistical evidence. Numeracy skills, race, and gender emerge as characteristics with merit in this regard. Nonsignificant findings associated with perceiver characteristics were found. Finally, we consider the results for evidence form and perceiver characteristics on comprehension and judgments of statistical evidence for their theoretic and pragmatic importance.

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