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In:A Pragmatic Agenda for Healthcare: Fostering inclusion and active participation through shared understanding
Edited by Sarah Bigi and Maria Grazia Rossi
[Pragmatics & Beyond New Series 338] 2023
► pp. 75–103

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Chapter 3
Public disagreements among health experts and their polarizing effects during a pandemic health crisis

A speech-act theoretical perspective

 | University of Trieste
Published online: 17 November 2023
DOI logo with link
https://doi.org/10.1075/pbns.338.03lab
Abstract
This paper focuses on the communication styles used by health experts when addressing the public about COVID-19, and the negative effects these styles had on the non-expert public’s ability to understand these issues and make well-informed decisions. Specifically, it examines the use of assertive styles within an Austin-inspired speech-act theoretical framework. By analyzing Twitter threads discussing COVID-19 following the first lockdown in Italy, I explore how these communication styles contribute to the polarization of non-experts, aligning them with different experts. In conclusion, I emphasize the importance for health experts to carefully select appropriate communication styles when engaging with the non-expert public to avoid undermining trust in scientific expertise, as observed during the COVID-19 crisis.
Article outline
  • 1.Introduction
  • 2.From medical consultations to public discourse on health
  • 3.Public disagreements among experts during a health emergency
  • 4.Speech acts and communication styles
  • 5.Which experts to trust?
  • 6.When experts disagree in public: A representative case study
    • 6.1“In reality, from the clinical point of view, the virus no longer exists”
    • 6.2Beyond expertise: Siding with an expert
    • 6.3Beyond expertise: Why trust an expert?
    • 6.4Beyond expertise: Why discredit an expert?
  • 7.Concluding remarks
  • Notes
  • References
  • Appendix
References (62)
References
Antiochou, Konstantina, and Stathis Psillos. 2022. “How to Handle Reasonable Scientific Disagreement: The Case of COVID-19.” In The Pandemic of Argumentation, edited by Steve Oswald, Marcin Lewiński, Sara Greco, and Serena Villata, 65–83. Cham: Springer. Google Scholar logo with link to Google Scholar
Austin, John L. 1975. How to Do Things with Words. Oxford: Oxford University. Google Scholar logo with link to Google Scholar
Bennett, Peter. 1998. Communicating about Risks to Public Health: Pointers to Good Practice. London: Department of Health.Google Scholar logo with link to Google Scholar
Berry, Diane. 2007. Health Communication: Theory and Practice: Maidenhead: Open University Press.Google Scholar logo with link to Google Scholar
Bigi, Sarah. 2018. “The Role of Argumentative Practices within Advice-Seeking Activity Types. The Case of the Medical Consultation.” Rivista italiana di Filosofia del Linguaggio 12: 42–52.Google Scholar logo with link to Google Scholar
Brossard, Dominique, and Bruce V. Lewenstein. 2010. “A Critical Appraisal of Models of Public Understanding of Science: Using Practice to Inform Theory.” In Communicating Science: New Agendas in Communication, edited by LeeAnn Kahlor, and Patricia Stout, 11–39. New York, NY: Taylor & Francis.Google Scholar logo with link to Google Scholar
Caffi, Claudia. 2005. Mitigation. Leiden: Brill. Google Scholar logo with link to Google Scholar
Carey, John M., Victoria Chi, D. J. Flynn, Brendan Nyhan, and Thomas Zeitzoff. 2020. “The Effects of Corrective Information about Disease Epidemics and Outbreaks: Evidence from Zika and Yellow Fever in Brazil.” Science Advances 6: eaaw7449. Google Scholar logo with link to Google Scholar
Carpenter, Delesha M., Emily Elstad, Susan J. Blalock, and Robert F. Devellis. 2014. “Conflicting Medication Information: Prevalence, Sources, and Relationship to Medication Adherence.” Journal of Health Communication 19: 67–81. Google Scholar logo with link to Google Scholar
Carpenter, Delesha M., Lorie L. Geryk, Annie T. Chen, Rebekah H. Nagler, Nathan F. Dieckmann, and Paul K. J. Han. 2016. “Conflicting Health Information: A Critical Research Need.” Health Expectations 19: 1173–1182. Google Scholar logo with link to Google Scholar
De Cock, Barbara, and Carolina Figueras Bates (this volume). “Peer Experts as Actors for Shared Understanding in Spanish Online Health Fora.”
De Vries, Reinout E., Angelique Bakker-Pieper, Robert Alting Siberg, Kim van Gameren, and Martijn Vlug. 2009. “The Content and Dimensionality of Communication Styles.” Communication Research 36: 178–206. Google Scholar logo with link to Google Scholar
Eichengreen, Barry, Cevat Giray Aksoy, and Orkun Saka. 2021. “Will COVID-19 Renew or Diminish Public Trust in Science?” Journal of Public Economics 193: 104343. Google Scholar logo with link to Google Scholar
European Commission. 2018. “Action Plan Against Disinformation.” URL: [URL]. Accessed 14 May 2022.
. 2020. “Tackling COVID-19 disinformation – Getting the facts right.” URL: [URL]. Accessed 14 May 2022.
Goldman, Alvin I. 2001. “Experts: Which Ones Should You Trust?” Philosophy and Phenomenological Research 63: 85–110. Google Scholar logo with link to Google Scholar
Green, Mitchell S. 2013. “Assertions.” In Handbook of Pragmatics. Vol. II: Pragmatics of Speech Actions, edited by Marina Sbisà, and Ken Turner, 387–410. Berlin: de Gruyter. Google Scholar logo with link to Google Scholar
Han, Paul K. J. (this volume). “Uncertainty in Healthcare: Current Challenges and Future Research Directions.”
Harris, Paul L. 2012. Trusting what you’re told. Cambridge, MA: Harvard University Press.Google Scholar logo with link to Google Scholar
Hendriks, Friederike, Dorothe Kienhues, and Rainer Bromme. 2015. “Measuring Laypeople’s Trust in Experts in a Digital Age: The Muenster Epistemic Trustworthiness Inventory (METI).” Plos One 10: e0139309. Google Scholar logo with link to Google Scholar
Jaszczolt, Kasia M., and Lidia Berthon (this volume). “Negotiation and Joint Construction of Meaning (or Why Health Providers Need Philosophy of Communication).”
Kirsh, Susan R., David C. Aron, Kimberly D. Johnson, Laura E. Santurri, Lauren D. Stevenson, Katherine R. Jones, and Justin Jagosh. 2017. “A Realist Review of Shared Medical Appointments: How, for Whom, and under What Circumstances Do They Work?” BMC Health Services Research 17: 1–13. Google Scholar logo with link to Google Scholar
Labinaz, Paolo. 2018. “Brandom’s Deontic Scorekeeping Model and the Assertive Family.” Journal of Pragmatics 128: 53–66. Google Scholar logo with link to Google Scholar
. 2019. L’asserzione come azione linguistica: aspetti sociali, epistemici e cognitivi [Assertion as a Speech Action: Social, Epistemic and Cognitive Aspects]. Trieste: EUT.Google Scholar logo with link to Google Scholar
Labinaz, Paolo, and Marina Sbisà. 2014. “Certainty and Uncertainty in Assertive Speech Acts.” In Communicating Certainty and Uncertainty in Medical, Supportive and Scientific Contexts, edited by Andrzej Zuczkowski, Ramona Bongelli, Ilaria Riccioni, and Carla Canestrari, 31–58. Amsterdam: John Benjamins. Google Scholar logo with link to Google Scholar
. 2021a. “The Problem of Knowledge Dissemination in Social Network Discussions.” Journal of Pragmatics 75: 67–80. Google Scholar logo with link to Google Scholar
. 2021b. “Speech Acts and the Dissemination of Knowledge in Social Networks.” In Approaches to Internet Pragmatics: Theory and Practice, edited by Hartmut Haberland, Francisco Yus, and Chaoqun Xie, 145–172. Amsterdam: John Benjamins. Google Scholar logo with link to Google Scholar
Lao, Joseph, and Jason Young. 2020. Resistance to Belief Change. Limits of Learning. New York: Routledge.Google Scholar logo with link to Google Scholar
Lee, Chul-Joo, Rebekah H. Nagler, and Ningxin Wang. 2018. “Source-Specific Exposure to Contradictory Nutrition Information: Documenting Prevalence and Effects on Adverse Cognitive and Behavioral Outcomes.” Health Communication 33: 453–461. Google Scholar logo with link to Google Scholar
Martín-Martín, Pedro. 2008. “The Mitigation of Scientific Claims in Research Papers: A Comparative Study.” International Journal of English Studies 8: 133–152.Google Scholar logo with link to Google Scholar
Mazzocchi Fulvio. 2021. “Drawing Lessons from the COVID-19 Pandemic: Science and Epistemic Humility Should Go Together.” History and Philosophy of the Life Sciences 43: 92. Google Scholar logo with link to Google Scholar
McCallie, Ellen, Larry Bell, Tiffany Lohwater, John H. Falk, Jane L. Lehr, Bruce V. Lewenstein, Cynthia Needham, and Ben Wiehe. 2009. Many Experts, Many Audiences: Public Engagement with Science and Informal Science Education. A CAISE Inquiry Group Report. Washington: Center for Advancement of Informal Science Education.Google Scholar logo with link to Google Scholar
Nagler, Rebekah H. 2014. “Adverse Outcomes Associated with Media Exposure to Contradictory Nutrition Messages.” Journal of Health Communication 19: 24–40. Google Scholar logo with link to Google Scholar
Nagler, Rebekah H., Marco C. Yzer, and Alexander J. Rothman. 2019. “Effects of Media Exposure to Conflicting Information about Mammography: Results from a Population-Based Survey Experiment.” Annals of Behavioral Medicine 53: 896–908. Google Scholar logo with link to Google Scholar
Nagler, Rebekah H., Rachel I. Vogel, Sarah E. Gollust, Alexander J. Rothman, Erika Franklin Fowler, and Marco C. Yzer. 2020. “Public perceptions of conflicting information surrounding COVID-19: results from a nationally representative survey of U.S. adults.” Plos One 15: e0240776. Google Scholar logo with link to Google Scholar
Nickerson, Raymond S. 1998. “Confirmation Bias: A Ubiquitous Phenomenon in Many Guises.” Review of General Psychology 2: 175–220. Google Scholar logo with link to Google Scholar
Noffsinger, Edward S., and John C. Scott. 2000. “Understanding Today’s Group Visit Models.” The Permanente Journal 4: 99–112.Google Scholar logo with link to Google Scholar
Norton, Robert W. 1983. Communicator Style: Theory, Applications, and Measures. Beverly Hills, CA: Sage.Google Scholar logo with link to Google Scholar
Ong, L. M., J. C. de Haes, A. M. Hoos, and F. B. Lammes. 1995. “Doctor-Patient Communication: A Review of the Literature.” Social Science and Medicine 40: 903–918. Google Scholar logo with link to Google Scholar
Pennycook, Gordon, Jonathan McPhetres, Yunhao Zhang, Jackson G. Lu, and David G. Rand. 2020. “Fighting COVID-19 Misinformation on Social Media: Experimental Evidence for a Scalable Accuracy-Nudge Intervention.” Psychological Science 31: 770–780. Google Scholar logo with link to Google Scholar
Prince, Ellen F., Joel Frader, and Charles Bosk. 1982. “On Hedging in Physician-Physician Discourse.” In Linguistics and the Professions: Proceedings of the Second Annual Delaware Symposium on Language Studies, edited by Robert J. Di Pietro, 83–97. Norwood, NJ: Ablex.Google Scholar logo with link to Google Scholar
Sabbatani, Sergio, and Sirio Fiorino. 2007. “The ‘Spanish influenza’ pandemic.”, Le Infezioni in Medicina: Rivista Periodica di Eziologia, Epidemiologia, Diagnostica, Clinica e Terapia Delle Patologie Infettive 15: 272–285.Google Scholar logo with link to Google Scholar
Salmon, Charles T., and Thanomwong Poorisat. 2020. “The Rise and Development of Public Health Communication.” Health Communication 35: 1666–1677. Google Scholar logo with link to Google Scholar
Sbisà, Marina. 1984. “On Illocutionary Types.” Journal of Pragmatics 8: 93–112. Reprinted in Marina Sbisà (2023), Essays on Speech Acts and Other Topics in Pragmatics, 23–42. Oxford: Oxford University Press. Google Scholar logo with link to Google Scholar
. 2006. “Communicating Citizenship in Verbal Interaction: Principles of a Speech Act Oriented Discourse Analysis.” In Analysing Citizenship Talk. Social Positioning in Political and Legal Decision-Making Processes, edited by Heiko Hausendorf, and Alfons Bora, 151–180. Amsterdam: John Benjamins. Google Scholar logo with link to Google Scholar
. 2007. “How to Read Austin.” Pragmatics 17: 461–473. Reprinted in Marina Sbisà (2023), Essays on Speech Acts and Other Topics in Pragmatics, 181–194. Oxford: Oxford University Press.Google Scholar logo with link to Google Scholar
. 2020. “Assertion among the Speech Acts.” In Oxford Handbook of Assertion, edited by Sandford Goldberg, 158–178. Oxford: Oxford University Press. Reprinted in Marina Sbisà (2023), Essays on Speech Acts and Other Topics in Pragmatics, 267–287. Oxford: Oxford University Press.Google Scholar logo with link to Google Scholar
Sperber, Dan, Fabrice Clément, Christophe Heintz, Olivier Mascaro, Hugo Mercier, Gloria Origgi, and Deirdre Wilson. 2010. “Epistemic Vigilance.” Mind & Language 25: 359–393. Google Scholar logo with link to Google Scholar
Thi Nguyen, C. 2020. “Echo Chambers and Epistemic Bubbles.” Episteme 17: 141–161. Google Scholar logo with link to Google Scholar
Thorp, Holden H. 2021. “Public Debate Is Good for Science.” Science 371 (6526): 213. Google Scholar logo with link to Google Scholar
Tones, Keith, and Sylvia Tilford. 2001. Health Promotion: Effectiveness, Efficiency and Equity. Cheltenham: Nelson Thornes.Google Scholar logo with link to Google Scholar
Uscinski, Joseph E., Adam M. Enders, Casey Klofstad, Michelle Seelig, John Funchion, Caleb Everett, Stephan Wuchty, Kamal Premaratne, Manohar Murth. 2020. “Why Do People Believe COVID-19 Conspiracy Theories?” The Harvard Kennedy School Misinformation Review 1: 1–12. Google Scholar logo with link to Google Scholar
Van Poppel, Lotte. 2019. “Anticipating Resistance to Health Advice: A Speech Act Perspective.” Discourse Processes 56: 256–269. Google Scholar logo with link to Google Scholar
Vraga, Emily K., Melissa Tully, and Leticia Bode. 2020. “Empowering Users to Respond to Misinformation about COVID-19.” Media and Communication 8: 475–479. Google Scholar logo with link to Google Scholar
Webster, Rebecca K., Samantha K. Brooks, Louise E. Smith, Lisa Woodland, Simon Wessely, G. James Rubin. 2020. “How to Improve Adherence with Quarantine: Rapid Review of the Evidence.” Public Health 182: 163–169. Google Scholar logo with link to Google Scholar
White, Marsha, and Steven M. Dorman. 2001. “Receiving Social Support Online: Implications for Health Education.” Health Education Research 16: 693–707. Google Scholar logo with link to Google Scholar
WHO, Novel Coronavirus(2019-nCoV). Situation Report – 13, 02/02/2020.
Wynne, Brian. 1995. “Public Understanding of Science.” In Handbook of Science and Technology Studies, edited by Sheila Jasanoff, Gerald E. Markle, James C. Peterson, and Trevor Pinch, 361–388. Thousand Oaks, CA: Sage.Google Scholar logo with link to Google Scholar
Zarocostas, John. 2020. “How to Fight an Infodemic”. The Lancet 395: 676. Google Scholar logo with link to Google Scholar
Ziman, John. 1991. “Public Understanding of Science.” Science, Technology, & Human Values 16: 99–105. Google Scholar logo with link to Google Scholar
. 1992. “Not Knowing, Needing to Know, and Wanting to Know.” In When Science Meets the Public, edited by Bruce V. Lewenstein, 13–20. Washington, DC: American Association for the Advancement of Science.Google Scholar logo with link to Google Scholar
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