Can denial strategies rebuild trust? Evidence from a hospital’s statement regarding cancer incidents in the laboratory

This paper explores whether denial strategies can rebuild public trust, using evidence from a hospital’s statement regarding cancer incidents in its laboratory. A discourse analysis of the hospital’s statement reveals that explicit and implicit denial strategies are used to rebuild public trust. Specifically, the hospital uses explicit denial to refute the identity or severity of the affected individuals. Besides, the hospital uses implicit denial to construct a trustworthy image of ability, transparency, and benevolence, thereby addressing public concerns. Further experimental studies indicate that neither explicit nor implicit denial alone is sufficient to rebuild trust. Instead, a combination of both strategies is essential for effectively rebuilding trust. Based on these findings, this paper offers suggestions for rebuilding public trust.

Publication history
Table of contents

Denial, as a speech act, is defined as the addresser’s “unwillingness to see or admit a truth that ought to be apparent and is, in fact, apparent to many others” (Tedlow 2010, 36). Prior studies of denial have mainly focused on its strategies and functions (e.g., Boogaart et al. 2021; Davis 2011). These studies have revealed that addressers can employ straightforward denial or shift blame (Benoit 2015) to reject responsibility for a trust violation, potentially contributing to trust repair (Ferrin et al. 2007). However, while prior studies have suggested that denial strategies can be used to repair trust (e.g., Ho 2019), denial is not always an effective means of doing so. For example, on November 7, 2023, an online post emerged claiming that several students from a hospital’s breast surgery team had been diagnosed with cancer, causing public concern. In response, the hospital issued an official statement denying the claim in the online post. However, rather than dispelling doubts, the statement triggered further scepticism online. This reaction likely reflects doubts about the hospital’s accountability, suggesting that denial strategies may diminish trust rather than repair it (Kim et al. 2004; McCready 2015). Such incidents raise important questions about the conditions under which denial strategies can effectively repair/rebuild trust. This study, therefore, explores the types and effectiveness of denial strategies in rebuilding trust with evidence from the hospital’s statement. Specifically, we conducted a discourse analysis of the denial strategies in the hospital’s statement and evaluated their effectiveness in rebuilding public trust through experiments.

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References

Benoit, William
2015Accounts, Excuses, and Apologies: Image Repair Theory and Research. Albany: State University of New York Press.Google Scholar logo with link to Google Scholar
Blöbaum, Bernd
2016Trust and Communication in a Digitized World: Models and Concepts of Trust Research. Cham: Springer. Google Scholar logo with link to Google Scholar
Boogaart, Ronny, Henrike Jansen, and Maarten van Leeuwen
2021 “ ‘Those Are Your Words, Not Mine!’ Defence Strategies for Denying Speaker Commitment”. Argumentation 35 (2): 209–235. Google Scholar logo with link to Google Scholar
Candlin, Christopher, and Jonathan Crichton
2013Discourses of Trust. New York: Palgrave Macmillan. Google Scholar logo with link to Google Scholar
Chen, Xinren
2021Exploring Identity Work in Chinese Communication. London: Bloomsbury.Google Scholar logo with link to Google Scholar
Cheryan, Sapna, and Benoît Monin
2005 “Where Are You Really from? Asian Americans and Identity Denial”. Journal of Personality and Social Psychology 89 (5): 717. Google Scholar logo with link to Google Scholar
Cohen, Stanley
2013States of Denial: Knowing about Atrocities and Suffering. Hoboken: Wiley.Google Scholar logo with link to Google Scholar
Coombs, W. Timothy
1999 “Information and Compassion in Crisis Responses: A Test of Their Effects”. Journal of Public Relations Research 11 (2): 125–142. Google Scholar logo with link to Google Scholar
Davis, Wayne A.
2011 “ ‘Metalinguistic’ Negations, Denial, and Idioms”. Journal of Pragmatics 43 (10): 2548–2577. Google Scholar logo with link to Google Scholar
Fannes, Gijs, and An-Sofie Claeys
2023 “Shaping Attributions of Crisis Responsibility in the Case of an Accusation: The Role of Active and Passive Voice in Crisis Response Strategies”. Journal of Language and Social Psychology 42 (1): 3–30. Google Scholar logo with link to Google Scholar
Ferrin, Donald L., Peter H. Kim, Cecily D. Cooper, and Kurt T. Dirks
2007 “Silence Speaks Volumes: The Effectiveness of Reticence in Comparison to Apology and Denial for Responding to Integrity- and Competence-Based Trust Violations”. Journal of Applied Psychology 92 (4): 893. Google Scholar logo with link to Google Scholar
Flores, Fernando, and Robert C. Solomon
1998 “Creating Trust”. Business Ethics Quarterly 8 (2): 205–232. Google Scholar logo with link to Google Scholar
Fuoli, Matteo, and Carita Paradis
2014 “A Model of Trust-Repair Discourse”. Journal of Pragmatics 74: 52–69. Google Scholar logo with link to Google Scholar
Fuoli, Matteo, and Christopher Hart
2018 “Trust-Building Strategies in Corporate Discourse: An Experimental Study”. Discourse & Society 29 (5): 514–552. Google Scholar logo with link to Google Scholar
Hewett, David, Bernadette M. Watson, and Cindy Gallois
2013 “Trust, Distrust, and Communication Accommodation Among Hospital Doctors”. In Discourse of Trust, ed. by Christopher Candlin, and Jonathan Crichton, 36–51. New York: Palgrave Macmillan. Google Scholar logo with link to Google Scholar
Ho, Victor
2017 “Giving Offense and Making Amends: How Hotel Management Attempts to Manage Rapport with Dissatisfied Customers”. Journal of Pragmatics 109: 1–11. Google Scholar logo with link to Google Scholar
2019 “Hotel Management’s Attempts at Repairing Customers’ Trust: The Use of Apology and Denial”. Pragmatics and Society 10 (4): 493–511. Google Scholar logo with link to Google Scholar
2021 “Denial in Managerial Responses: Forms, Targets and Discourse Environment”. Journal of Pragmatics 176: 124–136. Google Scholar logo with link to Google Scholar
Ibrahim, Mohammed, and Pieter M. Ribbers
2009 “The Impacts of Competence-Trust and Openness-Trust on Interorganizational Systems”. European Journal of Information Systems 18 (3): 223–234. Google Scholar logo with link to Google Scholar
Iqbal, Yeshim, and Rezarta Bilali
2018 “The Impact of Acknowledgement and Denial of Responsibility for Harm on Victim Groups’ Perceptions of Justice, Power, and Intergroup Attitudes”. European Journal of Social Psychology 48 (4): 397–411. Google Scholar logo with link to Google Scholar
Kim, Peter H., Donald L. Ferrin, Cecily D. Cooper, and Kurt T. Dirks
2004 “Removing the Shadow of Suspicion: The Effects of Apology Versus Denial for Repairing Competence-Versus Integrity-Based Trust Violations”. Journal of Applied Psychology 89 (1): 104. Google Scholar logo with link to Google Scholar
Lewicki, Roy J., Beth Polin, and Robert B. Lount Jr.
2016 “An Exploration of the Structure of Effective Apologies”. Negotiation and Conflict Management Research 9 (2): 177–196. Google Scholar logo with link to Google Scholar
Lewicki, Roy J., and Chad Brinsfield
2017 “Trust Repair”. Annual Review of Organizational Psychology and Organizational Behavior 4: 287–313. Google Scholar logo with link to Google Scholar
Lin, Yuting
2021 “Legitimation Strategies in Corporate Discourse: A Comparison of UK and Chinese Corporate Social Responsibility Reports”. Journal of Pragmatics 177: 157–169. Google Scholar logo with link to Google Scholar
Martin, James, and Peter R. White
2005The Language of Evaluation: Appraisal in English. London: Palgrave Macmillan. Google Scholar logo with link to Google Scholar
Mayer, C. Roger, James H. Davis, and F. David Schoorman
1995 “An Integrative Model of Organizational Trust”. Academy of Management Review (3): 709–734. Google Scholar logo with link to Google Scholar
Mazzarella, Diana, Robert Reinecke, Ira Noveck, and Hugo Mercier
2018 “Saying, Presupposing and Implicating: How Pragmatics Modulates Commitment”. Journal of Pragmatics 133: 15–27. Google Scholar logo with link to Google Scholar
McCready, Eric S.
2015Reliability in Pragmatics. Oxford: Oxford University Press.Google Scholar logo with link to Google Scholar
Mullan, Hugh
1955 “Status Denial in Group Psychoanalysis”. The Journal of Nervous and Mental Disease 122 (4): 345–352. Google Scholar logo with link to Google Scholar
Rousseau, Denise, Sim Sitkin, Ronald S. Burt, and Colin Camerer
1998 “Not So Different After All: A Cross-Discipline View of Trust”. Academy of Management Review 23 (3): 393–404. Google Scholar logo with link to Google Scholar
Souter, James
2011 “A Culture of Disbelief or Denial? Critiquing Refugee Status Determination in the United Kingdom”. Oxford Monitor of Forced Migration 1 (1): 48–59.Google Scholar logo with link to Google Scholar
Spenader, Jennifer, and Emar Maier
2009 “Contrast as Denial in Multi-Dimensional Semantics”. Journal of Pragmatics 41 (9): 1707–1726. Google Scholar logo with link to Google Scholar
Stapleton, Karyn, and Owen Hargie
2011 “Double-Bind Accountability Dilemmas: Impression Management and Accountability Strategies Used by Senior Banking Executives”. Journal of Language and Social Psychology 30 (3): 266–289. Google Scholar logo with link to Google Scholar
Tedlow, Richard S.
2010Denial: Why Business Leaders Fail to Look Facts in the Face — And What to Do About It. London: Penguin Press.Google Scholar logo with link to Google Scholar
Utz, Sonja, Uwe Matzat, and Chris Snijders
2009 “On-line Reputation Systems: The Effects of Feedback Comments and Reactions on Building and Rebuilding Trust in On-line Auctions”. International Journal of Electronic Commerce 13 (3): 95–118. Google Scholar logo with link to Google Scholar
Wang, Xueyu, and Rujie Cao
2023 “Thanks for Trusting Me, Parent: Chinese Pediatricians’ Epistemic Behaviour for Trustworthiness in Online Medical Consultations”. East Asian Pragmatics 8 (2): 271–289. Google Scholar logo with link to Google Scholar
Wodak, Ruth
2021 “Crisis Communication and Crisis Management During COVID-19”. Global Discourse 11 (3): 329–353. Google Scholar logo with link to Google Scholar
Yang, Kun
2021 “Disclaimer as a Metapragmatic Device in Chinese: A Corpus-Based Study”. Journal of Pragmatics 173: 167–176. Google Scholar logo with link to Google Scholar
2023 “How sajiao (Playing Cute) Wins Forgiveness: The Effectiveness of Emojis in Rebuilding Trust Through Apology”. Discourse & Communication 17 (1): 77–95. Google Scholar logo with link to Google Scholar
2024aBibliometric Research on Chinese Pragmatics. Beijing: China Social Sciences Press.Google Scholar logo with link to Google Scholar
2024b “How to Rebuild Trust Through Apology: Evidence from Public Apology Letters”. Journal of Pragmatics 224: 36–45. Google Scholar logo with link to Google Scholar
Zhao, Xin, and Yansheng Mao
2023 “If I Testify About Others, My Testimony Is Valid: A Study of Other-Justified Discourses in Chinese Online Medical Crowdfunding”. Pragmatics 33 (4): 641–662. Google Scholar logo with link to Google Scholar
 
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