Contents: Introduction. Part I: Conceptual Orientations to Disenfranchisement.C. Bullis, B.W. Bach, Feminism and the Disenfranchised: Listening Beyond the "Other." H.B. Mokros, S. Deetz, What Counts as Real? A Constitutive View of Communication and the Disenfranchised in the Context of Health. G.B. Ray, Identities in Crisis: Individualism, Disenfranchisement, and the Self-Help Culture. L.S. Eastland, The Reconstruction of Identity: Strategies of the Oregon Citizens Alliance. Part II: Issues Related to Socioeconomic Status.K. Miller, Gimme Shelter: The Communication of America's Homeless. B.F. Sharf, J. Kahler, Victims of the Franchise: A Culturally Sensitive Model of Teaching Patient-Doctor Communication in the Inner City. R.E. Zambrana, A Research Agenda on Issues Affecting Poor and Minority Women: A Model for Understanding Their Health Needs. A.A. Marshall, J.K. McKeon, Reaching the "Unreachables": Educating and Motivating Women Living in Poverty. Part III: Issues Related to Family.P. Geist, J.L. Gray, F. Avalos-C'deBaca, G. Hill, Silent Tragedy/Social Stigma: Coping With the Pain of Infertility. D.S. Ballard-Reisch, Coping with Alienation, Fear and Isolation: The Disenfranchisement of Adolescents With Cancer and Their Families. J.E. Rudd, Divorce Mediation: One Step Forward or Two Steps Back? J.F. Nussbaum, M. Bergstrom, L. Sparks, The Institutionalized Elderly: Interactive Implications of Long-Term Care. Part IV: Issues Related to Abuse.A. Eckman, M. Mastronardi, Feminist Approaches to Sexual Violence: A Discursive Analysis. E.B. Ray, Challenging the Stigmatizing Messages: The Emerging Voices of Adult Survivors of Incest. J.T. West, Communication and Abused Women: Empowering Their Voices and Exposing the Ideological Constraints. R.P. Clair, Discourse and Disenfranchisement: Targets, Victims, and Survivors of Sexual Harassment. Part V: Issues Related to Health Concerns.F.C. Corey, Gay Men and Their Physicians: Discourse and Disenfranchisement. S. Metts, H. Manns, Coping With HIV Infection and AIDS: The Social and Personal Challenges. R.J.W. Cline, N.J. McKenzie, HIV/AIDS, Women, and the Threads of Discrimination: A Tapestry of Disenfranchisement. T.L. Thompson, Allowing Dignity: Communication With the Dying. R.W. Thomas, D.R. Seibold, Communicating with Alcoholics: A Strategic Influence Approach to Personal Intervention. G.M. Johnson, T.L. Albrecht, Supportive Structures for Persons With Disability: Smoothing or Smothering the Way? D.O. Braithwaite, "Persons First": Expanding Communicative Choices by Persons With Disabilities.