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Opinion polls have documented a considerable public skepticism towards a COVID-19 vaccine. Seeking to address the vaccine skepticism challenge this essay surveys the research on vaccine hesitancy and trust building through the lens of the rhetorical situation and points towards five broad principles for a content strategy for public health communicators in regards to vaccination: 1) vaccine hesitancy is not irrational per se; 2) messages should be tailored to the various hesitancy drivers; 3) what is perceived as trustworthy is situational and constantly negotiated; 4) in areas of uncertainty where no exact knowledge exists, the character of the speaker becomes more important; and 5) the trustworthiness of the speaker can be strengthened through finding some common ground—such as shared feelings or accepted premises—with the audience. Such common insights are on offer in the literature on rhetoric and persuasion and linked here with the research on vaccine communication and trust focusing specifically on the latter and character.

Traditionally, the public relations (PR) literature on activism tended to focus on organisational perspectives and organisational responses to activist group pressure. More recent studies looked also at PR practitioners as activists within their organisations or at their role in the service of activist groups. Ihlen and Verhoeven (2009) admitted that they ‘would like to see studies of this practice [activist PR] also become a “natural” part of public relations’ (p. 334). This article responds to them by researching the complex and diverse practice of activist PR. Using narrative inquiry to study a professional case, it demonstrates how, even when performed by the same practitioner, advocacy, persuasive strategy and facilitation of genuine dialogues may be used at the same time and ethically to achieve organisational goals and to seek social change. Through a case study, it foregrounds specific features of activist practice, practitioners’ motivation and their willingness to pay high costs for promoting a social cause. Although based on a PR activist experience in the context of the Israeli–Palestinian conflict, the article suggests that the conclusions would be relevant to activist PR in many parts of the world.

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