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Assessing rhetorical principles of contemporary health issues Hypochondriacs are vulnerable to media hype, anorexics are susceptible to public scrutiny, and migraine sufferers are tainted with the history of the “migraine personality,” maintains rhetorical theorist Judy Z. Segal. All are influenced by the power of persuasion. Health and the Rhetoric of Medicine explores persistent health conditions that resist conventional medical solutions. Using a range of rhetorical principles, Segal analyzes how patients and their illnesses are formed within the physician/patient relationship. The intractable problem of a patient’s rejection of a doctor’s advice, says Segal, can be considered a rhetorical failure—a failure of persuasion. Examining the discourse of medicine through case studies, applications, and analyses, Segal illustrates how illnesses are described in ways that limit patients’ choices and satisfaction. She also illuminates psychiatric conditions, infectious diseases, genetic testing, and cosmetic surgeries through the lens of rhetorical theory. Health and the Rhetoric of Medicine bridges critical analysis for scholarly, professional, and lay audiences. Segal highlights the persuasive element in diagnosis, health policy, illness experience, and illness narratives. She also addresses questions of direct-to-consumer advertising of prescription drugs, the role of health information in creating the “worried well” and problems of trust and expertise in physician/patient relationships. A useful resource for critical common sense in everyday life, the text provides an effective examination of a society increasingly influenced by the rhetoric of health and medicine.
The Rhetoric of Medicine explores problems that confront medical professionals today by first examining similar problems that confronted physicians in ancient Greece. This framework provides illuminating entry points into challenges faced by the practice of medicine, enabling readers to understand more clearly their shape and operation in the modern context-as well as their possible solutions. Topics covered include: larger cultural ideas about the body; tension between professional values and working for money; effective collaboration and competition with alternative healthcare providers; restrictions on political involvement that are part of a physician's identity; maintaining a space for professional autonomy and judgment; mentoring that is effective but not exclusive; and physicians' recognition of themselves as patients as well as professionals. A unique collaboration between a classicist and a neurosurgeon, The Rhetoric of Medicine is a call to interrogate the narratives and ideas that shape medical care and to revise and replace those that do not serve patient health.
Methodologies for the Rhetoric of Health & Medicine charts new methodological territories for rhetorical studies and the emerging field of the rhetoric of health and medicine. It advances the larger goal of differentiating the rhetoric of health and medicine as a distinct but pragmatically diverse area of study.
Examines how healthcare and medical issues circulate in the social, cultural, economic, and political aspects of our world.
Challenging the dominant account of medical law as normatively and conceptually subordinate to medical or bioethics, this book provides an innovative account of medical law as a rhetorical practice. The aspiration to provide a firm grounding for medical law in ethical principle has not yet been realized. Rather, legal doctrine is marked, if anything, by increasingly evident contradiction and indeterminacy that are symptomatic of the inherently contingent nature of legal argumentation. Against the idea of a timeless, placeless ethics as the master discipline for medical law, this book demonstrates how judicial and academic reasoning seek to manage this contingency, through the deployment of rhetorical strategies, persuasive to concrete audiences within specific historical, cultural and political contexts. Informed by social and legal theory, cultural history and literary criticism, John Harrington’s careful reading of key judicial decisions, legislative proposals and academic interventions offers an original, and significant, understanding of medical law.
This book explores rhetorical ethos and its ongoing role in patients’ credibility and in misdiagnoses stemming from gender, race and class-based biases. Drawing on the concept of ethos as a theoretical framework, it explores health and mental illness across different conditions and across different methodological approaches. Extending work on ethos in clinical encounters and public discourse about biomedicine and presenting new research on the rhetoric of mental health, stigma and mental illness, the book explores how bias in clinical settings can lead to symptoms labelled "in the patient’s head" masking treatable medical problems. This notable contribution to the rhetoric of health and medicine will be of interest to all researchers and graduate students of rhetoric and composition studies, rhetoric of health and medicine, disability studies, medical humanities, communication, and psychology.
Galen is the most important physician of the Roman imperial era. Many of his theories and practices were the basis for medical knowledge for centuries after his death and some practices—like checking a patient’s pulse—are still used today. He also left a vast corpus of writings which makes up a full one-eighth of all surviving ancient Greek literature. Through her readings of hundreds of Galen’s case histories, Susan P. Mattern presents the first systematic investigation of Galen’s clinical practice. Galen’s patient narratives illuminate fascinating interplay among the craft of healing, social class, professional competition, ethnicity, and gender. Mattern describes the public, competitive, and masculine nature of medicine among the urban elite and analyzes the relationship between clinical practice and power in the Roman household. She also finds that although Galen is usually perceived as self-absorbed and self-promoting, his writings reveal him as sensitive to the patient’s history, symptoms, perceptions, and even words. Examining his professional interactions in the context of the world in which he lived and practiced, Galen and the Rhetoric of Healing provides a fresh perspective on a foundational figure in medicine and valuable insight into how doctors thought about their patients and their practice in the ancient world.
The author explores the changing rhetoric of pain medicine and how this rhetoric ultimately shapes the health-care community's understanding of what pain medicine is, how the medicine should be practiced and regulated, and how practitioner-patient relationships are best managed. -- Dust jacket.
NCTE-CCCC Best Book in Technical or Scientific Communication 2020 Rhetorical Work in Emergency Medical Services: Communicating in the Unpredictable Workplace details how communicators harness the power of rhetoric to make decisions and communicate in unpredictable contexts. Grounded in a 16-month study in the emergency medical services (EMS) workplace, this text contributes to our theoretical, methodological, and practical understandings of the situation-specific processes that communicators and researchers engage in to respond to the urgencies and constraints of high-stakes workplaces. This book presents these intricate processes and skills—learned and innate—that workplace communicators use to accomplish goal-directed activity, collaborate with other communicators, and complete and teach workplace writing.
During the 1990s, unprecedented numbers of Americans turned to complementary and alternative medicine (CAM), an umbrella term encompassing health practices such as chiropractic, energy healing, herbal medicine, homeopathy, meditation, naturopathy, and traditional Chinese medicine. By 1997, nearly half the US population was seeking CAM in one form or another, spending at least $27 billion out-of-pocket annually on related products and services. As CAM rose in popularity over the decade, so did mainstream medicine's interest in understanding whether those practices actually worked, and how. Medical researchers devoted considerable effort to testing CAM interventions in clinical trials, and medical educators scrambled to assist physicians in advising patients about CAM. In Bounding Biomedicine, Colleen Derkatch examines how the rhetorical discourse around the published research on this issue allowed the medical profession to maintain its position of privilege and prestige throughout this process, even as its place at the top of the healthcare hierarchy appeared to be weakening. Her research focuses on the ground-breaking and somewhat controversial CAM-themed issues of The Journal of the American Medical Association and its nine specialized Archives journals from 1998, demonstrating how these texts performed rhetorical boundary work for the medical profession. As Derkatch reveals, the question of how to test healthcare practices that don't fit easily (or at all) within mainstream Western medical frameworks sweeps us into the realm of medical knowledge-making--the research teams, clinical trials, and medical journals that determine which treatments are safe and effective--and also out into the world where doctors meet patients, illnesses find treatment, and values, practices, policies, and priorities intersect. Through Bounding Biomedicine, Derkatch shows exactly how narratives of medicine's entanglements with competing models of healthcare shape not only the historical episodes they narrate but also the very fabric of medical knowledge itself and how the medical profession is made and remade through its own discursive activity.