Rhetoric of Health and Medicine
4 articlesAugust 2025
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Abstract
While parents have long turned to experts of various kinds for childrearing advice, books like Emily Oster’s Cribsheet suggest that parents can empower themselves by using research on child development to inform their parenting decisions. The online community r/ScienceBasedParenting was designed as a “safe space” for this kind of parental labor, allowing users to request evidence-based advice without the threat of misinformation that often plagues online parenting spaces. This article analyzes how users of this community establish a boundary between science and nonscience, establishing science as an amorphous shared value rather than a set of processes or standards. The community establishes personal feelings and experiences as unscientific and implicitly inferior to “science,” vaguely construed, and user conversations indicate the struggles associated with this construction. The community’s internal rhetoric illustrates that there are limits to the reassurance and empowerment that evidence-based parenting can provide.
April 2024
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Abstract
This manuscript offers a critical rhetorical analysis of a multi-site, longitudinal study’s procedures in collecting and recording biomarkers. This manuscript opens new areas of exploration for the field of the rhetoric of health and medicine as the biomarker sampling for measures of stress, and resilience tie to critical rhetorical theories surrounding power and the body. The training manuals and protocols disseminated to the multi-site research team serve as rhetorical artifacts to examine questions of how the choices of biomarkers and the procedures employed to collect the samples needed to measure them are in and of themselves a production of health knowledge of the bodies and identities of transgender and gender diverse people. This manuscript presents an investigation of the processes of biomarker sample collection in conjunction with how the biomarkers are conceptualized as a means of deconstructing hegemonic assertions of gender and health normality.
November 2023
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Locating Failure, Interrogating Method: Scientific Responses to Clinical Trial Failure for Traumatic Brain Injury Treatments ↗
Abstract
Though persistent failure of clinical trials poses a challenge for multiple conditions, traumatic brain injury (TBI) is especially difficult to study because of its heterogeneity, complexity, unpredictable outcomes, and resistance to definition and classification. This article analyzes published discourse among researchers about the failure of two large trials for progesterone as a traumatic brain injury (TBI) treatment. The analysis specifically examines how researchers respond to trial failure and how TBI functions as a diagnostic construct. I draw on theories of kairos and multiple ontologies to argue that, while evidence-based medicine constructs TBI as a coherent entity in order to study it through randomized controlled trials, this entity breaks down in practice into multiple temporalities and spaces that are not sufficiently coordinated.
December 2019
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Abstract
The modern view of addiction as a progressive brain disease originated in the second half of the 19th and early decades of the 20th centuries. Historians attribute the shift from a moral to a medical concept to the efforts of a small but well-organized band of physicians forming what is known as the Inebriety Movement in the United States and Great Britain. Members aimed to distribute the disease theory to a disinterested and biased medical community, establish protocols for evidence-based treatments, and transfer the management of drinkers and drug users away from religious organizations and penal institutions to the care of trained practitioners. Members’ efforts to rhetorically achieve these goals on the pages of medical journals has received scant attention in the scholarly community. Based on an analysis of 92 medical articles on addiction published between 1870 and 1930, I will reveal a complex, inclusive, and multimodal rhetoric employed to refigure “drunkards” and “underworld” drug “fiends” as patients and their confounding addictive behaviors as symptoms rather than signs of degeneracy. Before advanced understanding of brain’s pleasure circuits and dopamine receptors, these early medical authors dramatically rendered the havoc that substances can play on those systems. Recovering the narratives and patient tropes I find in these texts may be instructive as we try to find ways to erase persistent stigma surrounding addiction. My findings will hopefully encourage dialogue and new research pathways for scholars interested in the rhetorical history of addiction.