Rhetoric of Health and Medicine

6 articles
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August 2025

  1. Review of PCOS Discourses, Symbolic Impacts, and Feminist Rhetorical Disruptions of Institutional Hegemonies. Marissa C. McKinley, Lanham, MD: Lexington Books, 2023. 162 pages, $95.00 hardback, $45.00 ebook. Publisher’s webpage:
    Abstract

    PCOS Discourses, Symbolic Impacts, and Feminist Rhetorical Disruptions of Institutional Hegemonies. Marissa C. McKinley, Lanham, MD: Lexington Books, 2023. 162 pages, $95.00 hardback, $45.00 ebook. Publisher’s webpage: https://rowman.com/ISBN/9781666905519/PCOS-Discourses-Symbolic-Impacts-and-Feminist-Rhetorical-Disruptions-of-Institutional-Hegemonies.

    doi:10.5744/rhm.2025.3044

March 2022

  1. Creating Choice and Building Consensus: Invitational Rhetoric as a Strategy to Promote Vasectomies in the United States
    Abstract

    According to a recent study by the Brookings Institution (Reeves & Krause, 2016), vasectomies are safer, more effective, and less expensive than most other voluntary sterilization methods. While the procedure has grown in popularity in recent years, particularly in the United Kingdom and Canada, it is much less common in the United States. This discrepancy can be attributed to both social (a perception that contraception is “women’s work”) and policy-­based factors (lack of coverage under the Affordable Care Act). This paper examines the role and extent to which invitational rhetoric could be a useful communicative lens for both partners and providers considering vasectomies, thus increasing access to and utilization of the safe, effective, and affordable procedure. In this policy brief, we suggest strategies for incorporating invitational rhetoric into health professions education curricula, patient counseling literature, and policy language in order to address some of the social stigma around the procedure.

    doi:10.5744/rhm.3005

February 2021

  1. Distributed Feminist Rhetorical Agency after a Rape Accusation
    Abstract

    This article examines the rhetorical effects of a rape accusation on the survivor and on the survivor’s community of social justice activists. Relying on interviews with the survivor and with the community affected by the allegation, the article analyzes responses to the allegation, articulates how those responses are informed by rape culture, and illustrates how those responses affected the survivor and her rhetorical agency. The article argues that rhetorical agency can be productively distributed across various allies to assist survivors and help restore the rhetorical agency that rape erodes. Establishing sexual assault as a public health issue, the article recommends broad education in rhetorical listening to improve how those entrusted to hear assault stories listen, respond, and, when appropriate, help survivors speak or act.

    doi:10.5744/rhm.2020.4002
  2. An Ethics-of-Care Paradigm in Opposition Research: The Tensions of Studying a Pro-Life Organization
    Abstract

    This paper explores how I navigated the complicated terrain of opposition research during the dissertation phase of my doctoral program. Drawing from ethnographic research conducted on a pro-life organization, I illustrate that care-based ethics (Held, 2006; Tronto, 1994) is not just for vulnerable and agreeable participants but is valuable and appropriate for researching powerful groups whom we oppose. Furthermore, I argue that rhetorical listening (Glenn & Ratcliffe, 2011; Ratcliffe, 1999, Ratcliffe, 2005) is not just a valuable methodological approach to research, but also a form of reciprocity, especially critical when studying groups we oppose. Such an approach promotes the mutually beneficial goals of respect and understanding.

    doi:10.5744/rhm.2020.4007

January 2021

  1. Invitational Rhetoric in Epistemic Practice: Invitational Knowledge in Infertility Support Groups
    Abstract

    Over the last several decades there have been rapid advancements in treatment options available for infertility. Consequently, infertility has become a medicalized disease, which privileges a masculine epistemology. Problematically, this masculinist perception of infertility diminishes concern for the lived experiences of women living with infertility and ignores the many ways in which infertility manifests as a social condition. This study examines narratives of women diagnosed with infertility, gathered from online support groups. Through these narratives I introduces the concept of “invitational knowledge” as a means to understand how knowledge functions rhetorically to create space for discourses that deviate from the medicalized assumptions of infertility. Invitational knowledge highlights the epistemological roots of invitational rhetoric through adoption of a postmodern feminist epistemology and is characterized by five features: 1) rhetor agency; 2) emotional knowledge; 3) transformative discourse; 4) shared knowledge; and 5) asking questions rather than making judgments.

    doi:10.5744/rhm.2021.1002

May 2020

  1. Through the Agency of Words: Women in the American Insane Asylum, 1842–1890
    Abstract

    Between 1842 and 1890, 23 women wrote 33 memoirs about their time spent incarcerated in American insane asylums. While a handful of these memoirs have been studied, there has not been a recognition of how many asylum mem­oirs exist and their significance as a collective body of work. Grounded in an inductive analysis of the collective 33 works, this article begins a process of recovering a mostly forgotten moment in time when former patients took agency over their experience, ethos, and rhetoricity to break down the institutional wall of silence and give the public the first patient-centered memoirs. I argue that these women rhetors did this by foregrounding their own identity as patient and by creating a rhetorical position from which their readers would feel the trauma of asylum life. Both rhetorical moves countered institutionalization’s dehumanizing effects by placing the patient experience at the center of understanding the asy­lum experience.

    doi:10.5744/rhm.2020.1012