Rhetoric of Health and Medicine

14 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

December 2024

  1. Air Justice in Louisville: Why Health Literacy Requires Coalition
    Abstract

    One of the root causes of health disparities in Louisville, Kentucky, is air pollution, a disparity rooted in the city’s history of environmental racism. Residents who engage in local environmental justice efforts face other systemic barriers, all of which intersect in the jargon-filled public notices about air pollution that circulate throughout the city. This article discusses a feminist environmental health literacy coalition formed to promote health literacy and create translations of public notices in plain language. Our preliminary theory of Air Justice maintains that health literacy is a social practice and that intersectional coalitions provide rhetoric of health and medicine (RHM) scholars with a local approach to scholarship that mirrors the diverse and multiple situatedness of the communities in which they work.

    doi:10.5744/rhm.2024.2084

September 2024

  1. Intersections of Genre and Identity in Contraceptive Health Discourses
    Abstract

    This study aims to examine online contraception texts as a way to interrogate the intersections of identity, inclusivity, and access in contraception and reproductive health discourses. At the center of this project is the understanding that, while many contraceptive technologies are designed for and marketed towards "women" for the sole use of preventing pregnancy, the actual users of contraception and their purposes for its use are diverse and involve considerations of sexuality, gender identity, socioeconomic status, ability, cultural and religious norms, and access to healthcare. By examining the genre of contraception texts through systematized coding and rhetorical analysis, this study examines how the constitutive genre features of these texts do and do not recognize the diversity of users, with a particular focus on users in the trans community.

    doi:10.5744/rhm.2024.7303

April 2024

  1. Menstrual Methodologies: On Menstrual Pain and the Importance of Ungendering Bleeding
    Abstract

    Abstract: This article develops “menstrual methodologies” for ungendering menstruation and attending to the chronic pain and dysphoria present in menstrual embodiment. Specifically, it unfolds from the experiences of a nonbinary person with undiagnosed endometriosis through developing a series of menstrual methodologies, including ungendering menstruation; thinking with pain through crip time, crankiness, and autoethnography; and a justice-based approach to menstruation; followed by an application of these methodologies to a recent case study. Following on an autobiographical prelude, I begin with an introduction to menstrual methodologies and next outline each one. Menstrual methodologies, I argue, provide a toolkit not only for those who study menstruation and menstruators but for researchers across disciplines who are interested in questions of gender, embodiment, pain, medical science, justice, and disability.

    doi:10.5744/rhm.2024.1003
  2. Trans Tricksters, Looping Effects, and Gender Diagnoses as Containment
    Abstract

    This essay examines how medical rhetorics helped justify the recent torrent of anti-trans legislation. Beginning with the “legitimacy wars” between psychiatry and psychology, I trace how competing disciplines established their own expertise by denying trans patients’ agency and self-knowledge. After identifying the “trans trickster” trope that emerges from these rhetorics, I trace how the trans trickster haunts arguments used to ban gender-affirming health care and sports participation for trans youth. I draw from sociologist Ian Hacking’s “looping effects” to explain how medical logics affect public perception and how those understandings loop back into medical research. The binary, linear models of gender transition established by trans medicine helped justify cisnormative policies around transgender identity, which in turn restricted further scientific inquiry such that more imaginative gender formations remain illegible. To conclude, I argue that medical paradigms work in relation with trans imagination would expand scientific explorations of human diversity, and that those understandings too could loop through public policy and perception.

    doi:10.5744/rhm.2024.1002
  3. Bodies of Knowledge: Biomarkers and Rhetoric of the Body
    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.

    doi:10.5744/rhm.2024.1005
  4. Toward a Queer and (Trans)Formative Methodology for Rhetoric of Health and Medicine: Institutional Critique
    Abstract

    This article argues that the field of rhetoric of health and medicine (RHM) needs queer and (trans)formative methodologies to support a disempowered, ignored, and devalued queer community. Building directly from Mohan J. Dutta’s (2022) work, the article 1) addresses that RHM scholarly practices attend to whiteness and neglect to amplify queer and transgender interventional and rhetorical approaches; 2) develops a methodology–institutional critique–for RHM practitioners that crosses disciplinary boundaries to showcase cistematic oppression at infrastructural, structural, institutional, and interpersonal levels; and 3) provides a personal medical story that showcases how institutions fail transgender and queer patients. Through this work, this article argues for the need for rhetorical methodological intervention in RHM research and to mobilize transgender rhetorical agency through coalitional building.

    doi:10.5744/rhm.2024.1004

January 2022

  1. Rhetoric of Vegan/Vegetarianism, and Health, Medicine, and Culture: A Dialogue
    Abstract

    This dialogue piece provides scholars of the rhetoric of health and medicine with a close examination of vegan and vegetarian diets/lifestyles through the perspective of several scholars, activists, and/or medical practitioners. Through these conversations, the authors illuminate many key areas of interest and future examination related to vegan and vegetarian diets through the lens of several subtopics including health impact, ethics, cultural influence on diet, gender, medical advice, emerging “meat” technologies, and societal rhetoric about vegans and vegetarians.The dialogue participants provide a discussion on how vegetarian diets—and vegan diets in particular—can progress individual and public human health, liberate non-human animals, improve the environment, and provide a vehicle in which several important social justice movements (for both humans and animals) can take root, all the while recognizing the many reasons reasons people might choose a vegetarian or vegan diet.

    doi:10.5744/rhm.2021.2006

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

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

December 2019

  1. RSTM at the Intersection of Feminism and Identity
    Abstract

    Booher, Amanda K., & Jung, Julie. (Eds.) (2018). Feminist rhetori­cal science studies: Human bodies, posthumanist worlds. Carbondale, IL: Southern Illinois University Press. pp. 274. Paperback $45.00.Yergeau, Melanie. (2017). Authoring autism: On rhetoric and neuro­logical queerness. Durham, NC: Duke University Press. pp. 312. Cloth $104.95, Paperback $27.95.Koerber, Amy. (2018). From hysteria to hormones: A rhetorical history. University Park: Penn State University Press. pp. 264. Cloth $99.95, Paperback $34.95.

    doi:10.5744/rhm.2019.1021

April 2019

  1. Communicating Elective Sterilization: A Feminist Perspective
    Abstract

    Patient-OBGYN (obstetrics and gynecology) communication about contraception and reproduction can be fraught with ideological pressures, cultural assumptions, and emotion-based claims and concerns. Specifically, the topic of elective sterilization for women often invokes preconceived notions of femininity and mothering. Based on medical pamphlets and online discussion forums, our analysis reveals how gendered discrepancies exist in medical information about elective sterilization. This persuasion brief aims to invite OBGYNs to understand how cultural and traditional views of gender inform medical decisions and oppress women’s reproductive autonomy. It offers suggestions for OBGYNs, women seeking sterilization, and scholars in the rhetoric of health and medicine.

    doi:10.5744/rhm.2019.1004

May 2018

  1. From Hysteria to Hormones and Back Again: Centuries of Outrageous Remarks About Female Biology
    Abstract

    In this persuasion brief I suggest how rhetorical-historical insights into the scientific and medical discourses of female hormones are relevant to current organizational and institutional diversity initiatives, especially those that aim to increase the number of women in leadership positions. Many of the examples I cite in the essay make specific reference to hormones, and as I argue, hormones often serve an enthymematic function in these expert arguments, both past and present. More specifically, I argue, discourses about hormones allow people who do not possess any scientific expertise to make authoritative-sounding claims that resonate with popular beliefs about women’s bodies and brains. Uncovering these historical tendencies in scientific and medical discourse offers new perspectives on the obstacles that women face in today’s workplaces. In this persuasion brief I aim to discuss these perspectives in ways that make the findings of rhetorical-historical research relevant to the many different stakeholders, leaders, and policymakers who are currently working to help women rise to leadership positions in many different fields.

    doi:10.5744/rhm.2018.1004