Rhetoric of Health and Medicine
5 articlesJanuary 2023
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Pedagogies of Rhetorical Empathy-in-Action: Role Playing and Story Sharing in Healthcare Education ↗
Abstract
Since successful healthcare relies heavily on a practitioner’s ability to empathize with the patient, the allied health professions—like nursing and speech therapy—have long considered the possibilities and limitations of a pedagogical practice that centers empathy. In this essay, we analyze two such pedagogies: role playing with simulated patients in nursing and story sharing in a multimodal memoir group with aphasic clients in communicative sciences and disorders (CSD). Comparing theories of empathy in these fields as well as interviews with the future nurses and speech therapists participating in these experiences, we show how students engage in what we call “empathy-in-action” through both reflection and enactment and what rhetorical scholarship can gain from attending to these practices. Ultimately, we argue that putting rhetoric, nursing, and CSD in conversation deepens each field’s understanding of how empathy can be taught and learned.
March 2022
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“The Patient Decision Aid as a Pedagogical Tool: Exigencies between RHM and the Health Professions” ↗
Abstract
This past decade, the healthcare industry has undergone a transformation with where, how, and why writing happens. For example, what the health and medical professions conceive of as “documentation” or “charting” is writing, even though practitioners call it by another name. Additionally, most writing in healthcare settings is now also multimodal, incorporating textual, digital, visual, and aural content. This essay focuses on the patient decision aid as pedagogical tool that embraces the technological and multimodal changes in health and medicine. Patient decision aids can be understood as a multimodal tool guiding shared decision-making practices. As a genre, the decision aid prompts students to engage in a series of writing modalities – visuals, narrative, texts – as well as the application of user experience and design. Finally, the decision aid as an assignment offers explicit connections between humanities-based students and broader healthcare industries.
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.
July 2019
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Abstract
This persuasion brief suggests that the rhetorical concepts of techne and rhetorical work facilitate the creation of public health crisis communication. To illustrate this claim, we present findings from a case study with the Johns Hopkins Medicine Ebola Crisis Communications Team, a transdisciplinary group that collaborated with Centers for Disease Control and Prevention during the 2014 Ebola crisis. The team created multimodal documentation to support healthcare providers as they prepared to treat patients and crafted communication to alleviate the fear among health workers and the public caused by the threat of Ebola. Ultimately, we frame public health crisis communication as a rhetorical endeavor guided by a focus on failure, situated expertise, and techne. This focus pushes specialists to tend to the processes involved in creating a response, and it highlights how gut feelings factor into the process of designing and implementing a public health crisis intervention.
December 2018
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Abstract
The interrelation of scientific and aesthetic visual norms employed in anatomic sculptures opens novel and effective persuasive registers in debates around bodily autonomy. Using Damien Hirst’s installation The Miraculous Journey as a case study, this study posits that these visual representations of reproduction signify beyond the body, demonstrating the ways that pregnancy and childbirth embody political, national, and cultural possibilities. Tracing the sculptures’ adoption as evidence by anti-abortion activists in United States debates over abortion care, this article argues that the liminal disciplinary site of the sculptures makes them uniquely effective in humanizing the fetus. While there is a growing body of work examining the rhetorical function of visualizing technologies in medical practice, there is little work on the function of such images in public culture. This article responds to calls from rhetoricians of STEMM for further examination of science’s visual rhetoric, as well as greater engagement with non-expert rhetorics of science.