Rhetoric of Health and Medicine

10 articles
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January 2023

  1. 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.

    doi:10.5744/jpms.2023.6003

September 2022

  1. Harm Reduction as Pedagogical Praxis: Confronting Capitalism in the University Classroom
    Abstract

    In this essay I bring together two spaces—street needle exchange and the university classroom—to explore harm reduction as an epistemological model that can be adapted pedagogically in our rhetoric, communications, and composition classes. I first identify capitalism in the classroom as an insistence on mastery and the relentless call to know, acquire, and achieve. I then offer harm reduction, a public health practice that rejects these iterations of capitalism, to instead ask how we might meet students where they are and how we might forego the rewards of telos for the discomfort of process and mess. I’ll argue in this piece that reducing the harms of capitalist-based writing and knowledge requires considered attention to the ways we are lured toward production (what we might even call “deliverables”). I explore the epistemological nodes of harm reduction—its emphasis on temporality and its privileging of process—as methods for teaching writing, rhetoric, and communications while also offering a pedagogical case study along the way.

    doi:10.5744/rhm.2021.4e1
  2. Shaping a Participatory Health Communication Pedagogy with UX and Patient-Agency
    Abstract

    This short article offers examples of how rhetoricians of health and medicine (RHM) can employ user experience (UX) design principles and practices to enhance student learning in courses that focus on scientific, health, and/or medical communication. More specifically, we propose a participatory health communication pedagogy that can help RHM educators leverage UX principles to meaningfully incorporate students’ experiences into the classroom as both content creators and content users. We argue that by framing students as both creators and users, RHM educators can enact classroom practices and approaches that more fully account for diversity and inclusivity, a process that better accounts for “racism and other forms of injustice [that] permeate health and medicine” (Scott, Melonçon & Molloy, 2020, p.vii). Drawing from two RHM courses as case studies, we demonstrate how a participatory health communication pedagogy can help educators become innovative, UX practitioners who center students’ learning experiences as they design content for health and medical contexts.

    doi:10.5744/rhm.2021.4e4
  3. Viruses Don’t Discriminate, But People Do: Teaching Writing for Health Professionals in the Context of Covid-19 and Black Lives Matter
    Abstract

    This essay explores changes to an upper-division writing course Writing for Health Professionals in the context of the Covid-19 pandemic and the events that propelled Black Lives Matter into the media spotlight. Although instructors were required to move courses online with little time to prepare, I describe my efforts to incorporate the topics surrounding the pandemic and racial inequality into the course curriculum. The course consists of a medical ethics unit and a professional dossier; I found that both units became richer and more helpful to students by incorporating the context and kairotic moment in readings, class discussions, weekly forum posts, and major assignment options.

    doi:10.5744/rhm.2021.4e2

June 2022

  1. The Politics of Standardized Patienthood
    Abstract

    Abstract: Standardized Patient Programs (SPPs) enlist actors to roleplay the symptoms of various diseases and disorders, and to embody a range of personalities. These simulations are used to help improve the communicative practices and professional competencies of future healthcare workers. Focusing on the use of these programs for medical students and doctors, this article establishes a kairology of the SPP to better understand the shifting terrains of patient representation. A kairological account focuses on “historical moments as rhetorical opportunities” (Segal, 2005, p. 23) and, in the case of medicine, illustrates how “changes in [medical] practice are importantly reciprocal with changes in the terms of practice” (Segal, 2005, p. 22). I trace the SPP through various linguistic iterations to reveal how the shifting language of simulated patienthood reflects different orientations towards medical pedagogy and patient populations at significant junctures in time. I conclude my kairology with an examination of the Indigenous Simulated Patient Program, a 2011 pilot program that has the potential to better represent and serve Indigenous peoples in medical pedagogy and practice.

    doi:10.5744/rhm.2022.50015

March 2022

  1. Teaching Health Justice: Centering Reproduction
    Abstract

    This essay provides an overview of my experiences teaching Rhetoric of Health and Medicine (RHM) courses with an explicit health justice focus. I ground a discussion of pedagogical possibility by reflecting on my emerging course design, which centers reproductive justice—one example of a justice-oriented framework—as a site of learning and inquiry. In describing my course development and delivery, I suggest that a health justice approach to RHM instruction can be timely, contextually relevant, and challenging. Throughout the essay, I offer specific examples for the purposes of replication or adaptation for differently justice-oriented RHM teaching applications.

    doi:10.5744/rhm.4004
  2. Codisciplinary Code-Switching: Bridging Biology and the Humanities during COVID-19
    Abstract

    This article describes an experimental, interdisciplinary course on the immune system that was co-taught by a humanist and a scientist, and that (inadvertently) coincided with the start of the COVID-19 crisis in the United States. We propose the term “codisciplinary code-switching” to capture the pedagogical strategy we developed in designing the course and adapting it over the semester to grapple with current events. We focus, in particular, on how this approach helped our students navigate the entanglement of science and society in the shifting, uncertain world of the pandemic. Although these were peculiar circumstances, codisciplinary code-switching has broader possibilities and points to alternative ways of integrating the humanities and sciences in medical education that respects both disciplines as rigorous tools for reading bodies, texts, and contexts.

    doi:10.5744/rhm.4006
  3. “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.

    doi:10.5744/rhm.4005
  4. The Trigger Warning and the Pathologizing White Rhetoric of Trauma-Informed Pedagogy
    Abstract

    In this article, I analyze the trigger warning, a pedagogical practice often framed as student-responsive and trauma-informed, to elucidate the ways in which trauma-informed pedagogy functions rhetorically to pathologize and individualize experiences of racism and other societal inequities that cause collective trauma. I draw upon original interview data and rhetorical analysis through a systems framework to explore how reductive pedagogical practices developed within the confines of a white, western notion of trauma may subsequently perpetuate students’ marginalization. Finally, I highlight the potential for more comprehensive, inclusive pedagogies to address student trauma, acknowledge societal conditions that impact individual experiences, and shift popular discourse that pathologizes trauma.

    doi:10.5744/rhm.4002
  5. Lego™ Learning: A Scalable Approach to Pedagogy in the Rhetoric of Health and Medicine
    Abstract

    Complex health and medical contexts demand not only responsive, mutable research but also responsive, flexible pedagogies. Arguing for a shift from the dominant conception of pedagogy as a pre-planned, linear scaffold, this article proposes instead an approach—called Lego™ Learning—that re-conceptualizes instructional content as self-standing, short-term units or modules, much like Lego™ bricks. Because such modules have self-contained learning objectives and corresponding tasks, they can be shifted within a course or across courses as-needed. This approach allows rhetoric of health and medicine (RHM) instructional content to respond to, and prepare students for, the ever-changing exigencies and contexts of RHM-related work. It also encourages collaborations across classes, institutions, and other contexts. In this entry, we frame our discussion around four learning outcomes and teaching practices that can be facilitated through this approach, and we provide an extended example of an ongoing cross-institutional partnership that employs Lego™ Learning.

    doi:10.5744/rhm.4003