The Rhetoric of Fraud in Breast Cancer Trials: Manifestations in Medical Journals and the Mass Media—And Missed Opportunities

Michael J. Zerbe Purdue University West Lafayette ; Amanda J. Young ; Edwin R. Nagelhout Stephen F. Austin State University

Abstract

In 1994, the Chicago Tribune announced in a blaring page-one story that fraud had been discovered in an important nine-year-old medical study which compared two treatments for early-stage breast cancer. The study had assured women that lumpectomy plus radiation was as safe as the more invasive mastectomy procedure for early-stage breast cancer; however, the revelation of fraud called these results into question. We examine the reactions of two professional medical journals to demonstrate how negotiations for upholding ethical norms in science took place within the pages of these publications. Then, we analyze the public discourse surrounding the fraud and show that much of the coverage was devoted to scandal. Both forums missed opportunities: professional journals ignored a chance to explore the blurry boundary between “writing up” and “making up” results that all scientists must negotiate in interpreting and publicizing data, while public discourse neglected women affected by the fraud.

Journal
Journal of Technical Writing and Communication
Published
1998-01-01
DOI
10.2190/9pe1-w6bt-mqwu-jevu
CompPile
Search in CompPile ↗
Open Access
Closed
Topics
Export

Citation Context

Cited by in this index (4)

  1. Rhetoric Society Quarterly
  2. Journal of Business and Technical Communication
  3. Written Communication
  4. Journal of Technical Writing and Communication

References (42) · 5 in this index

  1. Fraud in Breast Cancer Study: Doctor Lied on Data for Decade, Chicago Tribune, pp. 1 and 16, March 13, 1994.
  2. SEER Cancer Statistics Review, 1973–1992
  3. Kuhn T., The Structure of Scientific Revolutions, University of Chicago Press, Chicago, Illinois, pp. 35 and …
  4. Written Communication
  5. Written Communication
Show all 42 →
  1. Journal of Business and Technical Communication
  2. Textual Dynamics of the Professions: Historical and Contemporary Studies of Writing in Pr…
  3. 10.1056/NEJM198503143121101
  4. 10.1056/NEJM198903303201302
  5. 10.1056/NEJM199405193302010
  6. New England Journal of Medicine
  7. 10.1093/jnci/86.7.527
  8. Journal of the National Cancer Institute
  9. Journal of the National Cancer Institute
  10. 10.1093/jnci/87.7.540
  11. New England Journal of Medicine
  12. Journal of Technical Writing and Communication
  13. 10.1093/jnci/86.9.667
    Journal of the National Cancer Institute  
  14. New England Journal of Medicine
  15. Shaping Written Knowledge: The Genre and Activity of the Experimental Article in Science
  16. Blakeslee A., Acquiring Disciplinary Identity: Connections between Learning and Social Context, 4S Conference…
  17. The Rhetoric of Science
  18. Writing Biology: Texts in the Social Construction of Scientific Knowledge
  19. 10.1007/978-1-349-19636-4
  20. Rhetorica
  21. Foucault M., The Foucault Reader, Rabinow P. (ed.), Pantheon, New York, p. 109, 1984.
  22. Lincoln Y. S. and Guba E. G., Naturalistic Inquiry, Sage, Newbury Park, California, p. 37, 1985.
  23. Polanyi M., Science, Faith, and Society, Phoenix, Chicago, Illinois, pp. 15 and 54, 1996.
  24. Popper K., In Search of a Better World: Lectures and Essays from Thirty Years, Bennett L. J. (trans.), Routle…
  25. B-06: The Final Report
  26. 10.2190/NETC11
  27. Safety of Lumpectomy Confirmed, Chicago Tribune, p. 4, April 20, 1994.
  28. Flawed Cancer Study Haunts Many Women, New York Times, pp. B6–B9, March 16, 1994.
  29. How Safe is Lumpectomy, Newsweek, p. 57, March 28, 1994.
  30. Breast Cancer: A Diagnosis of Deceit, Time, pp. 52–53, March 28, 1994.
  31. Science and Technology Today
  32. Harding S., Whose Science? Whose Knowledge? Thinking from Women's Lives, Cornell University Press, Ithaca, Ne…
  33. 10.1093/jmp/20.3.313
  34. Science and Technology Today
  35. Data on Risks Create Debate about Drugs to Prevent Breast Cancer, New York Times, pp. B6–B9, March 16, 1994.
  36. Chronicle of Higher Education
  37. 10.1177/108056999505800203