We invite readers to imagine Graphic RHM as more than a column but a growing community of practice (CoP) and offer two analogies for doing so: 1) a mycelial network with connections branching across the fields of rhetoric, health and medicine, and the graphic arts, and 2) a beehive, where sustained growth comes from intentional contributions and shared effort. The comics featured in Column 2 (https://medicalrhetoric .com /graphicRHM /home /archive/column -2/), including Ann E. Fink’s “The Work of Grief,” reflect the range and depth of work emerging from this CoP.

Editors' introduction to volume 4, issue 2.

Editors introduction to volume 4, issue 3 by J. Blake Scott, Cathryn Molloy, and Lisa Melonçon.

As the introduction to this issue makes clear, the ethical exposure essays we include here are the start of an ongoing initiative in the journal—to include focused sections of shorter pieces on critical threads or matters of concern in ongoing RHM work, in this case ethical conundra encountered in practice-level enactments of methodologies. In setting the tone for this special section, we now attempt to parse an “ethics in praxis” that is characterized by situational, embodied, and reflexive orientations rather thanby attributes more common in virtue ethics. This emphasis on praxis allows us to put forward an idea of ethics in and for RHM that is responsive to critique as we articulate it in the overall introduction to this issue: as kairos-driven and attuned to crises as they unfold in the present and as they anticipate and offer opportunities to “play” at various imagined futures.

When we began drafting this issue introduction, extending from a previous introduction in which we committed “to do more and better in cultivating, sponsoring, publishing, and promoting scholarship that addresses racism and interlocking systems of oppression as public health (and/or other health or medical) issues,” we knew we wanted to continue to foster a space in which RHM scholars could ask new and newly exigent questions born out of the rupture of our current moment of swirling, interconnected crises, some longstanding and others novel.

Introduction to Volume 4, Number 1

Introduction to Volume 4, Number 1

Pandemics have a way of humbling those with recognized expertise for responding to them. The current COVID-19 pandemic has thrown into relief medical and other experts' uncertainties about models for predicting the spread of cases and deaths, patterns of symptoms and morbidities associated with the virus, the responses of various publics to official health directives and unofficial (in cases harmful) advice, the longer-term economic and political fallout of the ongoing pandemic, the proliferation of conspiracy theories, and so on. At the same time, pandemics like COVID-19 have a way of reminding us that expertise, like uncertainty, can be a fluid, distributed quality, as we have looked to and learned from the experiential knowledge of patients and their caregivers, the cultural insight and documentation of artists of various types, the ingenuity of fellow citizens in designing novel and work-around forms of protection, and other sources not typically associated with medical expertise. Indeed, we can readily point to the harms of authority figures or institutions assuming too much agency and failing to listen to, leverage the knowledge of, and coordinate responses with others.

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Our introductions across the first two volumes of RHM have consistently included reflections on our goals and journey as editors, and on the directions of the journal and growing field of RHM. As part of the issue that marks the journal’s third year of publication, and that also marks the start of our fifth year of developing the journal, this introduction affords an especially opportune occasion for reflection.

A Review of Bounding Biomedicine: Evidence and Rhetoric in the New Science of Alternative Medicine J. Blake Scott Bounding Biomedicine: Evidence and Rhetoric in the New Science of Alternative Medicine. By Colleen Derkatch. Chicago, IL: University of Chicago Press, 2016. 238 pages. $55 cloth; $10 e-book.

On the Focus and Scope page of the journal’s website, we describe RHM as a “multidisciplinary” journal that publishes rhetorical studies, and then go on to reference publishing “interdisciplinary and transdisciplinary research” that “can combine rhetorical analysis with any number of otherhumanistic or social scientific methodologies.” We still think, in some ways, that both the journal and field of RHM can be described as multidisciplinary, interdisciplinary, and transdisciplinary at the same time; beyond drawing from a number of scholarly areas, for example, our collective research often synthesizes and integrates (in a holistic way) concepts, methods, and findings from these areas, creating new hybrid forms of scholarship that are not fixed within disciplinary boundaries.

editors intro

With RHM’s first publication year in the books, we stopped for a moment to consider how far we’ve come. In our first two double issues, our editors’ introductions reflected on creating a scholarly dwelling place and shaping the field’s social identity. As we were simultaneously working on this second double issue and our first special issue on Rhetoric of Public Health, forthcoming April of 2019, we were struck by the expansiveness of RHM.

In the introduction to the inaugural double issue, we presented our vision for RHM’s ethos as a dwelling place (Hyde, 2004) for those doing rhetorically oriented work in health and medicine, and as an ambassadorial site for demonstrating how rhetorical study in all of its forms can inform the work of health and medicine’s wider stakeholders and practices. In this introduction, we aim to extend this call by imagining the journal as a site for building a community of practice, which, according to Etienne Wenger and Beverly Wenger-Trayner (2015), can be defined as “a group of people who share a concern or a passion for something they do, and learn how to do it better as they interact regularly” (para 1). This theory of social learning includes the three “modes of identification”1 (Wenger, 2010)—namely engagement, alignment, and imagination—through which the journal helps shape the identity of the now-emerged community of RHM scholars.

With joy and gratitude, we present the first double issue of Rhetoric of Health & Medicine (RHM), the new scholarly home for the emergent multi-and inter-disciplinary field of the same name. For us, this journal’s manifestation has been a labor of love, borne out of a commitment to advance this field for its pioneers, newcomers, members-to-be, and our various (potential) interlocutors and stakeholders. Although the rhetoric of health and medicine (RHM) has been recognized and named as a field relatively recently (for the most comprehensive accounts of its emergence, see Meloncon & Frost, 2015; Malkowski, Scott, & Keränen, 2016), threads of its scholarship began appearing at least as early as the 1980s (see Reynolds, this volume). Further, the field’s growth has been fueled by the coalescence of community through scholarly meetings (e.g., pre-conferences, conference panels and workshops, RHM Symposium) and special interest groups (e.g., CCCC Medical Rhetoric Standing Group, ARSTM); online forums (e.g., medicalrhetoric.com; Flux Facebook group); and a surprisingly expansive network of scholars and scholarship connected through publication venues (e.g., journal special issues, edited collections, scholarly encyclopedias). RHM is truly a crowd-sourced endeavor, and we are thankful to have been entrusted with it.

How we argue for, create, and mobilize around writing and rhetoric majors will continue to shape our field’s disciplinarity in crucial ways, including our recognition, resources, and relationships. The range of such majors and their institutional contexts, and the disparate field-level efforts to track and build consensus around them, generate more questions than answers, leaving the turn to disciplinarity an open question. This article proposes techne —rhetoric as the productive art of enacting knowledge—as a conceptual tool for identifying connections across writing and rhetoric majors. Such points of connection can, in turn, serve to guide efforts for supporting and building shared resources for majors, and to enable a contingent and adaptive understanding of our field’s identity and (potential) disciplinarity.

The pharmaceutical industry’s corporate responsibility reports illustrate how the liberal rhetoric of civic engagement can be reappropriated to serve the market-driven aims of risk management and public relations. Tracing the ideologic linkage of corporate responsibility and service-learning versions of civic engagement, and contextualizing postsecondary service-learning along a larger neoliberal trajectory, should prompt us to reconsider basic questions about the means and ends of our institutional and pedagogical work.

Pedagogical and scholarly discussions of the process of usability tend to focus more on methods than on practices, or specific, tactical performances of and adjustments to these methods. Yet such practices shape students' learning and determine the success of their usability efforts. A teacher research study tracking students' understanding and enactment of usability and user-centered design over the course of a service-learning project illustrates the importance of practice-level struggles—and the thoughtful preparation for and facilitation of these struggles—to the development of students' flexible intelligence (metis) and rhetorical translation skills. © 2008 Taylor & Francis Group, LLC.

Over the last several years, service-learning has become a burgeoning area in technical and professional communication studies. In addition to offering pedagogical strategies and theoretical approaches, the scholarship in this area to date points to several concerns for the continuing growth of high-quality service-learning in our field: 1) building reciprocal, sustained community partnerships, 2) developing robust approaches to reflection, and 3) assessing how well models of service-learning achieve their objectives.

Although service-learning has the potential to infuse technical communication pedagogy with civic goals, it can easily be co-opted by a hyperpragmatism that limits ethical critique and civic engagement. Service-learning's component of reflection, in particular, can become an uncritical, narrow invention or project management tool. Integrating cultural studies and service-learning can help position students as critical citizens who produce effective and ethical discourse and who create more inclusive forms of power. Rather than being tacked on, cultural studies approaches should be incorporated into core service-learning assignments.

The cultural studies model of the cultural circuit can help students track the larger circulation and transformation of technical communication in order to ethically critique and respond to it. Applying the model to specific cases of technology and its accompanying documentation (in this case the OraQuick rapid HIV test) can illustrate for students the ethical necessity of extending the usual focus on production to distribution, marketing, interpretation, and use. Students can then channel this awareness to their own writing projects, taking action to ensure that these projects are responsive and empowering to those whom they affect.

Seeks to extend the work of Rosteck, Bazerman, Condit, and others by further elaborating what a hybrid rhetorical cultural study might look like. Studies the rhetorics surrounding HIV and AIDS, particularly home HIV testing. Focuses on the rhetoric of science and technology because of its cross-disciplinary nature and its potential to contribute to high-stakes enterprises, such as HIV testing.

n his 1992 Society of America keynote address titled Rhetoric in the Vortex of Cultural Studies, Walter Beale proposed that rhetoric and cultural engage in a mutually beneficial dialectic. The point of such a dialectic, Beale clarified, would not be to absorb rhetoric into cultural or vice versa, but to invent ways to fruitfully combine the two sets of approaches. A few years later, Thomas Rosteck similarly called on rhetoricians to advance the project of rhetorical by bringing together the rhetorical tradition and contemporary cultural studies (297). With the rising stock of cultural in the disciplines of English and communication studies, rhetoricians have begun to take up these invitations, as Rosteck's collectionAt the Intersection: Cultural Studies and Rhetorical Studies attests. Some rheto-

Abstract This essay analyzes the web of persuasion named the “knowledge enthymeme”; in the public policy debate over mandatory newborn HIV testing in the United States and especially New York. Bringing together classical rhetorical theory and Foucault's theory of the knowledge‐power loop, the essay explains how the conceptual/argumentative frame of the knowledge enthymeme helped shape the knowledge‐power relations of mandatory newborn testing in dangerous ways. Ultimately, the knowledge enthymeme blocked more responsive approaches to testing by exaggerating the beneficial effects of testing and its knowledge, ignoring the contingenices of this knowledge, and bypassing the “situated knowledges “ of the women it targets.

(1997). John Witherspoon's normalizing pedagogy of ethos. Rhetoric Review: Vol. 16, No. 1, pp. 58-75.

Drawing on arguments by Carolyn Miller, Steven Katz, and others, this essay claims that teaching ethics is particularly important to technical writing. Next, the essay outlines a classical, sophistic approach to ethics based on the theories and pedagogies of Protagoras, Gorgias, and Isocrates. This sophistic approach emphasizes the Greek concept of nomos, internal and external deliberation, and responsible action or articulation. The final section of the essay discusses possible problems and pedagogical applications of sophistic ethics in the contemporary technical writing classroom.