This article engages with rhetoric of health and medicine (RHM) scholarship on embodiment and expertise in online health communication to demonstrate how rhetorical tactics help patients make embodied health decisions. This study analyzes 320 online postings, 84 published narratives, 30 surveys and written reflections, and 10 interviews in an online health community for Asherman syndrome (AS), a rare illness that develops after reproductive surgery. The findings of this study highlight how patients incorporate online information into their decision-making practices by accumulating embodied knowledge, tailoring questions, insisting on specific treatments, and switching healthcare providers. This article argues that patients’ rhetorical tactics, when shared and accumulated over time, can transform treatment outcomes.

ABSTRACTThis article engages with TPC scholarship that calls for increased attention to agency as distributed and interdependent. This study analyzes 320 postings in one online health forum to better understand how patients come together to collaborate with one another, distribute information, and make health decisions. I argue that viewing crowdsourced forums as agentive assemblages may help researchers explain both the agency of individual actors as well as the collective agency of groups over time.KEYWORDS: Agencyassemblagescommunityembodimentempowermentonline health AcknowledgementsThe author would like to thank Katherine Fredlund, Alexandra Russell, Elizabeth Lane, Bess Myers, William Duffy, Edward Maclin, Kimberly Hensley Owens, and Julie Homchick Crowe, as well as the two anonymous reviewers and the editorial staff at TCQ, for their kind and valuable suggestions on early drafts of this article.Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationNotes on contributorsShanna CameronShanna Cameron is a Ph.D. candidate in the Writing, Rhetoric, and Technical Communication program at the University of Memphis. Her research interests include feminist theories and practices, digital rhetorics, and the rhetoric of health and medicine. Her work has also appeared in the Journal of Technical Writing and Communication.

This article interrogates the competing narratives present in one online community for Asherman syndrome to highlight how certain stories about infertility/parenthood thrive in online discussions while others are suppressed or silenced. The author argues that employing a research stance centered on reproductive justice creates new possibilities for coalition building across differences in community-engaged research design. As reproductive justice frameworks aim to protect all reproductive freedoms, these methods eschew cohesive narratives and instead prioritize amplifying diverse patient voices. The article concludes with patient recommendations for communication design interventions to improve user experience with social support online.

This article engages with recent discussions in the field of technical communication that call for climate change research that moves beyond the believer/denier dichotomy. For this study, our research team coded 900 tweets about climate change and global warming for different emotions in order to understand how Twitter users rely on affect rhetorically. Our findings use quantitative content analysis to challenge current assumptions about writing and affect on social media, and our results indicate a number of arenas for future research on affect, global warming, and rhetoric.