CFP: RHM Special issue on Food as Medicine

Download a PDF of the call: Food as Medicine. (*.pdf)

Proposal due: October 15, 2019 to rhm.journal.editors@gmail.com

Sociologist Deborah Lupton wrote that “food has become profoundly medicalised in its association with health, illness and disease” (2000, p. 205). Historically, diet has, indeed, always been part of a medical practice regimen—throughout the long reign of humoral theory, and the modern updates of dietetics and modern nutrition science; furthermore, specific diets have always been prescribed for specific ailments. Food has also played a vital part in public health interventions, in which its production, regulation, distribution, and safety have been recognized as paramount for the health of the populace. Insofar as it enters the purview of the state, food has also been strongly linked with national character, prowess in war, and other such ideological constructs that problematize the notion of “the health of the nation” (see Veit, 2013). Governmental dietary guidelines (in the U.S. or elsewhere) have been highly contested and yet they have profoundly transformed the way many people eat. Food-related health concerns have been exacerbated in the Anthropocene, when unsustainable food production poses risks to both humans and the planet; for example, the EAT-Lancet Commission on Healthy Diets opens its most recent report with a stark statement: “Food systems have the potential to nurture human health and support environmental sustainability; however, they are currently threatening both” (Lancet, 2019).

More recently, dietary habits have received increased attention from evidence-based medicine. While studies regarding correlation between food intake and health markers are notoriously difficult to conduct reliably (Ioannidis, 2013), an accumulated amount of evidence aligns with sensible advice regarding the importance of certain foods or food components (e.g., vegetables, fruit, fiber) for a healthy life. Certain foods, some claim, should be prescribed for certain conditions, and a recent study predicted that if such “healthier foods” could be covered by our health insurance systems, we could prevent disease and reduce healthcare costs (Lee et al., 2019). At the same time, such “prescriptions” can come with steep and unrealistic costs; in fact, another recent study in Lancetsuggests that it is not possible to reach the recommended intake of fruit and vegetables in most countries, even under the most optimistic economic predictions (Mason-D’Croz et al., 2019). Food access and quality, and the accompanying health correlates, have always been embedded in economic and demographic dynamics.

In affluent countries where food is abundant, we have also created the conditions for what some have dubbed an “orthorexic society” (Nicolosi, 2006/7), in which we are obsessed with “eating right.” The diet industry has long capitalized on a variety of fears (e.g., health, social capital inherent in thinness), and health and wellness gurus are replicating at an accelerated pace. Eating disorders abound and even proliferate (with orthorexia, a morbid obsession with eating right, being one of the latest additions to the more well-known triad of anorexia, bulimia, and binge eating disorder). Alternative medicine and health movements put food at the center of their concerns, although their language has been, in turn, coopted by the mainstream food industry (Kiedeckel, 2018). A preoccupation with our health and a belief that it is achievable through diet and self-control stems also from healthism—the idea that we are or ought to be personally responsible for our own health (Crawford, 1980). The idea that we can achieve perfect health via consumption of the right type of food (“clean,” organic, GMO-free, etc.) and via the correct balance of macronutrients (tailored or not to biological markers such as our genome or microbiome) has led to an explosion of food fads, biotechnologies, food delivery services, apps, and more, aimed at keeping us thin and healthy—so far with dubious results.

All of these topics lend themselves to rhetorical treatment. Rhetoricians have already addressed some of the implications of food rhetoric and its intersections with health and medicine, such as, among others: rhetoric of the slow food movement (Schneider, 2008) and of organic food systems (Nowacek & Nowacek, 2008); rhetoric of health citizenship and the moralization of healthy eating (Spoel, Harris, & Henwood, 2012, 2014; Derkatch & Spoel, 2015); rhetoric of racialized food politics (Schell, 2015); feminist rhetoric of food (Goldthwaite, 2017; Dubisar, 2018); rhetoric of food justice, activism, and agricultural systems (Dubisar & Roesch-McNally, 2018); rhetoric of public nutrition guidelines (Mudry, 2009; Hite & Carter, 2019). We invite papers that further this work by expanding these lines of inquiry in relation to the rhetoric of health and medicine (RHM), or explore some of the themes outlined below:

Rhetorical histories of dietetics, or, food as medicine

  • How has food been medicalized: from the ancient arts of dietetics to contemporary nutrition science?
  • There is a budding literature on the rhetoric of food, but how can we conceptualize the rhetoric of food-as-medicine?
  • How does the rhetoric of dieting fit into discourses of health?
  • What can rhetoric tell us about past or current complexities and controversies of nutrition science?

Food, Wellness, and Alternative Medicine

  • How did food become a form of alternative medicine—e.g., see naturopathic claims about the power of certain foods to heal all manners of disease, Gerson therapy, etc.?
  • What is the role of gurus/media celebrities/social media celebrities in spreading messages about healthy eating/dieting? (e.g., Oprah, Dr. Oz, GOOP, Food Babe, etc.)
  • How can we cogently critique a variety of alternative food practices and beliefs (juicing, detoxing, cleansing, paleo, vegan, non-GMO, organic, raw, unprocessed, etc.) using an RHM perspective?
  • How can we better understand the rhetoric of “clean eating”?
  • How is food pathologized or lionized in matters of health?

Food Interventions as Public Health Initiatives

  • How can we better understand the rhetoric of public discourse about food as medicine/pharmakon (as prevention, treatment, or “poison”), from food that heals (chicken soup, DASH diet, sugar free, fat free, organic, vegan, etc.) to food that kills (from e-coli or BSE infestations to processed food or sugar/fat/salt promoting metabolic diseases)?
  • How do we interpret the rhetoric of food lobbies (sugar, soft drinks, dairy, beef, etc.)?
  • What is the rhetoric of public health communication on food safety/food scares?
  • How has food become an agent of good or ill health through excess, deficiency, quality, or other?
  • What are the rhetorical-ethical dimensions critiques of food production systems and the food industry in relation to their effects on individual and public health, as well as on the environment?
  • How can we understand governmental dietary guidelines and regulations through the prism of RHM?
  • To what point is food pathogenic or healing in the phenomenology of eating disorders? We invite pieces that may address food-related ailments, e.g. malnutrition, obesity, bulimia, binge-eating, anorexia, or orthorexia, in which food may be regulated, prescribed, and theorized as treatment or pathology.

The Future of Food as Medicine

  • What role do practices such as the appification of health and healthy eating, “biohacking,” and other Silicon Valley solutions to our dietary concerns play in how we view health and health citizenship?
  • How does measuring and quantification (of calories, nutrients, etc.) as a “social technology” (Mudry, 2009) change our relationship with food, our bodies, and our health?
  • What are some of the issues regarding growing food in the Anthropocene that reflect on our health and medical practices?

These themes are meant to be generative rather than exhaustive. The guest editor and RHM editors look forward to reading proposals for research articles, but are also eager to hear your ideas for the journal’s other genres—persuasion briefs, dialogues, commentaries, and review essays.

This special issue will be co-edited by Cristina Hanganu-Bresch in consultation with the RHM co-editors. Special issue proposals will be reviewed and ranked by this team and members of the journal’s editorial board, and manuscripts will undergo the same rigorous peer review process as regular submissions. Cristina is very willing to answer email queries at c.hanganu-bresch@usciences.edu.

Please email 500-1000 word proposals (excluding citations) to rhm.journal.editors@gmail.com by October 15, 2019. Completed manuscripts for accepted proposals will be due March 25, 2020; the special issue is slated for Spring 2021.

Selected Bibliography

Biltekoff, Charlotte. Eating Right in America: The Cultural Politics of Food and Health.Durham and London: Duke UP. 2013.

 

Bitar, Adrienne Rose. Diet and the Disease of Civilization. Rutgers UP, 2018.

 

Bobrow-Strain, Aaron. “White Bread Bio-Politics: Purity, Health, and the Triumph of Industrial Baking.” Cultural Geographies vol 15, no. 1, 2008, pp. 19–40.

 

Derkatch, Colleen, and Philippa Spoel. “Public Health Promotion of ‘Local Food’: Constituting the Self-Governing Citizen-Consumer.” Health, vol 21, no. 2, pp. 154–170.

Derkatch, Colleen. Bounding Biomedicine: Evidence and Rhetoric in the New Science of Alternative Medicine. Chicago: U of Chicago P, 2016.

Dubisar, Abby M. and Gabrielle Roesch-McNally. “Representation, Resistance, and Rhetoric: Bananas Catalyze Campus Activism.” Present Tense, 7, 2018.

Dubisar, Abby M. “Toward a Feminist Food Rhetoric.” Rhetoric Review vol.37, no. 1, 2018, pp. 118-130.

Douglas, Mary. Purity and danger: An analysis of concepts of pollution and taboo. London:Routledge & Kegan, 1966.

 

Joshua Frye, Michael Bruner (Eds.)The Rhetoric of Food: Discourse, Materiality, and Power.New York, London: Routledge, 2012.

 

Goldthwaite, Melissa A. (Ed.) Food, Feminisms, Rhetorics. Chicago: Southern Illinois UP, 2017.

 

Grey Stephanie Houston. “American Food Rhetoric.” In: Thompson P.B., Kaplan D.M. (eds) Encyclopedia of Food and Agricultural Ethics. Springer, Dordrecht, 2014.

 

Grey, Stephanie Houston. “An Acquired Taste: The Flavors of Rhetoric in Food Politics,” Rhetoric and Public Affairsvol 19, no. 2, 2016, pp. 307-320.

 

Hall, Kim Q. “Toward a Queer Crip Feminist Politics of Food.” philoSOPHIAvol. 4, no. 2 2014, pp. 177-196.

 

Hite, Adele H. and Andrew Carter. “Examining Assumptions in Science-Based Policy: Critical Health Communication, Stasis Theory, and Public Health Nutrition Guidance.” Rhetoric of Health and Medicine vol. 2, no. 2, 2019, pp. 147-175.

 

Kideckel, Michael S. “Anti-Intellectualism and Natural Food: The Shared Language of Industry and Activists in America since 1830.” Gastronomicavol. 18, no. 1, 2018, pp. 44-54.

 

Lee, Yujin, Dariush Mozaffarian, Stephen Sy et al. “Cost-Effectiveness of Financial Incentives for Improving Diet and Health Through Medicare and Medicaid: A Microsimulation Study.” PLOS Medicinevol. 16, no. 3, 2019: e1002761.

 

Deborah Lupton. “Food, Risk, and Subjectivity.” Health, Medicine and Society: Key Theories, Future Agendas, edited Michael Calnan, Jonathan Gabe, and Simon J. Williams. Routledge, 2000, pp. 2015-218.

 

Mason-D’Croz, Daniel, Jessica R Bogard, Timothy B Sulser, et al. “Gaps Between Fruit and Vegetable Production, Demand, and Recommended Consumption at Global and National Levels: An Integrated Modelling Study. Lancet Planetary Healthvol. 3, 2019: e318–29.

 

Mudry, Jessica. Measured meals: Nutrition in America. New York: State U of New York P, 2009.

 

Nicolosi, Guido. “Biotechnologies, Alimentary Fears and the Orthorexic Society.” Tailoring Biotechnologiesvol. 2, no. 3, 2006/07, pp. 37-56.

 

Nowacek David M. and Rebecca S. Nowacek. “The Organic Foods System: Its Discursive Achievements and Prospects.” College Englishvol. 70, no. 4, 2008, pp. 403-420.

 

Retzinger, Jean. “The Embodied Rhetoric of ‘Health’ from Farm Fields to Salad Bowls.” Edible Ideologies: Representing Food and Meaning, edited Peter Naccarato and Kathleen LeBesco Albany: State U of New York P, 2008, pp.149-178.

 

Schell, Eileen. “The Racialized Rhetorics of Food Politics: Black Farmers, the Case of Shirley Sherrod, and Struggle for Land Equity and Access.” Poroi: Journal of the Project on the Rhetoric of Inquiryvol. 11, no. 1, 2015, pp. 1-22.

 

Schneider, Stephen. “Good, Clean, Fair: The Rhetoric of the Slow Food Movement.” College Englishvol. 70, no. 4, 2008, pp. 384-402.

Spoel, Philippa, and Colleen Derkatch. “Constituting Community Through Food Charters: A Rhetorical-Genre Analysis.” Canadian Food Studiesvol. 3, no. 1, 2016.

 

Spoel, Philippa, Harris, R, and Henwood, F. “The Moralization of Healthy Living: Burke’s Rhetoric of Rebirth and Older Adults’ Accounts of Healthy Eating.” Healthvol. 16, no. 6, 2012, 619–635.

 

Spoel, Philippa, Harris, R, and Henwood, F. “Rhetorics of Health citizenship: Exploring Vernacular Critiques of government’s role in supporting healthy living.” Journal of Medical Humanitiesvol. 35, 2014, pp. 131–147.

 

Veit, Helen Zoe. Modern Food, Moral Food: Self Control, Science, and the Rise of Modern American Eating in the Early Twentieth Century. Chapel Hill: The U of North Carolina P, 2013.

CFP: Ethical Exposure Essays

Call for “Ethical Exposure” Essays: Ethical Quandaries and Conundrums in RHM Research Practice

Raquel Baldwinson’s (2018) commentary in vol. 1, no. 3-4 of the Rhetoric of Health & Medicineraised important questions for scholars in our field about how we conceptualize, articulate, and advocate for our research ethics. We want to continue this thread of conversation in and around RHM research ethics, expanding on recent RHM explorations about practice-level ethical concerns (e.g., Bivens, 2018; de Hertogh, 2018; Opel, 2018).

As rhetoricians of health and medicine increasingly encounter messy questions in field sites, in online settings, involving vulnerable populations, involving co-authorship with stakeholders, when experimenting with research methods from other fields, within interdisciplinary research teams, etc., we have the opportunity and obligation to critically reflect on, raise questions about, and imagine new possibilities for th ethical dimensions of our research practices. Although national organizations have provided some guidance, the documents are either on broad forms of ethical communication (e.g., NCA’s Credo for Ethical Communication) or on specific types of research (e.g., Association of Internet Researchers’ Ethics statement), prompting Baldwinson to raise the question of whether RHM need its own code or alterative statement of “rhetorical ethics”.

As a move toward collectively responding to this question, we are seeking medium-length essays that expose some of the “behind-the-scenes” ethical quandaries and conundrums encountered and negotiated in our research practices. We use the term “practice” here to emphasize the “actual work and implementation of methods and methodology in the process of performing research” (Melonçon & St. Amant, 2019; see also Teston, 2012; Scott & Melonçon, 2018; Grabill 2006).RHM needs more transparent discussions about the ethical locations, positionalities, disclosures, relationships, engagements, and impacts embedded in our research. We need more discussions of the reflexive negotiations of responding to these quandaries in action.

Thus, we invite 2000-3500 word essays that examine in depth an ethical issue from the practice of research in RHM. We will be selecting 3-4 manuscripts with diverse perspectives about specific ethical conundrums or quandaries faced during any part of a research study. The goal of this featured section within a regular issue is to highlight this important topic and consciously extend the conversation on ethics within RHM. Pieces should

  • Overview the research project, including the primary question(s) driving the inquiry;
  • Offer a thick description and interpretation of the ethical issue, including why it is an ethical issue of broader importance (drawing on one or more ethical frameworks);
  • Reflexively discuss the process of working through this ethical issue and the effects and/or continuing negotiations of this.

Full manuscripts of 2000-3500 words are due to the editors by August 31, 2019 at rhm.journal.editors@gmail.com. Please use the subject line: Ethical issues in practice.

We will select the strongest pieces to go through the regular RHM review process. These should appear in the Fall, 2020 issue.

Please let us know if you have questions or want to talk through an idea: rhm.journal.editors@gmail.com

 

 

Symposium Decisions 2019 edition

Planning a symposium or conference can be a lot of fun. But, there’s also the downside, and that is, having to tell people no.

Having done a few events, I try to make sure that I am being as kind as possible even with “no” decisions so this post is a way to explain what the difference between an accept and not is when it comes to the Rhetoric of Health and Medicine Symposium.

As I’ve written before at this same time back in 2017, the biggest problem this year is the same as in 2017. The proposals didn’t do what John Swales calls CARS—creating a research space, which he talks about in Chapter 8 **And once you start to understand Swales CARS in relation to your specific area in the larger field, it makes writing proposals for conferences (and getting started on journal manuscripts) so much easier.

The TL;DR version:

  • Establish territory
  • Establish a niche
  • Occupy the niche

Reviewers really like to see the occupation, the move toward telling folks what’s important about your work.  Otherwise, reviewers are left wondering if the presentation will provide any value to participants. See, that’s a big key you have to remember. Reviewers and program chairs have a responsibility to try and provide the best program possible. Proposals are what we have to work with so it’s important as the writer of that proposal to hit all three parts of the CARS model.#

Another challenge is that you need to be careful in not spending too much time talking about how you got interested in the topic. Rather, tell the reviewers what this topic is doing for the field and what you will be doing in your presentation or in the case of the Symposium, what you hope your work in progress will show/do.

Finally, the Symposium is not a typical conference and we’ve always struggled with ways to explain this to folks who have not attended. This detail is important because you are not proposing to give a presentation. You are proposing a larger work in progress that will be diligently and intensely workshopped. The rest of the time at the Symposium is a series of directed conversations.

As the field of the Rhetoric of Health and Medicine continues to grow, we hope we will be able to grow the Symposium along with it. Right now, however, we have a limited number of spots because of the model that funds the event. In 2019, this is the first year we will have a nominal registration fee for tenure-line faculty and a reduced fee for contingent faculty and  for graduate students who want to come but whose papers were not accepted. This is the spot we landed on because we are committed to mentoring and supporting new scholars in the field, while trying to balance that desire with the hard realities and economics of symposium/conference planning.

Wishing you all the best of summers!

 

 

** Academic writing for graduate students: Essential skills and strategies. 3rd Edition. Ann Arbor, MI: University of Michigan Press.

#A small disclaimer: is CARS perfect? No. Absolutely, no. But if you use it, you’ll get a helluva lot closer to having something that reviewers can understand and act on.

RHM Journal Accepting Book Reviews

RHM is now accepting traditional book reviews. These book reviews will be assigned to an issue and published as an open access supplement to the journal at https://stars.library.ucf.edu/rhm/

Should you want to a review a book, please use the following guidelines. If you have any questions, contact the Book Reviews Editor, Lora Arduser, lora.arduser@uc.edu.

Title/Publication Information

Please provide the information exactly as it appears on the copyright page of the book and provide a link to the publisher’s website.

Title [and Subtitle, if included], Authors [or Editors], Publication City, State: Publisher, Year. Total pages, price format [using the publisher’s format terms]

Example:
Methodologies for the Rhetoric of Health and Medicine. Lisa Meloncon & J.Blake Scott, Eds. New York, New York: Routledge, 2018. 314 pages, $40.76 paperback, $28.48 electronic. Publisher webpage: https://www.routledge.com/Methodologies-for-the-Rhetoric-of-Health–Medicine-1st-Edition/Meloncon-Scott/p/book/9781138235861

Review

In approximately 1,500 to 2,000 words, summarize and analyze the primary thesis of the book. (If necessary, you may take more space.) The review should be divided into two sections (summary and analysis) of approximately equal length.

Summary

Answers the questions:

  • What is the primary thesis/argument of the book?
  • How did the author(s) establish and justify the thesis/argument? (Provide a summary for each chapter that traces the development of the thesis/argument)
Analysis

Answers the questions:

  • What issue(s) or problem(s) does the book attempt to solve? In your opinion, how effective is the book at resolving the issue?
  • What are the major strengths of the book?
  • Who is the primary audience for this book? What will this audience get from reading the book?
  • How does the text fit into the field of RHM? (Compare and contrast to other prominent work.)
References

References to the book being reviewed only need the page numbers. References to other works should following in-text and reference list guidelines per the journal’s submission policy.

Reviewer (Book Review Author) Information

Reviewer information is provided at the end of the review. You may provide a short personal description and contact information. For example:

Reviewed by: Name, your department, your institution, your email address

Format

Please submit the book review in Microsoft Word format using Times 12 point (double spaced).

Submission

When you have completed the book review, please submit by email to: lora.arduser@uc.edu

Please include your preferred email address and telephone number in your email.

RSA 2020 & CCCC 2020

RSA 2020

The RSA 2020 call has come out.

RHM scholars have typically had a strong showing. If you want assistance in forming panels or please join us for Third Thursday on 3-21-19 or find us on Facebook in the Flux group.

CCCC 2020

While the main call has been posted for the CCCCs, the Medical Rhetoric Standing Group has a sponsored panel. Following is the call for the sponsored roundtable panel:

Describing and Deconstructing Rhetoric of Health and Medicine’s Commonplaces

Ralph Cintron (2010) has noted that topoi or commonplaces are “storehouses of social energy” that  “organize our sentiments, beliefs, and actions in the lifeworld” (p. 100).  Similarly, convention chair Julie Lindquist’s CFP describes commonplaces as offering a viable way to unpack a given community’s “beliefs and values,” and, by default, commonplaces provide insight into how a field “defines and defends its borders.”

Rhetoric of Health and Medicine (RHM), of course, is a growing, interdisciplinary field of study marked by what Melonçon and Scott (2018) have called “methodological mutability” or “a willingness or even obligation to pragmatically and ethically adjust aspects of methodology to the phenomena under study”; they make it clear that RHM is still very much in the process of defining its commonplaces and remains tentative about staking out borders. Still, a strong enough corpus of recognized work in RHM might suggest tacit borders to our work worth further consideration as these topoi might very well impede the important project of intentionally and thoughtfully growing the field. At the same time, RHM scholars must be mindful of the ways they are dipping into and out of related fields of study such that those fields’ commonplaces are considered or even honored. This roundtable, thus, will hope to offer insight into commonplaces that are implicit in RHM work in order to deconstruct any “borders” these might be creating and, in turn, provide guidance on how we might  keep our borders fluid and open to new ideas, energies, and participation.

Roundtable Objective

The objective of the roundtable is to foster interactive discussions between and around these issues and among presenters and the audience. To this end, we invite proposals for modified ignite (5-minute) presentations where participants provide an overview of their primary research or a review of existing literature, discussed within the framework of commonplaces or topoi. Each presenter  will be asked to conclude with a question they will pose to the audience to foster discussion. Once all presenters have finished speaking, attendees will break into small groups to discuss the questions/topics presented.

Prospective Topics 

To examine these ideas, individuals are invited to submit proposals for short (5-minute) presentations that will focus on themes and topics such as:

  • What commonplaces characterize existing RHM literature, and how does your work relate to or challenge thesetopoi?
  • Using commonplaces as a framework, how does RHM interact with related disciplines, such as, for example (but certainly not limited to): disability studies, health communication, or the medical humanities?
  • If RHM commonplaces erupt organically, how can we be mindful of their appearance and purposeful in how we support, sustain, or interrupt them?
  • As RHM grows, how can we support work that will keep our borders open to a vibrant variety of perspectives?Submissions

    Please submit 250-word proposals to molloycs@jmu.edu by April 26, 2019. Submissions from co-authors considered. Queries welcome.

    In your proposal, note the following:

  • The topic/focus of your proposed presentation
  • How you will address the theme of commonplaces in your presentation
  • The final question(s) you will use to engage the audience in a conversation at the end of the presentationResponses will be sent out before the CCCC deadline of May 6, 2019.

 

RHM activities at the 2019 CCCCs

It’s that time of the year when RHM scholars convene at the CCCC’s conference.

We always have activities planned so we would love to welcome new friends and to catch up with old friends.

Meet the Editors

You can meet the editors of Rhetoric of Health Medicine  at the ATTW Editors’ Roundtable from 3:15-4:30 on 3/12, and at the CCCC Research Network Forum the morning of 3/13.

Come and introduce yourself and tell us about your work.

RHM Happy Hour

Come and hang out and meet folks at the RHM Happy Hour on Thursday, March 14 at 5:00ish at August Henry’s http://www.augusthenrys.com/

The location is just a couple of blocks from where the convention center.

Medical Rhetoric Standing Group Business Meeting

As one of the first standing groups and one of the oldest SIGs associated with the CCCCs, we will be meeting on

  • Thursday, March 14 from 6:30 to 7:30 PM  in room 407 of the Convention Center.

We’ll post the official agenda here closer to the meeting, but our main activity of the evening will be to break into small groups and discuss a series of questions of interest to the broader community. These questions and the information/answers generated will help guide the community’s work in the coming year:

  • what are pressing topics that we need more work on?
  • how can be more inclusive in our research practice?
  • what are some effective practices for moving into community based research?
  • how can expand out methodological ethics?
  • what suggestions to get more folks involved in RHM?
  • how can we make our work more public?

Sessions at the CCCCs

We typically pull together the panels that have a clear RHM focus. There are a number of additional presentations scattered throughout. (Thanks to the CCCCs Standing Group Graduate Student Representative, Katie Walkup, for pulling these together.)

Thursday

C.24 Medical Rhetoric Roundtable: Performing Rhetoric and Performative Rhetorics of Health and Medicine

Friday

H.01 Performance as Advocacy, Education, and Action: Health and Medical Education

H.02 Rhetorical Negotiations in the Performance of Health, Medicine, and Disability

I.13 Digital Bodies, Digital Disability: Performing Health Online

L.05 Latina UX Practitioners’ Performative Roles: Case Studies in Health and Risk Communication in Multilingual Populations

Decision Process for RHM Special Issue on Mental Health

31 December 2018 by Lisa Meloncon

Happy New Year’s Eve-

I hope that you’re finding time to rest and recuperate during this down time between terms. Over at the journal, Rhetoric of Health and Medicine, we continue to work hard in moving manuscripts through review, and we’ve also been working through proposals for RHM’s second special issue (in 2020) on the rhetoric of mental health.

And that’s what I want to talk about today. The process we went through for the special issue proposals.

Every journal handles special issues a little differently, and we’re no different at RHM. In our case, we developed our system based on feedback from our editorial board. The system is created to avoid some of what editorial board members—and the editors—felt are problems that sometimes affect special issues, such as less rigorous review standards/easier to get into, the feeling that only friends of the editor were invited, and issues that don’t cohere.

This explanation does three important things: (1) it continues RHM’s dedication to making the review and publishing process as transparent as possible; (2) it provides a type of accountability to the editorial board, the readers , and to the broader RHM community; and, finally, (3) it simply explains the process for those who submitted to this special issue and those that will, hopefully, submit to the journal in the future.

We received 57 proposals, which is a healthy number for a special issue of any journal, and we were quite pleased with this turn out. Contributors spanned a number of RHM related fields (e.g. composition, rhetoric, communication studies, technical and professional communication, and allied health fields, etc.) and held a variety of different ranks and titles (e.g. graduate students, grant-funded researchers, tenured professors, healthcare practitioners, etc.). Cathryn Molly and Drew Holladay, special issue co-editors read anonymous versions of the proposals and selected 12 to move forward to the second state of review for research articles. The main factors that lead proposals to the second round of review: (1) were they clearly connected to mental health and disability and (2) did they include a direct engagement with Rhetoric. (See our captioned video or transcript on what we mean by rhetoric). In addition, the co-editors tried to move forward a diverse set of proposals based on topic and methodology.

Those 12 proposals were then forwarded to Blake Scott (co-editor of RHM) and two members of our editorial board: a mental and health disability specialist, Jenell Johnson and someone versed but not a specialist, Scott Graham. While other members of the editorial board also have expertise, Scott and Jenell represent the two big “sides” of RHM’s audience: English studies (including rhetoric, composition, technical communication and some linguists) and communication studies (including rhetoric, health communication and applied research methods). The three of them were asked to rank the proposals from 1 to 12, with 1 being the best. Each reviewer was familiar with the CFP, but beyond that no other ranking instructions were given because we wanted their responses to be based on their own readings of the information presented in the proposals and their own perspectives of the proposals’ relevance and timeliness.

I collated those responses, while Drew and Cathryn also ranked the anonymous proposals. As co-editors of the special issue, one of Cathryn and Drew’s jobs is to set the focus of the issue. Therefore, they ranked the proposals based on how things talk to each other holistically. A guiding factor, therefore, was how well each individual proposal worked toward a coherent issue that gets a bunch of things represented and shows the breadth of RHM work and influence. To do this, they prioritized diversity in methods, issues, theory/concepts, and sites of study and application.In the end, we accepted seven proposals and have invited those contributors to submit full manuscripts that will be sent through the regular peer review process. This means the proposal acceptance rate was 12%. It is important to note that even though these proposals were accepted, the odds are that at least two to four of the manuscripts will not make it through the peer review process. Unlike many special issues, RHM does not have to fill pages (so to speak), which means that we can maintain our rigorous standards. We will not accept and publish an essay that is not actually ready.

We are excited about the potential this issue holds and look forward to sharing it with you!!

Until then, wishing you health, peace, and joy!

Third Thursdays

Third Thursdays are a dedicated time on the third Thursday of the each month to talk about issues related to your work specifically in RHM and your work in general.

Access our hangout room

The room access information does not change. The room will open a few minutes before the scheduled time.

Meeting number: 643 806 528
Password: RHM3THURS

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Fall, 2019, 3:00pmET

Sept 19: Early career discussion including job search (how to talk about your RHM work) and other issues in the first few years of your career

Oct 17 : Post tenure career discussion including ways to shift research trajectories, how to prioritize, how to keep research momentum if you start admin responsibilities and whatever is on your mind

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Spring, 2019, 3:00pmET

1-17-19: open forum

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3-21-19: questions and matching folks re: conference abstracts for 2020

4-18-19:  planning for the summer and writing tips

Fall 2018

9-20-18 at 3:00 pm EDT

Topic: moving conference presentations to journal articles
Facilitators: Lisa Meloncon, Cathryn Molloy, and Blake Scott

10-18-18 at 4:00pm ET

Topic: literature reviews
Facilitators: Cathryn Molloy, Candice Welhausen and  Lisa Meloncon

11-15-18 at 4:00pm ET

Topic: planning for the break

CFP Special issue of RHM on Mental Health

CFP:Rhetoric of Health and Medicine

2020 Special Issue

“Interrogating the Past and Shaping the Future of Mental Health Rhetoric Research”

** Download CFP (*.pdf)

In the inaugural issue of the Rhetoric of Health & Medicine (RHM)J. Fred Reynolds (2018) offered a “A Short History of Mental Health Rhetoric Research (MHRR)” in which he compellingly documented the “significant body of work applying the tools and terms of rhetoric to the world of mental health” that emerged in the 1980s and continues today, if in fits and starts (p. 1). Reynolds’ history raises important questions on how the issues and challenges unique to MHRR create space for the field to set a specific agenda for its development—to make explicit the major epistemological assumptions, the key questions, and the various vantage points that will undergird the future of this important area of inquiry.

As each iteration of the DSM proliferates diagnostic categories and protocols, as various constituents comment on the status of mental health around the globe, and as mental health-related words and phrases enter solidly and uncritically into healthcare practices and popular lexicons, the importance of MHRR is undeniable. While a number of fields study issues of mental health from a humanistic perspective, rhetorical research on mental health distinguishes itself through a focus on discursive and symbolic communication, especially acts of persuasion and identification. Rhetorical approaches are not limited to textual analysis, however, and also account for factors like social conditions, identity, embodiment, power relations, location, materiality, and circulation. MHRR attends to the rhetorics of neuroscience, medicine, and psychiatry in connection with their cultural warrants; places judgments of in/sanity in rhetorical-historical context; follows mental health categories and diagnoses through clinical, professional, and personal settings; considers representations of mental health in medical and professional documents as well as popular media; and connects rhetorical appeals to strategies of activism and advocacy.

In the past, rhetoricians have studied issues of mental health from a variety of (inter)disciplinary angles: technical/professional writing vantages (Reynolds, Mair, & Fischer; Berkenkotter; Holladay); critiques of the linguistic entanglements of the professionals who seek to treat mental health (McCarthy & Gerring; Berkenkotter & Ravotas); examinations of how publics encounter and make sense of mental difference (Leweicki-Wilson; Segal; Emmons; J. Johnson; Price; D. Johnson Thornton); and through studies of “patients’” discursive behaviors (Prendergast; Molloy; Uthappa). The 2020 special issue of Rhetoric of Health & Medicinewill ask writers to engage this important body of research as well as scholarship in RHM more generally, but it will also ask writers to make connections between this area of emphasis and related bodies of scholarship (such as disability studies) and to productively critique, challenge and extend this work.

As MHRR moves forward, this special issue of Rhetoric of Health & Medicineseeks to present RHM’s growing readership with some thoughtful perspectives to consider, for example:

Contemporary Nomenclature

  • What are the exigencies and consequences of labeling a set of behaviors Illnesses? Disorders? Disabilities?
  • What are the dominant models for conceptualizing and treating mental health conditions, and what appeals are used to support them rhetorically? What individuals, organizations, or communities resist the dominant models and/or suggest alternative ways of addressing mental health conditions?
  • Should rhetoricians work to end unhelpful labels or to aid in the amelioration of mental illness symptoms?
  • How do neurorhetorics relate to mental health rhetoric research? Are these things synonymous? Complementary? Adversarial?
  • How do discourses surrounding mental health patients’ compliance/adherence/concordance with treatment plans and protocols impact quality of care?

The Diagnostic and Statistical Manual of Mental Disorders (DSM)

  • How might rhetoricians illuminate the changes that occurred in diagnostic categories and criteria between the DSM IV-TR and the DSM V? Between other versions? Between the DSM and the ICD?
  • How might a MHRR scholar bring important insight to ancillary DSM texts and diagnostic tools, such as case books, guidebooks, and protocols?
  • What might MHRR challenge the ubiquity and power of the DSM? What alternatives for diagnostic precision might MHRR and technical communicators offer?

Clinical Practice

  • What can MHRR learn from case histories, patient records and other artifacts from clinical practice?
  • What might we learn from patient “noncompliance?”
  • How might MHRR contribute directly to bodies of knowledge (in psychology, social work, psychiatry, etc.) that inform clinical practice?
  • What exigencies drive pharmacological interventions?
  • What insights might MHRR lend to critical discussions of clinical conversations?

Institutional spaces and places  

  • What insights might rhetorical lenses add to the deinstitutionalization movement and to the wider publics that continue to support or critique it?
  • How might MHRR intervene in or comment usefully on the penal system’s encounters with mental difference?
  • What is the relationship between the “mental hospital” as a monolith and a real, brick-and-mortar site?

Intersectional Perspectives on Mental Health

  • How can intersectional approaches to academic research add critical depth to studies in MHRR?
  • In what ways do experiences of race, disability, gender, sexuality, class, and other marginalized identities affect the rhetoric of mental health?
  • How do such experiences and identities affect the delivery of mental health and psychiatric treatment?

Disability and MHRR

  • How might theories and scholarship from disability studies inflect MHRR, including studies of normativity, disabled embodiment, disability policy, social stigma, and disability justice?
  • What are the intersections between mental health rhetorics and disability rhetorics?
  • What can rhetoricians add to the neurodiversity movement? What are the limits of neuroatypicalities?
  • Where can rhetorical theory help illuminate and analyze the lived experiences of people with mental and psychiatric disabilities?

Mental Health in Public(s)

  • What models of public rhetoric and public health might be usefully employed to investigate the rhetoric of mental health?
  • How does medical rhetoric about mental health figure into debates on public policy related to education, social welfare, employment, and the criminal justice system?
  • Where can MHRR make connections between discourses of mental health and its representations in popular media such as fiction, television, film, and social media?
  • How can MHRR illuminate the processes through which people are interpellated into self-diagnoses in non-clinical forums and media?

These themes are meant to be generative rather than exhaustive. Please do propose essays and hybrid pieces that extend, challenge or otherwise engage with this call in unexpected ways. The editors and guest editors look forward to reading proposals for traditional academic articles, but are also eager to hear your ideas for other RHM genres—persuasion briefs, dialogues, commentaries, and review essays.  If you are new to this topic or work in a field outside rhetoric, we encourage you to consider reading Fred Reynolds’ 2018 article on MHRR mentioned above and reviewing some of the research listed in the bibliography below.

This special issue will be co-edited by Cathryn Molloy & Drew Holladay in consultation with the RHM co-editors. Special issue proposals will be reviewed and ranked by the journal’s editorial board, and manuscripts will undergo the same rigorous peer review process as regular submissions.

Cathryn & Drew are very willing to answer email queries: molloycs@jmu.eduand holladay@umbc.edu.

Please email 500-1000 word proposals (excluding citations) to rhm.journal.editors@gmail.com by December 10, 2018.

Completed manuscripts for accepted proposals will be due March 25, 2018.

MHRR Bibliography

Berkenkotter, Carol. “Genre Systems at Work: DSM-IV and Rhetorical Recontextualization in Psychotherapy Paperwork.” Written Communication, vol. 18, no. 3, 2001, pp. 326-349.

—.Patient Tales: Case Histories and the Uses of Narrative in Psychiatry. U South Carolina P, 2008.

Broderick, Alicia A. “Autism as Rhetoric: Exploring Watershed Rhetorical Moments in Applied Behavior Analysis Discourse.” Disability Studies Quarterly, vol. 31, no. 3, 2011, n. pag.

Emmons, Kimberly K. Black Dogs and Blue Words: Depression and Gender in the Age of Self-care. Rutgers UP, 2010.

Heilker, Paul, and Melanie Yergeau. “Autism and Rhetoric.” College English, vol. 73, no. 5, 2011, pp. 485–497.

Holladay, Drew. Classified Conversations: Psychiatry and Tactical Technical Communication in Online Spaces. Technical Communication Quarterly, vol. 26, no. 1, pp. 8–24.

Jack, Jordynn, and L. Gregory Appelbaum. “‘This Is Your Brain on Rhetoric’: Research Directions for Neurorhetorics.” Rhetoric Society Quarterly, vol. 40, no. 5, 2010, pp. 411–437.

Johnson, Davi. “‘How Do You Know Unless You Look?’: Brain Imaging, Biopower and Practical Neuroscience.” Journal of Medical Humanities, vol. 29, no. 3, 2008, pp. 147–161.

Johnson Thornton, Davi. Brain Culture: Neuroscience and Popular Media. Rutgers UP, 2011.

Johnson, Jenell. “The Skeleton on the Couch: The Eagleton Affair, Rhetorical Disability, and the Stigma of Mental Illness.” Rhetoric Society Quarterly, vol. 40, no. 5, 2010, pp. 459–478.

—.American Lobotomy: A Rhetorical History. U Michigan P, 2014.

Kopelson, Karen. “‘Know Thy Work and Do It’: The Rhetorical-Pedagogical Work of Employment and Workplace Guides for Adults with ‘High-Functioning’ Autism.” College English, vol. 77, no. 6, 2015, pp. 553-576.

Lewiecki-Wilson, Cynthia. “Rethinking Rhetoric through Mental Disabilities.” Rhetoric Review, vol. 22, no. 2, 2003, pp. 156–167.

McCarthy, Lucille Parkinson, and Joan Page Gerring. “Revising Psychiatry’s Charter Document DSM-IV.” Written Communication, vol. 11, no. 2, 1994, pp. 147–192.

Molloy, Cathryn. “Recuperative Ethos and Agile Epistemologies: Toward a Vernacular Engagement with Mental Illness Ontologies.” Rhetoric Society Quarterly, vol. 45, no. 2, 2015, pp. 138–163.

Prendergast, Catherine. “On the Rhetorics of Mental Disability.” Embodied Rhetorics: Disability in Language and Culture, edited James C. Wilson and Cynthia Lewiecki-Wilson, Southern Illinois UP, 2001, pp. 45–60.

Price, Margaret. Mad at School: Rhetorics of Mental Disability and Academic Life. U Michigan P, 2011.

Reynolds, J. Fred. “The Rhetoric of Mental Health Care.” Rhetoric of Healthcare: Essays toward a New Disciplinary Inquiry, edited by Barbara Heifferon and Stuart C. Brown, Hampton, 2008, pp. 149-158.

Reynolds, J. Fred, David Mair, and Pamela Fischer. Writing and Reading Mental Health Records: Issues and Analysis in Professional Writing and Scientific Rhetoric. Erlbaum, 1995.

Uthappa, N. Renuka. Moving Closer: Speakers with Mental Disabilities, Deep Disclosure, and Agency through Vulnerability. Rhetoric Review,vol. 36, no. 2, 2017, pp. 164–175.

Walters, Shannon. “Autistic Ethos at Work: Writing on the Spectrum in Contexts of Professional and Technical Communication.” Disability Studies Quarterly, vol. 31, no. 3, 2011, n. pag.

Yergeau, Melanie. Authoring Autism: On Rhetoric and Neurological Queerness. Duke UP, 2017.

RHM Researchers Connect at First VCRHM

note: this is a guest blog by Rachael Lussos, who shares with us a summary of the VCRHM. It’s wonderful to be able to share RHM activities and events. RHM is a vibrant community and events like VCRHM help raise our profile and are experiences with one another. Thanks, Rachael, for writing this up


On June 9, 2018, researchers in rhetoric of health and medicine (RHM) met at George Mason University (GMU) to identify mentorship and collaboration opportunities at the first Virginia Colloquium on the Rhetoric of Health and Medicine (VCRHM).

Led by Heidi Y. Lawrence and Elizabeth Ferguson, VCRHM was created to connect RHM researchers of varying levels of experience, by providing a dedicated space and time to share RHM research interests, needs, and goals. By partnering with scholars from Virginia Tech—Bernice L. Hausman, Kelly Pender—and from James Madison University—Lori Beth De Hertogh, Michael J. Klein, Cathryn Molloy—Heidi Lawrence won a $16,500 Collaborative Research Grant from 4-VA to help fund the event. Due in part to this explicit goal of mentoring student researchers, the majority of the grant funding went to honoraria for student presenters and to compensation for GMU students—including Lourdes Fernandez and Rachael Graham Lussos—who helped plan, prepare, and conduct the one-day event.

The event kicked off with a keynote address by Kirk St.Amant, on the topic of the cultural context of care. He explained that different cultures—both internationally and locally—prioritize the point of intervention in healthcare in different ways. He then provided a heuristic for a “chronology of care,” to help RHM scholars and technical communicators consider user experience in healthcare contexts across cultures.

After the keynote and other presentations throughout the day, VCRHM participants engaged in lively and cumulative Q&A discussions with speakers and other participants. Jenny Moore’s presentation on her archival research of discourses by the La Leche League’s founding members generated questions and anecdotes on participants’ personal experiences working with the breastfeeding advocacy and support group. Elizabeth Ferguson’s presentation on the rhetorics of outbreaks and epidemics in Morbidity Mortality Weekly Reports sparked a discussion about the changing meaning of “epidemic” when applied to health conditions or activities instead of viral or bacterial diseases.Kelly Scarff’s presentation on citizen advocacy for construction of an Appalachian pipeline generated a conversation about the difference between rhetorical empathy and identification. Sarah Singer’s presentation on health literacy and Lyme disease led to a discussion about the construction and valuing of medical and scientific knowledge. Finally, leading a panel with two undergraduate researchers, Neil Feste and Prerna Das, Bernice Hausman started a conversation about collaborative research that involves faculty, graduate students, and undergraduates from multiple disciplines.

In addition to the prepared talks and presentations, VCRHM included two semi-structured opportunities for participants to exchange ideas, grow their professional networks, and learn more about the wide range of RHM scholarship happening in Virginia and nearby states. Assigned groups met during lunch to make introductions and share observations on topics of professional development. Then a lightning round of informal presentations allowed researchers to briefly pitch current research projects and concerns, which were met with immediate feedback from researchers doing similar work.

Before closing, Heidi Lawrence solicited ideas from the VCRHM collective on how to help participants stay connected throughout the year, keep the day’s conversations going, and create a space for generating collaborative research efforts. After collecting suggestions for possible tools and processes, Heidi Lawrence closed the event with the expressed hope that having connected RHM researchers within and near the Commonwealth, we can look toward future collaborative efforts to engage community partners, perhaps beginning at the next VCRHM.

To learn more about VCRHM and see pictures from the 2018 event, visit http://www.vcrhm.org/

To learn more about how 4-VA funds collaborative research efforts, visit http://4-va.org/