“Clinical Narratives” Scientific based or Hope based?

“ Cultural Studies of Biomedicine: An Agenda For Research.” From Good etc (1995) brought out a term “ clinical narratives” specifically refers to clinical context between patients and physicians which is very interesting concept for me. In my opinion, the physicians of course hold the power of accessing the newly treatment method and they are the person will determine the language of diagnosis, disease progression, treatment and outcome, and professional obligations to patients. Besides this seems almost ideal professional power, it is very challenging for me to think of that they work under the frame of international information and also try to fit their language within the local culture and still under the influence of the “political economy of hope”. Influenced by all these, doctors from different area no matter the economic development level occupy different “clinical narratives”.
When talking about the statistics in clinical narratives, the author gave an example of how a oncology doctor explain the chemotherapy of “Tamoxifen”. It seems to me that the physician try to convince the effect by scientific statistic numbers of increasing up to 15 percent of chance of cancer clean 5 years after surgery, but the decision making of the patients is totally unrational and based on “Hope”. These narratives are a mix of biomedicine and the cultural understanding, and they are specific for the American physicians and patients. The author did not do the research of other nations, so based on the international research result of this specific medicine, will the speech different from country to country. I assume my answer is yes.

Whiteness, NCA, and Distinguished Scholars

In a post made in response to the changes to how my discipline operates made by the Executive Committee of the largest organization of the discipline, the National Communication Association (NCA), one of the editors of a disciplinary journal Rhetoric and Public Affairs (RPA), Professor Martin J. Medhurst, a Distinguished Scholar of the discipline, calls out what he sees as the threat of identity (see below for his full piece published in the journal that he has edited for 20+ years, with 2019 SJR score of 0.27). In what he notes is a threat to the "scholarly merit" of the discipline, Professor Medhurst sets up a caricature of what he calls "identity." In his rhetorical construction of the struggles the NCA has faced over the years to find Distinguished Scholars of colour, he shares with us the facts. So let's look at the facts presented by this rhetor. It turns out, as a member of the Distinguished Scholar community of the NCA, Mr. Medhurst has problems wit...

Upper caste Indian women in the diaspora, DEI, and the politics of hate

Figure 1: Trump, Vance and their partners responding to the remarks by Mariann Edgar Budde Emergent from the struggles of the civil rights movement , led by African Americans , organized against the oppressive history of settler colonialism and slavery that forms the backbone of US society, structures around diversity, equity, and inclusion (DEI) formed an integral role in forging spaces for diverse recognition and representation. These struggles around affirmative action, diversity, equity and inclusion were at the heart of the changes to white only immigration policies, building pathways for migration of diverse peoples from the Global South. The changes to the immigration policies created opportunities for Indians to migrate to the US, with a rise of Indian immigration into the US since the 1970s into educational institutions, research and development infrastructures, and technology-finance infrastructures. These migratory structures into the US were leveraged by l...

The Projection Machine: Epstein's Intellectual Network and the War on Trans People

The anti-transgender activist Posie Parker in Aotearoa NZ An Industry Built on Inversion Anti-transgender hate is an industry. Not a movement, not a moral concern, not an organic uprising of worried parents — an industry, deliberately constructed, lavishly funded, and strategically deployed to protect the interests of the powerful men who finance it. And like most industries built on fear, it requires a credible monster. Transgender people — a community representing roughly one percent of the population, facing disproportionate rates of poverty, violence, suicide, and discrimination — have been selected for that role with remarkable precision. The 2025–2026 release of the Jeffrey Epstein files has made something newly visible that was always structurally present: the men who built the ideological infrastructure of anti-trans politics are, in many cases, the same men — or the direct intellectual descendants of the same men — who moved through the social world of a convicted child sex tr...

Mohan Dutta: Culture-Centered Approach

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