Skip to main content

“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.

Popular posts from this blog

The Haka, the Hurt, and the Work We Owe

  The Haka, the Hurt, and the Work We Owe An Indian in Aotearoa reflects on resistance, complicity, and the solidarities we have yet to build Mohan Jyoti Dutta I watched the haka. I watched it several times, in fact. Each time, I tried to sit with what I was feeling before reaching for what I was supposed to think. Let me be honest about who I am in this conversation, because that matters. I am an upper caste, upwardly mobile Indian man. I am a professor at a university in Aotearoa. I carry the accumulated privileges of Brahminical socialisation, of English-medium education, of institutional access that was never designed for the communities I now write about and alongside. I say this not as confession but as orientation — because where you stand shapes what you see, and I have learned, through years of working with communities at the margins, that the refusal to name your own location is itself a colonial habit. The haka directed at Parmjeet Parmar did not offend me. It ...

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 with w...

The Substack and the Slur: How a Manufactured Crisis Toppled a Wahine Māori Political Editor

  The Substack and the Slur: How a Manufactured Crisis Toppled a Wahine Māori Political Editor On the architecture of the Aotearoa culture-war machine, and the danger it poses to a democracy heading into 2026 There is a particular cadence to the afternoon on which the career of a senior Māori journalist  at TVNZ is finished. It is unhurried. It begins with a tweet — in this case, a single image of a typed statement, posted by Maiki Sherman, the now-former political editor of TVNZ, on the afternoon of Friday, 8 May 2026, announcing that she had parted ways with the broadcaster. The post was terse, dignified, and final. As RNZ later reported , Sherman wrote that the scrutiny of the previous week had placed enormous pressure on her and rendered her role "untenable." The first wahine Māori to lead a major broadcaster's political team was gone. The story that finished her had not, ten days earlier, existed in any newspaper, on any wire, on any website you would consider mai...