Judy Z Segal

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Advocates of "concordance" describe it as a new model of shared decision-making between physicians and patients based on a partnership of equals. "Concordance" is meant to make obsolete the notion of "compliance," in which patients are seen as, ideally, following doctors' orders. This essay offers a critical view of concordance, arguing that the literature(More)
The notion of a rhetoric of science argues that scientific writing is not unproblematically neutral and objective, but rather laden with both theory and value and necessarily persuasive. The nature of persuasion within the profession of medicine is studied here through an analysis of rhetorical strategies at work in medical journal articles. (All articles(More)
The resources of rhetorical theory, the classical theory of persuasion, can be marshaled to help physicians evaluate patient complaints for which there is no corresponding objective evidence and which rely, therefore, on the persuasiveness of patients to be taken seriously (contestable complaints). An appropriate focus for the evaluation of such complaints(More)
The purpose of this editorial is to challenge the choice of the term ‘medication overuse headache’ (MOH). MOH is not a new concept, but the name remains controversial. Although it is an improvement on previous labels such as ‘drug abuse headache’ and ‘rebound headache’, there is still more work to be done. Our criticisms of the portrayal of MOH are(More)
The medicalization of sex is part of an already-in-place discursive problem that can be illuminated by looking at efforts to sexualize the medical. "Erectile dysfunction," "female sexual dysfunction," and their real and imagined pharmacopia, do not constitute the medicalization of sex; they are effects of sex already having been-to borrow a term from Peter(More)
Medical language has implications for both public perception of and institutional responses to illness. A consensus panel of physicians, academics, advocates, and patients with diverse experiences and knowledge about migraine considered 3 questions: (1) What is migraine: an illness, disease, syndrome, condition, disorder, or susceptibility? (2) What ought(More)
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