Cracking open the eristic rhetoric of contralateral prophylactic mastectomy research or why surgeons should not be so certain about this controversial breast cancer treatment
Datos Bibliográficos
| ID | 12691663 |
|---|---|
| Autores | Kelly Pender (0000-0002-4035-3383, English, Virginia Tech, Blacksburg, USA, autor de correspondencia) |
| Año | 2022 |
| Volumen | 49 |
| Número | 3 |
| Páginas | 378-389 |
| Fecha de publicación | 2022-12-22 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Humanities (JOURNAL) |
| Identificadores de la revista | ISSN: 1468-215X • E-ISSN: 1473-4265 |
| Editorial | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/medhum-2022-012460 |
| PMID | 36549858 |
| OpenAlex | W4312114845 |
| Idioma | EN |
| Referencias citadas | 56 |
Contralateral prophylactic mastectomy (CPM) is a controversial breast cancer treatment in which both breasts are removed when only one is affected by cancer. Rates of CPM have been rising since the late 1990s, despite surgeons' strong agreement that the procedure should not be performed for average-risk women. This essay analyses that agreement as it is demonstrated in the surgical literature on CPM, arguing that it forms a 'rhetoric of certainty' built on the stark epistemological divide between objective and subjective forms of knowledge that operates in some areas of medicine. Further, the essay argues that this rhetoric of certainty has the potential to function as a kind of eristic rhetoric in which the right conclusion is known prior to any rhetorical exchange. As a way to 'crack open' this certainty, the essay compares the rhetoric of the surgical literature on CPM to the rhetoric of uncertainty in the radiological literature on breast cancer screening for women with a personal history of the disease. The goal of this comparison is not to suggest surgeons should support all choices for CPM. Rather, the aim is to demonstrate that choices against the procedure are not as straightforward as the surgical literature indicates and that the uncertainty affecting women's preferences for CPM is not solely the result of patient misunderstanding and/or emotional instability
Breast cancer · Cancer · Certainty · Epistemology · General surgery · Linguistics · Mastectomy · Rhetoric · Rhetorical question · BRCA gene mutations in cancer · Breast Cancer Treatment Studies · Global Cancer Incidence and Screening · Medicine · Philosophy · Psychology · Social Psychology · Internal Medicine · Surgery
Research Genres
Arguing to Defeat
Are RCTs the Gold Standard
Disease, illness, sickness, health, healing and wholeness
How Contralateral Prophylactic Mastectomy Does the Body, or Why Epistemology Alone Cannot Explain this Controversial Breast Cancer Treatment
Evidence‐Based Medicine or Cookbook Medicine? Addressing Concerns over the Standardization of Care
Cultural crossings of care
The problem of evidence-based medicine
Embodied Action, Enacted Bodies
| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |