Article published In: Future Perspectives in Medical Argumentation
Edited by Sarah Bigi and Maria Grazia Rossi
[Journal of Argumentation in Context 14:3] 2025
► pp. 366–384
Health controversies
A challenge for argumentation theory
Published online: 4 December 2025
https://doi.org/10.1075/jaic.25026.jac
https://doi.org/10.1075/jaic.25026.jac
Abstract
Health controversies are large, complex bodies of argumentative discourse. They involve committed oppositionality among people with heterogeneous interests and positions related to health, configurations of which may change over time, leaving traces in the form of argumentative texts that reflect not only pragmatic disagreements but also disagreements over epistemological questions. Understanding the complexity of health controversies requires significant investment of time and effort but also has significant disciplinary payoffs for argumentation. Because they are often sites for innovation in the practice of argumentation, health controversies hold promise for extending argumentation theory through discovery of novel phenomena. And because they are significant disagreement management challenges for society, health controversies invite the development within argumentation theory of an approach to intervention centered on valuing thorough exploration of disagreement.
Article outline
- 1.Introduction
- 2.Health controversies as objects of study
- 2.1Committed oppositionality
- 2.2Participants with heterogeneous interests and positions
- 2.3Configurations that change over time
- 2.4Traces left in the form of argumentative texts
- 2.5Disagreement over both pragmatic and epistemological questions
- 2.6Implications for research strategy
- 3.An argumentation theory framework for the study of health controversies
- 3.1Players
- 3.2Positions
- 3.3Places
- 3.4Networks of players, positions, and places
- 4.Toward an intervention strategy for argumentation as a field
- 5.Conclusion
- Notes
References
References (29)
Aakhus, Mark. 1999. “Science court: A Case Study in Designing Discourse to Manage Policy Controversy.” Knowledge, Technology & Policy, 12(2), 20–37.
Aakhus, Mark, and Michael Bzdak. 2015. “Stakeholder Engagement as Communication Design Practice.” Journal of Public Affairs, 15(2), 188–200.
Dryzek, John S., André Bächtiger, Simone Chambers, Joshua Cohen, James N. Druckman, Andrea Felicetti, James S. Fishkin et al. 2019. “The Crisis of Democracy and the Science of Deliberation.” Science 363(6432), 1144–1146.
Dumit, Joseph. 2006. “Illnesses You Have to Fight to Get: Facts as Forces in Uncertain, Emergent Illnesses.” Social Science & Medicine, 62(3), 577–590.
Epstein, Stephen. 1995. “The Construction of Lay Expertise: AIDS Activism and the Forging of Credibility in the Reform of Clinical Trials.” Science, Technology, & Human Values 20 (4): 408–37.
Fair, Brian. 2010. “Morgellons: Contested Illness, Diagnostic Compromise and Medicalisation.” Sociology of Health & Illness, 32(4), 597–612.
Hintz, Elizabeth A. 2022. “‘It’s All in Your Head’: A Meta-Synthesis of Qualitative Research About Disenfranchising Talk Experienced by Female Patients with Chronic Overlapping Pain Conditions.” Health Communication, 38(11), 2501–2515.
Jackson, Sally. 2008. “Message Effects Research.” In Rhetoric and Stylistics: An International Handbook of Historical and Systematic Research, Vol. 1, ed. by Ulla Fix, Andreas Gardt, and Joachim Knape, 855–868. Berlin: Walter de Gruyter.
. 2023. “Online Health Communities in Controversy over ME/CFS and Long Covid.” European Journal of Health Communication, 4(2), 49–72.
. 2024. “Health Controversies: Long-Term Disagreement Management Challenges.” Journal of Health Communication, 29(8), 490–501.
Jackson, Sally, and Scott Jacobs. 1980. “Structure of Conversational Argument: Pragmatic Bases for the Enthymeme.” Quarterly Journal of Speech, 661, 251–265.
Lasker, Judith N., Ellen D. Sogolow, and Rebecca R. Sharim. 2005. “The Role of an Online Community for People with a Rare Disease: Content Analysis of Messages Posted on a Primary Biliary Cirrhosis Mailinglist.” Journal of Medical Internet Research, 7(1), e137.
Lewiński, Marcin, and Mark Aakhus. 2023. Argumentation in Complex Communication: Managing Disagreement in a Polylogue. Cambridge, England: Cambridge U. Press.
Lian, Olaug S., and Sarah Nettleton. 2015. “‘United We Stand’: Framing Myalgic Encephalomyelitis in a Virtual Symbolic Community.” Qualitative Health Research, 25(10), 1383–1394.
Malterud, Kirsti. 2001. “The Art and Science of Clinical Knowledge: Evidence beyond Measures and Numbers.” The Lancet, 358(9279), 397–400.
Miyake, Esperanza, and Sam Martin. 2021. “Long Covid: Online Patient Narratives, Public Health Communication and Vaccine Hesitancy.” Digital Health, 71.
Ottinger, Gwen. 2010. “Buckets of Resistance: Standards and the Effectiveness of Citizen Science.” Science, Technology, & Human Values, 35 (2), 244–270.
Schneider, Jodi, and Sally Jackson. 2018. “Modeling the Invention of a New Inference Rule: The Case of ‘Randomized Clinical Trial’ as an Argument Scheme for Medical Science.” Argument & Computation, 9(2), 77–89.
Thompson, Charee M., and Sarah Parsloe. 2019. “‘I Don’t Claim to be the World’s Foremost Expert, But’: How Individuals ‘Know’ Family Members are not Experiencing Health Issues as Severely as They Claim.” Qualitative Health Research, 29(10), 1433–1446.
Van Eemeren, Frans H., and Rob Grootendorst. 2004. A Systematic Theory of Argumentation: The Pragma-Dialectical Approach. Cambridge, UK: Cambridge.
van Eemeren, Frans H. and Wu Peng. 2017. Contextualizing Pragma-Dialectics. Amsterdam: John Benjamins.
Venturini, Tommaso. 2010. “Diving in Magma: How to Explore Controversies with Actor-Network Theory.” Public Understanding of Science, 19(3), 258–273.
Walton, Douglas N., Chris Reed, and Fabrizio Macagno. 2008. Argumentation Schemes. Cambridge, UK: Cambridge.
Willard, Charles A. 1987. “Valuing Dissensus.” In Across the Lines of Disciplines ed. by Frans H. van Eemeren, Rob Grootendorst, J. Anthony Blair and Charles A. Willard, 145–158. Berlin, New York: De Gruyter Mouton.
