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Toward A Multi-Actor Understanding of Mental Illness: A Rhetorical-Narratological and Ecological Analysis of Schizophrenia Narratives on Blogs
Lombard, David
2025Rhetoric in Society 9
Peer reviewed
 

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Keywords :
multi-actor; schizophrenia; blog; mental illness; mental health; healthcare; rhetorical; ecological; narratological; narrative; autopathography; psychosis
Abstract :
[en] Since the rise of the interdisciplinary field of health humanities at the turn of the century, patients’ narratives have been more and more considered as a source of knowledge about the subjective dimension of mental illness. Such illness narratives have been traditionally published as autobiographies and memoirs, namely often solicited literary works with institutional dimensions, which makes their educational and therapeutic value questionable (Radden and Varga 2013, 100; Franssen 2020, 440). In the Digital Age, illness narratives have also been massively posted on blogs. Illness blogs have drawn scholarly attention, especially because illness blogging is unsolicited and interactive (visitors can comment on narratives), and has a uniquely emotional style (Heilferty 2009, 1540; Paal 2010, 54). For these reasons, their value is not necessarily literary but social since they create ‘safe’ spaces for expression and communities of sufferers, relatives, and strangers who, together, contribute to shaping our understanding of illness. In this presentation, I will analyze exemplary schizophrenia narratives from personal blogs (Pat Deegan, Blogschizo, Ta Gueule Boris, and Overcoming Schizophrenia) and blogs managed by associations (Pulse and Mind). Schizophrenia is still a medically and culturally misunderstood mental illness that is subject to stigmatization (Granger and Naudin 2022). Building on insights from life writing studies (Rak 2005; Smith and Watson 2014), rhetorical narratology (Phelan 2017; 2022), and the rhetoric of health and medicine (Ehrenfeld 2018), I will examine the rhetorical functions of schizophrenia blogs by focusing on how their narratives are constructed (the narrative elements and affects) and presented (the distinctive characteristics and the paratext of the sites) to address their audiences. In doing so, while adopting a rhetorical-ecological approach, I will show how blogs contribute to destigmatization and illustrate how knowledge about schizophrenia is produced, that is by multiple actors and agencies, not only psychiatrists but also patients and others. Works Cited Ehrenfeld, Dan. 2018. “Ecological Investments and the Circulation of Rhetoric: Studying the ‘Saving Knowledge’ of Dr. Emma Walker’s Social Hygiene Lectures.” In Methodologies for the Rhetoric of Health & Medicine, edited by Lisa Meloncon and Blake J. Scott, 41–60. New York and London: Routledge. Franssen, Gaston. 2020. “Narratives of Undiagnosability: Chronic Fatigue Syndrome Life-Writing and the Indeterminacy of Illness Memoirs.” Philosophy, Psychiatry, & Psychology 27 (4): 403–18. https://doi.org/10.1353/ppp.2020.0052. Granger, Bernard, and Jean Naudin. 2022. Idées reçues sur la schizophrénie. Paris: Le Cavalier Bleu. Heilferty, Catherine McGeehin. 2009. “Toward a Theory of Online Communication in Illness: Concept Analysis of Illness Blogs.” Journal of Advanced Nursing 65 (7): 1539–47. https://doi.org/10.1111/j.1365-2648.2009.04996.x. Paal, Piret. 2010. “Illness Narratives: Patients’ Online Discussions about Life after Cancer.” Elore 17:49–66. Phelan, James. 2017. Somebody Telling Somebody Else: A Rhetorical Poetics of Narrative. Columbus: The Ohio State University Press. ———. 2022. Narrative Medicine: A Rhetorical Rx. New York: Routledge. Radden, Jennifer, and Somogy Varga. 2013. “The Epistemological Value of Depression Memoirs: A Meta-Analysis.” In The Oxford Handbook of Philosophy and Psychiatry, edited by K. W. M. Fulford, Martin Davies, Richard Gipps, George Graham, John Z. Sadler, Giovanni Stanghellini, and Tim Thornton, 99–116. Oxford: Oxford University Press. Rak, Julie. 2005. “The Digital Queer: Weblogs and Internet Identity.” Biography 28 (1): 166–82. Smith, Sidonie, and Julia Watson. 2014. “Virtually Me: A Toolbox about Online Self-Presentation.” In Identity Technologies: Constructing the Self Online, edited by Anna Poletti and Julie Rak, 70–95. Madison, Wisconsin: The University of Wisconsin Press.
Research Center/Unit :
Leuven Centre for Health Humanities
Leuven English Literature Research Group
Leuven Cultural Studies Research Group
Leuven Literary and Cultural Studies Research Unit
Disciplines :
Literature
Arts & humanities: Multidisciplinary, general & others
Author, co-author :
Lombard, David  ;  Université de Liège - ULiège > Département de langues modernes : linguistique, littérature et traduction > Littérature anglaise moderne et littérature américaine
Language :
English
Title :
Toward A Multi-Actor Understanding of Mental Illness: A Rhetorical-Narratological and Ecological Analysis of Schizophrenia Narratives on Blogs
Original title :
[en] Toward A Multi-Actor Understanding of Mental Illness: A Rhetorical-Narratological and Ecological Analysis of Schizophrenia Narratives on Blogs
Publication date :
20 June 2025
Event name :
Rhetoric in Society 9
Event organizer :
Rhetoric Society of Europe
Event place :
Zagreb, Croatia
Event date :
Du 18 juin 2025 au 21 juin 2025
Audience :
International
Peer review/Selection committee :
Peer reviewed
Development Goals :
3. Good health and well-being
16. Peace, justice and strong institutions
Name of the research project :
The Twenty-First-Century Schizophrenia (Graphic) Memoir: A Rhetorical-Narratological and Multi-Actor Materialist Approach
Funders :
FWO - Fonds Wetenschappelijk Onderzoek Vlaanderen
Funding number :
1217825N
Available on ORBi :
since 20 June 2025

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