“It’s all in their head!” Rhetoric in the fibromyalgia wars

  • José Ángel Gascón
Keywords: Ethos, Fibromyalgia, Frame, Rhetoric, Values.


While most research on argumentation in medicine studies doctor-patient communication, this article focuses on a case of argumentation among medical professionals. Eight editorials from a well-known specialized journal, constituting a single discussion about the diagnosis of fibromyalgia (FM), are studied from a rhetorical perspective. Several rhetorical strategies are identified and commented on, illustrating how, at least outside research reports, scientists do not merely argue in a neutral way about empirical facts. In particular, I will focus on the frames used by the arguers, the appeals to common values, and the ethotic arguments that are used.


Ehrlich, George E. (2003), «Pain is real; fibromyalgia isn’t», in The Journal of Rheumatology, n. 30(8), pp. 1666-1667.

Entman, Robert M. (1991), «Framing U. S. coverage of international news: Contrasts in narratives of the KAL and Iran Air incidents», in Journal of Communication, n. 41(4), pp. 6-27.

Goldenberg, Don L. (2004), «Fibromyalgia: to diagnose or not. Is that still the question?», in The Journal of Rheumatology, pp. 31(4), pp. 633-635.

Hadler, Nortin M. (2003), «“Fibromyalgia” and the medicalization of misery», in Journal of Rheumatology, n. 30(8), pp. 1668-1670.

Hardwig, John (1991), «The role of trust in knowledge» in Journal of Philosophy, n. 88(12), pp. 693–708.

Kuypers, Jim A. (2009), «Framing analysis», in Kuypers J. A., ed., Rhetorical criticism: Perspectives in action, Rowman and Littlefield, Lanham (MD), pp. 181-203.

Macagno, Fabrizio (2013), What we hide in words: Value-based reasoning and emotive language, in Mohammed D., Lewiński M., eds., Virtues of Argumentation. Proceedings of the 10th International Conference of the Ontario Society for the Study of Argumentation (OSSA), 22-26 May 2013, OSSA, Windsor (ON), pp. 1-17.

Nielson, W. R., & Harth, M. (2004), «Fibromyalgia: beyond the rhetoric», in The Journal of Rheumatology, n. 31(4), p. 631.

Perelman, Chaïm (1984), «Rhetoric and politics», in Philosophy & Rhetoric, n. 17(3), pp. 129-134.

Perelman, C., Olbrechts-Tytec, L. (1969), The new rhetoric: A treatise on argumentation, University of Notre Dame Press, Notre Dame.

Rubinell, S., & Schulz, P. J. (2006), «“Let me tell you why!”. When argumentation in doctor–patient interaction makes a difference», in Argumentation, n. 20(3), pp. 353-375.

Schiappa, E., Nordin, J. P. (2014), Argumentation: Keeping faith with reason, Pearson, Boston.

Smythe, Hugh A. (2004), «Fibromyalgia among friends», in The Journal of Rheumatology, n. 31(4), pp. 627-630.

Wallace, Daniel J. (2004), «To fibromyalgia nihilists: stop pontificating and test your hypothesis», in The Journal of Rheumatology, n. 31(4), p. 632.

White, Kevin P. (2004), «Fibromyalgia: the answer is blowin’ in the wind», in The Journal of Rheumatology, n. 31(4), pp. 636-639.

White, K. P., Thompson, J. (2003), «Fibromyalgia syndrome in an Amish community: A controlled study to determine disease and symptom prevalence», in Journal of Rheumatology, n. 30(8), pp. 1835-1840.

Wolfe, Frederick (2003), «Stop using the American College of Rheumatology criteria in the clinic», in Journal of Rheumatology, n. 30(8), pp. 1671-1672.

Wolfe, Frederick (2009), «Fibromyalgia wars», in The Journal of Rheumatology, n. 36(4), pp. 671-678.

Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, Don L., … & Sheon, R. P. (1990), «The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee», in Arthritis and Rheumatism, n. 33(2), pp. 160-172.

Wolfe, F., Clauw, D. J., Fitzcharles, M.-A., Goldenberg, Don L., Katz, R. S., Mease, P., …& Yunus, M. B. (2010), «The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity», in Arthritis Care & Research, n. 62(5), pp. 600-610.

Wolfe, F., Walitt, B. (2013), «Culture, science and the changing nature of fibromyalgia», in Nature Reviews Rheumatology, n. 9(12), pp. 751-755.

How to Cite
Gascón, J. Ángel (1) “‘It’s all in their head!’ Rhetoric in the fibromyalgia wars”, Rivista Italiana di Filosofia del Linguaggio, 12(1). Available at: http://www.rifl.unical.it/index.php/rifl/article/view/475 (Accessed: 20May2024).