Illness narratives are stories that focus on, or are inspired by, the sometimes life-altering experience of illness. Most narrative constructions of these illness experiences are built upon one of three broad narrative “skeletons.” One skeletal subform, the romantic/warrior narrative, is critiqued by comedian Norm Macdonald in a humorous anecdote that mocks the expectation that cancer patients must wage an epic and heroic battle against their pernicious cancer to have a chance to survive. Macdonald explicates that such a mentality produces heroes and villains, winners and losers, and places additional burden on cancer patients. In this analysis, I argue that Macdonald’s effective use of humor and fulfillment of the five functions of health-related narration enable his story to gain narrative rationality and serve as effective rhetorical tools in encouraging the audience to accept the narrator’s critique of the romantic/warrior subform.

References

Amazon . ( n. d.). Me doing stand-up. Retrieved from http://www.amazon.com/Me-Doing-Standup-Explicit/dp/B0053A82ZM/ref=sr_1_3?ie=UTF8&qid=1335757710&sr=8-3.

Google Scholar

Anderson, J. O., Martin, P. G. ( 2003 ). Narratives and healing: Exploring one family’s stories of cancer survivorship. Health Communication, 15, 133 – 143 . doi: 10.1207/S15327027HC1502_2

Google Scholar Crossref | Medline | ISI

Arntson, P., Droge, D. ( 1987 ). Social support in self-help groups: The role of communication in enabling perceptions of control . In Albrecht, T., Adelman, M. (Eds.), Communicating social support (pp. 157 – 164 ). Thousand Oaks, CA : Sage .

Google Scholar

Arrington, M. I., Goodier, B. ( 2004 ). Prostration before the law: Representations of illness, interaction, and intimacy in the NYPD Blue prostate cancer narrative. Popular Communication, 2, 67 – 84 .

Google Scholar Crossref

Beck, C. S., Aubuchon, S. M., McKenna, T. P., Ruhl, S., Simmons, N. ( 2014 ). Blurring personal health and public priorities: An analysis of celebrity health narratives in the public sphere. Health Communication, 29, 244 – 256 . doi: 10.1080/10410236.2012.741668

Google Scholar Crossref | Medline | ISI

Booth-Butterfield, M., Wanzer, M. B., Weil, N. E., Krezmien, E. ( 2014 ). Communication of humor during bereavement: Intrapersonal and interpersonal emotion management strategies. Communication Quarterly, 62, 436 – 454 . doi:10.1080/01463373.2014.922487

Google Scholar Crossref

Burke, K. ( 1941 ). The philosophy of literary form: Studies in symbolic action. Berkeley : University of California Press .

Google Scholar

Bury, M. ( 1982 ). Chronic illness as biographical disruption. Sociology of Health and Illness, 4, 167 – 182 .

Google Scholar Crossref | Medline

Casey, M., Allen, M., Emmers-Sommer, T., Sahlstein, E., DeGooyer, D., Winters, A., . . . Dun, T. ( 2003 ). When a celebrity contracts a disease: The example of Earvin “Magic” Johnson’s announcement. Journal of Health Communication, 8, 249 – 266 . doi: 10/080/10810730390196471

Google Scholar Crossref | Medline | ISI

Centers for Disease Control and Prevention . ( 2017 ). Chronic disease overview. Retrieved from https://www.cdc.gov/chronicdisease/overview/index.htm

Google Scholar

Centers for Disease Control and Prevention . ( 2018 ). Colorectal cancer statistics. Retrieved from https://www.cdc.gov/cancer/colorectal/statistics/index.htm

Google Scholar

Cole, C.E. ( 2010 ). Problematizing therapeutic assumptions about narratives: A case study of storytelling events in a post-conflict context. Health Communication, 25, 1 – 11 . doi: 10.1080/10410236.2010.521905

Google Scholar Crossref | Medline

Compton, J. ( 2006 ). Serious as a heart attack: Health-related content of late-night comedy television. Health Communication, 19, 143 – 151 . doi: 10.1207/s15327027hc1902_6

Google Scholar Crossref | Medline

Cram, P., Fendrick, A. M., Inadomi, J., Cowen, M., Carpenter, D., Vijan, S. ( 2003 ). The impact of a celebrity promotional campaign on the use of colon cancer screening. Archives of Internal Medicine, 163, 1601 – 1605 . doi: 10.1001/archinte.163.13.1601

Google Scholar Crossref | Medline

Defenbaugh, N. L. ( 2013 ). Revealing and concealing ill identity: A performance narrative of IBD disclosure. Health Communication, 28, 159 – 169 . doi: 10.1080/10410236.2012.666712

Google Scholar Crossref | Medline

duPre, A. ( 1998 ). Humor and the healing arts: A multimethod analysis of humor use in health care. Mahweh, NJ : Lawrence Erlbaum .

Google Scholar

Eggly, S. ( 2002 ). Physician-patient co-construction of illness narratives in the medical interview. Health Communication, 14, 339 – 360 . doi: 10.1207/S15327027HC1403_3

Google Scholar Crossref | Medline

Eli, K., Kay, R. ( 2015 ). Choreographing lived experience: Dance, feelings and the storytelling body. Medical Humanities, 41, 63 – 68 . doi: 10.1136/medhum-2014-010602

Google Scholar Crossref | Medline

Ellingson, L. L., Buzzanell, P. M. ( 1999 ). Listening to women’s narratives of breast cancer treatment: A feminist approach to patient satisfaction with physician–patient communication. Health Communication, 11, 153 – 183 . doi: 10.1207/s15327027hc1102_3

Google Scholar Crossref | Medline | ISI

Fisher, W. R. ( 1984 ). Narration as a human communication paradigm: The case of public moral argument. Communication Monographs, 51, 1 – 22 .

Google Scholar Crossref | ISI

Foss, S. K. ( 2009 ). Rhetorical criticism: Exploration and practice ( 4th ed. ). Long Grove, IL : Waveland Press .

Google Scholar

Francis, L., Monahan, K., Berger, C. ( 1999 ). A laughing matter? The uses of humor in medical interactions . Motivation and Emotion, 23, 155 – 174 . doi: 0146-7239/99/0600-0155$16.00/0

Google Scholar Crossref | ISI

Frank, A. W. ( 1995 ). The wounded storyteller: Body, illness, and ethics. Chicago, IL : University of Chicago Press .

Google Scholar Crossref

Frank, A. W. ( 1998 ). Just listening: Narrative and deep illness. Families, Systems, & Health, 16, 197 – 212 . doi: 10.1037/h0089849

Google Scholar Crossref

Futerfas, M. L., Nan, X. ( 2017 ). Role of humor in the persuasiveness of entertainment narratives on unprotected sexual behavior. Journal of Health Communication, 22, 312 – 318 . doi: 10.1080/10810730.2017.1284285

Google Scholar Crossref | Medline

Gray, J. B. ( 2007 ). Interpersonal communication and the illness experience in the Sex and the City breast cancer narrative. Communication Quarterly, 55, 397 – 414 . doi: 10.1080/01463370701657889

Google Scholar Crossref

Harter, L. M. ( 2009 ). Narratives as dialogic, contested, and aesthetic performances. Journal of Applied Communication Research, 37, 140 – 150 . doi: 10.1080/00909880902792255c

Google Scholar Crossref

Hoffner, C. A., Cohen, E. L. ( 2015 ). Portrayal of mental illness on the TV series Monk: Presumed influence and consequences of exposure. Health Communication, 30, 1046 – 1054 . doi: 10.1080/10410236.2014.917840

Google Scholar Crossref | Medline

Howard, L. A. ( 2013 ). Expressions of experience and transformation: Performing illness narratives. Text & Performance Quarterly, 33, 133 – 150 . doi: 10.1080/10462937.2013.765959

Google Scholar Crossref

Iannarino, N. T. ( 2017 ). “My insides feel like Keith Richards’ face”: A narrative analysis of humor and biographical disruption in young adults’ cancer blogs. Health Communication, 1–10. doi:10.1080/10410236.2017.1350909

Google Scholar

Internet Movie Database . ( n. d.). Biography for Jack Lemmon. Retrieved from http://www.imdb.com/name/nm0000493/bio

Google Scholar

Johnson, P. ( 2002 ). The use of humor and its influences on spirituality and coping in breast cancer survivors. Oncology Nursing Forum, 29, 691 – 695 . doi: 10.1188/02.ONF.691-695

Google Scholar Crossref | Medline

Link, E., Schlütz, D. M., Brauer, S. ( 2016 ). Opportunities and challenges of entertainment-education: Learning about Parkinson’s disease via The Michael J. Fox Show. Communication & Medicine, 13, 203 – 214 . doi: 10.1558/cam.28981

Google Scholar Crossref

Macdonald, N. ( 2011 ). Battling cancer. Comedy Central Stand-Up. Retrieved from http://www.cc.com/video-clips/8kgu68/stand-up-norm-macdonald–battling-cancer.

Google Scholar

Meyer, J. C. ( 2000 ). Humor as a double-edged sword: Four functions of humor in communication. Communication Theory, 10, 310 – 331 .

Google Scholar Crossref | ISI

Mintz, L. E. ( 1985 ). Standup comedy as social and cultural mediation. American Quarterly, 37, 71 – 80 . doi: 10.2307/2712763

Google Scholar Crossref | ISI

Nutter, B. J. ( 2014 ). The abject body, illness, and stand-up comedy: A narrative analysis of Tig Notaro’s LIVE (Electronic Thesis). Retrieved from https://etd.ohiolink.edu/

Google Scholar

O’Hair, D., Scannell, D., Thompson, S. ( 2005 ). Agency through narrative: Patients managing cancer care in a challenging environment . In Harter, L. M., Japp, P. M., Beck, C. S. (Eds.), Narratives, health, and healing: Communication theory, research, and practice (pp. 413 – 432 ). Mahweh, NJ : Lawrence Erlbaum .

Google Scholar

Sellnow, D. D. ( 2010 ). The rhetorical power of popular culture: Considering mediated texts. Thousand Oaks, CA : Sage .

Google Scholar

Sharf, B. F. ( 2005 ). How I fired my surgeon and embraced an alternate narrative . In Harter, L. M., Japp, P. M., Beck, C. S. (Eds.), Narratives, health, and healing: Communication theory, research, and practice (pp. 325 – 342 ). Mahweh, NJ : Lawrence Erlbaum .

Google Scholar

Sharf, B. F., Freimuth, V. S., Greenspon, P., Plotnick, C. ( 1996 ). Confronting cancer on thirtysomething: Audience response to health content on entertainment television . Journal of Health Communication, 1, 157 – 172 . doi: 10.1080/108107396128121

Google Scholar Crossref | Medline

Sharf, B. F., Harter, L. M., Yamasaki, J., Haidet, P. ( 2011 ). Narrative turns epic: Continuing developments in health narrative scholarship . In Thompson, T., Parrott, R., Nussbaum, J. F. (Eds.), Routledge handbook of health communication ( 2nd ed ., pp. 36 – 51 ). New York, NY : Routledge/Taylor & Francis .

Google Scholar

Sharf, B. F., Vanderford, M. L. ( 2003 ). Illness narratives and the social construction of health . In Thompson, T., Dorsey, A., Miller, K., Parrott, R. (Eds.), Handbook of health communication (pp. 9 – 34 ). New York, NY : Lawrence Erlbaum .

Google Scholar

Sunwolf, Frey, L. R., Keranen, L. ( 2005 ). R x story prescriptions: Healing effects of storytelling and storylistening in the practice of medicine . In Harter, L. M., Japp, P. M., Beck, C. S. (Eds.), Narratives, health, and healing: Communication theory, research, and practice (pp. 237 – 257 ). Mahweh, NJ : Lawrence Erlbaum .

Google Scholar

Sweeney, J. ( 1998 ). God said, “Ha!” New York, NY : Bantam .

Google Scholar