Document Type


Publication Date

January 2019

Publication Title

Health Communication




Through autoethnographic analysis, I present my personal illness story as a case study in patient consent. In doing so, I explore the complexities that emerge at the intersection of gender and health, including issues of autonomy and choice. Specifically, I reflect on the ideological and systemic factors that contribute to a paradox of consent versus noncompliance in US healthcare contexts. Within this paradoxical binary, control is both persistent and illusive, which is a condition fueled by individualism, paternalistic antagonism, and medical colonization. As an alternative, I offer two viable options for facilitating patients’ agency in gendered health contexts, even under marginalizing conditions.


SJSU users: Use the following link to login and access the article via SJSU databases.This is an original manuscript / preprint of an article published by Taylor & Francis in Health Communication on 2/10/2020, available online:

Included in

Communication Commons