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Libel refers specifically to defamatory language that is expressed in a permanent form, such as print or symbols. This involves making false statements about an individual or organization that can cause harm to their reputation. Print can encompass a wide range of mediums, including newspapers, books, online publications, and other written formats where the defamatory content can be preserved and shared.

Understanding this definition is crucial in the context of health care risk management, as healthcare organizations must be cautious about the information they disseminate and how it may affect reputational risk. Organizations must ensure that their communications are accurate and do not misrepresent individuals or entities, which could lead to legal repercussions for libel.

The other options do not accurately capture the essence of libel. Defamatory statements made verbally would fall under the category of slander, and a prank is not a formal legal term or recognized category of defamation. Additionally, legal defenses against defamation, while relevant in discussions of libel, do not define libel itself. Thus, the selection correctly identifies libel as it is uniquely characterized by its written form of defamation.