From fantasy to reality: managing biomedical risk emotions in and through fictional media

In this article, we explore the role that fictional media (film and television) play in evoking and managing collective and individual anxieties towards biomedical research. We draw on two data sets: fictional media depictions of human research subjects and interviews with Phase I clinical trial participants conducted in the USA in 2013. We show how fictional media provide an outlet for collective uncertainties surrounding biomedical research through depictions that mock and dehumanise research participants, using such emotions of shock, disgust, pity, amusement and humour. We analyse how themes from fictional media are also used to manage actual clinical trial participants’ own anxiety concerning the unknown risks of research participation. By contrasting the reality of their research experience with fantasy derived from entertainment media, clinical trial participants minimise the seriousness of the side effects they have or may experience in actual Phase I clinical trials. We conclude that fictional media serve an important role in the collective and individual management of risk emotion.

[1]  J. Fisher,et al.  This isn’t going to end well: Fictional representations of medical research in television and film , 2017, Public understanding of science.

[2]  M. Eskjær,et al.  Mediatised risk culture: News coverage of risk technologies , 2017 .

[3]  David Boyns,et al.  Between the Living and Undead: How Zombie Cinema Reflects the Social Construction of Risk, the Anxious Self, and Disease Pandemic , 2016 .

[4]  J. Fisher,et al.  Risk and Emotion Among Healthy Volunteers in Clinical Trials , 2016, Social psychology quarterly.

[5]  Christos Lynteris The Epidemiologist as Culture Hero: Visualizing Humanity in the Age of “the Next Pandemic” , 2016 .

[6]  N. Fox Emotions, affects and the production of social life. , 2015, The British journal of sociology.

[7]  F. Gonon,et al.  Does television reflect the evolution of scientific knowledge? The case of attention deficit hyperactivity disorder coverage on French television , 2015, Public understanding of science.

[8]  J. Fisher,et al.  Using “Clinical Trial Diaries” to Track Patterns of Participation for Serial Healthy Volunteers in U.S. Phase I Studies , 2015, Journal of empirical research on human research ethics : JERHRE.

[9]  Brendan Lindsay,et al.  Humor and Dissonance in California’s Native American Genocide , 2014 .

[10]  James Wilsdon,et al.  Why should we promote public engagement with science? , 2014, Public understanding of science.

[11]  D. Lupton,et al.  Risk and emotion: towards an alternative theoretical perspective , 2013 .

[12]  Donileen R. Loseke,et al.  Bringing the Social Back in: Some Suggestions for the Qualitative Study of Emotions , 2013, Qualitative Sociology Review.

[13]  Michael Morgan,et al.  Science on Television in the 21st Century , 2011, Commun. Res..

[14]  J. Fisher,et al.  Challenging assumptions about minority participation in US clinical research. , 2011, American journal of public health.

[15]  A. Anderson,et al.  In-depth Interviewing , 2011 .

[16]  J. Pollard Seen, seared and sealed: Trauma and the visual presentation of September 11 , 2011 .

[17]  Gaspar Mairal,et al.  The history and the narrative of risk in the media , 2011 .

[18]  J. Tulloch,et al.  Risk, health and the media , 2011 .

[19]  J. Fisher,et al.  Sex, gender, and pharmaceutical politics: From drug development to marketing. , 2010, Gender medicine.

[20]  R. Abadie The Professional Guinea Pig: Big Pharma and the Risky World of Human Subjects , 2010 .

[21]  M. Korstanje The Risk Society: Towards a new modernity , 2009 .

[22]  S. Thacker Contagious: Cultures, Carriers, and the Outbreak Narrative , 2009, Emerging Infectious Diseases.

[23]  J. Zinn Heading into the unknown: Everyday strategies for managing risk and uncertainty , 2008 .

[24]  R. D. O'neill “Frankenstein to futurism”: representations of organ donation and transplantation in popular culture , 2006 .

[25]  G. Kuipers Television and taste hierarchy: the case of Dutch television comedy , 2006 .

[26]  J. Zinn Risk, Affect and Emotion , 2006 .

[27]  J. Steinke Cultural Representations of Gender and Science , 2005 .

[28]  Nicolas Pethes Terminal Men: Biotechnological Experimentation and the Reshaping of "the Human" in Medical Thrillers , 2005 .

[29]  M. Montello,et al.  Novel perspectives on bioethics. , 2005, The Chronicle of higher education.

[30]  B. Höijer The Discourse of Global Compassion: The Audience and Media Reporting of Human Suffering , 2004 .

[31]  D. Holden,et al.  Creating Emotional Resonance: Interpersonal Emotion Work and Motivational Framing in a Transgender Community , 2004 .

[32]  A. V. Riper What the public thinks it knows about science , 2003 .

[33]  A. B. van Riper What the public thinks it knows about science , 2003, EMBO reports.

[34]  David A. Kirby,et al.  Science Consultants, Fictional Films, and Scientific Practice , 2003 .

[35]  J. Van den Bulck The impact of television fiction on public expectations of survival following inhospital cardiopulmonary resuscitation by medical professionals , 2002, European journal of emergency medicine : official journal of the European Society for Emergency Medicine.

[36]  J. Bulck The impact of television fiction on public expectations of survival following inhospital cardiopulmonary resuscitation by medical professionals. , 2002 .

[37]  David D. Clarke,et al.  Fictions, fantasies, and fears: The literary foundations of the cl oning debate , 2001 .

[38]  T. Chambers The Fiction of Bioethics: A Précis , 2001, The American journal of bioethics : AJOB.

[39]  D. Clarke,et al.  Clones and Crops: The Use of Stock Characters and Word Play in Two Debates About Bioengineering , 2000 .

[40]  R. Manfredini Medical fiction could be misleading , 1999, BMJ.

[41]  Susan D. Moeller Compassion Fatigue: How the Media Sell Disease, Famine, War and Death , 1994 .

[42]  W. Boyd,et al.  Risk Society: Towards a New Modernity@@@Risk and Rationality: Philosophical; Foundations for Populist Reforms , 1993 .

[43]  David L. Altheide Reflections: Ethnographic content analysis , 1987 .

[44]  A. Hochschild,et al.  The Managed Heart: Commercialization of Human Feeling. , 1985 .

[45]  Constantine J. Sakles Catharsis in Healing, Ritual, and Drama , 1981 .

[46]  A. Hochschild Emotion Work, Feeling Rules, and Social Structure , 1979, American Journal of Sociology.

[47]  J. Vogel Upheavals Of Thought The Intelligence Of Emotions , 2016 .

[48]  Franklin T. Wilson IDENTIFYING LARGE REPLICABLE FILM POPULATIONS IN SOCIAL SCIENCE FILM RESEARCH: A UNIFIED FILM POPULATION IDENTIFICATION METHODOLOGY , 2008 .

[49]  D. Kirby Are We Not Men?: The Horror of Eugenics in The Island of Dr. Moreau , 2002 .

[50]  M. Nussbaum,et al.  Upheavals of Thought: The Romantic Ascent: Emily Brontë , 2001 .

[51]  M. Nussbaum Upheavals of Thought: The Intelligence of Emotions , 2001 .

[52]  J. Butler Bodies That Matter On The Discursive Limits Of Sex , 1993 .

[53]  G. Gutting The archaeology of knowledge , 1989 .

[54]  M. E. Luczun The quality of qualitative research. , 1988, Journal of post anesthesia nursing.