Disease metaphors in new epidemics: the UK media framing of the 2003 SARS epidemic

Abstract Since the emergence of HIV/AIDS in the 1980s, social scientists and sociologists of health and illness have been exploring the metaphorical framing of this infectious disease in its social context. Many have focused on the militaristic language used to report and explain this illness, a type of language that has permeated discourses of immunology, bacteriology and infection for at least a century. In this article, we examine how language and metaphor were used in the UK media's coverage of another previously unknown and severe infectious disease: Severe Acute Respiratory Syndrome (SARS). SARS offers an opportunity to explore the cultural framing of a less extraordinary epidemic disease. It therefore provides an analytical counter-weight to the very extensive body of interpretation that has developed around HIV/AIDS. By analysing the total reporting on SARS of five major national newspapers during the epidemic of spring 2003, we investigate how the reporting of SARS in the UK press was framed, and how this related to media, public and governmental responses to the disease. We found that, surprisingly, militaristic language was largely absent, as was the judgemental discourse of plague. Rather, the main conceptual metaphor used was SARS as a killer. SARS as a killer was a single unified entity, not an army or force. We provide some tentative explanations for this shift in linguistic framing by relating it to local political concerns, media cultures, and spatial factors.

[1]  Graham Low,et al.  Researching and Applying Metaphor: ANALYSING METAPHOR IN ELICITED DATA , 1999 .

[2]  C. Guest,et al.  AIDS and its metaphors. , 1989, Social science & medicine.

[3]  Brigitte Nerlich,et al.  War on foot and mouth disease in the UK, 2001: Towards a cultural understanding of agriculture , 2004 .

[4]  J. Kitzinger Media templates: patterns of association and the (re)construction of meaning over time , 2000 .

[5]  H. Joffe,et al.  Representations of far-flung illnesses: the case of Ebola in Britain. , 2002, Social science & medicine.

[6]  G. Annas,et al.  Reframing the debate on health care reform by replacing our metaphors. , 1995, The New England journal of medicine.

[7]  B. Cassens,et al.  Social consequences of the acquired immunodeficiency syndrome. , 1985, Annals of internal medicine.

[8]  Dorothy Porter,et al.  Health, Civilization and the State: A History of Public Health from Ancient to Modern Times , 1999 .

[9]  M. Weiss,et al.  Signifying the pandemics: metaphors of AIDS, cancer, and heart disease. , 1997, Medical anthropology quarterly.

[10]  A. Brandt AIDS and Metaphor: Toward the Social Meaning of Epidemic Disease , 2020, Social research.

[11]  S. Ungar Hot crises and media reassurance : a comparison of emerging diseases and Ebola Zaire , 1998 .

[12]  Joe Rollins AIDS, law, and the rhetoric of sexuality , 2002 .

[13]  K. A. Drass,et al.  Social, Cultural, and Temporal Dynamics of the AIDS Case Congregation: Early Years of the Epidemic , 1997 .

[14]  R. C. Fox,et al.  "He Knows That Machine is His Mortality": Old and New Social and Cultural Patterns in the Clinical Trial of the AbioCor Artificial Heart , 2004, Perspectives in biology and medicine.

[15]  M. Worboys,et al.  Spreading Germs: Disease Theories and Medical Practice in Britain, 1865–1900 , 2003, Nursing History Review.

[16]  C. Seale Sporting cancer: struggle language in news reports of people with cancer , 2001 .

[17]  B. Clow,et al.  Who's afraid of Susan Sontag? Or, the myths and metaphors of cancer reconsidered. , 2001, Social history of medicine : the journal of the Society for the Social History of Medicine.

[18]  B. Lerner The Breast Cancer Wars , 2002 .

[19]  J. Kitzinger,et al.  The Circuit of Mass Communication: Media Strategies, Representation and Audience Reception in the AIDS Crisis , 1998 .

[20]  J. Kinsella Covering the Plague: AIDS and the American Media , 1992 .

[21]  C. Gradmann,et al.  Invisible Enemies: Bacteriology and the Language of Politics in Imperial Germany , 2000, Science in Context.

[22]  S. Montgomery Codes and combat in biomedical discourse , 1991 .

[23]  R. Gibbs,et al.  Embodied Metaphor In Women's Narratives About Their Experiences With Cancer , 2002, Health communication.

[24]  Sade Akisanya BSc Mcsp DipTP Culture, Health and Illness , 2000 .

[25]  D. Clarke,et al.  The Influence of Popular Cultural Imagery on Public Attitudes towards Cloning , 1999 .

[26]  E. Reid Approaching the HIV epidemic: the community's response. , 1994, AIDS care.

[27]  J. Schwartzbaum,et al.  Language Discrimination of General Physicians , 1990, Communication research.

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

[29]  L. Vaughan,et al.  Newspaper coverage of SARS: A comparison among Canada, Hong Kong, Mainland China and Western Europe , 2002 .

[30]  Veronika Koller Metaphor Clusters, Metaphor Chains: Analyzing the Multifunctionality of Metaphor in Text , 2003 .

[31]  Performing metaphors: AIDS, disability, and technology , 2001 .

[32]  Alice Deignan Researching and Applying Metaphor: Corpus-based research into metaphor , 1999 .

[33]  N. King Security, Disease, Commerce , 2002 .

[34]  G. Lakoff,et al.  Metaphors We Live by , 1982 .

[35]  C. W. Super Ethics and Language , 1910, The International Journal of Ethics.

[36]  J. Charteris-Black Corpus Approaches to Critical Metaphor Analysis , 2004 .

[37]  S. Sherwin Feminist ethics and the metaphor of AIDS. , 2010, The Journal of medicine and philosophy.

[38]  Patrick Wallis,et al.  Metaphors and Biorisks , 2005 .

[39]  James Mathers,et al.  Illness as Metaphor , 1981 .

[40]  Abigail Zuger,et al.  The SARS Epidemic , 2004 .

[41]  Peter Washer,et al.  Representations of SARS in the British newspapers , 2004, Social Science & Medicine.

[42]  R. Gwyn Communicating health and illness , 2001 .

[43]  Clive Seale,et al.  Health and media: an overview. , 2003, Sociology of health & illness.

[44]  S. Sontag AIDS and Its Metaphors , 1989 .

[45]  M. Nations,et al.  "I'm not dog, no!": cries of resistance against cholera control campaigns. , 1996, Social science & medicine.

[46]  M. Turner Cognitive Dimensions of Social Science , 2001 .

[47]  P. Stockwell Towards a Critical Cognitive Linguistics , 2002 .

[48]  M A Somerville,et al.  Stigmatization, scapegoating and discrimination in sexually transmitted diseases: overcoming 'them' and 'us'. , 1994, Social science & medicine.

[49]  B. Nerlich,et al.  Conceptualising Foot and Mouth Disease: The Socio-Cultural Role of Metaphors, Frames and Narratives 1 , 2002 .

[50]  I. Rimer ‘THE BREAST CANCER WARS: Hope, Fear, and the Pursuit of a Cure in Twentieth-Century America’ , 2001 .