Nerlich Brigitte, Jaspal Rusi
University of Nottingham, Nottingham, UK.
University of Brighton, Brighton, UK
Med Humanit. 2025 Feb 24;51(1):161-171. doi: 10.1136/medhum-2023-012786.
In May 2022, when the COVID-19 pandemic began to recede from public view, another infectious disease surprised the world-mpox (formerly monkeypox). It appeared to disproportionately affect gay, bisexual and other men who have sex with men (GBMSM). Using qualitative thematic analysis and social representations theory, we analysed a corpus of 91 items from a variety of news outlets that included GBMSM community members' personal accounts of living through an mpox outbreak. The aim was to study the various ways in which members of a marginalised group created social representations of mpox and to ascertain whether these challenged older representations related to HIV and AIDS and newer ones related to COVID-19. Commentators anchored mpox to known, culturally accessible phenomena to render this previously unfamiliar disease familiar; objectified aspects of mpox, especially pain, through emotive language, making it 'real' and psychologically tangible; personified it by linking it to accounts of celebrity activists; and ontologised it through visually vivid descriptions. Challenging stigma was a cross-cutting theme in people's accounts. In contrast to the stigmatising imagery of health issues affecting GBMSM, these accounts contribute to the development of social representations designed to challenge such stigmatisation, which, in the contexts of HIV and AIDS and COVID-19, has hindered effective medical interventions, promoted misinformation and fuelled denigration.
2022年5月,当新冠疫情开始从公众视野中消退时,另一种传染病震惊了世界——猴痘(原称猴天花)。它似乎对男同性恋、双性恋和其他与男性发生性关系的男性(GBMSM)产生了尤为严重的影响。我们运用定性主题分析和社会表征理论,分析了来自各类新闻媒体的91篇文章,其中包括GBMSM社区成员在猴痘疫情期间的亲身经历。目的是研究一个边缘化群体的成员创造猴痘社会表征的各种方式,并确定这些表征是否挑战了与艾滋病毒和艾滋病相关的旧有表征以及与新冠疫情相关的新表征。评论员将猴痘与已知的、文化上易理解的现象联系起来,使这种以前不为人知的疾病变得熟悉;通过富有情感的语言将猴痘的各个方面,尤其是疼痛,具象化,使其“真实”且在心理上可触知;通过将其与名人活动家的故事联系起来使其人格化;并通过视觉上生动的描述使其本体化。挑战污名化是人们讲述中的一个贯穿始终的主题。与影响GBMSM的健康问题的污名化形象形成对比的是,这些讲述有助于发展旨在挑战这种污名化的社会表征,而在艾滋病毒和艾滋病以及新冠疫情的背景下,这种污名化阻碍了有效的医疗干预,助长了错误信息的传播,并加剧了诋毁行为。