Why We Need to Change How We Talk About Infectious Disease

Frank Kronenberg1, Sipho Dlamini2

  • 1Occupational therapist and scientist.

PubMed

Insights

This study argues against using battle metaphors like "invasion" for infectious diseases. It suggests "coexistence" is a more ethical and clinically relevant approach in healthcare settings.

Area of Science:

  • Medical Ethics
  • Sociolinguistics
  • Health Communication

Background:

  • The use of militaristic language (e.g., "invasion," "resistance") in discussing infectious diseases is prevalent.
  • This language can have unintended ethical and social consequences in healthcare.
  • Existing metaphors may not accurately reflect the complex human-microbe relationship.

Purpose of the Study:

  • To critically examine the ethical implications of using battle language in infectious disease contexts.
  • To explore alternative linguistic frameworks for discussing infectious diseases.
  • To advocate for a more nuanced and coexistence-oriented approach in clinical settings.

Main Methods:

  • Critical analysis of ahistorical and apolitical uses of battle language in healthcare.
  • Examination of dynamic human-microbe relationships and the role of metaphor.
  • Application of philosophical concepts, including Derrida's "hostipitality."

Main Results:

  • Militaristic metaphors raise ethical concerns and shape social practices in healthcare.
  • The concept of "hostipitality" reveals how notions of hospitality are institutionalized and commodified.
  • Current language may oversimplify the complex interactions between humans and microbes.

Conclusions:

  • Rethinking occupational consciousness through language is crucial for ethical healthcare.
  • Adopting "coexistence" as a guiding value can improve clinical and ethical relevance in infectious disease care.
  • Language choices significantly impact patient care and the understanding of infectious diseases.

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