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Why We Need to Change How We Talk About Infectious Disease
Frank Kronenberg1, Sipho Dlamini2
1Occupational therapist and scientist.
Abstract:
This article builds a case for raising occupational consciousness by critically questioning ahistorical and apolitical uses of battle language, especially when referring to infectious diseases. Words such as invasion, colonization, and resistance are particularly ethically troubling, and this article considers why the social practices our language brings about matter in health care. Dynamic relationships among humans and microbes, as well as metaphor, are considered here in historical context and through the lens of Derrida's portmanteau hostipitality, which invites reconsideration of an infectious disease notion of host and how conceptions of hospitality have been institutionalized and commodified. This article argues that language used in infectious disease care settings should be informed by coexistence as a guiding value of clinical and ethical relevance.
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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