Literature DB >> 27653388

Healing Without Waging War: Beyond Military Metaphors in Medicine and HIV Cure Research.

Jing-Bao Nie1, Adam Gilbertson2, Malcolm de Roubaix3, Ciara Staunton3, Anton van Niekerk3, Joseph D Tucker2, Stuart Rennie2.   

Abstract

Military metaphors are pervasive in biomedicine, including HIV research. Rooted in the mind set that regards pathogens as enemies to be defeated, terms such as "shock and kill" have become widely accepted idioms within HIV cure research. Such language and symbolism must be critically examined as they may be especially problematic when used to express scientific ideas within emerging health-related fields. In this article, philosophical analysis and an interdisciplinary literature review utilizing key texts from sociology, anthropology, history, and Chinese and African studies were conducted to investigate the current proliferation of military metaphors. We found the use of these metaphors to be ironic, unfortunate, and unnecessary. To overcome military metaphors we propose to (1) give them less aggressive meanings, and/or (2) replace them with more peaceful metaphors. Building on previous authors' work, we argue for the increased use of "journey" (and related) metaphors as meaningful, cross-culturally appropriate alternatives to military metaphors.

Entities:  

Keywords:  AIDS; African studies; Chinese studies; anthropology; medical humanities; professional ethics; research ethics

Mesh:

Year:  2016        PMID: 27653388      PMCID: PMC5064845          DOI: 10.1080/15265161.2016.1214305

Source DB:  PubMed          Journal:  Am J Bioeth        ISSN: 1526-5161            Impact factor:   11.229


  19 in total

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Journal:  Diabetes Care       Date:  1999-03       Impact factor: 19.112

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Journal:  Am J Clin Nutr       Date:  1999-06       Impact factor: 7.045

Review 4.  Can HIV be Cured? Mechanisms of HIV persistence and strategies to combat it.

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Journal:  Curr HIV Res       Date:  2004-04       Impact factor: 1.581

5.  The United States cover-up of Japanese wartime medical atrocities: complicity committed in the national interest and two proposals for contemporary action.

Authors:  Jing-Bao Nie
Journal:  Am J Bioeth       Date:  2006 May-Jun       Impact factor: 11.229

6.  The physician as general.

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Journal:  JAMA       Date:  1996-10-02       Impact factor: 56.272

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Journal:  Br Med J (Clin Res Ed)       Date:  1985 Dec 21-28

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Journal:  N Engl J Med       Date:  1995-08-17       Impact factor: 91.245

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Authors:  J Cairns
Journal:  Sci Am       Date:  1985-11       Impact factor: 2.142

10.  New York City's tuberculosis control efforts: the historical limitations of the "war on consumption".

Authors:  B H Lerner
Journal:  Am J Public Health       Date:  1993-05       Impact factor: 9.308

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  15 in total

1.  The usual suspects: why techno-fixing dementia is flawed.

Authors:  Karin Rolanda Jongsma; Martin Sand
Journal:  Med Health Care Philos       Date:  2017-03

2.  Illustrating HIV Cure Research Strategies for the Next Generation of Research Participants: A Research-Community Collaboration.

Authors:  Parya Saberi; Chadwick K Campbell; Eric Yi-Hao Lee; Jazmin Guzman; Matylda-Mai McCormack-Sharp; Karine Dubé
Journal:  AIDS Res Hum Retroviruses       Date:  2021-12-13       Impact factor: 2.205

3.  Medical Metaphors: Increasing Clarity but at What Cost?

Authors:  Amirreza Fatehi; Billy Table; Sarah Peck; Michael Mackert; David Ring
Journal:  Arch Bone Jt Surg       Date:  2022-08

4.  Use of 'eradication' in HIV cure-related research: a public health debate.

Authors:  Karine Dubé; Stuart Luter; Breanne Lesnar; Luke Newton; Jerome Galea; Brandon Brown; Sara Gianella
Journal:  BMC Public Health       Date:  2018-02-13       Impact factor: 3.295

5.  Highlights from the 8th International Workshop on HIV Persistence during Therapy, 12-15 December 2017, Miami, FL, USA.

Authors:  Christina K Psomas; Alain Lafeuillade; David Margolis; Karl Salzwedel; Mario Stevenson; Nicolas Chomont; Guido Poli; Jean-Pierre Routy
Journal:  J Virus Erad       Date:  2018-04-01

6.  "Violence" in medicine: necessary and unnecessary, intentional and unintentional.

Authors:  Johanna Shapiro
Journal:  Philos Ethics Humanit Med       Date:  2018-06-11       Impact factor: 2.464

7.  Revisiting the 'sterilising cure' terminology: a call for more patient-centred perspectives on HIV cure-related research.

Authors:  Luke Newton; Raúl Necochea; David Palm; Jeff Taylor; Liz Barr; Hursch Patel; Anshula Nathan; Jo Gerrard; Laurie Sylla; Brandon Brown; Karine Dubé
Journal:  J Virus Erad       Date:  2019-04-01

8.  Content Analysis of Metaphors About Hypertension and Diabetes on Twitter: Exploratory Mixed-Methods Study.

Authors:  Lauren Sinnenberg; Christina Mancheno; Frances K Barg; David A Asch; Christy Lee Rivard; Emma Horst-Martz; Alison Buttenheim; Lyle Ungar; Raina Merchant
Journal:  JMIR Diabetes       Date:  2018-12-21

9.  Risk Perception and COVID-19.

Authors:  Liliana Cori; Fabrizio Bianchi; Ennio Cadum; Carmen Anthonj
Journal:  Int J Environ Res Public Health       Date:  2020-04-29       Impact factor: 3.390

Review 10.  Ethics of HIV cure research: an unfinished agenda.

Authors:  Karine Dubé; John Kanazawa; Jeff Taylor; Lynda Dee; Nora Jones; Christopher Roebuck; Laurie Sylla; Michael Louella; Jan Kosmyna; David Kelly; Orbit Clanton; David Palm; Danielle M Campbell; Morénike Giwa Onaiwu; Hursch Patel; Samuel Ndukwe; Laney Henley; Mallory O Johnson; Parya Saberi; Brandon Brown; John A Sauceda; Jeremy Sugarman
Journal:  BMC Med Ethics       Date:  2021-06-30       Impact factor: 2.834

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