The Philadelphia Syndrome, or an insurmountable cultural trauma: Outdated mainstream visual representations of HIV in times of undetectability

Authors

  • Sergio Villanueva Baselga University of Barcelona, Spain

DOI:

https://doi.org/10.7146/mk.v39i74.132466

Keywords:

stigma, media representations, cultural trauma, HIV, film, LGTBIQ , health identites

Abstract

In 1981, the first case of AIDS was diagnosed in the US. Almost forty years later, the biomedical situation of people living with HIV (PLWH) in Western countries has significantly improved, and today, PLWH have a normal lifespan with few physical comorbidities. Nevertheless, current media representations of HIV do not seem to have moved past the AIDS epidemic of the 1990s. The film Philadelphia, directed by Jonathan Deeme in 1993, has had a huge cultural impact in how society perceives HIV, and many contemporary films and fiction series portraying HIV still represent the condition in the same narrative terms. This analysis sets out to define what could be referred to as the Philadelphia Syndrome, a concept intended to describe the outdated, nostalgic representations of HIV in mainstream cultural productions in the last decade, a period marked in biomedical terms by the success of antiretroviral drugs, chronification, the importance of undetectability, and the increasingly widespread use of the prophylaxis pre-exposition (PrEP). By analyzing ten mainstream blockbuster films and fiction series produced from 2013 to 2022, this study examines the main characteristics of the Philadelphia Syndrome: nostalgia and melodramatic use of the 1980s and 1990s, high stigmatization of gay sexualities, and a neglect of women with HIV.

References

Alexander, J. C. (2004). Toward a theory of cultural trauma. In J. C. Alexander, R. Eyerman, B. Giesen, N. J. Smelser, & P. Sztompka (Eds.), Cultural trauma and collective identity (pp. 1-31). University of California Press. https://doi.org/10.1525/9780520936768

Andersson, G. Z., Reinius, M., Eriksson, L. E., Svedhem, V., Esfahani, F. M., Deuba, K., Rao, D., Lyatuu, G.W., Giovenco, D., Ekström, A. M. (2020). Stigma reduction interventions in people living with HIV to improve health-related quality of life. The Lancet HIV, 7(2), e129-e140. https://doi.org/10.1016/S2352-3018(19)30343-1

Araüna, N., Tortajada, I., & Willem, C. (2018). Portrayals of caring masculinities in fiction film: The male care‐ giver in still mine, intouchables and Nebraska. Masculinities & Social Change, 7(1), 82-102. https://doi.org/10.17583/MCS.2018.2749

Attinelo, P. (2013). Who dies? Transformations in Derek Jarman's last films. In G. Subero (Ed.), HIV in world cultures: Three decades of representations (pp. 107-121). Routledge. https://doi.org/10.4324/9781315586939-14

Breu, K. N. (2018). 'No time for national solutions': ACT UP/San Francisco and the politics of border-crossing. Global Histories: A Student Journal, 4(1), 20-45. https://doi.org/10.17169/GHSJ.2018.170

Brummett, B. (2019). Techniques of close reading. Sage. https://doi.org/10.4135/9781071802595

Burki, T. (2021). HIV/AIDS cast a dark shadow on 1980s London gay culture. The Lancet HIV, 8(6), e322-e323. https://doi.org/10.1016/S2352-3018(21)00047-3

Cartwright, L. (2016). Learning from Philadelphia: Topographies of HIV/AIDS media assemblages. Journal of Homosexuality, 63(3), 369-386. https://doi.org/10.1080/00918369.2016.1124693

Copier, L., & Steinbock, E. (2018). On not really being there: Trans* presence/absence in Dallas Buyers Club. Feminist Media Studies, 18(5), 923-941. https://doi.org/10.1080/14680777.2017.1393833

Cook, J. A., Burke-Miller, J. K., Steigman, P. J., Schwartz, R. M., Hessol, N. A., Milam, J., Merenstein, D. J., Anastos, K., Golub, E.T., Cohen, M. H. (2018). Prevalence, comorbidity, and correlates of psychiatric and substance use disorders and associations with HIV risk behaviors in a multisite cohort of women living with HIV. AIDS and Behavior, 22(10), 3141-3154. https://doi.org/10.1007/s10461-018-2051-3

Cox, J. (2014). What makes a blockbuster video game? An empirical analysis of US sales data. Managerial and Decision Economics, 35(3), 189-198. https://doi.org/10.1002/mde.2608

Crimp, D. (2002). Melancholia and moralism: Essays on AIDS and queer politics. MIT Press.

Çakirlar, C., & Needham, G. (2019). The monogamous/promiscuous optics in contemporary gay film: Registering the amorous couple in Weekend (2011) and Paris 05: 59: Theo & Hugo (2016). New Review of Film and Television Studies, 18(4), 402-430. https://doi.org/10.1080/17400309.2020.1800329

Davis, S. (2020). The time of the (orphan) child: Viewing Carla Simón's Estiu 1993/Summer 1993 (2017) with Carlos Saura's Cría cuervos/Raise Ravens (1976). Studies in Spanish & Latin American Cinemas, 17(1), 117-136. https://doi.org/10.1386/slac_00014_1

de Haan-Bosch, M., Gómez-Tomas, A., Baños, J. E., & Farré, M. (2015). Dallas Buyers Club (2013): la investigación clínica con fármacos durante la epidemia del sida de los años 80. Revista de Medicina y Cine, 11(2), 73-81. https://doi.org/10.1016/s0025-7753(03)73671-9

Demme, J. (Director). (1993). Philadelphia [Film]. TriStar Pictures.

Dillman, J. C. (2014). Women and death in film, television, and news: Dead but not gone. Springer. https://doi.org/10.1057/9781137452283

Donstrup, M. (2022). Sexo, drogas y series de adolescentes: Análisis de las actitudes sociales de los adolescentes en las series televisivas. Index. comunicación: Revista científica en el ámbito de la Comunicación Aplicada, 12(1), 261-284. https://doi.org/10.33732/ixc/11/01Sexodr

Duckels, G. (2022). AIDS melodrama now: Queer tears in It's a Sin and Pose. European Journal of Cultural Studies, 26(1), 122-128. https://doi.org/10.1177/13675494221097134

Evans-Lacko, S., Brohan, E., Mojtabai, R., & Thornicroft, G. (2012). Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychological Medicine, 42, 1741-1752. https://doi.org/10.1017/S0033291711002558

Farrell, K. P. (2006). HIV on TV: Conversations with young gay men. Sexualities, 9(2), 193-213. https://doi.org/10.1177/1363460706063119

Fedele, M., & Masanet, M.‐J. (2021). The "trouble rebel girl" and the "boy‐next‐door": The apparent inversion of gender and love archetypes in 13 Reasons Why, Élite and Sex Education. Journal of Popular Television, 9(3), 334-353. https://doi.org/10.1386/jptv_ 00061_1

Finkelstein, A. (2020). After silence: A history of AIDS through its images. University of California Press.

Ford, A. (2016). Whose club is it anyway? The problematic of trans representation in mainstream films -"Rayon" and Dallas Buyers Club. Screen Bodies, 1(2), 64-86. https://doi.org/10.3167/screen.2016.010205

Gailienė, D. (2019). When culture fails: coping with cultural trauma. Journal of Analytical Psychology, 64(4), 530-547. https://doi.org/10.1111/1468-5922.12519

Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Simon and Schuster.

Harrison, R. (2022). Telephone networks and transactional motherhood in Channel 4's It's a Sin. European Journal of Cultural Studies, 26(1), 85-94. https://doi.org/10.1177/13675494221106496

Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Dovidio, J. (2009). How does stigma "get under the skin"? The mediating role of emotion regulation. Psychological Science, 20(10), 1282-1289. https://doi.org/10.1111/j.1467-9280.2009.02441.x

Hatzenbuehler, M. L. (2016). Structural stigma and health inequalities: Research evidence and implications for psychological science. American Psychologist, 71(8), 742-751. https://doi.org/10.1037/amp0000068

Herrmann, L. K., Welter, E., Leverenz, J., Lerner, A. J., Udelson, N., Kanetsky, C., & Sajatovic, M. (2018). A systematic review of dementia-related stigma research: Can we move the stigma dial? The American Journal of Geriatric Psychiatry, 26(3), 316-331. https://doi.org/10.1016/j.jagp.2017.09.006

Kelly, M., & Millward, L. (2004). Identity and illness. In D. Kelleher, & G. Leavey (Eds.), Identity and health (pp. 1-19). Routledge.

Lupton, D., & Tulloch, J. (1996). 'Bringing home the reality of it': Senior school students' responses to mass media portrayals of HIV/AIDS. Australian Journal of Communication, 23(1), 31-45. https://doi.org/10.3316/ielapa.980302609

Martín Hernández, R. (2013). Within the limits of the body: Artistic images of HIV/AIDS in Spain and its relation with the cultural industry. In G. Subero (Ed.), HIV in world cultures: Three cecades of representations (pp. 121-139). Routledge. https://doi.org/10.4324/9781315586939-15

Masanet, M. J., & Dhaenens, F. (2019). Representing gender-based violence in teen series: Young people's discourses on the Spanish series Física o Química. Journal of Youth Studies, 22(9), 1202-1217. https://doi.org/10.1080/13676261.2019.1570096

Masanet, M. J., Ventura, R., & Ballesté, E. (2022). Beyond the "trans fact"? Trans representation in the teen series euphoria: Complexity, recognition, and comfort. Social Inclusion, 10(2) 143-155. https://doi.org/10.17645/si.v10i2.4926

McCleerey, M. (2019). Bohemian normativity: Bohemian Rhapsody and the new heteronormal. Film Criticism, 43(3). https://doi.org/10.3998/fc.13761232.0043.310

Pearl, M. (2013). AIDS literature and gay identity: The literature of loss. Routledge. https://doi.org/10.4324/9780203098615

Remien, R. H., Stirratt, M. J., Nguyen, N., Robbins, R. N., Pala, A. N., & Mellins, C. A. (2019). Mental health and HIV/AIDS: The need for an integrated response. AIDS, 33(9), 1411-1420. https://doi.org/10.1097/QAD.0000000000002227

Rodger, A. J., Cambiano, V., Bruun, T., Vernazza, P., Collins, S., Degen, O. & PARTNER Study Group. (2019). Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): Final results of a multicentre, prospective, observational study. The Lancet, 393(10189), 2428-2438. https://doi.org/10.3410/f.735676518.793562292

Rubin, D., Mohr, I., & Kumar, V. (2022). Beyond the box office: A conceptual framework for the drivers of audience engagement. Journal of Business Research, 151, 473-488. https://doi.org/10.1016/j.jbusres.2022.07.021

UNAIDS. (2022). In danger: UNAIDS global AIDS update for 2022. https://www.unaids.org/sites/default/files/media_asset/2022-global-aids-update-summary_en.pdf https://doi.org/10.18356/9789210019798

van Ginneken, J. (2007). Screening difference: How Hollywood's blockbuster films imagine race, ethnicity, and culture. Rowman & Littlefield.

Smith, B. H. (2016). What was "close reading"? A century of method in literary studies. The Minnesota Review, (87), 57-75. https://doi.org/10.1215/00265667-3630844

Stamm, L. (2020). Pose and HIV/AIDS: The creation of a trans-of-color past. Transgender Studies Quarterly, 7(4), 615-624. https://doi.org/10.1215/23289252-8665285

Stangl, A. L., Atkins, K., Leddy, A. M., Sievwright, K. M., Sevelius, J. M., Lippman, S. A., Veras, M. A., Zamudio-Haas, S., Smith, M. K., Pachankis, J. E., Logie, C. H., Rao, D., Weiser, S., & Nyblade, L. (2022). What do we know about interventions to reduce intersectional stigma and discrimination in the context of HIV? A systematic review. Stigma and Health. Online first. https://doi.org/10.1037/sah0000414

Treichler, P. A. (1999). How to have theory in an epidemic. Duke University Press. https://doi.org/10.1515/9780822396963

Film and Television References

Campillo, R. (Director). (2017) 120 battement par minute [Film] Les Films de Pierre

Davies, R. T., and Shindler, N. (Executive Producers). (2021) It's a sin [TV Series] Red Production Company

Deeme, J. (Director). (1993) Philadelphia [Film] Clinica Estetico

Ducastel, O. and Martineau, J. (Directors). (2016) Théo et Hugo dans le même bateau [Film] Ecce Films

Giroud, P. (Director). (2016) El Acompañante [Film] Tu Vais Voir, Igolai Producciones

Montánchez, A. (Executive Producer). (2020) Merlí Sapere Aude [TV Series] Veranda TV

Montero, C., Madrona, D. Juaristi, I., Betancor, D. (Executive Producers). (2018) Élite [TV Series] Zeta Studios Production

Murphy, R., Falchuck, B., Jacobson, N., Simpson, B., Woodall, A. M., Canals, S. (Executive Producers) (2019) Pose [TV Series] Brad Falchuk

Teley-Vision, Ryan Murphy Television, Touchstone Television, FXP

Simón, C. (Director). (2017) Estiu, 1993 [Film] Inicia Films, Avalon P.C.

Singer, B. (Director). (2018) Bohemian Rhapsody [Film] Regency Enterprises, GK Films, and Queen Films Ltd

Vallée, J.M. (Director). (2013) Dallas Buyers Club [Film] Voltage Pictures

Warchus, M. (Director). (2014) Pride [Film] Calamity Films

Downloads

Published

2023-05-24

How to Cite

Villanueva Baselga, S. (2023). The Philadelphia Syndrome, or an insurmountable cultural trauma: Outdated mainstream visual representations of HIV in times of undetectability. MedieKultur: Journal of Media and Communication Research, 39(74), 146–163. https://doi.org/10.7146/mk.v39i74.132466