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Contagious Metaphor
Metaphoricity is the logic of contamination and the contamination of logic.
Jacques Derrida, Dissemination. 1981 [1972].1
Metaphor is a metaphor is a metaphor is a metaphor.
Dennis Sobolev, âMetaphor Revisitedâ. 2008.2
Since the late 1990s, a strikingly interdisciplinary body of scholarship has grown up around the concept of âcontagionâ and its relationship to society, culture and thought. The emergence of this body of scholarship, which, for the sake of brevity, I will term cultural studies of contagion, can in part be traced to developments in the field of medical history. Although medical history is as old as medicine itself, historian John C. Burnham points to the influence of the âNew Historyâ movement in the 1960s and 1970s in opening the field to distinctly sociocultural and historical perspectives. According to Burnham, the âcross-fertilisationâ between medicine and medical history began a century ago, in the early twentieth century (1999, p. 273). This process, he continues, âintensifiedâ in the 1970s as âmedical practitioners and academics writing medical history . . . expanded into each otherâs disciplinary territoryâ, so much so that, by the turn of the twenty-first century, âintellectual, technical, social, and cultural questions enlivened all of medical historyâ (1999, p. 273).
In the development of this interdisciplinary field of medical history, the history of disease has played a prominent role. Henry E. Sigerist â a medical historian who, according to Elizabeth Fee, âdid more than any other individual to establish, promote, and popularize the history of medicine in Americaâ (1989, p. 127) â mapped out this role for the history of disease in a seminal 1938 essay titled âThe History of Medical Historyâ. In this essay, Sigerist maintains that the history of disease must be the âstarting pointâ of medical history, and the âfirst set of problems [medical history must] attackâ (1938, pp. 173, 171).
The reason for its importance is twofold. First, Sigerist argues, contemporary medicine can and does benefit from an understanding of the history of disease (1938, p. 173). Second, and significantly for this study, he stresses that the analysis of disease necessarily leads on to sociological analysis: âOnce we are familiar with the incidence of disease at a given periodâ, Sigerist explains, âwe want to know how society reacted against disease, what was done to restore and protect healthâ (1938, p. 174). Further, he adds, â[w]hen we study the history of disease we will soon find that its incidence is determined primarily by the economic and social conditions of a societyâ (1938, p. 179; emph. in original). The history of disease, therefore, requires an interdisciplinary outlook and an understanding of economic, social and cultural history. âIt is not enoughâ, Sigerist argues,
to know how to prevent disease; we must be able to apply our knowledge, and whether we succeed or fail in this endeavor depends on endless non-medical factors such as the attitude of society toward the human body, its valuation of health and disease, its educational ideal, and many other philosophic, religious, social, and economic factors. . . . The history of preventive medicine is most intimately connected with the general history of civilization. (Sigerist 1938, p. 177; emph. added)
Burnham, like Sigerist, identifies the history of disease as one of medical historyâs earliest and most significant strands, and one that especially benefited from the interdisciplinarity produced by the incursion of social historians into medicine in the 1970s (1999, pp. 257, 271). Burnham cites Caroline Hannaway as one medical historian who, in the late 1980s, âpraised the ways in which historians, virtually none of whom were medically trained, construed disease to raise questions â ranging from biology and geography to the patientsâ subjective experience of disease and illness â about the relationship of medicine to the surrounding cultureâ (1999, p. 271). By the late 1990s, a number of major studies exemplified this approach to the history of disease, notable among them Charles E. Rosenbergâs Explaining Epidemics and Other Studies in the History of Medicine (1992), Terence Ranger and Paul Slackâs edited collection Epidemics and Ideas: Essays on the Historical Perception of Pestilence (1992), Sheldon Wattsâs Epidemics and History: Disease, Power and Imperialism (1997) and Rosenberg and Janet Goldenâs edited collection Framing Disease: Studies in Cultural History (1997). The influence of these studies extended beyond medicine and history and into literary and cultural studies, where socio-historical approaches to disease were making their presence felt in works of interdisciplinary criticism, such as Athena Vrettosâs Somatic Fictions: Imagining Illness in Victorian Culture (1995), Linda and Michael Hutcheonâs Opera: Desire, Disease, Death (1996) and Alan Bewellâs Romanticism and Colonial Disease (1999).
As the above titles suggest, the focus of these studies was more broadly on the concepts of disease or epidemic than on contagion. âContagionâ was certainly a key term in many if not all of these studies, but, unlike âdiseaseâ and âepidemicâ, it did not emerge as a focal point for social/medical history until the late 1990s, when it, too, began appearing in the titles of major studies.3 The emergence of âcontagionâ as a keyword at the turn of the twenty-first century was not, however, limited to the discipline of medical history. Indeed, the language of epidemiology was spreading through disciplines as diverse as psychology, economics and literary and cultural studies. The early 1990s saw psychologists Elaine Hatfield, John T. Cacioppo and Richard L. Rapson (1994) building upon a much earlier epidemiological tradition in psychology (which I explore in Chapters 3 and 4), by positing âemotional contagionâ as a basic human mechanism. Around the same time, academic discussion of Dawkinsâs meme theory (the focus of Chapter 5) was shifting from genetic analogies to epidemiological ones: âmemeticsâ became cast as a theory of âthought contagionâ. And in economic discourse, perhaps the most salient â in a political sense â of all contemporary uses of the contagion metaphor was beginning to appear. According to economist Sebastian Edwards, the term âcontagionâ rarely appeared in the economic literature prior to 1990, and yet âsurgedâ in the latter part of the same decade (2000, p. 873). Since that time, the phrase âfinancial contagionâ has multiplied in both academic and public discourse about finance and economics at a seemingly exponential rate.
Literary and cultural studies were similarly already showing signs of having caught the âcontagionâ infection in the 1990s,4 but it was not until the early 2000s that a distinctive, interdisciplinary cultural studies of contagion appeared, which attempted to draw together these strands of cultural, historical, literary and sociological analyses. Exemplary of this shift was Alison Bashford and Claire Hookerâs edited collection, Contagion: Historical and Cultural Studies (2001b), closely followed by two notable special journal issues: American Literary Historyâs âContagion and Cultureâ issue of 2002 and Literature and Medicineâs âContagion and Infectionâ issue of 2003. The year 2005 again saw a proliferation of essay collections contribute to this developing cultural studies of contagion, notably Claire L. Carlinâs Imagining Contagion in Early Modern Europe (2005); Mirjam Schaub, Nicola Suthor and Erika Fischer-Lichteâs Ansteckung: Zur KĂśrperlichkeit eines ästhetischen Prinzips (2005); and Fibreculture Journalâs âContagionâ issue, which provided a springboard for an incipient viral network theory.
Moreover, as Priscilla Wald has recently pointed out in Contagious: Cultures, Carriers, and the Outbreak Narrative (2008), popular culture was also not immune to the mid 1990s spread of contagion. Accounts of âemerging infectionsâ, such as HIV in the 1980s, she argues, âput the vocabulary of disease outbreaks into circulationâ, leading to a spate of mid 1990s films and popular novels that featured storylines about contagious disease outbreaks (2008, p. 2). A rich year for outbreak narratives, 1995 alone saw the release of Wolfgang Petersenâs Outbreak and Terry Gilliamâs 12 Monkeys, along with the publication of Robin Cookâs Contagion and Patrick Lynchâs Carriers.
The very public ânoiseâ around emerging diseases, such as HIV in the 1980s and SARS in the early 2000s, can go some way to explaining the remarkable cross-disciplinary discursive flowering of contagion in the last two decades, but it cannot explain everything. As Wald puts it,
Contagion is more than an epidemiological fact. It is also a foundational concept in the study of religion and of society, with a long history of explaining how beliefs circulate in social interactions. The concept of contagion evolved throughout the twentieth century through the commingling of theories about microbes and attitudes about social change. Communicable disease compels attention â for scientists and the lay public alike â not only because of the devastation it can cause but also because the circulation of microbes materializes the transmission of ideas. (Wald 2008, p. 2)
Medical historian Margaret Pelling suggests that contagionâs irruption in contemporary discourse is due âin part to the social, political and moral climate induced by the recrudescence, in the latter twentieth century, of significant infectious diseaseâ (2001, p. 16). And yet, she adds, âit is historically inadequateâ to think of contagion as âpurely medicalâ, for âideas of contagionâ have always been âinseparable from notions of individual morality, social responsibility, and collective actionâ. The ongoing significance of contagion, its âwide currency in a range of areas of thought and practiceâ, Pelling stresses, is particularly âreflected in an accretion of metaphor and analogyâ (2001, pp. 16â17).
Contagion as metaphor
We cannot, therefore, properly consider the contagion phenomenon without considering the mechanics and implications of metaphor. Taken as a whole, cultural studies of contagion have certainly been attentive to the question of figurative language. In their introduction to Contagion: Historical and Cultural Studies, for instance, Bashford and Hooker maintain they âare deeply interested in the metaphoric reach of contagionâ, for what is fascinating about contagion is its âcapacity . . . to simultaneously function as deeply resonant metaphor for the circulation of social, moral or political dangers through a population, and as visceral, horrible infectionâ (2001a, p. 5).
Further, the aforementioned special issues of American Literary History and Literature and Medicine each devoted an article to the question of contagion and metaphor. In her essay titled âContagion as Metaphorâ for American Literary History, Cynthia J. Davis draws attention to the âseductiveâ nature of contagion. Contagion, Davis points out, has a peculiar ability to be both content and method, âboth disease and the process of its spreadâ (2002, p. 830). For this reason, she argues, contagion has offered itself as a compelling analogy or metaphorical shortcut for explaining processes of cultural as well as disease transmission. And yet, Davis asks, can the analogy hold? âIs contagionâ, she asks, âan appropriate metaphor for culture?â (2002, p. 830).
Davisâs question is one that is often repeated, if not explicitly then implicitly, in the literature on cultural contagion. Here, however, Davis is posing the question as a direct engagement with an earlier, seminal work on metaphors of disease, namely Susan Sontagâs Illness as Metaphor. In her influential polemic, first published in the late 1970s, Sontag warns against the potentially dehumanizing and deleterious effects of disease metaphors. In Sontagâs reading, these metaphors tend to âmythicizeâ disease by connecting the physical to the moral and by figuring illness as a mysterious and malevolent âpredatorâ (1983 [1978], pp. 10â11). âAny diseaseâ, she argues, âthat is treated as a mystery and acutely enough feared will be felt to be morally, if not literally contagiousâ, and, particularly in the case of cancer, the very real effects of these metaphors can be felt in the fact that âa surprisingly large number of people with cancer find themselves being shunned by relatives and friends . . . as if cancer, like TB, were an infectious diseaseâ (1983 [1978], p. 10). Ultimately, Sontag claims, using cancer as a metaphor is not currently âmorally permissibleâ (1983 [1978], p. 89). Sontag does, however, foresee a future in which cancer may be âpartly de-mythicizedâ, at which point it may be possible to use cancer metaphors âwithout implying either a fatalistic diagnosis or a rousing call to fight by any means whatever a lethal, insidious enemyâ (1983 [1978], p. 89).
In her response to Sontag, Davis both heeds and reiterates her call for a critical and ethical approach to figurative language. Although Davis concedes that âit may not be possible to think without metaphorsâ, she asserts that we should not use them unconsciously. Roping in some disease metaphors for rhetorical effect, Davis writes, we should âthink aboutâ the metaphors we use and âwhere necessary, identify more benign replacements for the most malignant onesâ (2002, p. 832). In his essay titled âAfterword: Infection as Metaphorâ for Literature and Medicine, Arnold Weinstein also engages with Sontagâs critique of disease metaphors. Yet, unlike Davis and Sontag, he appears to relish metaphorâs ambivalence. Weinstein acknowledges Sontagâs caution, but argues that âillness cannot, pace Sontag, be cleanly separated from its metaphors, desirable as that might beâ (2003, p. 107). Rather, he suggests,
from a literary or even a social perspective, it is wiser to acknowledge that such metaphors have proven irresistible to societies under stress. They are able to catalyze mass social responses that become nightmarishly purgative for the state, a kind of macrocosmic mockery of the desired âcleansingâ effect that Aristotle designated by the notion, catharsis. (Weinstein 2003, p. 104)
To take Weinsteinâs point further, if contagion metaphors have historically irrupted at times of social tumult or stress, the question of the metaphorsâ moral âappropriatenessâ becomes, perhaps, less interesting than others that emerge when we take seriously contagionâs repeated intrusions in the social field.
Contagious Metaphor is certainly not the first or the only study devoted to cultural aspects of contagion, and neither is it the first to draw attention to metaphors of contagion. What this study does do, however, is begin the work of tracing the genealogy of contagion metaphor in order to explain its contemporary pervasiveness. To some degree, it has a similar aim to philosopher Hans Blumenbergâs project of âmetaphorologyâ, which considers certain so-called absolute metaphors to be âfoundational elements of philosophical language, âtranslationsâ that resist being converted back into authenticity and logicalityâ (2010 [1960], p. 3). Anthony Reynolds describes Blumenbergâs metaphorology as an approach to philoso...