The use of metaphor as a way to (self)understand and (re)define oneself in relation to a medical diagnosis.

Agoraphobic identities in virtual Facebook care communities

Authors

DOI:

https://doi.org/10.24197/tfst0032

Keywords:

Facebook, illness, metaphor, identity, agency

Abstract

In a context like the current one, in which Information and Communication Technologies permeate the lay sphere of health and illness, grieving narratives are finding more and more spaces to be heard. One of these listening spaces is provided by virtual care communities, a fundamental tool in managing discomfort for many sick groups. From here, this article analyses the entries produced in three groups on the social network Facebook created and used by agoraphobic people, the vast majority of whom have a medical diagnosis, with the aim of studying the way in which these people construct their sick identities narratively through the use of metaphors. From this analysis it can be concluded that the use of metaphor as an individual and collective way of giving meaning to the disease functions in these spaces in two ways: as a reproductive resource of the hegemonic discourse and as an artifact of the production of one's own discourses.

Downloads

Download data is not yet available.

References

Allen, C., Vassilev, I, Kennedy, A., y Rogers, A. (2019). The work and relatedness of ties mediate online in supporting long-term condition self-managament. Sociology of Health and Illness, 42(3), 579-595. DOI: https://doi.org/10.1111/1467-9566.13042

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (Fifth edition). Washington D.C.: APA.

Benavides Fernández, M. (2023). La enfermedad como metáfora: un enfoque desde la hermenéutica de Paul Ricoeur. EN-CLAVES del pensamiento, 33, 1-23. DOI: https://doi.org/10.46530/ecdp.v0i33.602

Bianchi, E. (2018). Saberes, fármacos y diagnósticos. Un panorama sobre producciones recientes en torno a la farmacologización de la sociedad. Psicología, conocimiento y Sociedad, 8, 214-257. DOI: https://doi.org/10.26864/pcs.v8.n2.11

Canals, J. (2003). El regreso de la reciprocidad. Grupos de ayuda mutua y asociaciones de personas afectadas en la crisis del Estado del Bienestar. Universitat Rovira i Virgili, Tesis doctoral no publicada. Obtenida en https://www.tdx.cat/bitstream/handle/10803/8411/TESI_Pep.pdf?sequence=1&isAllowed=y el 24/10/2018

Caponi, S. (2015). Locos y degenerados: Una genealogía de la psiquiatría ampliada. Buenos Aires: Lugar Editorial.

Clarke, A., y Shim, J. (2011). Medicalization and biomedicalization revisited: Technoscience and transformations of health, illness and american Medicine. En B. A. Pescosolido, J. K. Martin, J. D. McLeod y A. Rogers (Eds.), Handbook of the sociology of health, illness, and healing. A Blueprint for the 21st Century (pp. 173-195). New York: Springer.

Climent, S. y Coll-Florit, M. (2017). La metáfora conceptual en el discurso psiquiátrico sobre la esquizofrenia. Ibérica: Revista de la Asociación de Lenguas para Fines Específicos (AELFE), 34, 187-208. Obtenido en: : https://www.redalyc.org/pdf/2870/287053467009.pdf

Climent, S. y Coll-Florit (2023). Metaphor in Health Discourse and Communication. En P. Crawford y P. Kadetz (Eds.) Palgrave Encyclopedia of the Health Humanities (pp. 1-9). London: Palgrave Macmillan.

Coll Planas, G. (2014): “Me quedaré con lo positivo”: Análisis de blogs de mujeres con cáncer de mama. Aloma, 32(1), 33-44. Obtenido en: https://revistaaloma.blanquerna.edu/index.php/aloma/ article/view/217/142

Conde, F. (2009). Análisis sociológico del sistema de discursos. Madrid: Centro de Investigaciones Sociológicas.

Conrad, P. (2005). The shifting engines of medicalization. Journal of Health and Social Behavior, 46(1), 3-14. DOI: https://doi.org/10.1177/00221465050460010

Foucault, M. (1977). Historia de la sexualidad/Vol. 1. La voluntad de saber. Madrid: S XXI.

Foucault, M. (2001). Los anormales: Curso del Collège de France (1974-1975). Buenos Aires: Fondo de cultura económica.

Giles, D. C., y Newbold, J. (2013). “Is this normal?” The role of category predicates in constructing mental illness online. Journal of Computer-Mediated Communication, 18(4), 476-490. DOI: https://doi.org/10.1111/jcc4.12022

Godoy, A. D. (2021). Movilización y resistencia en redes sociales frente al uso de metáforas bélicas para referirse a la pandemia del COVID-19: #ReframeCovid. Revista de Investigación del Departamento de Humanidades y Ciencias Sociales, 10(19), 3-15. Obtenido en: https:// www.redalyc.org/journal/5819/581966771001/html/

Hauser, D.J. y Schwarz, N. (2015). The war on prevention: bellicose cancer metaphors hurt (some) prevention intentions. Personality and Social Psychology Bulletin, 41(1), 66-77. DOI: https://doi.org/10.1177/0146167214557006

Hine, C. (2004). Etnografía Virtual. Barcelona: UOC.

Holland, S. (2019). Constructing queer mother-knowledge and negotiating medical authority in online lesbian pregnancy journals. Sociology of Health & Illness, 41(1), 52-66. DOI: https:// doi.org/10.1111/1467-9566.12782

Horne, J. y Wiggins, S. (2009). Doing being “on the edge”: Managing the dilemma of being authentically suicidal in an online forum. Sociology of Health & Illness, 31(2), 170-184. DOI: https://doi.org/10.1111/j.1467-9566.2008.01130.x

Hyden, L. C. (1997). Illness and Narrative. Sociology of Health & Illness ,1(19), 48-69. DOI: https://doi.org/10.1111/j.1467-9566.1997.tb00015.x

Jover, Assumpta y Grau i Muñoz, Arantxa (2021a). “¿Alguien conectada?” Las comunidades virtuales de personas agorafóbicas y la gestión y experiencia de los malestares. Revista I N T E R d i s c i p l i n a , 9 ( 2 4 ) , 2 0 1 - 2 2 7 . D O I : https://doi.org/10.22201/ ceiich.24485705e.2021.23.78464

Jover, Assumpta y Grau i Muñoz, Arantxa (2021b). ¿Sin salida?: biomedicalización y resistencias en las comunidades virtuales de atención de personas diagnosticadas de agorafobia. Teknokultura. Revista de Cultura Digital y Movimientos Sociales, 18(2), 147-155. DOI: http:// dx.doi.org/10.5209/TEKN.74282

Lakoff, G., y Mark, J. (1980). Metáforas de la vida cotidiana. Madrid: Cátedra.

Lupton, D. (2002). Consumerism, reflexivity and the medical encounter. Social Science & Medicine, 45, 373-495. DOI: https://doi.org/10.1016/S0277-9536(96)00353-X

Maslen, S. y Lupton, D. (2019). “Keeping It Real”: women’s Enactments of Lay Health Knowledges and Expertise on Facebook. Sociology of Health & Illness, 41(8), 1637-1651. DOI: https://doi.org/10.1111/1467-9566.12982

Menéndez, E. (2003). Modelos de atención de los padecimientos: de exclusiones teóricas y articulaciones prácticas. Ciência & Saúde Coletiva, 8(1), 185–207. DOI: https://doi.org/10.1590/ S1413-81232003000100014

Menéndez, E. (2018). Autoatención de los padecimientos y algunos imaginarios antropológicos. Desacatos, 58, 104-113. Obtenido en: https://www.scielo.org.mx/pdf/desacatos/n58/2448-5144- desacatos-58-104.pdf.

Moreno, J. (2024). Metáforas y cáncer: una aproximación trilingüe (español, inglés e italiano) a las narrativas de pacientes. Panace@: Revista de Medicina, Lenguaje y Traducción, 25(59), 9 3 - 1 0 2 . O b t e n i d o e n : https://www.tremedica.org/wp-content/uploads/ panacea24-59_13_Tribuna_Moreno.pdf

Naslund, J. A., Aschbrenner, K. A., Marsch, L. A. y Bartels, S. J. (2016). The future of mental health care: peer-to-peer support and social media. Epidemiology and psychiatric sciences, 25(2), 113-122. DOI: https://doi.org/10.1017/S2045796015001067

Nerlich, B y Halliday, C. (2007). Avian flu: the creation of expectations in the interplay between science and the media. Sociology of Health an Illness, 29(1), 46-65. DOI: https://doi.org/10.1111/ j.1467-9566.2007.00517.x

Orgad, S. (2007). Storytelling Online: Talking Breast Cancer on the Internet. Berna: Peter Lang.

Parsons, T. (1951). Illness and the role of the physician: a sociological perspective. American Journal of orthopsychiatry, 21(3), 452-460. DOI: https://doi.org/10.1111/ j.1939-0025.1951.tb00003.x

Pink, S., Horst, H., Postill, J., Hjorth, L., Lewis, T. y Tacchi, J.O. (2019). Etnografía Digital. Madrid: Morata.

Rabinow, P. y Rose, N. (2006). Biopower Today. BioSocieties, 1(2), 195–217. DOI: https:// doi.org/10.1017/S1745855206040014

Reisfield, G.M. y Wilson, G.R. (2004). Use of metaphor in the discourse on cancer. Journal of Clinical Oncology, 22, 4024-4027. DOI: https://doi.org/10.1200/JCO.2004.03.136

Rose, N. (1998). Inventing our selves. Psichology, power, and personhood. Cambridge: Cambridge University Press.

Rosenman, S. (2016). “Watch that metaphor!”. Australian & New Zealand Journal of Psychiatry, 50(6), 507-508. DOI: https://doi.org/10.1177/0004867416634868

Sábada, I. (2015). Etnografía virtual/digital (EVD). En J. Ibáñez (Ed), El análisis de la realidad social: métodos y técnicas de investigación (pp. 455-487). Madrid, Alianza.

Sontag, S. (1981). La enfermedad como metáfora. Buenos Aires: Muchnik Editores.

Wallis, P., y Nerlich, B. (2005). Disease metaphors in new epidemics: the UK media framing of the 2003 SARS epidemic. Social Science & Medicine, 60(11), 2629–2639. DOI: https://doi.org/ 10.1016/j.socscimed.2004.11.031

Downloads

Published

2026-07-02

How to Cite

The use of metaphor as a way to (self)understand and (re)define oneself in relation to a medical diagnosis.: Agoraphobic identities in virtual Facebook care communities. (2026). Sociología Y Tecnociencia, 16(2), 99-115. https://doi.org/10.24197/tfst0032