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The Philadelphia Syndrome, or an insurmountable cultural trauma

Outdated mainstream visual representations of HIV in times of undetectability

Bibliographic Data

ID2654233
AuthorsSergio Villanueva Baselga (0000-0003-4447-151X, Universitat de Barcelona, corresponding author)
Year2023
Volume39
Issue74
Pages146-163
Publication date2023-05-24
Open AccessYes
TypeARTICLE
VenueMedieKultur Journal of media and communication research (JOURNAL)
Journal identifiersISSN: 0900-9671 • E-ISSN: 1901-9726
PublisherDet Kgl. Bibliotek/Royal Danish Library (PUBLISHER)
DOI10.7146/mk.v39i74.132466
OpenAlexW4378070412
LanguageEN
Citations received2
References cited17

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analysis sets out to define what could be referred to as the Philadelphia Syndrome, a concept intended to describe the outdated, nostalgic representations of HIV in mainstream cultural productions in the last decade, a period marked in biomedical terms by the success of antiretroviral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

Art · Family medicine · Human immunodeficiency virus (HIV · Human sexuality · Literature · Mainstream · Narrative · Neglect · Political science · Psychiatry · Psychoanalysis · Sociology · Gender Studies · Gothic Literature and Media Analysis · History · Law · Media Studies and Communication · Medicine · Nostalgia and Consumer Behavior · Psychology

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    Open Access•Sergio Villanueva Baselga, Caterina Calderón•AIDS Care•2026

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    Laura Cabrera, Sergio Villanueva Baselga•Culture Health & Sexuality•2025

  • Mental health and HIV/Aids

    Open Access•Robert H Remien, Michael J Stirratt et al.•AIDS•2019

  • Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries

    Open Access•Sara Evans-Lacko, Elaine Brohan et al.•Psychological Medicine•2012

  • How Does Stigma “Get Under the Skin”?

    Open Access•Mark L Hatzenbuehler, Susan Nolen-Hoeksema et al.•Psychological Science•2009

  • The monogamous/promiscuous optics in contemporary gay film

    Cüneyt Çakırlar, G Needham•New Review of Film and Television…•2020

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    Jeffrey C Alexander, Ron Eyerman et al.•Cultural Trauma and Collective…•2004

  • HIV on TV

    Open Access•Kathleen P Farrell•Sexualities•2006

  • What do we know about interventions to reduce intersectional stigma and discrimination in the context of HIV? A systematic review

    Anne Stangl, Kaitlyn Atkins et al.•Stigma and Health•2022

  • 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

    Open Access•Judith A Cook, Judith Α Cook et al.•AIDS and Behavior•2018

  • Pose and HIV/Aids

    Laura Stamm•TSQ Transgender Studies Quarterly•2020

  • Beyond the “Trans Fact”? Trans Representation in the Teen Series Euphoria

    Open Access•Maria-Jose Masanet, Rafael Ventura et al.•Social Inclusion•2022

  • Portrayals of Caring Masculinities in Fiction Film

    Open Access•Núria Araüna, Iolanda Tortajada et al.•Masculinities & Social Change•2018

  • On not really being there

    Open Access•Laura Copier, Eliza Steinbock•Feminist Media Studies•2017

  • Representing gender-based violence in teen series

    Maria-Jose Masanet, Frederik Dhaenens•Journal of Youth Studies•2019

  • Aids melodrama now

    Open Access•Gabriel Duckels•European Journal of Cultural…•2022

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    Open Access•Rebecca Harrison•European Journal of Cultural…•2022

  • When culture fails

    Open Access•Danutė Gailienė•Journal of Analytical Psychology•2019

  • Learning FromPhiladelphia

    Lisa Cartwright•Journal of Homosexuality•2016

Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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