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Interdisciplinary approaches to medical semiotics (Punctum)

Interdisciplinary approaches to medical semiotics (Punctum)

Publié le par Marc Escola (Source : Evangelos Kourdis)

Medicine has long been described as an “art of signs”: bodily sensations, gestures,  postures, voices, test results, and images are read as clues to invisible processes, 
prognoses, and therapeutic possibilities. For two thousand years, the term “semiotics”  (sēmeiōtikē or σημειωτική) meant “prognostics” or “diagnostics” in the medical sciences  (Deely 2003). From the emergence of the “clinical gaze” in the modern hospital (Foucault  1975; Ristić et al. 2021) to contemporary algorithmic diagnostics and teleconsultations,  medical practice is saturated with semiotic operations that connect what can be observed,  measured, narrated, sensed, or visualized across different media and modalities to socially  and institutionally validated knowledge.

Classical reflections on the “normal” and the “pathological” have shown that medical  reasoning always involves value-laden distinctions and normativity, not just neutral  observation (Canguilhem 1966/1991). Semiotic analyses of symptoms have further  demonstrated that even the most seemingly “objective” clinical sign is a complex 
interpretive achievement and a challenge for semiotic research (Honkasalo 1991). Work on  diagnosis has highlighted how naming and classifying disease organizes experiences,  practices, and identities, rather than merely reflecting pre-given entities (Jutel 2011).  Medical anthropology and related fields have likewise demonstrated how illness is  experienced and represented through culturally embedded narratives that mediate  suffering, healing, and moral life (Good 1994; Kleinman 1988).

Narrative medicine and narrative-based approaches in health care have, in turn,  foregrounded the interpretive work performed by patients and clinicians as they co-construct stories of illness, care, and recovery in consultation rooms, medical records, and  a wide range of media and genres (Charon 2006; Frank 1995). Semiotic theories, from  structural and post-structural analyses to Peircean, biosemiotic, and Umwelt-oriented  approaches, provide rich vocabularies for understanding signs, bodies, and environments,  as well as the material-discursive practices through which they are linked (Eco 1976;  Hoffmeyer 2008; von Uexküll 1982). Recent work has argued for (re)introducing semiotics  into medical education and for revisiting Thure von Uexküll’s contributions to  psychosomatic medicine and the patient’s lifeworld (Tredinnick-Rowe 2016). Digita-lization, datafication, and platformization of health care (e.g., telemedicine, electronic  health records, apps, and wearable sensors) add further layers of semiotic mediation,  reconfiguring how symptoms, risks, and responsibilities are encoded, visualized, and  acted upon (Greenhalgh et al. 2017; Lupton 2013). Telemedicine and hybrid care settings  demand new forms of “telesemiotics,” in which audio, video, text, and streams of sensor  data must be coordinated to compensate for the altered affordances of physical co-presence (Bavngaard et al. 2023; Brizio et al. 2022; Klammer & Pöchhacker 2021). Publichealth communication during epidemics and pandemics likewise mobilizes powerful  semiotic repertoires – graphs, slogans, dashboards, emojis, memes, and hashtags – that  frame threats, shape affect, and regulate forms of “health citizenship” (Briggs & Nichter  2009; Christiansen et al. 2025; Xu & Löffelholz 2024).

This special issue invites contributions that explore medical semiotics in a broad, explicitly  interdisciplinary sense: not only as the analysis of clinical signs and symptoms (in the  original historical sense), and not only as the study of sign processes or semiotic  infrastructures (in the modern and contemporary semiotics sense, see Mesinioti 2025;  Fatigante et al. 2021; Snaith et al. 2021). We welcome interdisciplinary, theoretically  grounded, empirically rich, and methodologically innovative papers that combine medical  and health humanities, medical anthropology, sociology, philosophy, communication, media studies, biosemiotics, biotechnology studies, disability studies, bioethics, discourse analysis, and clinical disciplines. Possible topics include, but are not limited to:

• Biosemiotics, ecology, and more-than-human/posthuman health
• Bodies, symptoms, and multimodal indexicality
• Disability, chronicity, and the politics of recognition
• Histories and genealogies of medical semiotics
• Illness narratives, narrative medicine, and storytelling across media
• Multimodal technologies of seeing, listening, measuring, and predicting
• Public-health communication and media: critical discourse analysis
• Telemedicine, telesemiotics, and platformized care

Prospective authors should submit an abstract of 250-300 words to the guest editors, Georgios Damaskinidis (damaskinidis@hotmail.com) and Ludmilla Bennett 
(ludmila.bennett@upol.cz), including their institutional affiliation and contact  information. Authors whose abstracts are accepted will be invited to submit full papers of 
6,000–8,000 words (including references). Manuscripts should be written in English and  prepared according to the journal’s style guidelines. Acceptance of the abstract does not  guarantee publication, given that all research articles will be subjected to peer review.

TIMELINE:

Deadline  for Abstracts: May 31, 2026
Notice of acceptance of the Abstract: June 15, 2026
Deadline for submission of full papers:  September 15, 2026
Peer Review Due: November 30, 2026
Final Revised  Papers Due:  December 31, 2026
Publication Date: January 2027.