Selling a Cure for Chronicity A Layered Narrative Analysis of Direct-to-Consumer Humira® Advertisements

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Kristen Cole

Abstract

Humira® has been the top selling pharmaceutical since 2014. As a former Humira® user, for the treatment of Crohn’s disease, I explore how we understand the concept and experience of chronicity as it is represented in advertisements for Humira® and manifested in embodied reactions to these advertisements. Through a layered narrative method that combines rhetorical analysis with autoethnography, I analyze 13 Humira® commercials. I argue that Humira® commercials operate through a curative imaginary (Kafer, 2013), which not only assumes viewers desire to be immune-typical but also defines normative orientations to time. This case study reveals how direct-to-consumer pharmaceutical advertising obscures cultural and systemic sources of (dis)ablism, including the ways striving for normalcy is in and of itself an experience of chronicity, and disregards experiences of chronicity that disrupt normalizing boundaries of time. 

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Research Article

References

References

AbbVie. (2013). Humira: Adalimumab. https://www.humira.com/.

Ahmed, Sara. (2006). Queer phenomenology: Orientations, objects, others. Duke University Press.

Aoki, Eric. (2007). Fatherhood on my mind: Auto-ethnographic reflections and international film Bear Cub/Cachorro. Journal of GLBT Family Studies, 2(2-3), 191-222.

Arduser, Lora. (2017). Living chronic: Agency and expertise in the rhetoric of diabetes. The Ohio State University Press.

Bedor, Emma. (2016). It’s not you, it’s your (old) vagina: Osphena’s articulation of sexual dysfunction. Sexuality & Culture, 20, 38-55.

Bonaccorso, Silvia N. & Sturchio, Jeffrey L. (2002). Direct to consumer advertising is medicalising normal human experience: Against. BMJ, 324(7342), 910-911.

Bulik, Beth Snyder. (2019, April 13). Humira TV ad buys heat up summer airwaves, blasting competition. FiercePharma. https://www.fiercepharma.com/marketing/humira-tv-ads-buys-heat-up-summer-airwaves-blasting-competition-continued-big-spends.

Centers for Disease Control (CDC). (2019). Chronic diseases in America. https://www.cdc.gov/chronicdisease/resources/infographic/chronic-diseases.htm.

Cole, Kristen L. (2021). The paradox of patient consent: A feminist account of illness and healthcare. Health Communication, 36(8), 982-991. https://doi.org/10.1080/10410236.2020.1724645.

Couser, G. Thomas. (1997). Recovering bodies: Illness, disability, and life-writing. University of Wisconsin Press.

Davis, Lennard J. (2013). Introduction: Disability, normality, and power. In Lennard J. Davis (Ed.). The disability studies reader (4th ed.) (pp. 1-14). Routledge.

Dombrowski, Paul M. (2012). Well, “technically” it is communicating: An ethical critique of a Celebrex© ad. IEEE International Professional Communication Conference, Orlando, FL.

Edelman, Lee. (2004). No future: Queer theory and the death drive. Duke University Press.

Emmons, Kimberly K. (2010). Black dogs and blue words: Depression and gender in the age of self-care. Rutgers University Press.

Fisher, Jill A. & Ronald, Lorna M. (2008). Direct to consumer responsibility: Medical neoliberalism in pharmaceutical advertising and drug development. In Susan M. Chambré & Melinda Goldner (Eds.), Patients, consumers and civil society (Advances in Medical Sociology, Vol. 10) (pp. 29-51). Emerald Group Publishing Limited.

Foss, Sonja K. (2018). Rhetorical criticism: Exploration and practice (5th ed.). Waveland Press.

Frank, Arthur. (1995). The wounded storyteller: Body, illness, and ethics. University of Chicago Press.

Fuqua, Joy V. (2002). ‘Ask your doctor about…’: Direct-to-consumer prescription drug advertising and the HIV/AIDS medical marketplace. Cultural Studies, 16(5), 650-672.

Gill, Carol J. (2009). A psychological view of disability culture. In Robert M. Baird, Stuart E. Rosenbaum, & S. Kay Toombs (Eds.), Disability: The social, political, and ethical debate (pp. 163-170). Prometheus Books.

Halberstam, Jack. (2006). In a queer time and place: Transgender bodies, subcultural lives. NYU Press.

Hawkins, Anne Hunsaker. (1999). Reconstructing illness: Studies in pathography (2nd ed.). Purdue University Press.

Holladay, Drew & Price, Margaret. (2020). Mediating minds: Disability studies and the rhetoric of mental health. In Lisa Melonçon, S. Scott Graham, Jenell Johnson, John A. Lynch, & Cynthia Ryan (Eds.), Rhetoric of health and medicine as/is: Theories and approaches for the field (pp. 33-51). The Ohio State University.

Kafer, Alison. (2013). Feminist, queer, crip. Indiana University Press.

Kristof, Nicholas. (2021, March 6). America is not made for people who pee. The New York Times. https://www.nytimes.com/2021/03/06/opinion/sunday/public-toilets-united-states.html.

Landau, Jamie. (2011). Women will get cancer: Visual and verbal presence (and absence) in a pharmaceutical advertising campaign about HPV. Argumentation and Advocacy, 48, 39-54.

Malkowski, Jennifer. (2014). Confessions of a pharmaceutical company: Voice, narrative, and gendered dialectics in the case of Gardasil. Health Communication, 29(1), 81-92.

McDorman, Todd F. (2005). Controlling death: Bio-power and the right-to-die controversy. Communication and Critical/Cultural Studies, 2(3), 257-279.

McRuer, Robert. (2006). Crip theory: Cultural signs of queerness and disability. New York University Press.

Mintzes, Barbara. (2001, July 26). “Doctor, about that medicine I saw advertised…” In Motion Magazine. https://inmotionmagazine.com/hcare/mintzes.html.

Mintzes, Barbara. (2002). Direct to consumer advertising is medicalising normal human experience. BMJ, 324, 908.

Mogull, Scott A. & Balzhiser, Deborah. (2015). Pharmaceutical companies are writing the script for health consumerism. Communication Design Quarterly, 3(4), 35-49.

PharmaCompass. (2016, March 10). Top drugs by sales revenue in 2015: Who sold the biggest blockbuster drugs? https://www.pharmacompass.com/radio-compass-blog/top-drugs-by-sales-revenue-in-2015-who-sold-the-biggest-blockbuster-drugs.

Philippidis, Alex. (2019a, March 11). Top 15 best-selling drugs of 2018. GEN: Genetic Engineering & Biotechnology News. https://www.genengnews.com/a-lists/top-15-best-selling-drugs-of-2018/.

Philippidis, Alex. (2019b, June 26). AbbVie prepares for life after Humira with planned $63B Allergan acquisition. GEN: Genetic Engineering & Biotechnology News. https://www.genengnews.com/news/AbbVie-prepares-for-life-after-humira-with-planned-63b-allergan-acqusition/.

Price, Margaret. (2011). Mad at school: Rhetorics of mental disability and academic life. The University of Michigan Press.

Ronai, Carol Rambo. (1995). Multiple reflections of child sex abuse: An argument for a layered account. Journal of Contemporary Ethnography, 23(4), 395-426.

Rowland, Christopher. (2020, January 8). Why price of Humira keeps rising despite FDA approval of generic competition. The Washington Post. https://www.washingtonpost.com/business/economy/why-humiras-price-keeps-rising-despite-fda-approval-of-generic-competition/2020/01/07/549ed0ce-2e3a-11ea-bcb3-ac6482c4a92f_story.html.

Rutten, Kris, Roets, Griet, Soetaert, Ronald, & Roose, Rudi. (2012). The rhetoric of disability: A dramatistic-narrative analysis of One Flew over the Cuckoo’s Nest. Critical Arts, 26(5), 631-647.

Segal, Judy Z. (2005). Heath and the rhetoric of medicine. Southern Illinois University Press.

Segal, Judy Z. (2020). The empowered patient on a historical-rhetorical model: 19th-century patient-medicine ads and the 21st-century health subject. Health, 24(5), 572-588.

Smith, Brett & Sparkes, Andrew C. (2008). Narrative and its potential contribution to disability studies. Disability & Society, 23(1), 17-28.

Stepnisky, Jeffrey N. (2007). Narrative magic and the construction of selfhood in antidepressant advertising. Bulletin of Science, Technology & Society, 27(1), 24-36.

Waite, Lisa. (2012). This doctor’s visit is brought to you by…an investigation of twenty-first century disease mongering. Journal of Communication in Healthcare, 5(3), 171-181.

Woods, Carly S. (2013). Repunctuated feminism: Marketing menstrual suppression through the rhetoric of choice. Women’s Studies in Communication, 36, 267-287.

World Health Organization (WHO). (2005). Preventing chronic diseases: A vital investment. https://www.who.int/chp/chronic_disease_report/full_report.pdf.

Zola, Irving Kenneth. (1993). Self, identity, and the naming question: Reflections on the language of disability. Social Science and Medicine, 36(2), 167-173.