The Semiotics of Western Hospitals: From a Stone Boat in Rome to Reconstructing the Self in Montreal
Bibliographic record
Abstract
In this article I analyze the symbolic role of the hospital in its social context, from its creation in Rome in the 2nd century BCE to contemporary Montreal hospitals. I trace the change from its original role as a site to isolate the sick to limit the symbolic pollution of the allegedly perfect social body of the Roman state, a trope that became an important vector of unity as Rome expanded and incorporated greater numbers of foreigners and slaves. Today, however, western hospitals have become a semiotic engine where patients construct a new biography to counter the depersonalisation of contemporary medical practices. I propose that today patients use the hospital as raw material to construct a temporal framework that substitutes the rhythms of everyday life that illness and the institutional culture of the hospital have interrupted. These narratives adhere to the same basic structure: the entrance scenario is always admission to the hospital; the plot structure is built with the non-medical details of the daily hospital routine. Surrounded by a neoliberal ethos that insists on the autonomy of the self but silenced by the mechanisation of illness, contemporary patients transform hospitals into semiotic engines where patients use their immediate environment to re-engineer new voices of the self.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".