{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T18:19:46Z","timestamp":1787595586843,"version":"build-2736575974"},"reference-count":64,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Med Humanities"],"accepted":{"date-parts":[[2026,7,28]]},"abstract":"<jats:p>This article turns to a particular mode of analogy: the deployment of medical metaphors in feminist ecological art. It foregrounds ecofeminist artworks produced from the late twentieth century onwards to demonstrate how women artists were among the first to visualise the entanglements of human and environmental health, anticipating concerns that now occupy a central place in contemporary artistic and cultural discourse. Through metaphorical representations of environmental disease, these works interrogate entrenched cultural assumptions about medicine, care, vulnerability and the imagined boundaries of the body. Drawing from the visual and material lexicon of medicine, these artists deploy images of bleeding, open wounds, pathology slides, medicine capsules and intravenous drips to frame plants and landscapes as sick or injured bodies. Moving beyond simple lamentations of environmental damage and climate change, these disease metaphors recast the ailing environment as a site where anxieties about control, permeability and responsibility converge. They expose how we narrate damage, and who and what we imagine as worthy of care, at a critical moment when the health of the planet can no longer be imagined as separate from our own.<\/jats:p>","DOI":"10.1136\/medhum-2026-013990","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T17:20:44Z","timestamp":1787592044000},"page":"medhum-2026-013990","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Confronting environmental sickness: disease metaphors in ecological art"],"prefix":"10.1136","author":[{"given":"Rebecca","family":"Blake","sequence":"first","affiliation":[{"name":"Centre for Art History and Art Theory, Australian National University, Canberra, Australian Capital Territory, Australia"},{"name":"Curatorial, National Portrait Gallery of Australia, Canberra, Australian Capital Territory, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"2026082410201865000_medhum-2026-013990v1.1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldg019"},{"key":"2026082410201865000_medhum-2026-013990v1.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32345-0"},{"key":"2026082410201865000_medhum-2026-013990v1.3","doi-asserted-by":"crossref","unstructured":"McMichael AJ , Woodward A , Muir A. 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New York: Routledge, 1995."},{"key":"2026082410201865000_medhum-2026-013990v1.15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10584-006-9084-8","article-title":"Medical Metaphors for Climate Issues","volume":"76","author":"Somerville","year":"2006","journal-title":"Clim Change"},{"key":"2026082410201865000_medhum-2026-013990v1.16","doi-asserted-by":"crossref","unstructured":"Bladow K , Ladino J , eds. Affective Ecocriticism: Emotion, Embodiment, Environment. Lincoln: University of Nebraska Press 2018.","DOI":"10.2307\/j.ctv75d0g8"},{"key":"2026082410201865000_medhum-2026-013990v1.17","unstructured":"Merchant C. The Death of Nature: Women, Ecology and the Scientific Revolution. New York: Harper & Row 1989."},{"key":"2026082410201865000_medhum-2026-013990v1.18","unstructured":"Ewington J . In the Wild: Nature, Culture, Gender in Installation Art. In: Moore C , ed. Dissonance. St Leonards, NSW: Allen & Unwin, 1995: 228\u201348."},{"key":"2026082410201865000_medhum-2026-013990v1.19","unstructured":"Morton TB . Hyperobjects: Philosophy and Ecology after the End of the World. Minneapolis: University of Minnesota Press, 2013."},{"key":"2026082410201865000_medhum-2026-013990v1.20","first-page":"27","article-title":"This (Playful) Life","volume":"28","author":"Ely","year":"2022","journal-title":"Weekend Aust Rev"},{"key":"2026082410201865000_medhum-2026-013990v1.21","first-page":"23","article-title":"Site specific: Bonita Ely\u2019s landscapes","volume":"7","author":"Burke","year":"1981","journal-title":"Island Mag"},{"key":"2026082410201865000_medhum-2026-013990v1.22","doi-asserted-by":"crossref","unstructured":"MacEwan E , Ely B . Murray river punch: a conversation on changes along the river. In: Toland A , Stratton Noller J , Wessolek G , eds. Field to Palette: Dialogues on Soil and Art in the Anthropocene. London: Taylor and Francis, 2018: 109\u201311.","DOI":"10.1201\/b22355-9"},{"key":"2026082410201865000_medhum-2026-013990v1.23","unstructured":"Ely B . Murray river punch: the drink, the paste, the soup. In: Geczy A , Kelly M , eds. What Is Performance Art? Australian Perspectives. Sydney: Power Publications, 2018: 351\u201362."},{"key":"2026082410201865000_medhum-2026-013990v1.24","unstructured":"Environmental Protection Authority SA. Water Supply \u2013 State of the Environment 2023. 2023. Available: https:\/\/soe.epa.sa.gov.au\/environmental-themes\/liveability\/water-supply-liveability [Accessed 11 Dec 2025]."},{"key":"2026082410201865000_medhum-2026-013990v1.25","unstructured":"Ely B . We are not superior to other species. bonita ely interviewed by jacqueline chlanda. In: Bonita Ely: future tense. Brisbane: Griffith University Art Museum, 2019: 28\u20139."},{"key":"2026082410201865000_medhum-2026-013990v1.26","unstructured":"Pundole\u2019s Auctions . The Water Book [online]. Glenbarra: A Lasting Legacy (M0034, Session 1). Available: https:\/\/auctions.pundoles.com\/lots\/view\/1-5GELFJ\/the-water-book [Accessed 14 Dec 2025]."},{"key":"2026082410201865000_medhum-2026-013990v1.27","doi-asserted-by":"crossref","first-page":"42","DOI":"10.4103\/VIT.VIT_11_19","article-title":"Venous circulation and William Harvey: A historical review","volume":"2","author":"Myers","year":"2019","journal-title":"Vasc Invest Ther"},{"key":"2026082410201865000_medhum-2026-013990v1.28","unstructured":"McEvilley T , Kissane S , Pijnappel J . Locating the female gaze. In: Nalini Malani. Dublin: Irish Museum of Modern Art, 2007: 11\u20139."},{"key":"2026082410201865000_medhum-2026-013990v1.29","unstructured":"Galun L , Malani N . Nalini Malani\u2019s Utopia. MoMA; 2022. Available: https:\/\/www.moma.org\/magazine\/articles\/718 [Accessed 22 Dec 2025]."},{"key":"2026082410201865000_medhum-2026-013990v1.30","unstructured":"Duplaix S . Malani: Retrospective 1969\u20132018. Part I. Paris: Centre Pompidou, 2017."},{"key":"2026082410201865000_medhum-2026-013990v1.31","unstructured":"Changing Markets Foundation . Hyderabad\u2019s pharmaceutical pollution crisis. London: Changing Markets Foundation; 2018. Available: https:\/\/changingmarkets.org\/report\/hyderabads-pharmaceutical-pollution-crisis\/ [Accessed 1 Jun 2026]."},{"key":"2026082410201865000_medhum-2026-013990v1.32","unstructured":"Greenpeace International . Justice for people and planet: ending the age of corporate capture, collusion and impunity. Amsterdam: Greenpeace International; 2018. Available: https:\/\/www.somo.nl\/wp-content\/uploads\/2018\/01\/Justice-for-people-and-planet.pdf [Accessed 27 Jan 2026]."},{"key":"2026082410201865000_medhum-2026-013990v1.33","unstructured":"Pereira W , Seabrook J . Global Parasites: 500 Years of Western Culture. Bombay: Earthcare Books, 1994."},{"key":"2026082410201865000_medhum-2026-013990v1.34","unstructured":"Malani N . Email correspondence to the author. Personal communication; 2026."},{"key":"2026082410201865000_medhum-2026-013990v1.35","unstructured":"Lynn V . Fluvial mix. In: Global Liquidity: Fiona Hall and Nalini Malani. Bombay: Gallery Chemould; Sydney: Roslyn Oxley Gallery, 1998."},{"key":"2026082410201865000_medhum-2026-013990v1.36","doi-asserted-by":"crossref","unstructured":"Kim E. Curative Violence: Rehabilitating Disability, Gender, and Sexuality in Modern Korea. Durham, NC: Duke University Press 2016.","DOI":"10.1215\/9780822373513"},{"key":"2026082410201865000_medhum-2026-013990v1.37","doi-asserted-by":"crossref","unstructured":"Houser H . Ecosickness in Contemporary U.S. Fiction: Environment and Affect. Columbia: Columbia University Press, 2014.","DOI":"10.7312\/columbia\/9780231165143.001.0001"},{"key":"2026082410201865000_medhum-2026-013990v1.38","unstructured":"Tyszczuk R . Cautionary tales: the sky is falling! the world is ending! In: Smith J , Tyszczuk R , Butler R , eds. Culture and Climate Change: Narratives. Cambridge: Shed, 2014."},{"key":"2026082410201865000_medhum-2026-013990v1.39","unstructured":"D\u2019Souza A. Imperfect Solidarities. Berlin: Floating Opera Press 2024."},{"key":"2026082410201865000_medhum-2026-013990v1.40","unstructured":"Sontag S. On photographyOn Photography. New York: Farrar, Straus and Giroux 1977."},{"key":"2026082410201865000_medhum-2026-013990v1.41","doi-asserted-by":"crossref","unstructured":"Sontag S . Regarding the Pain of Others. New York: Farrar, Straus and Giroux, 2003.","DOI":"10.3917\/dio.201.0127"},{"key":"2026082410201865000_medhum-2026-013990v1.42","unstructured":"Lynn V . Janet Laurence: the life-world. In: Handle with Care: 2008 Adelaide Biennial of Australian Art. 37. Adelaide: Art Gallery of South Australia, 2008."},{"key":"2026082410201865000_medhum-2026-013990v1.43","unstructured":"Kent R . Janet Laurence: After Nature. Sydney: Museum of Contemporary Art, 2019."},{"key":"2026082410201865000_medhum-2026-013990v1.44","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1111\/j.1365-2621.2004.tb10710.x","article-title":"Chlorophyll as a Color and Functional Ingredient","volume":"69","author":"Humphrey","year":"2004","journal-title":"J Food Sci"},{"key":"2026082410201865000_medhum-2026-013990v1.45","unstructured":"Bucklow S . Red: The Art and Science of a Colour. London: Reaktion Books, 2016."},{"key":"2026082410201865000_medhum-2026-013990v1.46","doi-asserted-by":"crossref","unstructured":"Fend M . Fleshing out Surfaces: Skin in French Art and Medicine, 1650\u20131850. Manchester: Manchester University Press, 2016.","DOI":"10.7228\/manchester\/9780719087967.001.0001"},{"key":"2026082410201865000_medhum-2026-013990v1.47","unstructured":"Pastoureau M . Red: The History of a Colour. Princeton, NJ: Princeton University Press, 2017."},{"key":"2026082410201865000_medhum-2026-013990v1.48","unstructured":"Moore LJ . Catch and Release: The Enduring yet Vulnerable Horseshoe Crab. New York: New York University Press, 2017."},{"key":"2026082410201865000_medhum-2026-013990v1.49","unstructured":"McKie R . Killed in vast numbers: horseshoe crabs under threat from overharvesting. The Guardian; 2024. Available: https:\/\/www.theguardian.com\/environment\/2024\/mar\/02\/killed-in-vast-numbers-horseshoe-crabs-under-threat-from-overharvesting [Accessed 28 Jan 2026]."},{"key":"2026082410201865000_medhum-2026-013990v1.50","unstructured":"Kent R . Janet Laurence. In: In the Balance: Art for a Changing World. Sydney: Museum of Contemporary Art, 2010."},{"key":"2026082410201865000_medhum-2026-013990v1.51","unstructured":"Miekus T . Janet Laurence on creating art during environmental crisis. Art Guide; 2021. Available: https:\/\/artguide.com.au\/janet-laurence-on-creating-art-during-environmental-crisis\/ [Accessed 8 Feb 2026]."},{"key":"2026082410201865000_medhum-2026-013990v1.52","unstructured":"Melbourne Art Fair . Janet Laurence on Interconnectivity and Alchemical Transformation. Melbourne Art Fair; 2025. Available: https:\/\/melbourneartfair.com.au\/janet-laurence-on-interconnectivity-and-alchemical-transformation\/ [Accessed 8 Mar 2025]."},{"key":"2026082410201865000_medhum-2026-013990v1.53","doi-asserted-by":"crossref","unstructured":"Lanzoni S . Empathy: A History. New Haven: Yale University Press, 2018.","DOI":"10.12987\/9780300240924"},{"key":"2026082410201865000_medhum-2026-013990v1.54","first-page":"123","article-title":"From empathy to caring: defining the ideal approach to a healing relationship","volume":"80","author":"Weiner","year":"2008","journal-title":"Yale J Biol Med"},{"key":"2026082410201865000_medhum-2026-013990v1.55","doi-asserted-by":"crossref","unstructured":"Grosz E . Volatile Bodies: Towards a Corporeal Feminism. Bloomington: Indiana University Press, 1994.","DOI":"10.2979\/3270.0"},{"key":"2026082410201865000_medhum-2026-013990v1.56","first-page":"6","article-title":"Viral Landscapes","volume":"409","author":"Frascina","year":"2017","journal-title":"Art Monthly"},{"key":"2026082410201865000_medhum-2026-013990v1.57","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1093\/oxartj\/kcae030","article-title":"HIV, the Country, and the City: Helen Chadwick\u2019s Viral Landscapes","volume":"47","author":"Gordon","year":"2025","journal-title":"Oxford Art Journal"},{"key":"2026082410201865000_medhum-2026-013990v1.58","unstructured":"Hoskins WG . The Making of the English Landscape. Harmondsworth: Penguin, 1985."},{"key":"2026082410201865000_medhum-2026-013990v1.59","unstructured":"Gott T . Don\u2019t Leave Me This Way: Art in the Age of AIDS. Canberra: National Gallery of Australia, 1994."},{"key":"2026082410201865000_medhum-2026-013990v1.60","unstructured":"Chadwick H , Warner M . Enfleshings. London: Secker & Warburg, 1989."},{"key":"2026082410201865000_medhum-2026-013990v1.61","doi-asserted-by":"crossref","unstructured":"Zimmer C . A Planet of Viruses. Chicago: University of Chicago, 2011.","DOI":"10.7208\/chicago\/9780226983332.001.0001"},{"key":"2026082410201865000_medhum-2026-013990v1.62","unstructured":"Kent S . Border territory. In: Lifelines: Four British Artists. Liverpool: Tate Gallery, 1990."},{"key":"2026082410201865000_medhum-2026-013990v1.63","unstructured":"Buck L , Mellor DA , Warner M . Stilled Lives: Helen Chadwick. London: Portfolio Gallery, 1995."},{"key":"2026082410201865000_medhum-2026-013990v1.64","unstructured":"Warner M . Helen chadwick: the wound of difference. In: Forms of Enchantment: Writings on Art & Artists. London: Thames & Hudson, 2013: 111\u201323."}],"container-title":["Medical Humanities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/medhum-2026-013990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T17:20:51Z","timestamp":1787592051000},"score":1,"resource":{"primary":{"URL":"https:\/\/mh.bmj.com\/lookup\/doi\/10.1136\/medhum-2026-013990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,24]]},"references-count":64,"alternative-id":["10.1136\/medhum-2026-013990"],"URL":"https:\/\/doi.org\/10.1136\/medhum-2026-013990","relation":{},"ISSN":["1468-215X","1473-4265"],"issn-type":[{"value":"1468-215X","type":"print"},{"value":"1473-4265","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,24]]}}}