Indexical Disorders and Ritual (De)Centers of Semiosis

Abstract

Focusing on Michael Silverstein’s account of relationships between “microcontexts of interaction” and the “macrosociological,” this article takes up his suggestion that news reporting provides particularly clear examples of such links. Examining a mundane ABC World News report on changing recommendations for vitamin intake, it analyzes how leading physician-journalist Richard Besser constructs a ritual center of medical semiosis, projects it as inaccessible to laypersons, and models a circulatory process that requires highly constrained forms of communication. Ethnography in newsrooms, clinical spaces, public health offices, and elsewhere suggests how notions of (1) a ritual center that produces medical knowledge, (2) a primordial space of doctor-patient interaction that affords limited, highly regulated access to laypersons, and (3) what are construed as processes of communication require the continual making of communicable models that attempt to separate projected first and second indexical orders and, just as importantly, generate indexical disorders that create anxiety and seem to require assistance from physician-journalist guides.