Tag: healthcare in media

Life Imitates Art: Google Searches for Lorazepam Spiked with TV Show

Photo by Steinar Engeland on Unsplash

In season three of the hit television series The White Lotus, the character Victoria Ratliff takes the prescription anti-anxiety medication lorazepam to help with her social anxiety and inability to sleep. Her casual usage of the powerful benzodiazepine – often in combination with white wine – leads to her becoming visibly loopy, slurring her words, and falling asleep at dinner.

A recent study led by researchers at University of California San Diego has found that the show’s portrayal of lorazepam use was associated with a surge in Google searches for the medication, including queries related to acquiring it online.

The findings, published in JAMA Health Forum, suggest that the show generated 1.6 million more searches for lorazepam over a 12-week period than what would normally be expected for the time period. This increase in interest was not observed for other commonly prescribed benzodiazepines, such as alprazolam and clonazepam, which were not mentioned in the show.

“It’s a really interesting phenomenon of how entertainment media can really reflect and drive human behavior,” said lead author Kevin Yang, M.D., resident physician in the Department of Psychiatry at UC San Diego School of Medicine.

The study also analyzed searches for how and where to acquire lorazepam online.

“We saw significant increases in searches related to acquiring lorazepam as well,” said senior author Eric Leas, Ph.D., M.P.H., assistant professor at UC San Diego Herbert Wertheim School of Public Health and Human Longevity Science and affiliate faculty at Qualcomm Institute. “It shows that there might be a subset of people that are actually wanting to figure out how to obtain that medication online.”

During the course of the season, Victoria Ratliff offers lorazepam to her husband Timothy, who eventually steals her pills and develops a dependence on the drug amid a personal financial crisis.

“Not only would he take it, but he would also combine it with alcohol, which we know is very dangerous,” said Yang. “ For the treatment of anxiety, lorazepam is typically prescribed for the short term  because long-term use can lead to tolerance and dependence as well as misuse. Studies have shown that almost one in five people who are prescribed benzodiazepines eventually end up misusing them.”

That’s concerning because the show emphasized the benefits of lorazepam usage, not the potential risks, such as dependence, respiratory depression and cognitive impairment, according to Yang.

“It didn’t really portray any of the adverse effects that might come from taking too much or from stopping it all of a sudden,”  he said.

Yang recommends that the entertainment industry and show producers take note of the potential impact of depicted drug use on viewer behavior and develop best practices around this type of content, which could include warnings at the beginning and the end of each episode. He also recommends that search engines provide informational warnings when people search for how to obtain the drug online, focusing on accurate, evidence-based information and support resources.

For viewers, Yang suggests taking a skeptical approach when searching for information online.

”My suggestion would be to take everything that is portrayed in the media, whether that’s on TV, film or in music, with a grain of salt,” he said. “It’s only showing one aspect of the medication, and that there are possible downsides. But ultimately, for things like medications, it’s important to talk with your doctor.”

The study was published on November 14, 2025 in JAMA Health Forum.

Source: University of California – San Diego

Global Health Photographers Navigate Murky Ethical Waters for Clients

Photographers report moderation, enhancement, and staging of global health images to meet the marketing goals of clients – while photographers react to these practices with resistance and routinely push back, the problem persists as the demand for global heath visuals continues

Photo by William Bayreuther on Unsplash

Global health photography is often caught between photojournalistic intentions of accurately reflect local communities, and marketing directives to create attention-grabbing imagery, according to a study published February 14, 2024 in the open-access journal PLOS Global Public Health by Arsenii Alenichev from Oxford Population Health, the University of Oxford, United Kingdom, and colleagues. Standing at such representational crossroads, photographers are forced to engage with numerous – and often unresolvable – ethical and practical dilemmas.

Photographers are often commissioned by non-governmental organisations and agencies to document the pain and empowerment of others, with a goal to yield donations and attract attention to issues in communities. While photojournalism is often framed as objective, simply by being present, photographers interfere with local communities and can face challenging ethical dilemmas. To better understand how global health photographers operate and ethically obtain consent from subjects, the authors interviewed 29 photographers reflecting the demographic realities of the field about the moral and practical challenges they face on the job. The authors identified common themes across the anonymized interview transcripts to highlight major issues faced by global health photographers.

The authors found that in the current global health landscape, organisations often direct photographers to quickly create attention-grabbing marketing images to compete with mainstream ads. Photographers typically have to work with client-created ‘briefs’ detailing what images they need to take, and with limited time and resources. In practice, it pushes photographers to increasingly sanitise, sensationalise, or stage scenes to produce the desired image – misrepresenting the realities of local communities, especially in the Global South, to which photographers react with resistance. Acquiring ethical consent from subjects is also complicated by power imbalances, language barriers and illiteracy, and misplaced fear and trust in both the photographer and the legal documents they are asked to sign. Given these emergent themes, the authors argue that organizations should push for a more photojournalistic approach to the creation of global health images, weighing ethical clarity over potential economic sacrifice. While their sample of respondents may have been biased towards critical perspectives, the authors believe that this broad overview of tensions will equip other researchers to conduct future studies of more localised, nuanced experiences.

The authors add: “Decolonisation of global health and its visual culture will prove impossible without taking the ethical experiences of photographers seriously, especially the local ones. Global  health images should  not be understood as neutral depictions of interventions – they are in fact political agents participating in the formulation of stereotypes about people and entire communities.”