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Artificial intelligence and visual discourse: a multimodal critical discourse analysis of AI-generated images of “Dementia”

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Artificial intelligence and visual discourse: a multimodal critical discourse analysis of AI-generated images of “Dementia”. / Putland, Emma; Chikodzore-Paterson, Chris; Brookes, Gavin.
In: Social Semiotics, Vol. 35, No. 2, 30.04.2025, p. 228-253.

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Putland E, Chikodzore-Paterson C, Brookes G. Artificial intelligence and visual discourse: a multimodal critical discourse analysis of AI-generated images of “Dementia”. Social Semiotics. 2025 Apr 30;35(2):228-253. Epub 2023 Dec 14. doi: 10.1080/10350330.2023.2290555

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@article{f45a629277214caf97dfcd7ec9bc2cdd,
title = "Artificial intelligence and visual discourse: a multimodal critical discourse analysis of AI-generated images of “Dementia”",
abstract = "This article examines the ideologies reproduced in AI-generated images, focusing in particular on representations of dementia. Utilising Stable Diffusion version 1.4, a text-to-image AI model, we conduct a multimodal critical discourse analysis of 171 images generated from the text prompt “dementia.” Our analysis aims to identify and contextualise the visual discourses within the generated images by comparing these with existing multimodal representations of dementia. As well as observing a general lack of visual diversity (with an over-representation of older, light-skinned individuals), we find that these images tend to depict dementia by recycling existing, prominent visual discourses surrounding the syndrome, including a biomedical focus on the disease, narratives of loss, and dementia as a “living death.” These visual discourses combine with particular semiotic choices that promote emotional distance between viewers and people with dementia. Overall, this study highlights the potential for AI-generated images to reinforce and amplify harmful stereotypes and biases. As well as demonstrating the ideological import of such imagery, and thus the need for these to be critically interrogated by (multimodal) critical discourse analysts, this study underscores the need for ethical consideration in AI design and usage, including developing more diverse and inclusive training datasets.",
keywords = "Dementia, AI-generated images, multimodal critical discourse analysis",
author = "Emma Putland and Chris Chikodzore-Paterson and Gavin Brookes",
year = "2025",
month = apr,
day = "30",
doi = "10.1080/10350330.2023.2290555",
language = "English",
volume = "35",
pages = "228--253",
journal = "Social Semiotics",
issn = "1035-0330",
publisher = "Routledge",
number = "2",

}

RIS

TY - JOUR

T1 - Artificial intelligence and visual discourse

T2 - a multimodal critical discourse analysis of AI-generated images of “Dementia”

AU - Putland, Emma

AU - Chikodzore-Paterson, Chris

AU - Brookes, Gavin

PY - 2025/4/30

Y1 - 2025/4/30

N2 - This article examines the ideologies reproduced in AI-generated images, focusing in particular on representations of dementia. Utilising Stable Diffusion version 1.4, a text-to-image AI model, we conduct a multimodal critical discourse analysis of 171 images generated from the text prompt “dementia.” Our analysis aims to identify and contextualise the visual discourses within the generated images by comparing these with existing multimodal representations of dementia. As well as observing a general lack of visual diversity (with an over-representation of older, light-skinned individuals), we find that these images tend to depict dementia by recycling existing, prominent visual discourses surrounding the syndrome, including a biomedical focus on the disease, narratives of loss, and dementia as a “living death.” These visual discourses combine with particular semiotic choices that promote emotional distance between viewers and people with dementia. Overall, this study highlights the potential for AI-generated images to reinforce and amplify harmful stereotypes and biases. As well as demonstrating the ideological import of such imagery, and thus the need for these to be critically interrogated by (multimodal) critical discourse analysts, this study underscores the need for ethical consideration in AI design and usage, including developing more diverse and inclusive training datasets.

AB - This article examines the ideologies reproduced in AI-generated images, focusing in particular on representations of dementia. Utilising Stable Diffusion version 1.4, a text-to-image AI model, we conduct a multimodal critical discourse analysis of 171 images generated from the text prompt “dementia.” Our analysis aims to identify and contextualise the visual discourses within the generated images by comparing these with existing multimodal representations of dementia. As well as observing a general lack of visual diversity (with an over-representation of older, light-skinned individuals), we find that these images tend to depict dementia by recycling existing, prominent visual discourses surrounding the syndrome, including a biomedical focus on the disease, narratives of loss, and dementia as a “living death.” These visual discourses combine with particular semiotic choices that promote emotional distance between viewers and people with dementia. Overall, this study highlights the potential for AI-generated images to reinforce and amplify harmful stereotypes and biases. As well as demonstrating the ideological import of such imagery, and thus the need for these to be critically interrogated by (multimodal) critical discourse analysts, this study underscores the need for ethical consideration in AI design and usage, including developing more diverse and inclusive training datasets.

KW - Dementia

KW - AI-generated images

KW - multimodal critical discourse analysis

U2 - 10.1080/10350330.2023.2290555

DO - 10.1080/10350330.2023.2290555

M3 - Journal article

VL - 35

SP - 228

EP - 253

JO - Social Semiotics

JF - Social Semiotics

SN - 1035-0330

IS - 2

ER -