Public interest in violent crime is widely recognisedReference Bentham and Schmidt1,Reference Gibson2 and the associations between mental disorders and violence, crime or terror in popular culture are well-known. However, and in contrast to the study of the depictions portrayed in other media and artistic manifestations, descriptions in music are still a less-explored topic.
Various elements constitute lyrical-musical content, such as lived (or vicarious) experience, fantasised components, the dramatic/aesthetic/artistic potential of a given image and intertextuality.
Intertextuality alludes to the meanings accumulated in cultural baggage. It encompasses the descriptions contained in other images and texts that work as ‘cross-references’.Reference Hall, Wetherell, Taylor and Yates3,Reference Nairn, Coverdale and Claasen4 These references can be more or less explicit in their nods to other culturally prevailing representations, providing songs with an interdiscursive configuration. In literature, a widely used example is the Homeric parallel in James Joyce's Ulysses.Reference Taylor, Maszerowska, Matamala and Orero5 Examples of intertextuality in Spanish rock music have been previously described.Reference Pavez6,Reference Pavez, Saura and Marset7 The evolution of the concept of intertextuality has been brilliantly addressed by MartínezReference Martínez8 and critically evaluated by Irwin.Reference Irwin9
Trivialisation is the act of making something seem less important, serious or difficult than it really is. In medicine, it denotes a conception of illness as easier to acquire, suffer or treat,Reference Robinson, Turk, Jilka and Cella10 de-emphasising its severity.Reference Pavelko and Myrick11
Previous findings in Spanish punk have identified references to criminality or violence as one of the main themes in songs with allusions to the terms ‘mad,’ ‘madness’ or other related colloquial terms.Reference Pavez, Saura and Marset12
The pros of studying punk music as a subcultural manifestation have been reported previously.Reference Pavez6,Reference Pavez, Saura and Marset12 As highlighted in mental health studies from other musical subcultures,Reference Inkster and Sule13 underrepresented communities have worse mental health outcomes, a higher risk of mental health problems and lower use of mental health resources. Additionally, stigma is common in underserved communities.Reference Sule and Inkster14 Bias, discrimination and a lack of cultural competence among healthcare professionals potentially exacerbate these problems.Reference Inkster and Sule13–Reference Thornicroft, Rose and Mehta18
With these elements in mind, this article aims to address intertextuality and trivialisation in subcultural representations of psychiatry-related violent and criminal behaviours. These aspects are relevant since trivialisation may contribute to a distorted and oversimplified view of mental disorders (involving perceptions of decreased severity, mockery and stigmatisation). Intertextuality can play a role in the dissemination and amplification of content (misleading or not). Moreover, the portrayals of psychiatry and mental disorders in the media have an impact on the general population, patients and their families, as stigma and discrimination are the main barriers to treatment-seeking.Reference Jorm19–Reference Satcher22
Method
A content analysis of the lyrics of Spanish punk songs recorded between 1981 and 2010 was conducted. After a purposive sampling guided by bibliographic, documentary and web sources,Reference Alfonso, Bocos, Ramone, Rins and Aguilar23–28 7777 songs were listened to, identifying and transcribing all songs with references to psychiatry/mental disorders. Subsequently, two independent coders examined the song lyrics looking for references to aggression, violence, crime or imprisonment. This process resulted in the identification of 208 pieces. An initial approach to the data showed that imprisonment contents were not in line with the research question, lacking consistency with the rest of the material. Thus, 18 songs were excluded. All of the 190 remaining songs were analysed, reaching thematic saturation.
Two thematic approaches were identified among the included songs: on the one hand, descriptions emphasising violence or criminality (in this group of songs, references to mental symptoms or disorders were secondary allusions) and on the other, descriptions of mental disorders or their symptoms as main themes, with violence or criminality as their epiphenomena.
The units of analysis (hereafter named ‘references’) were the song phrases with contents related to our field of interest. The entire song was the context unit, containing one or more references. At a quantitative level, duplicated references (e.g. chorus or refrain) were counted once.
Coding ran alongside data collection. In vivo coding was used as a first approximation, followed by organisation of the data into discrete categories, which were refined by iteration. Additionally, open codification enabled the incorporation of new themes as they emerged from the text. The categories constructed on this basis included: violence and criminality, mental disorders/symptoms, trivialisation and intertextuality (Table 1).
Table 1 Categories and codes of content analysis of 190 Spanish punk songs (1981–2010) with references to psychiatric symptoms/disorders and violence or criminality
Piloting was conducted until satisfactory codes were achieved. The iterative nature of the process served to enhance the methodological integrity. Cases of discrepancy were solved through discussion by the authors.
Ethical approval was not needed as this was a non-interventional study that used public data without identifiable personal private data.
Results and discussion
Of the 7777 songs in our sample, 190 (2.44%) dealt with violent or criminal behaviour related to mental symptoms. Among the references to psychiatric symptoms, syndromes or diagnoses, we found: substance misuse (n = 84); general terms alluding to ‘mental disturbance’ or similar (n = 55); psychopathic or antisocial personality traits (n = 32); paraphilias (n = 20); suicidal behaviour (n = 9); psychoses (n = 8); psychological distress (n = 7); impulse control disorders (pyromania and kleptomania; n = 3); trauma-related symptoms (n = 2); twilight states/dissociative symptoms (n = 2). Ten references showed overlapping between substance use and antisocial personality traits, and one reference alluded to LSD-induced psychotic symptoms.
Trivialisation and humour
Some of the hallmarks of punk include its critical and provocative nature. Although the focus of the media's approach to punk has been on the ideological or political level, humour is one of the essential features of punk,Reference Bestley29 and Spanish punk is not an exception. By exploring the tone of the songs, we found that 41% were light-hearted (funny, sarcastic, dark humour or provocation). Examples of sarcastic content can be found in Table 2.
Table 2 Examples of sarcasm and dark humour in light-hearted content related to criminal or violent behaviour in Spanish punk songs (1981–2010)
The high proportion of trivialisation of such serious topics as violence or crime is remarkable; however, this type of content was not distributed equally among different forms of criminal behaviour or mental disorder (Fig. 1). As can be noted, the most frequently trivialised topics were murder and violence; the least, gender-based violence and sexual crimes. Regarding mental disorders, substance misuse was more seriously covered than psychoses. Possibly, the ideological undercurrents of the subculture determine to a certain extent what the limits are for punk mockery and provocation. It results in some topics being more susceptible to trivialisation than others. On the other hand, a more earnest approach could be the result of increased awareness regarding specific issues. It may be due to exposure to more frequent events (e.g. sexual abuse, legal complications resulting from substance use) or specific policies (e.g. awareness campaigns on gender violence). It would partially explain the higher trivialisation of less common phenomena (and therefore less likely to be encountered on a day-to-day basis), such as multiple homicide or, regarding mental disorders, psychosis. In the absence of ‘real-world contact’, such themes are more suitable to be made banal, and the intertextual component becomes relevant.
Fig. 1 Trivialisation in 190 Spanish punk songs related to violent and criminal behaviour, by themes. The dotted line indicates the mean of light-hearted songs in the entire sample.
Music results from the interplay of political, commercial, aesthetic and institutional processes,Reference Street, Frith, Straw and Street30 which influence its content and it is exhibited. The norms that punk challenges are produced and reinforced by the dominant culture. Thus, ‘madness’ and violence (and, in its extreme, crime) serve punk's otherness and opposition to socially accepted patterns. Through provocative behaviour and language, punks proclaim themselves as a challenge to normality and order.
Thus, it is impossible to deal with trivialisation in punk music without considering identity affirmation, transgression and otherness. In this sense, a previous study of Spanish punk songs showed that the attributes of ‘madness’ that are socially seen as negative were susceptible to being positively valued at a subcultural level.Reference Pavez, Saura and Marset31
In our sample, the light-hearted songs about aggressors trivialised crime, mental illness or both. Almost all songs were purely invective and provocation, with only two exceptions showing a more specific social critique.
Intertextuality: songs, film, literature and the media
Intertextuality is an essential component of creative activity.Reference Shakib32 In the analysed punk songs, we found, on the one hand, fictional intertextual references (predominantly comics, films and literature) and on the other, allusions to infamous crimes (and criminals), principally in the sphere of serial murder (Table 3). In this sense, Jarvis points out the blurring between ‘historical’ (factual) serial killers and ‘their cinematic counterparts’ (fictional) in the popular imagination.Reference Jarvis33
Table 3 Factual and fictional references in Spanish punk songs alluding to violent or criminal behaviour in mental disorders, in chronological order
a. Some references lead to other sources: Gas Light, theatre play by Patrick Hamilton, 1938; Gas Light, film by Thorold Dickinson, 1940; A Clockwork Orange, novel by Anthony Burgess, 1962.
In the realm of fiction, the film series The Texas Chainsaw Massacre (T. Hooper, 1974) was particularly influential on the analysed songs across decades (1984, 1993, 1998, and 2006) (Table 3). In the films, the iconic murderer Leatherface exhibited traits of intellectual disability and cannibalistic behaviour. The fictional character was inspired mainly by the real murderer Edward Gein.
Although films were predominant, references to comics also appeared. In ‘A un paso de la locura’ [‘A step away from madness’] (1990), the punk band Vómito tacitly evokes the character Rorschach from Watchmen (Moore & Gibbons, 1986) to describe the relationship between trauma and ‘madness’.
Also in the field of comics, the stigmatising images that connect psychosis and violence portrayed by ‘Revuelta en el frenopático’ [‘Revolt in the insane asylum’] (Kortatu, 1985) reflect the band's interpretation of the comic strips of Javier Montesol, Don Vito & Co., a Spanish comic drawn between 1976 and 1982. The main character of this comic is Don Vito, an anarchist confined in a mental institution after he fought in the Spanish Civil War. The action takes place, especially in the first period of the comic, in an asylum as a metaphor for the dictatorial confinement in Francoist Spain.
Implicit or explicit allusions to infamous serial murderers were also found. The song ‘Arropiero’ (Electroputos, 1987) alluded to the biggest serial killer in the history of Spain: Manuel Delgado Villegas, known as El Arropiero, who between 1964 and 1971 murdered 48 people. In the song, El Arropiero is defined as ‘the king of the asylum’, depicting substance use and psychopathic traits. Although it is a light-hearted piece that does not reproduce authentic details of his modus operandi or his crimes, it exemplifies how such infamous personalities are included in the popular cultural repertoire, in the same way as other serial killers in other countries.
In songs related to serial homicides, the narratives were mainly from the perspective of the killer or an external observer. For this reason, the song ‘Kién mató a Mary Jean’ [‘Who killed Mary Jean?’] (Putakaska, 1987) is unusual. It is told by a person whom the homicide detectives ask to identify a corpse. The references included in the lyrics are probably influenced by the fifth in a series of murders attributed to the infamous unidentified serial murderer ‘Jack the Ripper’. ‘Mary Jean’ is not a Spanish name, which places the crime in a foreign country. Its similarity to ‘Mary Jane’ or ‘Mary Jeannette’ is also indicative. Mary Jane Kelly is believed to have been one of Jack the Ripper's victims in 1888. The song also contains implicit references to the victim's prostitution as the context for her relationship with the speaker. Finally, the narrative focusing on the perspective of the one who had to identify the corpse brings us to Joseph Barnett, who was close to Mary Jane Kelly and had the distressing task of identifying the practically unrecognisable remains of the victim.
In ‘George Oswell’ (1998), Segismundo Toxicómano mentions the Manson family, dealing in a general way with the figure of the serial killer and his infamous celebrity. The lyrics emphasise the dynamics of searching for power and recognition as drivers of criminal behaviour. Thus, this song not only criticises the mythification of serial killers and their cultural construction; it also portrays the narcissistic dynamics of comparison and competition underlying serial killing.
The influence of true crime stories is also apparent in some lyrics alluding to mass murder, particularly in the songs ‘Nadie’ [‘Nobody’] (by Soziedad Alkohólika) and ‘Fuego y miedo’ (by Ska-P), both released in 2008. Presumably, events such as the massacres at Virginia Tech in the USA and Jokela High School in Finland (both in 2007) may have been influential. Likewise, the song ‘Johnny coge el subfusil' [Johnny takes the submachine gun] (by Comando 9mm), recorded in 1986, bears a striking similarity to the events at a San Diego (California) McDonald's restaurant in 1984.
Final reflections
The depictions found are closely related to the connotations expected in the general population and the literature on the representation of crime in the media. Thus, we found a preference for violent crimes and frequent allusions to the perpetrator as mentally disturbed. However, it is possible that in the analysed punk subculture, and contrary to the apprehensions derived from its categorisation as ‘problem music’,Reference North and Hargreaves34 references to violence and criminality of people with mental disorders are less frequent than the prevailing mainstream representations, as will be discussed below.
Frequency of depictions of violence/criminality
It is difficult to speculate on the significance that 2.44% of songs referred to violence or criminality in mental disorders throughout three decades of Spanish punk. However, it does not seem insignificant considering that it is a very niche topic. To the best of our knowledge, not even in films (extensively studied regarding psychiatric content) are there any data on the overall frequency of this type of content, and it is not easy to guess what it would be if it were contextualised to an entire film production over 30 years.
In the field of popular music, there has been no quantitative examination as extensive as we report. Unfortunately, few studies systematically address representations of mental disorders or psychiatry in music.Reference Pavez, Saura, Pérez and Marset35 This aspect complicates conclusions regarding the frequency of songs dealing with mental disorders and criminality/violence, as there are no previous data to compare. Moreover, comparisons with the results of media studies or other cultural manifestations are also problematic since there are differences in the objectives of the studies (production, representation or reception); the dimensions that are evaluated; how they are defined, selected and measured; and what are the comparators.
As far as we are aware, the only study that reports the analysis of a complete filmography included 40 Disney feature films.Reference Lawson and Fouts36 However, violence and criminality are more subtle in children's films and television series. Moreover, the terms addressed were unspecific and did not allow for comparisons.
The research on American prime-time television showsReference Signorielli37,Reference Diefenbach38 suggests that 1.28% (1994) to 2.16% (1969–1985) of adult characters portray violent behaviour linked to mental disorders. However, the proportions of characters (unit of analysis) and songs (context unit) are not comparable. Moreover, the violent behaviour, as defined in Signorielli's study,Reference Signorielli37 did not include other types of criminal behaviour which were positively explored in our sample. Thus, it is predictable that the 2.16% indicated above underestimates the representation of criminality associated with mental disorders. On the other hand, the data from Diefenbach's studyReference Diefenbach38 allow us to infer that at least 3.45% of television programmes (context unit) would have references to the binomial mental disorder–criminality (maximum 30%; mean 16.73%); in any case, a higher proportion than that present in our data-set.
Use of humour
Regarding humour, there is usually a serious message behind a joke. Although usually critical, it can also sometimes be reactionary, serving to maintain power relations (superiority humour) or prejudices (disparagement humour).Reference Mulkay39 Even so, the subversive potential of humour was not ignored by punks as a means of provoking and questioning positions of authority and power.Reference Bestley29
Humour is self-affirmation, an effect and an event of struggle, and a form of symbolic violence.Reference Medhurst40 In punk music, humour is often the venting of nervous energy by breaking taboos and moral or ethical codes.Reference Bestley29 Through irony, satire, hyperbole, invective and profanity, punk's black humour was present in our set of songs.
The purpose of violent and psychopathic content
Violent content, particularly serial murder, seemed to be serving the provocative nature of punk music rather than an aesthetic enjoyment of depictions of the crime, unlike other cultural manifestations such as crime-related TV series. In the latter, the dynamics of consumption, compulsion or spectator's ‘complicity’ become more evident than might be expected in the audience of a musical style. Thus, the figure of the killer (mainly the serial killer) is not necessarily a cult character but rather an instrument for punk provocation and transgression. This point may explain the high percentage of trivialisation in the content related to homicide. As Bestley points out, there is a risk of misunderstanding songs that use intensely ironic positions.Reference Bestley29 For that author, the savagery and violence in many punk lyrics are intended to shock and amuse rather than promote direct conflict or violence.Reference Bestley29
To some extent, the figure of the psychopath bears similarities to outlaw narratives, sharing the same ambivalent space for audiences, that of sympathy with the transgression. Thus, the postmodern cultural representation of the serial killer and the psychopath resembles the ambivalent outlaw's status as both criminal and hero.Reference Rauch, Ahlers, Lücke and Rauch41
Intertextuality
The ‘composite sketch’ of the serial killer delineated by Spanish punk is nourished by cultural developments coming mainly from foreign experiences. This tendency recurred in the realm of intertextuality, with only one allusion to local productions. In the fictional arena, cinema was the most notorious influence.
As Nairn et al remark, intertextuality can shape how items are understood while limiting the extent to which we rely on subjective information.Reference Nairn, Coverdale and Claasen4 Regarding mental health, intertextuality is based on a ‘common sense’ understanding of ‘madness’, which, in turn, is subsequently presented as apparently confirmed by the intertextual media accounts themselves. The potential involvement of mental health professionals in this circular process through their interaction with the media is an area that should not be overlooked.
Thus, this kind of research is relevant in understanding the sources from which ideas about violence and mental disorders are nourished, how they are expressed and disseminated. The impact on audiences is an open area for research, including the impact of humorous and minimising content and the role of intertextuality in perpetuating the stigmatising representations of mental illness.
Most studies have focused on the negative aspects of cultural representations of mental disorders. However, music and other artistic manifestations can be a means to stimulate discussions at the societal level, challenge prejudices and improve public awareness.Reference Stuart42 As previously highlighted, artistic and cultural manifestations are helpful to get access to the views and representations present in hard-to-reach groups,Reference Sule and Inkster43 their motivations, and strategies of accommodation, struggle and resistance.
About the authors
Fabian Pavez is a PhD candidate at the International School of Doctoral Studies, University of Murcia, Spain, and a Psychiatrist at the Mental Health Center of Lorca, Murcia Health Service, Lorca, Spain. Erika Saura is an independent researcher in Murcia, Spain. Pedro Marset is an Emeritus Professor at the History of Medicine Unit, Department of Social and Health Sciences, Faculty of Medicine, University of Murcia, Spain.
Data availability
The data that support the findings of this study are available from the corresponding author on reasonable request.
Author contributions
F.P. was responsible for the conceptualisation, project administration, methodology, data collection, data analysis and writing. E.S. contributed to the data collection, data analysis and writing (review and editing). P.M. was responsible for the project administration and writing (review and editing).
Funding
This research received no specific grant from any funding agency, commercial or not-for-profit sectors.
Declaration of interest
None.
ICMJE forms are in the supplementary material, available online at https://doi.org/10.1192/bjb.2022.4.
Open access
eLetters
No eLetters have been published for this article.