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PubMed1998

The place of metaphor and language in exploring nurses' emotional work.

An understanding of the importance of language as a symbolic artefact, particularly with reference to metaphor, has been little addressed within the nursing literature. Consequently, the potential richness of people's accounts may be missed. Data from a study which explored the nature of hospice work and nurses' experiences of professional and personal bereavements are used to illustrate the different understanding which an exploration of metaphor can bring to research. Meanings of metaphor and its role in language are initially presented before drawing on data concerned with the emotional aspects of hospice work. Root metaphors of emotion are identified and examples from nurses' accounts indicate how nurses draw on these metaphors to articulate their experiences. The strategies nurses employ to continue working within the hospice culture are identified both practically in their work and metaphorically in the language they use.

Adaptation, Psychological↗
PubMed2001

Who's afraid of Susan Sontag? Or, the myths and metaphors of cancer reconsidered.

Susan Sontag's book, Illness as Metaphor, has framed our understanding of the relationship between disease metaphors and illness experiences in modern Western society. Her view that metaphors can render diseases socially as well as physically mortifying has influenced a generation of scholars: her conclusion that cancer sufferers are shamed and silenced by metaphors has likewise shaped public perception of neoplastic diseases. Despite the eloquence of Sontag's prose and the force of her convictions, her conclusions are not wholly persuasive. Some scholars have critiqued her faith in the power of science to dispel the myths and metaphors of disease; others have pointed out that it is neither desirable nor possible to strip illness of its symbolic meanings. It has been my purpose to test Sontag's assumptions about the impact of cancer metaphors, to weigh her arguments against the experiences and attitudes embodied in patient correspondence, obituaries and death notices, medical and educational literature, and fiction. Popular and professional reactions to neoplastic diseases in both Canada and the United States during the first half of the twentieth century reveal that, while many North Americans regarded cancer as a dreadful affliction, the disease did not, as Sontag has argued, predictably reduce them to a state of silence or disgrace.

Historiography↗
PubMed1999

The metaphorical and mythical use of the kidney in antiquity.

While the Syrians and the Arabs viewed the liver as the center of life, the kidneys, in contrast, held a primary place of importance in Israel. In Hebrew tradition, they were considered to be the most important internal organs along with the heart. In the Old Testament most frequently the kidneys are associated with the most inner stirrings of emotional life. But they are also viewed as the seat of the secret thoughts of the human; they are used as an omen metaphor, as a metaphor for moral discernment, for reflection and inspiration. This field of tension in metaphoric usage is resolved under the conception of the kidneys as life center. In the Old Testament the kidneys thus are primarily used as metaphor for the core of the person, for the area of greatest vulnerability. For us today, this metaphorical use of the kidneys has lost its meaning. One reason for its disappearance is certainly the monopoly of causal-analytic rationality in science of today. The kidney has developed from myth to organ, and with this transition a variety of perspectives and ways of looking at knowledge inherent in imaginative thought have been lost. But the metaphor uncovers a deeper level of truth, it represents another form of reconstruction of reality which needs not necessarily be subordinate to the scientific rationality. Today as well, these imaginative ideas can provide an approach to an essential level of reality which may otherwise remain hidden.

Bible↗
PubMed1997

Abraham Lincoln, psychotherapist to the nation: the use of metaphors.

Metaphors are widely utilized in psychotherapy to effect change in patients. Psychotherapeutic metaphors, in their various versions, may offer new choices and ways of viewing oneself to the patient which are more palatable than straight discussions or sterile insights. By addressing resistances indirectly, metaphors can be an effective tool for the therapist to use, regardless of theoretical orientation. Abraham Lincoln, a master of metaphor, utilized this tool effectively in dealing with crises and the ultimate fragmentation, disunion of the national identity. The author argues that Lincoln was able to address complex issues (such as slavery, liberty, nationhood, union, and conduct of the war) with metaphors, much as a skilled psychotherapist addresses complex issues within his or her purview. Abraham Lincoln effectively disarmed his critics, established a means of communication with the people, and sought to make his points in an understandable nonconfrontational fashion. These are skills highly valued by psychotherapists. One might say that Abraham Lincoln conducted psychotherapy on a national scale. Without formal training, he was ultimately able to create a new and more stable sense of national self using a metaphorical approach.

Famous Persons↗
PubMed2002

Embodied metaphor in women's narratives about their experiences with cancer.

Many scholars and medical professionals argue over the importance of metaphor in thinking about, and speaking of, cancer and other illnesses. Our study presents an analysis of the metaphors used by 6 women in their narratives of their experiences with cancer. We claim from our analyses that metaphorical talk about cancer reflects enduring metaphorical patterns of thought. Women used multiple, sometimes contradictory metaphors to conceptualize their complex cancer experiences. Many of their metaphors used to understand cancer are actually based on ordinary embodied experiences such that people still refer to the healthy body in trying to understand cancer even when their own bodies have been disrupted. We discuss the importance of our findings for understanding the relation between language and thought in regard to human illness.

Adult↗
PubMed2003

Exploring an alternative metaphor for nursing: relinquishing military images and language.

The language used to describe nursing practice and nursing leadership has a profound influence on how nurses think about themselves, their work relationships, and indeed the very essence of their reason for being. Language often includes metaphor in order to help capture the complexities and layers of meaning that establish contexts for action. Nurses and others have relied on various metaphors to describe nursing work. However, there is one metaphor that, more than any other, has shaped the context of nursing work and formed the images and the meanings that nurses have of themselves and their purposes in practice. The privileged one is the military metaphor. This article explores the notion of metaphor, and its usefulness and potential to help nurses change their work patterns. The traditions and history of the military metaphor are examined and an alternative notion of the "frontier" is proposed in order to enhance understanding of the potential for change.

Humans↗
PubMed2004

The contribution of metaphor and metonymy to delusions.

This article investigates the possible role of metaphorical thinking in psychotic delusions. Twenty-five participants with delusions were asked to give an account of how their ideas had formed and to describe recent experiences relevant to their delusional beliefs. The data suggest that for some participants there may have been a crucial period when the person has unusual experiences, psychosocial difficulties, and made attempts involving metaphor/metonymy to understand these experiences. Furthermore, some participants reported very recent unusual experiences using metaphorical terms, and we speculate on the possibility that the content of the metaphors contributes to a continuation of psychotic experience. The data form a series of case illustrations and are exploratory. No generalizations can be made, but the presence of significant metaphors and metonymy in 11 out of 25 case histories suggests the process may be an important one. We end by outlining a theoretical model of how metaphors might contribute to the formation of delusions: it is suggested that delusional statements are intended to be literal statements, but report on experiences transformed by metaphorical meaning. This transformation involves the 'fusion' of conceptual domains.

Adult↗
PubMed2005

The use of metaphors in the service of the therapeutic alliance and therapeutic communication.

The use of metaphor as a conceptual and clinical tool in the treatment situation can enhance the therapeutic alliance and strengthen the effectiveness of therapeutic communication. The evolution of a special metaphoric system of communication in the course of the treatment situation enhances the positive alliance between patient and therapist. In a way analogous to the poetic use of metaphor, the therapeutic use of appropriate metaphors can be a powerful tool because a metaphor is a symbol that represents a condensation of multiple impulses, conflicts, fantasies, and affects. Case material will be presented to illustrate the use of metaphoric communication in the clinical situation.

Anger↗
PubMed2004

Cancer as metaphor.

Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenneth B. Schwartz Center at MGH. The Schwartz Center is a nonprofit organization dedicated to supporting and advancing compassionate health care delivery, which provides hope to the patient and support to caregivers and encourages the healing process. The center sponsors the Schwartz Center Rounds, a monthly multidisciplinary forum where caregivers reflect on important psychosocial issues faced by patients, their families, and their caregivers, and gain insight and support from fellow staff members. Metaphors illuminate complex issues and can paint a thousand words. However, fundamental to individual and collective expression, they are also capable of creating or perpetuating stereotypes, and stigma. In oncology, the military metaphor is perhaps the most prominent, with the high profile of the "War on Cancer," and the imperative for patients to have a fighting spirit. Balancing the instinct to fight with words of healing and acceptance remains a challenge. The history of the military metaphor and how the humanities have illuminated cancer as a metaphor are reviewed. The advantages and disadvantages of the use of this metaphor are discussed, as well as the use of other metaphors in the psychosocial dynamic of care.

Humans↗
PubMed2003

ERP and behavioral evidence of individual differences in metaphor comprehension.

In two experiments, we examined individual differences in metaphor processing. In Experiment 1, the subjects judged the literal truth of literal, metaphorical, and scrambled sentences. Overall, metaphors were more difficult to judge as false, in comparison with scrambled controls, suggesting that the metaphorical meaning was being processed automatically. However, there were individual differences in that high-IQ subjects showed more interference. These effects were reflected in ERP amplitude differences at the onset of N400 and after the response. In Experiment 2, the subjects completed IQ tests and a series of working memory tests and then rated and interpreted the same set of metaphors. The results showed that IQ was correlated with working memory capacity and that low-IQ subjects had similar ratings but poorer quality interpretations than did high-IQ subjects. The results were most consistent with a constraint satisfaction approach to metaphor comprehension.

Adult↗
PubMed1991

Authorial intentions and metaphor comprehension.

Three experiments investigated the role of authorial intentions in metaphor comprehension. In these studies, subjects read metaphoric (e.g., "A family album is like a museum"), literal (e.g., "An art gallery is like a museum"), and anomalous (e.g., "A tortoise shell is like an art gallery") comparisons and rated their degree of meaningfulness (Experiment 1), made speeded decisions as to whether each phrase was meaningful or not (Experiment 2), or wrote out interpretations of each comparison statement (Experiment 3). The subjects were told that the comparisons were written either by famous 20th century poets or by a computer program that randomly generated the statements from a list of words. Our general hypothesis was that knowing that intentional agents (the poets) authored the different comparisons should facilitate subjects' comprehension of the metaphors. Experiment 1 showed that subjects rated both metaphoric and literal comparisons as being more meaningful in the poet condition than when these statements were supposedly written by computer. Experiment 2 demonstrated that subjects were faster in making their meaningfulness judgments for metaphors in the poet condition than in the computer context, but that subjects were also slower in rejecting anomalous comparisons when these were supposedly written by the poets. Experiment 3 indicated that subjects produced more meanings or interpretations for comparisons presumably written by poets than by computer. These results highlight the importance of implied, authorial intentions in understanding metaphorical statements. We discuss the implications of this work for psycholinguistic theories of figurative language comprehension, as well as for theories of literary interpretation.

Adult↗
PubMed1989

Developmental levels of processing in metaphor interpretation.

We outline a theory of metaphor interpretation. The theory posits varying levels of semantic processing and formalizes them in terms of kinds of semantic-mapping operators that transform properties of the metaphoric vehicle (i.e., predicate) into properties of the metaphoric topic (i.e., subject). We used cognitive-developmental theory to estimate the mental-processing complexity of the various mapping operators, and thereby to predict the timing of their emergence in childhood, and to construct a measure of the metaphoric-processing levels. Metaphor interpretations collected from children (aged 6-12 years) and adults were coded and scored according to the processing levels. In two separate developmental studies, processing score increased with age in a predictable way. Growth in a mental-attentional resource accounted for much of the developmental variance in metaphor interpretation. Possible moderating effects of knowledge and context are discussed.

Child↗
PubMed1988

The metaphorical nature of drugs and drug taking.

An inquiry into the role metaphor plays in personal and societal conceptions of drugs and drug taking reveals that drug metaphors and symbols are quite pervasive in individual thinking, social discourse, and the cultural media. They appear to influence beliefs and attitudes regarding drugs, the nature and meaning of drug experiences, and the reasons behind drug-taking behaviors. Some drug metaphors are common to different cultures and historical periods, while others are specific and exclusive to particular individuals and groups or drug-taking situations. These metaphors can carry positive as well as negative connotations. Further study is needed to delineate the metaphorical structuring of our thinking about drugs, and the process whereby these metaphors are generated and spread throughout society.

Humans↗
PubMed1992

Therapists' intentional use of metaphor: memorability, clinical impact, and possible epistemic/motivational functions.

The memorability, clinical impact, and possible epistemic and motivational functions of therapists' intentional use of therapeutic metaphor were examined in 4 dyads of experiential psychotherapy. Clients tended to recall therapists' intentional metaphors approximately two thirds of the time, especially when these metaphors were developed collaboratively and repetitively. Clients rated therapy sessions in which they recalled therapists' intentional use of metaphors as more helpful than sessions in which they recalled therapeutic events other than therapists' intentional metaphors. Four distinctive epistemic and motivational functions of therapeutic metaphor were observed.

Adaptation, Psychological↗
PubMed1982

Synesthetic perception and poetic metaphor.

To explore the role of cross-modal perception in the apprehension of synesthetic metaphors, subjects read 15 short lines from poetry, each of which contained a metaphor relating visual and auditory qualities; the subjects' task was to set the loudness of a 1000-Hz tone and the brightness of a white light to match the levels implied by each metaphor. The sound settings and light settings suggest that a cross-modal equivalence between loudness and brightness largely underlay the responses to the metaphors. This general cross-modal equivalence was characterized by some notable intersubject differences and was modified, in part, by certain metaphors that resisted complete equivalence. Even so, the metaphorically induced settings of loudness and brightness are mainly governed by a cross-modality matching function that is qualitatively like the relation found in people with visual-auditory synesthesia, and that is quantitatively like the function obtained in more traditional psychophysical studies.

Humans↗
PubMed1982

Metaphor in pictures.

Pictures can be literal or metaphoric. Metaphoric pictures involve intended violations of standard modes of depiction that are universally recognizable. The types of metaphoric pictures correspond to major groups of verbal metaphors, with the addition of a class of pictorial runes. Often the correspondence between verbal and pictorial metaphors depends on individual features of objects and such physical parameters as change of scale. A more sophisticated analysis is required for some pictorial metaphors, involving juxtapositions of well-known objects and indirect reference.

Art↗
PubMed1993

Death anxiety and death denial: Nigerian and Australian students' metaphors of personal death.

Ninety-two Nigerian students and 114 Australian students completed Templer's (1970) Death Anxiety Scale (DAS) and Feifel and Nagy's (1981) death fantasy measure of positive and negative death metaphors. They were each also asked to write his or her own metaphor of personal death. Results of the DAS showed that the two groups did not differ significantly on the level of conscious death anxiety, but Nigerian students' scores were significantly higher on both positive and negative personal death metaphors scales. Also, significantly more Nigerian students wrote personal metaphors of their own and more often used a neutral metaphor to describe their personal death. Australian students more often used a positive or a negative metaphor. The Nigerian students thus evidenced less death denial than the Australian students did.

Adult↗
PubMed2005

ERPs of metaphoric, literal, and incongruous semantic processing in schizophrenia.

The ability of schizophrenia patients to access metaphorical meaning was studied on the basis of psycholinguistic models of metaphor processing. ERPs were recorded from 20 schizophrenic and 20 control participants who were asked to read metaphorical, literal, and incongruous sentences and to judge their meaningfulness. In all participants, incongruous endings to sentences evoked the most negative N400 amplitude, whereas literal endings evoked more negative N400 amplitude than metaphorical ones, consistent with the direct model of metaphor processing. Although the patients had ERPs patterns that were similar to controls, they exhibited a more negative N400 amplitude for all sentences, LPC amplitude reduction, and latency delay in both components. The results suggest that schizophrenics have no specific anomalies in accessing the meaning of metaphors but are less efficient in integrating the semantic context of all sentences--both figurative and literal.

Adult↗