Locock Louise, Mazanderani Fadhila, Powell John
Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Chronic Illn. 2012 Sep;8(3):201-13. doi: 10.1177/1742395312443390. Epub 2012 Mar 28.
To explore the use of metaphoric language to convey emotion in interviews with people affected by motor neurone disease, a progressive neurological condition that sits between chronic and terminal illness.
Secondary analysis of 46 interviews with people affected by motor neurone disease in the United Kingdom (35 individuals with the condition, 11 carers).
Metaphor and figurative language was used to communicate the intensely emotional experiences of being diagnosed with and living with motor neurone disease. We focus on three pervasive themes that were threaded throughout the interviews: battling and fighting; the self under attack and journeying through a physical and emotional landscape.
This secondary analysis of qualitative research interviews enriches our understanding of the articulation of emotion in motor neurone disease and adds to the literature on metaphor in chronic illness. Of particular interest is how the metaphors used contrasted with other conditions in the relative absence of metaphors of 'fighting' the disease. Furthermore, we analyse the ways in which participants used metaphors to give voice to emotions that are extremely difficult to articulate in 'literal' language, and how, in doing so, they blurred the distinction between 'physical' symptoms and 'emotional' states. Sensitivity to metaphors may help professionals communicate with people affected by motor neurone disease.
探讨在对运动神经元病患者进行访谈时，使用隐喻性语言来传达情感的情况。运动神经元病是一种介于慢性病和绝症之间的进行性神经疾病。
对在英国对46名运动神经元病患者进行的访谈进行二次分析（35名患者，11名照料者）。
隐喻和比喻性语言被用于传达被诊断患有运动神经元病并与之共处时的强烈情感体验。我们关注贯穿访谈的三个普遍主题：抗争与战斗；遭受攻击的自我以及穿越身体和情感的历程。
对定性研究访谈的这种二次分析丰富了我们对运动神经元病中情感表达的理解，并为慢性病隐喻方面的文献增添了内容。特别值得关注的是，在相对缺乏“对抗”疾病隐喻的情况下，所使用的隐喻与其他病症的隐喻有何不同。此外，我们分析了参与者使用隐喻来表达用“直白”语言极难表述的情感的方式，以及他们如何在这样做的过程中模糊了“身体”症状和“情感”状态之间的区别。对隐喻的敏感性可能有助于专业人员与运动神经元病患者进行沟通。
