Beck Cheryl Tatano
Cheryl Tatano Beck is a Distinguished Professor, University of Connecticut, School of Nursing, 231 Glenbrook Road, Storrs, CT. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2016 Mar-Apr;41(2):76-83; E5-6. doi: 10.1097/NMC.0000000000000211.
Nine percent of mothers screened positive for meeting the diagnostic criteria for posttraumatic stress disorder (PTSD) due to childbirth in a recent study of childbearing women in the United States. The purpose of this study was to analyze the language used by mothers experiencing PTSD after traumatic birth for metaphors as a rich source of insight into this mental illness for maternal-child nurses.
A secondary analysis was conducted of the corpus of 124 typed pages from the primary qualitative study of women's experiences of PTSD following traumatic childbirth. The Pragglejaz Group's metaphor identification procedure was the method used for identifying metaphorically used words in the mothers' discourse.
Nine metaphors emerged. These metaphors portray PTSD due to childbirth as a mechanical robot, a ticking time bomb, an invisible wall, a video on constant reply, enveloping darkness, a dangerous ocean, a thief in the night, a bottomless abyss, and suffocating layers of trauma.
Metaphors that mothers used to describe their experiences of PTSD following a traumatic birth provide rich insight for maternal-child nurses. These metaphors give a new voice to women's experiences of PTSD and are a perfect match for a valuable source for nurses' evidence-based practice.
在美国近期一项针对育龄妇女的研究中，9%的母亲因分娩符合创伤后应激障碍（PTSD）的诊断标准而筛查呈阳性。本研究的目的是分析经历过创伤性分娩后患有创伤后应激障碍的母亲所使用的语言中的隐喻，作为母婴护士深入了解这种精神疾病的丰富来源。
对一项关于创伤性分娩后女性创伤后应激障碍经历的质性研究中的124页文字资料进行二次分析。采用普拉格雷亚兹小组的隐喻识别程序来识别母亲话语中隐喻性使用的词汇。
出现了九个隐喻。这些隐喻将分娩后的创伤后应激障碍描绘成一个机械机器人、一颗定时炸弹、一堵无形的墙、一个不断回放的视频、笼罩的黑暗、一片危险的海洋、夜间窃贼、一个无底深渊以及令人窒息的创伤层。
母亲们用来描述创伤性分娩后创伤后应激障碍经历的隐喻为母婴护士提供了丰富的见解。这些隐喻为女性创伤后应激障碍的经历赋予了新的声音，并且与护士循证实践的宝贵来源完美契合。
