Zimmermann Martina
Lit Med. 2017;35(1):71-97. doi: 10.1353/lm.2017.0003.
This essay gives an overview of the metaphors that patients in comparison to caregivers employ to conceptualize their experience with the chronic degenerative, cognitive, and incurable aspects of Alzheimer's disease. It explores how the images (such as the journey, darkness, the death sentence, and torture) relate to the narration of cognitive decline and memory loss, and how these personal accounts negotiate with the culturally dominant dementia narrative that centers on the patient's passivity and dependence and is, usually, found in caregiver stories. This analysis, based on English, French, and German language texts, argues that the metaphors of this mainstream dementia narrative are, first, grounded in medico-scientific dementia discourse and, second, encapsulated in "Alzheimer's disease" as metaphor itself.
本文概述了与护理者相比，患者用来将其患阿尔茨海默病的慢性退行性、认知性和无法治愈方面的经历概念化的隐喻。它探讨了诸如旅程、黑暗、死刑判决和折磨等意象如何与认知衰退和记忆丧失的叙述相关联，以及这些个人叙述如何与以患者的被动性和依赖性为中心且通常出现在护理者故事中的文化主导性痴呆叙述进行协商。基于英语、法语和德语文本的这一分析认为，这种主流痴呆叙述的隐喻首先扎根于医学科学的痴呆话语，其次被封装在作为隐喻本身的“阿尔茨海默病”之中。
