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无法治愈的转移性乳腺癌的隐喻体验:抗争与揭示。

The incurable metastatic breast cancer experience through metaphors: the fight and the unveiling.

机构信息

Psychology Department, Université Du Québec À Montréal, Montréal, Canada.

Center for Research and Intervention on Suicide, Ethical Issues and End-of-Life Practices, Montreal, Canada.

出版信息

Int J Qual Stud Health Well-being. 2021 Dec;16(1):1971597. doi: 10.1080/17482631.2021.1971597.

Abstract

War metaphors are omnipresent in public and medical discourse on cancer . If some studies suggest that cancer patients may view their experiences as afight, few studies focus on the metaphors that patients create from their subjective experiences. The aim was to better understand the experience of four women with incurabale metastatic breast cancer from the metaphors they used in personal cancer blogs. An interpretive phenomenological analysis (IPA) was used to analyze these women's experience and metaphors of cancer. Two metaphors carried the meaning of metastatic breast cancer experience: the fight and the unveiling. The results show that the war metaphor had a unique meaning for the bloggers who lived with incurable breast cancer: they revealed the difficulty of fighting cancer and eventually collapsing in battle, although a renewed look at life had developed in parallel to their struggle. The bloggers thus tried to lift the veil on this complex experience. The results highlight the need for women with metastatic breast cancer to be able to tell and share their experience in a supportive context and to reinvest the war metaphor in order to express themselves in a more authentic way.

摘要

癌症的公共话语和医学话语中充斥着战争隐喻。如果一些研究表明癌症患者可能将自身经历视为一场战斗,那么关注患者从主观经历中创造的隐喻的研究则寥寥无几。本研究旨在通过她们在个人癌症博客中使用的隐喻,更好地理解 4 位患有不可治愈转移性乳腺癌的女性的体验。采用解释现象学分析(IPA)对这些女性的癌症体验和隐喻进行分析。两个隐喻承载了转移性乳腺癌体验的意义:战斗和揭示。结果表明,对于身患不可治愈乳腺癌的博主来说,战争隐喻具有独特的意义:她们揭示了与癌症作斗争的艰难,最终在战斗中倒下,尽管在与病魔抗争的同时,她们对生活有了新的认识。因此,博主们试图揭开这种复杂体验的面纱。研究结果强调了转移性乳腺癌女性需要在一个支持性的环境中讲述和分享自己的经历,并重新利用战争隐喻,以更真实的方式表达自己。

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