Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Sydney, Australia.
Scand J Pain. 2022 Aug 4;23(1):88-96. doi: 10.1515/sjpain-2022-0043. Print 2023 Jan 27.
This study investigated clinician experience of patient use of metaphors in chronic pain communication.
Interviews were conducted with eighteen Australian clinicians working with chronic pain patients, age range 26-64 years (=46.6), 50% female, experience working in chronic pain ranging from 2 to 27 years (=11.16).
Thematic Analysis yielded four key themes: Metaphor as communicative tool, Metaphor as clue, Metaphor as obstacle, and Metaphor use in treatment. Clinicians identified metaphor as an important tool for patients to communicate their pain experience, whilst acknowledging that it could at times be unhelpful to patients. Metaphor was seen to contain useful information for clinicians and possess utility in assessment and treatment.
Metaphors play a significant role in chronic pain consultations, enabling clinician insight into pain type, psychopathology, and patient pain understanding. Metaphor in treatment phases may be underutilised. Clinicians should encourage patient metaphor use in chronic pain communication.
本研究调查了临床医生在慢性疼痛交流中对患者使用隐喻的体验。
对 18 名澳大利亚临床医生进行了访谈，年龄在 26-64 岁之间（=46.6），女性占 50%，在慢性疼痛方面的工作经验从 2 年到 27 年不等（=11.16）。
主题分析产生了四个关键主题：隐喻作为交流工具、隐喻作为线索、隐喻作为障碍以及隐喻在治疗中的应用。临床医生认为隐喻是患者表达疼痛体验的重要工具，但也承认有时对患者没有帮助。隐喻被认为包含了对临床医生有用的信息，并在评估和治疗中具有实用性。
隐喻在慢性疼痛咨询中起着重要作用，使临床医生能够深入了解疼痛类型、精神病理学和患者对疼痛的理解。治疗阶段的隐喻可能未被充分利用。临床医生应鼓励患者在慢性疼痛交流中使用隐喻。
