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癌症的痕迹:对乳腺癌康复后女性经历的隐喻性理解

The Traces of Cancer: A Metaphorical Understanding of the Experiences of Women Living Beyond Breast Cancer.

作者信息

Guité-Verret Alexandra, Vachon Mélanie

机构信息

Department of Psychology, Université du Québec à Montréal, Montreal, QC, Canada.

Réseau québécois de recherche en soins palliatifs et de fin de vie, Quebec, QC, Canada.

出版信息

Qual Health Res. 2024 Aug 19;35(3):10497323241242054. doi: 10.1177/10497323241242054.

DOI:10.1177/10497323241242054
PMID:39155833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11852540/
Abstract

This study feeds into ongoing discussions on the metaphors used by cancer patients. Its aim is to explore how women living with a history of breast cancer use metaphors to express and interpret the experience of cancer remission. Data were collected in interviews designed to capture a rich and metaphorical description of participants' experiences with breast cancer and what these experiences mean to them. Ten participants were recruited. An interpretative phenomenological analysis of the participants' narratives highlighted a central metaphor: the cancer trace in one's life. The participants had to adapt to four specific traces of cancer: (1) the identity trace, (2) the existential trace, (3) the bodily trace, and (4) the narrative trace. We discuss how cancer challenges one's sense of biographical continuity and initiates a search for a new way of being. We also discuss how the metaphor of the trace differs from the metaphor of the cancer hero living without any trace of cancer.

摘要

本研究为正在进行的关于癌症患者所使用隐喻的讨论提供了资料。其目的是探讨有乳腺癌病史的女性如何运用隐喻来表达和阐释癌症缓解的经历。数据收集于旨在获取参与者乳腺癌经历及其对参与者意义的丰富且具隐喻性描述的访谈之中。招募了十名参与者。对参与者叙述的解释现象学分析突出了一个核心隐喻:人生中的癌症痕迹。参与者必须适应癌症的四种特定痕迹:(1)身份痕迹,(2)生存痕迹,(3)身体痕迹,以及(4)叙事痕迹。我们讨论了癌症如何挑战一个人的生命历程连续性意识并引发对一种新的生存方式的探寻。我们还讨论了痕迹隐喻与毫无癌症痕迹的癌症英雄隐喻有何不同。

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本文引用的文献

1
I'm still me, I'm still a person: war metaphor use and meaning making in women with metastatic breast cancer.我还是我,我仍是一个人:转移性乳腺癌女性对战争隐喻的使用和意义构建。
Support Care Cancer. 2024 Jan 17;32(2):108. doi: 10.1007/s00520-024-08309-5.
2
Psychological issues in breast cancer survivors confronted with motherhood: Literature review and a call to action.面临为人母情况的乳腺癌幸存者的心理问题:文献综述与行动呼吁。
Front Psychol. 2023 Mar 2;14:1133204. doi: 10.3389/fpsyg.2023.1133204. eCollection 2023.
3
"More than conquerors": a qualitative analysis of war metaphors for patients with cancer.“不止是征服者”:对癌症患者战争隐喻的质性分析
Support Care Cancer. 2022 Dec 27;31(1):87. doi: 10.1007/s00520-022-07552-y.
4
The 50-Year War on Cancer Revisited: Should We Continue to Fight the Enemy Within?重访抗癌50年之战:我们是否应继续对抗体内之敌?
J Cancer Prev. 2021 Dec 30;26(4):219-223. doi: 10.15430/JCP.2021.26.4.219.
5
Cancer survivorship: existential suffering.癌症生存者:存在的痛苦。
Int J Qual Stud Health Well-being. 2021 Dec;16(1):2001897. doi: 10.1080/17482631.2021.2001897.
6
The incurable metastatic breast cancer experience through metaphors: the fight and the unveiling.无法治愈的转移性乳腺癌的隐喻体验:抗争与揭示。
Int J Qual Stud Health Well-being. 2021 Dec;16(1):1971597. doi: 10.1080/17482631.2021.1971597.
7
"Cured" but not "healed": The application of principles of palliative care to cancer survivorship.“治愈”但未“康复”:姑息治疗原则在癌症生存者中的应用。
Soc Sci Med. 2021 Apr;275:113802. doi: 10.1016/j.socscimed.2021.113802. Epub 2021 Feb 25.
8
Patient and public priorities for breast cancer research: a qualitative study in the UK.乳腺癌研究中患者及公众的优先事项:英国的一项定性研究
BMJ Open. 2021 Jan 29;11(1):e036072. doi: 10.1136/bmjopen-2019-036072.
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Battle, Journey, Imprisonment and Burden: patterns of metaphor use in blogs about living with advanced cancer.战斗、旅程、监禁和负担:晚期癌症患者博客中隐喻使用模式。
BMC Palliat Care. 2020 Apr 25;19(1):59. doi: 10.1186/s12904-020-00557-6.
10
Motherhood during or after breast cancer diagnosis: A qualitative study.乳腺癌诊断期间或之后的生育:一项定性研究。
Eur J Cancer Care (Engl). 2020 Mar;29(2):e13214. doi: 10.1111/ecc.13214. Epub 2020 Jan 6.