Metaphors for 'good' and 'bad' deaths A health professional view
Metaphors for 'good' and 'bad' deaths A health professional view
复制标题
DOI：
10.1075/msw.6.1.01dem
复制
发表时间：
2016-01-01
影响因子：
0.9
通讯作者：
Koller, Veronika
中科院分区：
文献类型：
--
作者：
Demjen, Zsofia;Semino, Elena;Koller, Veronika
本文讨论了16个姑息治疗的医疗保健专业人士使用的隐喻，从英国各地的半结构化采访，以描述他们所看到的“好”和“坏”的死亡。为大型“临终关怀的隐喻”项目进行的访谈，以当代临终关怀、死亡和死亡质量的实践和话语为背景。到目前为止，隐喻在不同类型死亡描写中的运用还没有引起足够的重视。应用隐喻识别程序（Pragglejaz Group，2007），我们发现好的和坏的死亡之间的差异部分是通过不同频率的对比隐喻来表达的，比如“和平”和“开放”，而不是“斗争”和“推开”专业帮助。我们展示了隐喻是如何被用来：评估死亡和垂死;证明这些评价;提出一个非常一致的看法，不同类型的死亡;并促进一个特定的“框架”的一个好的死亡，这是密切相关的主导社会文化和专业背景下，我们的受访者。我们讨论了这些一致的评价和框架在更广泛的临终关怀背景下的影响，并反映了我们的研究结果的重要性，隐喻在沟通中的作用敏感的经验。
This paper discusses the metaphors used by sixteen palliative healthcare professionals from around the United Kingdom in semi-structured interviews to describe what they see as 'good' and 'bad' deaths. The interviews, conducted for the large-scale "Metaphor in End-of-Life Care" project, are set against the background of contemporary practices and discourses around end-of-life care, dying and quality of death. To date, the use of metaphor in descriptions of different types of deaths has not received much attention. Applying the Metaphor Identification Procedure (Pragglejaz Group, 2007) we find that the difference between good and bad deaths is partly expressed via different frequencies of contrasting metaphors, such as 'peacefulness' and 'openness' as opposed to 'struggle' and 'pushing away' professional help. We show how metaphors are used to: evaluate deaths and the dying; justify those evaluations; present a remarkably consistent view of different types of deaths; and promote a particular 'framing' of a good death, which is closely linked with the dominant sociocultural and professional contexts of our interviewees. We discuss the implications of these consistent evaluations and framings in broader end-of-life care contexts, and reflect on the significance of our findings for the role of metaphor in communication about sensitive experiences.