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Academic Psychiatry

, Volume 42, Issue 2, pp 255–257 | Cite as

The Machine Days Are Over: Medicine Metaphors and the Psychiatric Resident

  • Daniel Shalev
Feature: Perspective

Metaphors, defined by linguists George Lakoff and Mark Johnson as “a way of conceiving of one thing in terms of another” for the purpose of understanding, are pervasive in medicine [1]. At any given time, doctors and patients alike may be walking slow roads, fighting uphill battles, falling behind, eking miraculous victories, and so forth without having literally walked, fought, fallen, or won. Given the challenging concepts we contend with in medicine—physiology, intangible disease processes, and life and death—it is not surprising that we use metaphor to capture meaning that confounds expression.

Scholarship from fields including cognitive neuroscience, psychology, literature, and philosophy has demonstrated that metaphor shapes social thought and attitude in ways that affect behavior [2, 3]. Bioethicist Douglas Diekema provides the example of commuters connoting their driving with racing and consequently driving more aggressively and less safely [4]. This effect is particularly...

Notes

Compliance with Ethical Standards

Disclosures

The author states that there is no conflict of interest.

Funding

This work is not funded.

References

  1. 1.
    Lakoff G, Johnson M. Metaphors we live by. Chicago: University of Chicago Press; 1980.Google Scholar
  2. 2.
    Landau MJ, Meier BP, Keefer LA. A metaphor-enriched social cognition. Psychol Bull. 2010;136:1045–67.CrossRefPubMedGoogle Scholar
  3. 3.
    Hauser DJ, Schwarz N. Medical metaphors matter: experiments can determine the impact of metaphors on bioethical issues. Am J Bioeth AJOB. 2016;16:18–9.CrossRefPubMedGoogle Scholar
  4. 4.
    Diekema DS. Metaphors, medicine, and morals. Sound Interdiscip J. 1989;72:17–24.Google Scholar
  5. 5.
    Aronowitz RA. Residency as metaphor. J Gen Intern Med. 1990;5:84–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Chambers T. Metaphors as equipment for living. Am J Bioeth AJOB. 2016;16:12–3.CrossRefPubMedGoogle Scholar
  7. 7.
    Baron RJ. An introduction to medical phenomenology: I can’t hear you while I’m listening. Ann Intern Med. 1985;103:606–11.CrossRefPubMedGoogle Scholar
  8. 8.
    Boyle J, Morriss J. THE CRISIS IN MEDICINE: models, myths and metaphors. ETC Rev Gen Semant. 1979;36:261–74.Google Scholar
  9. 9.
    Periyakoil VS. Using metaphors in medicine. J Palliat Med. 2008;11:842–4.CrossRefPubMedGoogle Scholar
  10. 10.
    Coulehan J. Metaphor and medicine: narrative in clinical practice. Yale J Biol Med. 2003;76:87–95.PubMedPubMedCentralGoogle Scholar
  11. 11.
    Sauvayre P, Vegas M. An even hover-reading of Freud: the work of metaphor. Int J Psychoanal. 2016;97:1343–67.CrossRefPubMedGoogle Scholar
  12. 12.
    Rosenman S. Metaphor, meaning and psychiatry. Australas Psychiatry Bull R Aust N Z Coll Psychiatr. 2008;16:391–6.Google Scholar
  13. 13.
    Perrault S, O’Keefe MM. Journeys as shared human experiences. Am J Bioeth AJOB. 2016;16:13–5.CrossRefPubMedGoogle Scholar

Copyright information

© Academic Psychiatry 2017

Authors and Affiliations

  1. 1.Columbia University Medical CenterNew YorkUSA

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