Recounts of pain: Conceptual metaphors in the construction of chronic pain by Chilean women
Article Sidebar
Main Article Content
Abstract
This study aims to determine the conceptualizations of pain associated with the chronic suffering of endometriosis based on the metaphorical uses related to pain identified in 30 interviews with patients of this gynaecological disease. The analysis included the identification of concordances, assisted by the Sketch Engine software, and the determination of the most frequent words. From the group of lexical units, two lemmas characteristic of this discourse were studied: pain and feeling, within the framework of 200 randomized concordances. Subsequently, and applying the proposal of the Cameron and Maslen’s (2010) procedure, the metaphorical uses were identified and then categorized and interpreted according to the source domain in which they were contextualized in cognitive terms. In this way, metaphorical conceptualizations were established about the feelings of patients experiencing endometriosis and the types of pain that they communicate. Results indicate that the most frequent conceptualizations refer to types and intensities of pain, which imply a challenge for speakers. Besides, conceptual metaphors related to others’ reactions towards endometriosis sufferers and to the construction of the effects of the pathology on their emotional state were identified. Conceptualizations refer to extreme intensities, lack of credibility perceived by the patients and feelings of «depersonalization». Unfortunately, all of them are aspects that these women must face daily, conceptualized in language through metaphors.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
An open-access CREATIVE COMMONS copyright license is used. Those authors whose works are published by this journal, accept the following terms:
- Authors will retain their copyright and guarantee the Journal the right to first publish their work, which will simultaneously be subject to the Creative Commons Recognition License CC BY SA that allows third parties to share the work, provided that its author and first publication is indicated.
- Authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (e.g., deposit it in an institutional telematics file or publish it in a monographic volume) provided that the initial publication in this journal is indicated.
- Authors are allowed and recommended to disseminate their work over the Internet (e.g. in institutional telematics files or on their website) before and during the submission process, which can produce interesting exchanges and increase quotes of the published work.
References
Bañón Hernández, Antonio M. (2018). Discurso y salud. Análisis de un debate social. EUNSA. https://doi.org/10.15581/008.36.40110
Bravo, Diana (2017). Cortesía en español: negociación de face e identidad en discursos académicos. Texts in Process, 3(1), 49-127.
Bulletti, Carlo, Coccia, Maria Elisabetta, Battistoni, Silvia y Borini, Andrea (2010). Endometriosis and infertility. Journal of assisted reproduction and genetics, 27(8), 441-447. http://doi.org/10.1007/s10815-010-9436-1
Bullo, Stella (2018) ‘I feel like I’m being stabbed by a thousand tiny men’: The challenges of communicating endometriosis pain. Health 24 (5): 476–492. https://doi.org/10.1177/1363459318817943
Bullo, Stella., y Hearn, Jasmine Heath (2020). Parallel worlds and personified pain: A mixed-methods analysis of pain metaphor use by women with endometriosis. British Journal of Health Psychology, 26(2), 271–288. https://doi.org/10.1111/bjhp.12472
Bullo, Stella, Pascual, Mariana y Magaña, Dalia (2021). Agency in endometriosis pain communication in English and Spanish. Communication and Medicine, 18(1), 22–36. https://doi.org/101558/cam.20075
Butler, Christopher y Gonzálvez-García, Francisco (2012). La Lingüística Cognitiva y el Funcionalismo. En I. Ibarretxe-Antuñano y J. Valenzuela (Eds.), Lingüística Cognitiva (pp. 349–374). Anthropos.
Cameron, Lynne y Maslen, Robert (2010). Identifying metaphors in discourse data. En L. Cameron & R. Maslen (Eds.). Metaphor Analysis (pp. 97–115). Equinox.
Charteris-Black, Jonathan (2016). The «dull roar» and the «burning barbed wire pantyhose». En R. W. Gibbs (Ed.), Mixing Metaphor (pp. 155–176). John Benjamins B. V.
Charteris-Black, Jonathan (2021). Metaphors of Coronavirus. Palgrave Macmillan.
Clínica Mayo (2021). Endometriosis. Recuperado de https://www.mayoclinic.org/
es/diseases-conditions/endometriosis/symptoms-causes/syc-20354656
Denzin, Norman K., y Lincoln, Yvonna S. (Eds.) (2018). The SAGE Handbook of Qualitative Research (5th ed.). SAGE.
Díaz Alegría, Natalia, Arcos, Alegría y Pascual, Mariana (2023). Un Abordaje interdisciplinario al dolor físico y emocional en pacientes con endometriosis. Revista de Psicología de la Salud, 12(1), https://doi.org/10.21134/pssa.v12i1.105
Filardo-Llamas, Laura (2022). From the War on Covid-19 to Political Wars: Metaphor as a Mechanism of Polarization in the Early Stages of the 2020 Pandemic. En L. Filardo-Llamas, E. Morales-López, y A. Floyd (Eds.), Discursive Approaches to Sociopolitical Polarization and Conflict (pp. 192–212). Routledge.
Fonseca, Jazmín M., Sánchez, Sergio C. y Pérez, Juan Carlos H. (2021). Endometriosis. Revista Médica Sinergia, 6(05), 1-10. https://doi.org/10.31434/rms.v6i5.677
Ibarretxe-Antuñano, Iraide y Valenzuela, Javier (2012). Lingüística Cognitiva: Origen, principios y tendencias. En I. Ibarretxe-Antuñano y J. Valenzuela (Eds.), Lingüística Cognitiva (pp. 13–38). Anthropos.
Koller, Veronika (2012). How to Analyse Collective Identity in Discourse – Textual and Contextual Parameters. Critical Approaches to Discourse Analysis across Disciplines, 5(2), 19–38.
Kövecses, Zoltán (2010). Metaphor. A Practical Introduction (2.a ed.). Oxford University Press.
Kövecses, Zoltán (2015). Where Metaphors come from. Oxford University Press.
Lakoff, George y Johnson, Mark (2015/1980). Metáforas de la vida cotidiana (10.ma ed.). Cátedra.
Lovón Cueva, Marco A., Montenegro-García, María I., y Chegne Cortez, Aixa D. (2021). COVID-19 and the metaphor of war: A cognitive analysis in digital newspapers and social networks. Boletín de la Academia Peruana de la Lengua, 70(70), 155–196. https://doi.org/10.46744/bapl.202102.005
Mundo López, Antonio (2021). Impacto psicosocial y calidad de vida en mujeres con endometriosis: situación actual en España. http://hdl.handle.net/10481/68024
Navarro i Ferrando, Ignasi (2019). Metaphor analysis in discourse. Introduction. En I. Navarro i Ferrando (Ed.), Current Approaches to Metaphor Analysis in Discourse (pp. 1–16). De Gruyter Mouton.
Olza, Inés, Koller, Veronika, Ibarretxe-Antunano, Iraide, Pérez-Sobrino, Paula y Semino, Elena (2021). The #Reframe Covid initiative: From Twitter to society via metaphor. Metaphor and the Social World, 11(1), 98–120.
Organización Mundial de la Salud (OMS) (2021). Clasificación Internacional de Enfermedades, 11.a revisión (CIE-11). OMS. https://icd.who.int/es
Parasar, Parveen, Ozcan, Pinar y Terry, Kathrin L. (2017). Endometriosis: Epidemiology, Diagnosis and Clinical Management. Curr Obstet Gynecol Rep, 6, 34-41. http://doi.org/10.1007/s13669-017-0187
Pascual, Mariana (2020). Discurso, salud e información desde el relato de pacientes de endometriosis. Discurso & Sociedad, 14(2) 422-442.
Pascual, Mariana (2021). De héroes a villanos. La violencia hacia el personal de salud durante la pandemia Covid-19 en ciberprensa de Argentina y Chile. En M. L. Pardo y M. Marchese (Coord.), Violencia y derechos vulnerados: el discurso en acción (pp. 41-60). Editorial Biblos.
Pascual, Mariana (2022). La voz de las pacientes con dolor crónico: el afecto en la interacción en páginas de Facebook y en entrevistas. Revista Latinoamericana de Estudios del Discurso, 22(2), 58–80 http://doi.org/10.35956/v.22.n2.2022.p.58-80
Pascual, Mariana y Díaz Alegría, Natalia (2021). El afecto en relatos de dolor crónico en comentarios de Facebook de mujeres chilenas. Nueva Revista del Pacífico, 74, 47- 64. http://dx.doi.org/10.4067/S0719-51762021000100047
Pragglejaz Group. (2007). MIP: A method for identifying metaphorically used words in discourse. Metaphor and Symbol, 22(1), 1–39. https://doi.org/10.1080/10926480709336752
Quintero, María Fernanda, Vinaccia, Stefano y Quiceno, Japcy Margarita (2017). Endometriosis: Aspectos Psicológicos. Revista chilena de obstetricia y ginecología, 82(4), 447-452. http://dx.doi.org/10.4067/s0717-75262017000400447
Real Academia Española (RAE) (2014). Diccionario de la lengua española, 23.a ed., [versión 23.7 en línea]. <https://dle.rae.es>.
Sagua, Benjamín, y Pascual, Mariana (2024). La representación del dolor crónico: tipos e intensidades en relatos autobiográficos de mujeres chilenas. Forma y Función, 37(1). https://doi.org/10.15446/fyf. v37n1.107073
Semino, Elena (2008). Metaphor in Discourse. Cambridge University Press.
Semino, Elena (2010). Descriptions of pain, metaphor, and embodied simulation. Metaphor and Symbol, 25(4), 205–226. https://doi.org/10.1080/10926488.2010.510926
Semino, Elena (2021). «Not Soldiers but Fire-fighters»–Metaphors and Covid-19. Health Communication, 36(1), 50–58. https://doi.org/10.1080/10410236.2020.1844989
Semino, Elena, Demjén, Zsófia, y Demmen, Jane. (2018). An integrated approach to metaphor and framing in cognition, discourse, and practice, with an application to metaphors for cancer. Applied Linguistics, 39(5), 625–645. https://doi.org/10.1093/applin/amw028
Silvestre-López, Antonio-José (2022). Uses and functions of conceptual metaphor in pedagogical meditation discourse. ELUA, (38), 47-72. https://doi.org/10.14198/ELUA.22349
Steen, Gerard (2017). Identifying metaphors in language. En E. Semino y Z. Demjén (Eds.), The Routledge Handbook of Metaphor and Language (pp. 73–87). Routledge.
Steen, Gerard, Dorst, Aletta. G., Berenike Herrmann, J., Kaal, Anna A., Krennmayr, Tina, y Pasma, Trijntje. (2010). A Method for Linguistic Metaphor Identification. From MIP to MIPVU. John Benjamins Publishing Company.
Sullivan, Karen (2017). Conceptual metaphor. En B. Dancygier (Ed.), The Cambridge Handbook of Cognitive Linguistics (pp. 385–406). Cambridge University Press.
Vereza, Solange (2010). Articulating the conceptual and the discursive dimensions of figurative language in argumentative texts. DELTA. Documentacao de Estudos Em Linguistica Teorica e Aplicada, 26(SPL.ISS.), 701–718. https://doi.org/10.1590/s0102-44502010000300015