From Evictions to Shame: Exploring Hysterectomy Through Metaphor

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Laura Ramírez Polo

Abstract

The present study analyzes metaphorical expressions related to hysterectomy in a diverse corpus comprising scientific texts, Reddit forums, and patient-authored articles and blogs. The research aims to understand how hysterectomy is discursively constructed and experienced by women. The corpus reveals a range of metaphors from clinical descriptions to personal and creative expressions. The analysis shows that metaphors not only reflect but also influence women's perceptions of their bodies and the procedure. The study identifies metaphors including the uterus as a 'tenant' or 'kidnapper,' and the procedure as an 'eviction' or a 'robbery', highlighting the emotional and psychological aspects of hysterectomy. Limitations include the corpus size, lack of metadata to establish more correlations, and its Western-centric perspective, suggesting the need for more inclusive research. The study contributes to the discourse on women's health, emphasizing the role of language in shaping medical experiences. It underscores the need for understanding metaphorical language to improve communication and support for women undergoing hysterectomy.

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How to Cite
Ramírez Polo, L. (2024). From Evictions to Shame: Exploring Hysterectomy Through Metaphor. Culture, Language and Representation, 34, 171–193. https://doi.org/10.6035/clr.7889
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ARTÍCULOS / ARTICLES

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References

Ariho, Paulino., & Nzabona, Abel. (2019). Determinants of change in fertility among women in rural areas of Uganda. Journal of pregnancy, 2019.

Aristotle. (2008). Poetics. Translated by S.H. Butcher. Penguin Classics. (Original work published Bekker 1447a8-13).

Augustus, Charles E. (2002). Beliefs and perceptions of African American women who have had hysterectomy. Journal of Transcultural Nursing, 13(4), 296-302.

Bleakley, Alan. (2017). Thinking with metaphors in medicine: the state of the art. Routledge.

Bossick, Amy S., Sangha, Rajpreet, Olden, Heather, Alexander, Gwen L., & Wegienka, Ganesa. (2018). Identifying what matters to hysterectomy patients: postsurgery perceptions, beliefs, and experiences. Journal of Patient-Centered Research and Reviews, 5, 167-175. https://doi.org/10.17294/2330-0698.1581

Cabness, Jennifer. (2010). The psychosocial dimensions of hysterectomy: private places and the inner spaces of women at midlife. Social Work in Health Care, 49(3), 211-226.

Deignan, Alice. (2008). Corpus linguistics and metaphor. John Benjamins Publishing Company.

Delaunay, Claire, Santos, Maria Jose., & Gouveia, Luís. (2021). In-vitro metaphors: ART beneficiaries’ meaning-making about human embryos in the context of IVF in Portugal. Reproductive Biomedicine & Society Online, 13, 62-74.

Dell, Patricia, & Papagiannidou, Sofia. (1999). Hysterical talk? A discourse analysis of Greek women’s accounts of their experience following hysterectomy with oophorectomy. Journal of Reproductive and Infant Psychology, 17(4), 391-404.

Fleming, Victoria. (2003). Hysterectomy: a case study of one woman’s experience. Journal of Advanced Nursing, 44(6), 575-582.

Flory, Nathalie, Bissonnette, Francoise, & Binik, Yitzchak M. (2005). Psychosocial effects of hysterectomy: literature review. Journal of Psychosomatic Research, 59(3), 117-129.

Forceville, Charles, & Paling, Stephen. (2021). The metaphorical representation of depression in short, wordless animation films. Visual Communication, 20(1), 100-120.

Fu, Jie. (2023). Metaphor use in aphasia. (Doctoral dissertation, Netherlands Graduate School of Linguistics).

Galavotti, Christine, & Richter, Deborah L. (2000). Talking about hysterectomy: the experiences of women from four cultural groups. Journal of Women’s Health & Gender-Based Medicine, 9(2, Supplement 2), 63-67.

Gibbs, Raymond., & Franks, Herbert. (2002). Embodied metaphor in women’s narratives about their experiences with cancer. Health Communication, 14(2), 139–165. https://doi.org/10.1207/S15327027HC1402_1

Goudarzi, Farideh, Khadivzadeh, Talat, Ebadi, Abbas, & Babazadeh, Raziye. (2022). Women’s interdependence after hysterectomy: a qualitative study based on Roy adaptation model. BMC Women’s Health, 22(1), 40.

Groff, Jennifer Y., Mullen, Patricia D., Byrd, Theresa, Shelton, Amy J., Lees, Elizabeth, & Goode, Judith. (2000). Decision making, beliefs, and attitudes toward hysterectomy: a focus group study with medically underserved women in Texas. Journal of Women’s Health & Gender-Based Medicine, 9(2, Supplement 2), 39-50.

Harper, Douglas. (n.d.). Etymology of hysterectomy. Online Etymology Dictionary. Retrieved January 12, 2024, from https://www.etymonline.com/word/hysterectomy

Kinnick, Valerie, & Leners, Deborah. (1995). The hysterectomy experience: an ethnographic study. Journal of Holistic Nursing, 13(2), 142-154.

Kövecses, Z. (2008). Conceptual metaphor theory: Some criticisms and alternative proposals. Annual review of cognitive linguistics, 6(1), 168-184.

Lainez Ramos-Bossini, Alejandro J., & Tercedor Sánchez, María Isabel. (2020). E-patients in Oncology: a corpus-based characterization of medical terminology in an online cancer forum.

Lakoff, George, & Johnson, Mark. (1980). Metaphors we live by. University of Chicago Press, Chicago, IL.

Lazar, Alexandra. (2021). La operación: Coerced Sterilization of Puerto Rican Women in the 20th Century. Honors Theses, 2427. Retrieved from https://digitalworks.union.edu/theses/2427

Lewis, Carol E., Groff, Jennifer Y., Herman, Connie J., McKeown, Robert E., & Wilcox, Linda S. (2000). Overview of women’s decision making regarding elective hysterectomy, oophorectomy, and hormone replacement therapy. Journal of Women’s Health & Gender-Based Medicine, 9(2, Supplement 2), 5-14.

Li, Na, Shen, Chen., Wang, Rao, & Chu, Zhiping (2023). The real experience with women’s hysterectomy: A meta‐synthesis of qualitative research evidence. Nursing Open, 10(2), 435-449.

Linenberger, Holly, & Cohen, Shelly. (2004). From hysterectomy to historicity. Health Care for Women International, 25(4), 349-357.

Lorentzen, J. M. (2000). Medical power relations and elective hysterectomy. Michigan State University. Dissertation.

Magaña, Denise. (2020). Praying to win this battle: Cancer Metaphors in Latina and Spanish Women’s Narratives. Health Communication, 35(5), 649-657.

Mattingly, Ashley S., Chen, Michelle M., Divi, Venu, Holsinger, F. Christopher, & Saraswathula, Anirudh. (2023). Minimally Invasive Surgery in the United States, 2022: Understanding Its Value Using New Datasets. Journal of Surgical Research, 281, 33-36.

Mingo, Chandra, Herman, Connie J., & Jasperse, Marianne. (2000). Women’s stories: ethnic variations in women’s attitudes and experiences of menopause, hysterectomy, and hormone replacement therapy. Journal of Women’s Health & Gender-Based Medicine, 9(2, Supplement 2), 27-38.

Navarro Ferrando, Ignasi. (2017). Conceptual metaphor types in oncology. Ibérica, 34, 163-186.

Pragglejaz Group (2007). MIP: A method for identifying metaphorically used words in discourse. Metaphor and symbol, 22(1), 1-39.

Richter, Deborah L., Corwin, Sarah J., Rheaume, Carol E., & McKeown, Robert E. (2001). Perceptions of alternative therapies available for women facing hysterectomy or menopause. Journal of Women & Aging, 13(4), 21-37.

Russell, Katherine M. (2017). Hysterectomy, metaphor, and voice: an exploratory study of surgery experiences. (Doctoral dissertation, Antioch University).

Sardeshpande, Neha. (2014). Why do young women accept hysterectomy? Findings from a study in Maharashtra, India. International Journal of Innovation and Applied Studies, 8(2), 579.

Semino, Elena. (2008). Metaphor in discourse (p. 81). Cambridge University Press.

Semino, Elena, Demjén, Zsófia, & 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.

Semino, Elena, Demjén, Zsófia, Hardie, Andrew, Payne, Sheila, & Rayson, Paul. (2015). The online use of Violence and Journey metaphors by patients with cancer, as compared with health professionals: a mixed methods study. BMJ Supportive & Palliative Care.

Semino, Elena, Demjén, Zsófia, Hardie, Andrew, Payne, Sheila, & Rayson, Paul. (2017). Metaphor, cancer and the end of life: A corpus-based study. Routledge.

Semino, Elena, Heywood, John, & Short, Mick. (2004). Methodological problems in the analysis of metaphors in a corpus of conversations about cancer. Journal of Pragmatics, 36(7), 1271-1294.

Stanford Health Care. (2017). Types -Our Approach to Hysterectomy. Retrieved September 12, 2017, from https://stanfordhealthcare.org/medical-treatments/h/hysterectomy/types.html

Steen, Gerard, Dorst, Aletta G., Herrmann, J. Berenike, Kaal, Anna, Krennmayr, Tina, & Pasma, Trijntje. (2010). A method for linguistic metaphor identification. John Benjamins Publishing Company.

Sánchez, M. T., & Valenzuela, A. C. (2018). Visual metaphors in representing medical nowledge. Linguistica Antverpiensia, 17, 174-195.

Tovar, Patricia. (2006). De historias, histerias e histerectomías: la construcción de los discursos médicos y los imaginarios sobre la reproducción femenina. In Viveros Vigoya, Mara (Ed.), Saberes, culturas y derechos sexuales en Colombia (pp. 35-61). Tercer Mundo, CLAM, Universidad Nacional de Colombia - Centro de Estudios Sociales.

Toze, M. (2018). The risky womb and the unthinkability of the pregnant man: Addressing trans masculine hysterectomy. Feminism & Psychology, 28(2), 194-211.

Urrutia, María Teresa, Araya, Alejandra, & Riquelme, Patricia. (2008). Satisfacción con la educación recibida en un grupo de mujeres histerectomizadas. Ciencia y Enfermería, 14(1), 33-42.

Urrutia, María Teresa, Araya, Alejandra, Flores, Carolina, Jara, Daniela, Silva, Sandra, & Lira, María José. (2013). Histerectomía: la experiencia de no tener útero para un grupo de mujeres chilenas. Revista Chilena de Obstetricia y Ginecología, 78(4), 262-268.

Uskul, Ayse, Ahmad, Farah, Leyland, Nicholas A., & Stewart, Donna E. (2003). Women’s hysterectomy experiences and decision-making. Women & Health, 38(1), 53-67.