Thinking With Metaphors In Medicine

While medical language is soaked in metaphor, and thinking with metaphor is central to diagnostic work, medicine – that is, medical culture, clinical practice and medical education – outwardly rejects metaphor for objective, literal scientific language. This thought-provoking book argues that this is a misstep, and critically considers what embracing the use of metaphors and similes might mean for shaping medical culture, and especially the doctor–patient relationship, in a healthy way. Thinking With Metaphors in Medicine explores: how metaphors inhabit medicine – sometimes for the better and sometimes for the worse – and how these metaphors can be revealed, appreciated and understood; how diagnostic work utilizes thinking with metaphors; how patient–doctor communication can be better understood and enhanced as a metaphorical exchange; how the landscape of medicine is historically shaped by leading or didactic metaphors, such as ‘the body as machine’ and ‘medicine as war’, which may conflict with other values or perspectives on healthcare, for instance, person-centred care. Outlining the kinds of metaphors and resemblances that inhabit medicine and how they shape practices and identities of doctors, colleagues and patients, this book demonstrates how the landscape of medicine may be reshaped through metaphor shift. It is an important work for all those interested in the use of language and rhetoric in medicine, whether hailing from a humanities, social science or healthcare background.

Cover -- Half Title -- Title Page -- Copyright Page -- Dedication -- Table of Contents -- Forewords -- Preface: forewarned -- Acknowledgements -- 1 The recovery of metaphor in medicine -- 2 Metaphors, once down and out, make a comeback -- 3 What do we know about metaphors in medicine and what are the consequences of resisting metaphor? -- 4 'Medicine as war' and other didactic metaphors -- 5 Medical metaphors as resemblances: putting aesthetics to work -- 6 Functions of resemblances in medicine: 'food for thought' -- 7 Metaphors in psychiatry: the embodied mind at its limits -- 8 Metaphors in medical education: the pedagogic imagination -- 9 Poetry, metaphor and the medical imagination -- 10 'Thinking with metaphors in medicine: the state of the art': Part I: the odyssey -- 11 'Thinking with metaphors in medicine: the state of the art': Part II: the tournament joust -- Summary -- Conclusion -- Appendix 1 -- Appendix 2 -- Appendix 3 -- Bibliography -- Index

This book claims that metaphors must be seen as indispensable cognitive and communicative instruments in medical science. Analysis of texts taken from recently published medical handbooks reveals what kind of metaphors are used to structure certain medical concepts and what the functions are of the metaphorical expressions in the texts. Special attention is drawn to the idea that scientific facts do not originate from passive observation of reality. Imaginative thinking and the use of metaphors are required to make the unknown accessible to us. Yet, although metaphors are often a sine qua non for the genesis of a scientific fact, they may also inhibit the development of alternative views. This is due to the fact that metaphors always highlight certain aspects of a phenomenon while other aspects remain obscured. Analysis of the metaphors used in medical texts may reveal exactly which aspects are highlighted and which remain hidden and may thus help to find alternative metaphors (and possibly therapies) when current metaphors are no longer adequate. This book should be of interest not only to linguists, translators and researchers working in the field of intercultural communication, but also to doctors and medical scientists, and those interested in the philosophy of science.

Medicine is most often understood through the metaphor of war. We encounter phrases such as "the war against the coronavirus," "the front lines of the Ebola crisis," "a new weapon against antibiotic resistance," or "the immune system fights cancer" without considering their assumptions, implications, and history. But there is nothing natural about this language. It does not have to be, nor has it always been, the way to understand the relationship between humans and disease. Medicine Is War shows how this "martial metaphor" was popularized throughout the nineteenth century. Drawing on the works of Mary Shelley, Charles Kingsley, Bram Stoker, Arthur Conan Doyle, and Joseph Conrad, Lorenzo Servitje examines how literary form reflected, reinforced, and critiqued the convergence of militarism and medicine in Victorian culture. He considers how, in migrating from military medicine to the civilian sphere, this metaphor responded to the developments and dangers of modernity: urbanization, industrialization, government intervention, imperial contact, crime, changing gender relations, and the relationship between the one and the many. While cultural and literary scholars have attributed the metaphor to late nineteenth-century germ theory or immunology, this book offers a new, more expansive history stretching from the metaphor's roots in early nineteenth-century militarism to its consolidation during the rise of early twentieth-century pharmacology. In so doing, Servitje establishes literature's pivotal role in shaping what war has made thinkable and actionable under medicine's increasing jurisdiction in our lives. Medicine Is War reveals how, in our own moment, the metaphor remains conducive to harming as much as healing, to control as much as empowerment.

This book claims that metaphors must be seen as indispensable cognitive and communicative instruments in medical science. Analysis of texts taken from recently published medical handbooks reveals what kind of metaphors are used to structure certain medical concepts and what the functions are of the metaphorical expressions in the texts. Special attention is drawn to the idea that scientific facts do not originate from passive observation of reality. Imaginative thinking and the use of metaphors are required to make the unknown accessible to us. Yet, although metaphors are often a sine qua non for the genesis of a scientific fact, they may also inhibit the development of alternative views. This is due to the fact that metaphors always highlight certain aspects of a phenomenon while other aspects remain obscured. Analysis of the metaphors used in medical texts may reveal exactly which aspects are highlighted and which remain hidden and may thus help to find alternative metaphors (and possibly therapies) when current metaphors are no longer adequate. This book should be of interest not only to linguists, translators and researchers working in the field of intercultural communication, but also to doctors and medical scientists, and those interested in the philosophy of science.

Chinese Medicine is an outstanding scientific proposition system with its own structural, methodological and theoretical prerequisites flowing into the specific practices that make Chinese Medicine popular in the Western world. However, we should be aware of the fact that Chinese Medicine is challenged in its existence because it is widely unknown. Fostering the understanding of Chinese Medicine in various aspects is, hence, the main aim of this book that gives interesting insights into the discussions on current developments in Chinese Medicine research.

This book challenges the unchallenged methods in medicine, such as "evidence-based medicine," which claim to be, but often are not, scientific. It completes medical care by adding the comprehensive humanistic perspectives and philosophy of medicine. No specific or absolute recommendations are given regarding medical treatment, moral approaches, or legal advice. Given rather is discussion about each issue involved and the strongest arguments indicated. Each argument is subject to further critical analysis. This is the same position as with any philosophical, medical or scientific view. The argument that decision-making in medicine is inadequate unless grounded on a philosophy of medicine is not meant to include all of philosophy and every philosopher. On the contrary, it includes only sound, practical and humanistic philosophy and philosophers who are creative and critical thinkers and who have concerned themselves with the topics relevant to medicine. These would be those philosophers who engage in practical philosophy, such as the pragmatists, humanists, naturalists, and ordinary-language philosophers. A new definition of our own philosophy of life emerges and it is necessary to have one. Good lifestyle no longer means just abstaining from cigarettes, alcohol and getting exercise. It also means living a holistic life, which includes all of one's thinking, personality and actions. This book also includes new ways of thinking. In this regard the "Metaphorical Method" is explained, used, and exemplified in depth, for example in the chapters on care, egoism and altruism, letting die, etc.