Addiction Rhetoric: Conceptual Metaphors in Conversational Illness Narratives
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Kent State University / OhioLINK
2014
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=kent1406720653 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-kent14067206532021-08-03T06:26:29Z Addiction Rhetoric: Conceptual Metaphors in Conversational Illness Narratives Povozhaev, Lea M. Cognitive Psychology Communication Health Care Medicine Language medical rhetoric conceptual metaphors illness narratives embodiment doctor-patient interview addiction qualitative research medical humanities healthcare community identity The following study investigates a basic premise that the manner in which a doctor responds to a patient's emotions and thoughts affects the way a patient feels about telling more of his/her illness experience. This dissertation investigates how a doctor and his patients conceptualize addiction, use language to express his/her conceptualization, and respond to each other in the context of their conversational illness narrative. I conducted a case study at a methadone clinic in the Midwest. My participants were a random selection of twenty patients and their doctor. After signing a release, I audio-recorded one conversation per patient with their doctor and immediately following transcribed their discourse. Using George Lakoff and Mark Johnson's Conceptual Metaphor Theory (CMT), I analyzed the conceptual metaphors within these conversations. I found that patient's predominant structural metaphor is addiction is illness experience, and the doctor's predominant structural metaphor is addiction is disease. Additionally, my study conceptualized each conversation as a single narrative through which addiction is socially constructed by the doctor's and patient's rhetorical patterns of response to the other's structural metaphor. Each responds with utterances that I code as particular attributive metaphors, and these expressions give rise to the concept disease and/or illness, in accordance with CMT. Of these attributive metaphors, patients have the most utterances of thought and emotion, and the doctor has the most utterances on the body. This provides linguistic evidence to demonstrate that the doctor's focus is diagnostic, in that he wishes to explain the functions of the body and find a way to control the body, and patients' focuses are on expressing their illness experiences, their thoughts and their emotions related to the painful experience of addiction. Taken together, the doctor's and patients' responses within their conversational illness narratives produces resistance and/or agreement. Their rhetorical position, then, allows them to work towards wellness, to the degree that the doctor and patient are rhetorically compatible. 2014-07-31 English text Kent State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=kent1406720653 http://rave.ohiolink.edu/etdc/view?acc_num=kent1406720653 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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NDLTD |
| language |
English |
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NDLTD |
| topic |
Cognitive Psychology Communication Health Care Medicine Language medical rhetoric conceptual metaphors illness narratives embodiment doctor-patient interview addiction qualitative research medical humanities healthcare community identity |
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Cognitive Psychology Communication Health Care Medicine Language medical rhetoric conceptual metaphors illness narratives embodiment doctor-patient interview addiction qualitative research medical humanities healthcare community identity Povozhaev, Lea M. Addiction Rhetoric: Conceptual Metaphors in Conversational Illness Narratives |
| author |
Povozhaev, Lea M. |
| author_facet |
Povozhaev, Lea M. |
| author_sort |
Povozhaev, Lea M. |
| title |
Addiction Rhetoric: Conceptual Metaphors in Conversational Illness Narratives |
| title_short |
Addiction Rhetoric: Conceptual Metaphors in Conversational Illness Narratives |
| title_full |
Addiction Rhetoric: Conceptual Metaphors in Conversational Illness Narratives |
| title_fullStr |
Addiction Rhetoric: Conceptual Metaphors in Conversational Illness Narratives |
| title_full_unstemmed |
Addiction Rhetoric: Conceptual Metaphors in Conversational Illness Narratives |
| title_sort |
addiction rhetoric: conceptual metaphors in conversational illness narratives |
| publisher |
Kent State University / OhioLINK |
| publishDate |
2014 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=kent1406720653 |
| work_keys_str_mv |
AT povozhaevleam addictionrhetoricconceptualmetaphorsinconversationalillnessnarratives |
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1719436723056803840 |