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The online use of Violence and Journey metaphors by patients with cancer, as compared with health professionals: a mixed methods study.

Semino, E; Demjén, Z; Demmen, J; Koller, V; Payne, S; Hardie, A; Rayson, P; (2017) The online use of Violence and Journey metaphors by patients with cancer, as compared with health professionals: a mixed methods study. BMJ Support Palliat Care , 7 (1) pp. 60-66. 10.1136/bmjspcare-2014-000785. Green open access

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Abstract

OBJECTIVE: To compare the frequencies with which patients with cancer and health professionals use Violence and Journey metaphors when writing online; and to investigate the use of these metaphors by patients with cancer, in view of critiques of war-related metaphors for cancer and the adoption of the notion of the 'cancer journey' in UK policy documents. DESIGN: Computer-assisted quantitative and qualitative study of two data sets totalling 753 302 words. SETTING: A UK-based online forum for patients with cancer (500 134 words) and a UK-based website for health professionals (253 168 words). PARTICIPANTS: 56 patients with cancer writing online between 2007 and 2012; and 307 health professionals writing online between 2008 and 2013. RESULTS: Patients with cancer use both Violence metaphors and Journey metaphors approximately 1.5 times per 1000 words to describe their illness experience. In similar online writing, health professionals use each type of metaphor significantly less frequently. Patients' Violence metaphors can express and reinforce negative feelings, but they can also be used in empowering ways. Journey metaphors can express and reinforce positive feelings, but can also be used in disempowering ways. CONCLUSIONS: Violence metaphors are not by default negative and Journey metaphors are not by default a positive means of conceptualising cancer. A blanket rejection of Violence metaphors and an uncritical promotion of Journey metaphors would deprive patients of the positive functions of the former and ignore the potential pitfalls of the latter. Instead, greater awareness of the function (empowering or disempowering) of patients' metaphor use can lead to more effective communication about the experience of cancer.

Type: Article
Title: The online use of Violence and Journey metaphors by patients with cancer, as compared with health professionals: a mixed methods study.
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjspcare-2014-000785
Publisher version: http://dx.doi.org/10.1136/bmjspcare-2014-000785
Language: English
Additional information: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
Keywords: Cancer, Communication
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Culture, Communication and Media
URI: https://discovery.ucl.ac.uk/id/eprint/1530110
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