关键词: Classification Epileptic seizure Identity Metaphors Postictal state

Mesh : Humans Metaphor Colombia Seizures Epilepsy / complications Language

来  源:   DOI:10.1016/j.yebeh.2023.109589

Abstract:
BACKGROUND: PWE describe epileptic seizures and the postictal state with the description of experienced symptoms or through metaphorical language. For treating physicians, this metaphoric language may go unnoticed. The purpose of the study is to identify both the real and metaphorical descriptions of epileptic seizures and postictal state referred by PWE from Medellín Colombia.
METHODS: It is a qualitative study that uses grounded theory applied in ten semi-structured interviews of PWE from the Metropolitan Area of Medellín, Colombia. Descriptions of epileptic seizures and the postictal state were identified. For their classification into metaphorical and literal characteristics, the texts of \"The Living Metaphor\" by Paul Riccoeur, \"The Illness and its Metaphors - AIDS and its Metaphors\" by Susan Sontag, and \"Metaphors of Everyday Life\" by Lakoff and Johnson were used as references.
RESULTS: Ten clinical and fourteen metaphorical descriptions of epileptic seizures were identified. Regarding the postictal state, eight clinical and six metaphorical descriptions were identified. The metaphors were classified into three categories: a. external force b. depreciation and division and c. the absence of continuity (slowness, disconnection).
CONCLUSIONS: Metaphors are frequent in the description of epileptic seizures and can be useful in seizure classification, neuroanatomical localization, and therapeutic approach. Metaphors can be an initial stage in the construction of otherness as a form of identity.
摘要:
背景:PWE通过描述经历过的症状或通过隐喻语言来描述癫痫发作和发作后状态。为了治疗医生,这种隐喻语言可能会被忽视。该研究的目的是确定来自哥伦比亚麦德林的PWE对癫痫发作和后状态的真实和隐喻描述。
方法:这是一项定性研究,使用扎根理论应用于麦德林都会区对PWE的十次半结构化访谈,哥伦比亚。确定了癫痫发作和发作后状态的描述。因为它们分为隐喻和字面特征,保罗·里科的“生活隐喻”的文本,“疾病及其隐喻-艾滋病及其隐喻”作者:苏珊·桑塔格,以及Lakoff和Johnson的“日常生活隐喻”被用作参考。
结果:确定了癫痫发作的10种临床描述和14种隐喻描述。关于当前状态,确定了8种临床描述和6种隐喻描述。隐喻分为三类:A.外力B.贬值和分裂以及C.缺乏连续性(缓慢,断开)。
结论:在描述癫痫发作时,隐喻是常见的,可以用于癫痫发作分类。神经解剖学定位,和治疗方法。隐喻可以是作为身份形式的他者建构的初始阶段。
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