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Chahine LM, Edison B, Daeschler M, Siddiqi B, Kopil C, Marras C, Mantri S. Use of Figurative Language by People With Parkinson Disease to Describe "Off" Periods: Clear as Mud. Neurol Clin Pract 2021; 11:e462-e471. [PMID: 34476127 PMCID: PMC8382437 DOI: 10.1212/cpj.0000000000001059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Accepted: 01/06/2021] [Indexed: 11/30/2022]
Abstract
Objective “Off” periods are characterized by the reemergence of motor and nonmotor symptoms in individuals with Parkinson disease (PD) and often negatively affect daily functioning. Individuals' experiences are diverse and may be difficult to articulate; figurative language is often used by patients to describe such experiences. Our objective was to understand how individuals with PD use figurative language to explain off periods and how experts interpret such expressions. Methods Individuals with self-reported PD participating in the online Fox Insight study were invited to participate in a survey about off periods. Those endorsing off periods were asked to describe their experiences with open-ended free-text responses. Instances where any type of figurative language was used were identified and classified into themes. Three movement disorder neurologists reviewed each phrase and specified what symptoms they felt were likely represented. Results A total of 109 instances of figurative language phrases were identified across descriptions from 86 patients. Allusions to viscous materials (e.g., mud and cement) and effects of chemicals (e.g., drunkenness) were common (18.35% and 17.43% of phrases, respectively). Most phrases were interpreted by the neurologists as representing motor symptoms, but neurologists agreed on what specific symptom was being referred to for only 42 (38.5%) phrases. Conclusions To describe off periods, individuals with PD use various forms of figurative language, but this language is not uniformly interpreted and understood by specialists. Given the subjective interpretation of figurative language, exploring what patients are trying to convey when they use such language is important and could improve patient-physician communication.
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Affiliation(s)
- Lana M Chahine
- Department of Neurology (LMC, BE), University of Pittsburgh, PA; Georgetown University (MD), Washington, DC; The Michael J. Fox Foundation for Parkinson's Research (BS, CK), New York; The Edmond J Safra Program in Parkinson's Disease (CM), Toronto Western Hospital, University of Toronto, Ontario, Canada; and Department of Neurology (SM), Duke University, Durham, NC
| | - Briana Edison
- Department of Neurology (LMC, BE), University of Pittsburgh, PA; Georgetown University (MD), Washington, DC; The Michael J. Fox Foundation for Parkinson's Research (BS, CK), New York; The Edmond J Safra Program in Parkinson's Disease (CM), Toronto Western Hospital, University of Toronto, Ontario, Canada; and Department of Neurology (SM), Duke University, Durham, NC
| | - Margaret Daeschler
- Department of Neurology (LMC, BE), University of Pittsburgh, PA; Georgetown University (MD), Washington, DC; The Michael J. Fox Foundation for Parkinson's Research (BS, CK), New York; The Edmond J Safra Program in Parkinson's Disease (CM), Toronto Western Hospital, University of Toronto, Ontario, Canada; and Department of Neurology (SM), Duke University, Durham, NC
| | - Bernadette Siddiqi
- Department of Neurology (LMC, BE), University of Pittsburgh, PA; Georgetown University (MD), Washington, DC; The Michael J. Fox Foundation for Parkinson's Research (BS, CK), New York; The Edmond J Safra Program in Parkinson's Disease (CM), Toronto Western Hospital, University of Toronto, Ontario, Canada; and Department of Neurology (SM), Duke University, Durham, NC
| | - Catherine Kopil
- Department of Neurology (LMC, BE), University of Pittsburgh, PA; Georgetown University (MD), Washington, DC; The Michael J. Fox Foundation for Parkinson's Research (BS, CK), New York; The Edmond J Safra Program in Parkinson's Disease (CM), Toronto Western Hospital, University of Toronto, Ontario, Canada; and Department of Neurology (SM), Duke University, Durham, NC
| | - Connie Marras
- Department of Neurology (LMC, BE), University of Pittsburgh, PA; Georgetown University (MD), Washington, DC; The Michael J. Fox Foundation for Parkinson's Research (BS, CK), New York; The Edmond J Safra Program in Parkinson's Disease (CM), Toronto Western Hospital, University of Toronto, Ontario, Canada; and Department of Neurology (SM), Duke University, Durham, NC
| | - Sneha Mantri
- Department of Neurology (LMC, BE), University of Pittsburgh, PA; Georgetown University (MD), Washington, DC; The Michael J. Fox Foundation for Parkinson's Research (BS, CK), New York; The Edmond J Safra Program in Parkinson's Disease (CM), Toronto Western Hospital, University of Toronto, Ontario, Canada; and Department of Neurology (SM), Duke University, Durham, NC
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Whiteford-Damerall A. The Visual Working Memory Demands of Processing Conventional Metaphoric Language. AMERICAN JOURNAL OF PSYCHOLOGY 2021. [DOI: 10.5406/amerjpsyc.134.1.0013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Abstract
According to the conceptual metaphor theory (CMT; Lakoff & Johnson, 1980), conceptual metaphors, such as “Life is a journey,” are used to map the characteristics of abstract domains (e.g., life) onto more accessible concrete domains (e.g., a journey). Uses such as “dead-end job” and “they’re on the right track” are manifestations of this conceptual metaphor. When and how these mappings might be created remains unclear. Bowdle and Gentner’s (2005) career of metaphor hypothesis suggests that metaphors in “X is a Y” form (e.g., “a lawyer is a shark”) undergo a change in the mode of processing as those metaphors transition from novel conceptual pairings to familiar ones. The current study asks whether the associations between conceptually related concepts are accessed while the metaphoric language is processed in working memory (WM) and, if so, whether the role of WM is moderated by familiarity. If processing linguistic applications of conceptual metaphors involves active access of the concrete source domain, processing metaphoric language, like the concrete language it is being mapped onto, should involve activation of concrete representations and recruit more visual WM resources than literal abstract language. Experiment 1 found no difference in the visual WM demands of processing literal language and conventional expressions of conceptual metaphors. Experiment 2 found that novel expressions of conceptual metaphors placed greater demands on visual WM than familiar expressions. Together, these data provide some support for CMT but suggest that familiarity of the linguistic form of the metaphor plays a role in determining processing modality.
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Abstract
Figurative expressions have been shown to play a special role in evoking affective responses, as compared to their literal counterparts. This study provides the first database of conceptual metaphors that includes ratings of affective properties beyond psycholinguistic properties. To allow for the investigation of natural reading processes, 64 natural stories were created, half of which contained two or three conceptual metaphors that relied on the same mapping, whereas the other half contained the metaphors' literal counterparts. To allow for tighter control and manipulation of the different properties, 120 isolated sentences were also created, half of which contained one metaphorical word, which was replaced by its literal rendering in the other half. All stimuli were rated for emotional valence, arousal, imageability, and metaphoricity, and the pairs of metaphorical and literal stimuli were rated for their similarity in meaning. A measure of complexity was determined and computed. The stories were also rated for naturalness and understandability, and the sentences for familiarity. Differences between the metaphorical and literal stimuli and relationships between the affective and psycholinguistic variables were explored and are discussed in light of extant empirical research. In a nutshell, the metaphorical stimuli were rated as being higher in emotional arousal and easier to imagine than their literal counterparts, thus confirming a role of metaphor in evoking emotion and in activating sensorimotor representations. Affective variables showed the typical U-shaped relationship consistently found in word databases, whereby increasingly positive and negative valence is associated with higher arousal. Finally, interesting differences between the stories and sentences were observed.
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Miller KA, Raney GE, Demos AP. Time to Throw in the Towel? No Evidence for Automatic Conceptual Metaphor Access in Idiom Processing. JOURNAL OF PSYCHOLINGUISTIC RESEARCH 2020; 49:885-913. [PMID: 32960373 DOI: 10.1007/s10936-020-09728-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The goal of the current research was to determine if conceptual metaphors are activated when people read idioms within a text. Participants read passages that included idioms that were consistent (blow your top) or inconsistent (bite his head off) with an underlying conceptual metaphor (ANGER IS HEATED FLUID IN A CONTAINER) followed by target words that were related (heat) or unrelated (lead) to the conceptual metaphor. Reading time (Experiment 1) or lexical decision time (Experiment 2) for the target words were measured. We found no evidence supporting conceptual metaphor activation. Target word reading times were unaffected by whether they were related or unrelated to underlying conceptual metaphors. Lexical decision times were facilitated for related target words in both the consistent and inconsistent idiom conditions. We suggest that the conceptual (target) domain, not a specific underlying conceptual metaphor, facilitates processing of related target words.
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Affiliation(s)
- Krista A Miller
- Department of Psychology, University of Illinois At Chicago, Chicago, IL, 60607, USA.
| | - Gary E Raney
- Department of Psychology, University of Illinois At Chicago, Chicago, IL, 60607, USA
| | - Alexander P Demos
- Department of Psychology, University of Illinois At Chicago, Chicago, IL, 60607, USA
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Felsenheimer A, Kieckhaefer C, Rapp AM. Familiarity, empathy and comprehension of metaphors in patients with borderline personality disorder. Psychiatry Res 2020; 291:113152. [PMID: 32540684 DOI: 10.1016/j.psychres.2020.113152] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 05/26/2020] [Accepted: 05/28/2020] [Indexed: 11/19/2022]
Abstract
Research on figurative language has a long tradition in psychiatry, as it is employed in psychotherapy and its (mis)comprehension plays a substantial role in differential diagnostics of schizophrenic spectrum disorders. Although often associated with empathy and mentalization, it has never been addressed in borderline personality disorder (BPD). Therefore, this study investigated metaphor comprehension and its relationship to cognitive and affective empathy in 20 patients with BPD and 20 matched healthy controls who completed a metaphor task comprising conventional metaphors (CM), novel metaphors (NM), meaningless stimuli (MS), and a rating scale of familiarity, a factor known to influence performance. For cognitive and affective empathy, the interpersonal reactivity index was applied. At first patients with BPD seemed to have significantly more problems in comprehending CM, but not NM or MS, and were less familiar with CM. When familiarity with the stimulus was controlled, this difference disappeared. As for empathy, only fantasy was positively related to familiar CM beyond borderline symptoms. Results indicate that the comprehension of novel metaphorical meaning is preserved in patients with BPD.
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Affiliation(s)
- Anne Felsenheimer
- Department of Psychiatry and Psychotherapy, University of Tuebingen, Tuebingen 72076, Germany.
| | - Carolin Kieckhaefer
- Department of Psychiatry and Psychotherapy, University of Tuebingen, Tuebingen 72076, Germany; LVR-Hospital Duesseldorf, Heinrich-Heine-University Duesseldorf, Duesseldorf 40629, Germany
| | - Alexander Michael Rapp
- Department of Psychiatry and Psychotherapy, University of Tuebingen, Tuebingen 72076, Germany; Fliedner Klinik Stuttgart, Theodor Fliedner Stiftung, Stuttgart 70378, Germany
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Occa A, Kim S, Carcioppolo N, Morgan SE, Anderson D. A Comparison of Metaphor Modality and Appeals in the Context of Skin Cancer Prevention. JOURNAL OF HEALTH COMMUNICATION 2019; 25:12-22. [PMID: 31752624 DOI: 10.1080/10810730.2019.1694607] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Health communication experts continually seek out effective strategies to strengthen persuasive campaigns. While there is evidence that verbal metaphors can improve persuasion, little attention has been given to the potential of visual metaphors to enhance health communication effects. To fill this gap, an experiment was conducted to test the effects of metaphor modality (visual vs. verbal) and type of fear appeal used (death-based or appearance-based) on skin protection intentions. Additionally, the moderating role of an individual characteristic (need for cognition), and the mediating role of two processing outcomes (message elaboration and perceived message effectiveness) were examined. Results indicated that there was no significant difference between the main effects of metaphor modality and type of fear appeal, but these message features interacted making the death-based fear appeal the most effective strategy. Need for cognition directly affected perceptions of effectiveness but did not affect skin protection intentions nor message elaboration. Of the two message processing outcomes examined, only perceived message effectiveness mediated the relationship between metaphor modality and skin protection intentions. Theoretical explanations and practical implications are discussed.
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Affiliation(s)
- Aurora Occa
- Department of Communication, College of Communication and Information, University of Kentucky, Lexington, Kentucky, USA
| | - Soyoon Kim
- Department of Communication Studies, School of Communication, University of Miami, Coral Gables, Florida, USA
| | - Nicholas Carcioppolo
- Department of Communication Studies, School of Communication, University of Miami, Coral Gables, Florida, USA
| | - Susan E Morgan
- Department of Communication Studies, School of Communication, University of Miami, Coral Gables, Florida, USA
| | - David Anderson
- Department of Communication Studies, School of Communication, University of Miami, Coral Gables, Florida, USA
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Reijnierse WG, Burgers C, Bolognesi M, Krennmayr T. How Polysemy Affects Concreteness Ratings: The Case of Metaphor. Cogn Sci 2019; 43:e12779. [PMID: 31446656 PMCID: PMC6771986 DOI: 10.1111/cogs.12779] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 06/24/2019] [Accepted: 07/01/2019] [Indexed: 11/26/2022]
Abstract
Concreteness ratings are frequently used in a variety of disciplines to operationalize differences between concrete and abstract words and concepts. However, most ratings studies present items in isolation, thereby overlooking the potential polysemy of words. Consequently, ratings for polysemous words may be conflated, causing a threat to the validity of concreteness-ratings studies. This is particularly relevant to metaphorical words, which typically describe something abstract in terms of something more concrete. To investigate whether perceived concreteness ratings differ for metaphorical versus non-metaphorical word meanings, we obtained concreteness ratings for 96 English nouns from 230 participants. Results show that nouns are perceived as less concrete when a metaphorical (versus non-metaphorical) meaning is triggered. We thus recommend taking metaphoricity into account in future concreteness-ratings studies to further improve the quality and reliability of such studies, as well as the consistency of the empirical studies that rely on these ratings.
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Affiliation(s)
| | | | | | - Tina Krennmayr
- Department of Language, Literature, and CommunicationVrije Universiteit Amsterdam
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