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Article published In: Metaphor in Mental Healthcare
Edited by Dennis Tay
[Metaphor and the Social World 10:2] 2020
► pp. 273–291

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Surveying views of metaphor vs. literal language in psychotherapy

A factor analysis

 | Hong Kong Polytechnic University
Published online: 13 November 2020
DOI logo with link
https://doi.org/10.1075/msw.00007.tay
Abstract
Five key therapeutic functions of metaphors are often discussed by psychotherapists. They (i) help clients express emotions and experiences, (ii) help therapists and clients explain difficult concepts, (iii) introduce new frames of reference, (iv) help work through client resistance, and (v) build a collaborative relationship between therapists and clients. Research on how these functions are enacted in psychotherapy talk tends to assume that they are indeed perceived as such by clients, and that metaphorical language is preferred to comparable literal language in performing them. This paper reports a survey study (N = 84) to critically interrogate these assumptions. Participants read two constructed therapy dialogues, controlled and counterbalanced for presentation sequence, where therapist and client discuss an issue using metaphorical and literal language respectively. Each dialogue is followed by a 15-item questionnaire to rate how well the presumed functions were performed (e.g. the therapist and client can work effectively together, the therapist is able to explain difficult concepts). A combined Confirmatory (CFA) and Exploratory Factor Analysis (EFA) suggests that, instead of the five distinct functions proposed in the literature, participants discerned three functions which reflect a more holistic view of what metaphors can do. A second EFA conducted on literal responses yielded only two factors. This contrast in factor structure further suggests that (i) literal language is less functionally nuanced, and (ii) metaphors are not simply perceived as an ‘add-on’ to literal language, but are evaluated across an extended narrative in fundamentally different ways. Within-subjects metaphor vs. literal ratings of the items under the emergent three-factor structure were then compared. Metaphor ratings were significantly higher in all factors (p < 0.01), suggesting that metaphorical language is indeed perceived as more effective than literal language when discussing clients’ issues. Implications, limitations, and future directions are discussed.
Article outline
  • 1.Introduction
  • 2.Method
    • 2.1Survey construction
    • 2.2Survey procedure
    • 2.3Analytical procedures
  • 3.Results and discussion
    • 3.1Factor analyses
    • 3.2Comparative analysis
  • 4.Conclusion
  • References
References (30)
References
Angus, L. E., & Rennie, D. L. (1989). Envisioning the representational world: the client’s experience of metaphoric expression in psychotherapy. Psychotherapy, 26(3), 372–379. Google Scholar logo with link to Google Scholar
Aronov, N. E., & Brodsky, S. L. (2009). The river model: a metaphor and tool for training new psychotherapists. Journal of Contemporary Psychotherapy, 391, 187–195. Google Scholar logo with link to Google Scholar
Cardillo, E. R., Schmidt, G. L., Kranjec, A., & Chatterjee, A. (2010). Stimulus design is an obstacle course: 560 matched literal and metaphorical sentences for testing neural hypotheses about metaphor. Behavior Research Methods, 42(3), 651–664. Google Scholar logo with link to Google Scholar
Caruth, E., & Ekstein, R. (1966). Interpretation Within the Metaphor: Further Considerations. Journal of the American Academy of Child Psychiatry, 5(1), 35–45. Google Scholar logo with link to Google Scholar
Cirillo, L., & Crider, C. (1995). Distinctive therapeutic uses of metaphor. Psychotherapy, 321, 511–519. Google Scholar logo with link to Google Scholar
Claiborn, C. D., & Goodyear, R. K. (2005). Feedback in psychotherapy. Journal of Clinical Psychology, 61(2), 209–217. Google Scholar logo with link to Google Scholar
Costello, A., & Osborne, J. (2005). Best practices in Exploratory Factor Analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10(7), 1–9.Google Scholar logo with link to Google Scholar
Dwairy, M. (2009). Culture analysis and metaphor psychotherapy with Arab-Muslim clients. Journal of Clinical Psychology, 65(2), 199–209. Google Scholar logo with link to Google Scholar
Gibbs, R. W. (2010). The wonderful, chaotic, creative, heroic, challenging world of Researching and Applying Metaphor: A celebration of the past and some peeks into the future. In G. Low, Z. Todd, A. Deignan, & L. Cameron (eds.), Researching and Applying Metaphor in the Real World (pp. 1–18). Amsterdam and Philadelphia: John Benjamins. Google Scholar logo with link to Google Scholar
Goldberg, R. M., & Stephenson, J. B. (2016). Staying with the Metaphor: Applying Reality Therapy’s Use of Metaphors to Grief Counseling. Journal of Creativity in Mental Health, 11(1), 105–117. Google Scholar logo with link to Google Scholar
Greenberg, R. P., Constantino, M. J., & Bruce, N. (2006). Are patient expectations still relevant for psychotherapy process and outcome? Clinical Psychology Review, 26(6), 657–678. Google Scholar logo with link to Google Scholar
Hill, C. E., & Regan, A. M. (1991). The use of metaphors in one case of brief psychotherapy. Journal of Integrative and Eclectic Psychotherapy, 101, 56–67.Google Scholar logo with link to Google Scholar
Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural Equation Modelling : Guidelines for Determining Model Fit. The Electronic Journal of Business Research Methods, 6(1), 53–60.Google Scholar logo with link to Google Scholar
Jarosz, A. F., & Wiley, J. (2014). What Are the Odds? A Practical Guide to Computing and Reporting Bayes Factors. Journal of Problem Solving, 71, 2–9. Google Scholar logo with link to Google Scholar
Kline, R. B. (2016). Principles and Practice of Structural Equation Modeling (4th ed.). New York and London: Guilford Press.Google Scholar logo with link to Google Scholar
Kopp, R. R. (1995). Metaphor Therapy: Using Client-Generated Metaphors in Psychotherapy. New York: Brunnel/Mazel.Google Scholar logo with link to Google Scholar
Kopp, R. R., & Craw, M. J. (1998). Metaphoric language, metaphoric cognition, and cognitive therapy. Psychotherapy, 35(3), 306–311. Google Scholar logo with link to Google Scholar
Lakoff, G. (1993). The contemporary theory of metaphor. In A. Ortony (ed.), Metaphor and Thought (2nd ed., pp. 202–251). Cambridge: Cambridge University Press. Google Scholar logo with link to Google Scholar
Lyddon, W. J., Clay, A. L., & Sparks, C. L. (2001). Metaphor and change in counselling. Journal of Counseling & Development, 79(3), 269–274. Google Scholar logo with link to Google Scholar
McMullen, L. M. (1996). Studying the use of figurative language in psychotherapy: the search for researchable questions. Metaphor and Symbolic Activity, 11(4), 241–255. Google Scholar logo with link to Google Scholar
Mead, N., & Bower, P. (2000). Patient-centredness: A conceptual framework and review of the empirical literature. Social Science and Medicine, 51(7), 1087–1110. Google Scholar logo with link to Google Scholar
Norcross, J. C. (1990). An eclectic definition of psychotherapy. In J. K. Zeig & W. M. Munion (eds.), What is Psychotherapy? Contemporary Perspectives (pp. 218–220). San Francisco, CA: Jossey-Bass.Google Scholar logo with link to Google Scholar
Ponterotto, D. (2003). The cohesive role of cognitive metaphor in discourse and conversation. In A. Barcelona (ed.), Metaphor and Metonymy at the Crossroads: A Cognitive Perspective (pp. 283–298). Berlin and New York: Mouton de Gruyter. Google Scholar logo with link to Google Scholar
Revicki, D. A., Cook, K. F., Amtmann, D., Harnam, N., Chen, W. H., & Keefe, F. J. (2014). Exploratory and confirmatory factor analysis of the PROMIS pain quality item bank. Quality of Life Research, 23(1), 245–255. Google Scholar logo with link to Google Scholar
Stine, J. J. (2005). The use of metaphors in the service of the therapeutic alliance and therapeutic communication. Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 33(3), 531–545. Google Scholar logo with link to Google Scholar
Stott, R., Mansell, W., Salkovskis, P., Lavender, A., & Cartwright-Hatton, S. (2010). Oxford Guide to Metaphors in CBT. Building Cognitive Bridges. Oxford and New York: Oxford University Press.Google Scholar logo with link to Google Scholar
Suit, J. L., Paradise, L. V., & Orleans, N. (1985). Effects of metaphors and cognitive complexity on perceived counselor characteristics. Journal of Counseling Psychology, 32(1), 23–28. Google Scholar logo with link to Google Scholar
Törneke, N. (2017). Metaphor in Practice. A Professional’s Guide to Using the Science of Language in Psychotherapy. Oakland, CA: New Harbinger.Google Scholar logo with link to Google Scholar
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