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Article published In: Metaphor and the Social World
Vol. 6:1 (2016) ► pp.1–19

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Metaphors for ‘good’ and ‘bad’ deaths

A health professional view

 | The Open University
 | Lancaster University
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Available under the Creative Commons Attribution (CC BY) 4.0 license.

For any use beyond this license, please contact the publisher at rights@benjamins.nl.

Published online: 12 May 2016
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https://doi.org/10.1075/msw.6.1.01dem
This paper discusses the metaphors used by sixteen palliative healthcare professionals from around the United Kingdom in semi-structured interviews to describe what they see as ‘good’ and ‘bad’ deaths. The interviews, conducted for the large-scale “Metaphor in End-of-Life Care” project, are set against the background of contemporary practices and discourses around end-of-life care, dying and quality of death. To date, the use of metaphor in descriptions of different types of deaths has not received much attention. Applying the Metaphor Identification Procedure (Pragglejaz Group, 2007) we find that the difference between good and bad deaths is partly expressed via different frequencies of contrasting metaphors, such as ‘peacefulness’ and ‘openness’ as opposed to ‘struggle’ and ‘pushing away’ professional help. We show how metaphors are used to: evaluate deaths and the dying; justify those evaluations; present a remarkably consistent view of different types of deaths; and promote a particular ‘framing’ of a good death, which is closely linked with the dominant sociocultural and professional contexts of our interviewees. We discuss the implications of these consistent evaluations and framings in broader end-of-life care contexts, and reflect on the significance of our findings for the role of metaphor in communication about sensitive experiences.
References (46)
Bennett, A. (2013). We need a heroic narrative for death . Paper presented at the TEDMED . Retrieved from: [URL]
Cameron, L. (in press). Using metaphor for peace-building, empathy, and reconciliation. In E. Semino & Z. Demjén (Eds.), The Routledge handbook of metaphor and language (Chapter 29). Abingdon: Routledge.
Cameron, L., Maslen, R., & Low, G. (2010). Finding systematicity in metaphor use. In L. Cameron & R. Maslen (Eds.), Metaphor analysis (pp. 116–146). London: Equinox.Google Scholar logo with link to Google Scholar
Canter, D. (1988). How do we know that it works? Therapeutic outcome as negotiation. Complementary Medical Research, 21, 98–106.Google Scholar logo with link to Google Scholar
Carpentier, N., & Van Brussel, L. (2012). On the contingency of death: A discourse-theoretical perspective on the construction of death. Critical Discourse Studies, 9(2), 99–115. Google Scholar logo with link to Google Scholar
Cipolletta, S., & Oprandi, N. (2014). What is a good death? Health care professionals’ narrations on end-of-life care. Death Stud, 38(1–5), 20–27. Google Scholar logo with link to Google Scholar
Costello, J. (2006). Dying well: Nurses’ experiences of ‘good and bad’ deaths in hospital. Journal of Advanced Nursing, 54(5), 594–601. Google Scholar logo with link to Google Scholar
Cottrell, L., & Duggleby, W. (2016). The “good death”: An integrative literature review. Palliative and Supportive Care, 1–27. Google Scholar logo with link to Google Scholar
Czechmeister, C.A. (1994). Metaphor in illness and nursing: A two-edged sword. A discussion of the social use of metaphor in everyday language, and implications of nursing and nursing education. Joumal of Advanced Nursing, 191, 1226–1233. Google Scholar logo with link to Google Scholar
Dancygier, B., & Sweetser, E. (2014). Figurative language. New York: Cambridge University Press.Google Scholar logo with link to Google Scholar
Deignan, A. (2010). The evaluative properties of metaphors. In Z. Todd, A. Deignan, & L. Cameron (Eds.), Researching and applying metaphor in use (pp. 357–373). Amsterdam: John Benjamins. Google Scholar logo with link to Google Scholar
Deignan, A., Littlemore, J., & Semino, E. (2013). Figurative language, genre and register. Cambridge, UK: Cambridge University Press.Google Scholar logo with link to Google Scholar
Gibbs, R.W., Leggitt, J.S., & Turner, E.A. (2002). What’s special about figurative language in emotional communication? In S.R. Fussell (Ed.), The verbal communication of emotions: Interdisciplinary perspectives (pp. 125–149). Mahwah, NJ: Lawrence Erlbaum.Google Scholar logo with link to Google Scholar
EAPC. (2013). The Prague charter. Retrieved from: [URL]
Kelly, C.M.J. (2014). What is a good death? The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body, 20(1), 35–52. Google Scholar logo with link to Google Scholar
Kövecses, Z. (2000). Metaphor and emotion: Language, culture, and body in human feeling. Cambridge, UK: Cambridge University Press.Google Scholar logo with link to Google Scholar
Kübler-Ross, E. (1969). On death and dying. London: Tavistock.Google Scholar logo with link to Google Scholar
Lakoff, G. (1996). Moral politics: What conservatives know that liberals don’t. Chicago, IL: University of Chicago Press.Google Scholar logo with link to Google Scholar
. (2008). The political mind: Why you can’t understand 21st-century politics with an 18th-century brain. New York: Viking.Google Scholar logo with link to Google Scholar
Lakoff, G., & Johnson, M. (1980). Metaphors we live by. Chicago, IL: University of Chicago Press.Google Scholar logo with link to Google Scholar
Lakoff, G., & Turner, M. (1989). More than cool reason: A field guide to poetic metaphor. Chicago, IL: University of Chicago Press. Google Scholar logo with link to Google Scholar
Low, J.T.S., & Payne, S.A. (1996). The good and bad death perceptions of health professionals working in palliative care. European Journal of Cancer Care, 51, 237–241. Google Scholar logo with link to Google Scholar
Maalej, Z. (2007). Doing CDA with the contemporary theory of metaphor: Towards a discourse model of metaphor. In C. Hart & D. Lukes (Eds.), Cognitive linguistics in critical discourse analysis: Application and theory (pp. 132–158). Newcastle: Cambridge Scholars Publishing.Google Scholar logo with link to Google Scholar
Musolff, A. (2006). Metaphor scenarios in public discourse. Metaphor & Symbol, 21(1), 23–38. Google Scholar logo with link to Google Scholar
Ortony, A., & Fainsilber, L. (1987). The role of metaphors in descriptions of emotions . Paper presented at the Proceedings of the 1987 workshop on Theoretical issues in natural language processing , 7–9 January, Las Cruces, New Mexico.
Payne, S.A., Langley-Evans, A., & Hiller, R. (1996). Perceptions of a ‘good’ death: A comparative study of the views of hospice staff and patients. Palliative Medicine, 101, 307–312. Google Scholar logo with link to Google Scholar
Pragglejaz Group. (2007). MIP: A method for identifying metaphorically used words in discourse. Metaphor and Symbol, 22(1), 1–39. Google Scholar logo with link to Google Scholar
Reisfield, G.M., & Wilson, G.R. (2004). Use of metaphor in the discourse on cancer. Journal of Clinical Oncology, 22(19), 4024–4027. Google Scholar logo with link to Google Scholar
Ritchie, L.D. (2013). Metaphor. Cambridge & New York: Cambridge University Press.Google Scholar logo with link to Google Scholar
Scarre, G. (2012). Can there be a good death? Journal of Evaluation in Clinical Practice, 18(5), 1082–1086. Google Scholar logo with link to Google Scholar
Seale, C. (1998). Constructing death: The sociology of dying and bereavement. Cambridge, UK: Cambridge University Press. Google Scholar logo with link to Google Scholar
. (2004). Media constructions of dying alone: A form of ‘bad death’. Social Science Medicine, 58(5), 967–974. Google Scholar logo with link to Google Scholar
Semino, E. (2008). Metaphor in discourse. Cambridge, UK: Cambridge University Press.Google Scholar logo with link to Google Scholar
Semino, E., Demjén, Z., & Koller, V. (2014). ‘Good’ and ‘bad’ deaths: Narratives and professional identities in interviews with hospice managers. Discourse Studies 16(5), 667–685. Google Scholar logo with link to Google Scholar
Seymour, J.E., Bellamy, G., Gott, M., Ahmedzai, S.H., & Clark, D. (2002). Good deaths, bad deaths: Older people’s assessments of the risks and benefits of morphine and terminal sedation in end-of-life care. Health, Risk & Society, 4(3), 287–303. Google Scholar logo with link to Google Scholar
Smith, R. (2000). A good death: An important aim for services and for us all. BMJ, 3201, 129–130. Google Scholar logo with link to Google Scholar
Steen, G., Dorst, A.G., Herrmann, J.B., Kaal, A., Krennmayr, T., & Pasma, T. (2010). A method for linguistic metaphor identification: From MIP to MIPVU. Amsterdam: John Benjamins. Google Scholar logo with link to Google Scholar
Steinhauser, K.E., Clipp, E.C., McNeilly, M., Christakis, N.A., McIntyre, L.M., & Tulsky, J.A. (2000). In search of a good death: Observations of patients, families, and providers. Annals of Internal Medicine, 132(10), 825–832. Google Scholar logo with link to Google Scholar
Thibodeau, P.H., & Boroditsky, L. (2011). Metaphors we think with: The role of metaphor in reasoning. PLoS One, 6(2), 1–11. Google Scholar logo with link to Google Scholar
Vig, E.K., Nathaniel, A.D., & Pearlman, R.A. (2002). Good deaths, bad deaths, and preferences for the end of life: A qualitative study of geriatric outpatients. JAGS, 50(9), 1541–1548. Google Scholar logo with link to Google Scholar
Walter, T. (1994). The revival of death. London: Routledge. Google Scholar logo with link to Google Scholar
. (2003). Historical and cultural variants on the good death. BMJ, 3271, 218–220. Google Scholar logo with link to Google Scholar
Walters, G. (2004). Is there such a thing as a good death? Palliative Medicine, 181, 404–408. Google Scholar logo with link to Google Scholar
Zimmermann, C. (2012). Acceptance of dying: A discourse analysis of palliative care literature. Social Science & Medicine, 75(1), 217–224. Google Scholar logo with link to Google Scholar
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