{"id":43480,"date":"2018-11-21T15:48:33","date_gmt":"2018-11-21T14:48:33","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=43480"},"modified":"2018-11-23T16:47:34","modified_gmt":"2018-11-23T15:47:34","slug":"neville-goodmans-metaphor-watch-the-end-of-the-road","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/11\/21\/neville-goodmans-metaphor-watch-the-end-of-the-road\/","title":{"rendered":"Neville Goodman&#8217;s metaphor watch: the end of the road?"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/02\/neville_goodman.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-33270\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/02\/neville_goodman-150x150.jpg\" alt=\"neville_goodman\" width=\"150\" height=\"150\" \/><\/a><span style=\"font-weight: 400\">Driving metaphors are common in everyday speech: <\/span><i><span style=\"font-weight: 400\">foot on the gas<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">back seat driver<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">eyes on the road<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">apply the brake<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">change gear<\/span><\/i><span style=\"font-weight: 400\">. Only <\/span><i><span style=\"font-weight: 400\">driving seat<\/span><\/i><span style=\"font-weight: 400\"> appears with any frequency in PubMed\u00ae, but I don\u2019t think it works.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Being in the driving seat implies not just control, but complete control. It\u2019s often a metaphor applied to a situation which previously lacked direction, or in which the direction has altered abruptly. Many of the PubMed articles containing <\/span><i><span style=\"font-weight: 400\">driving seat<\/span><\/i><span style=\"font-weight: 400\"> do not have abstracts, but the implication is clear from the titles: <\/span><i><span style=\"font-weight: 400\">Putting the patient in the driving seat<\/span><\/i><span style=\"font-weight: 400\">; <\/span><i><span style=\"font-weight: 400\">US cancer care: should insurers really be in the driving seat?<\/span><\/i><span style=\"font-weight: 400\">; <\/span><i><span style=\"font-weight: 400\">Proposals put nurses in the driving seat<\/span><\/i><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">But the position of patients, insurers, and nurses is nothing like a driving seat, and the metaphor adds nothing to the more literal alternatives. In any case, none of these should have <em>complete<\/em> control, even though there are many circumstances when they need better consideration or explanation. Insurers in the US have a lot of power, but again they are not in a driving seat. The wanted title was, <\/span><i><span style=\"font-weight: 400\">Should US insurers determine cancer care?<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400\">Even less in driving seats are E. coli, actin or RNA, although there are articles that put them there; but bacteriological and biochemical processes are too complex.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In metaphor watch, I have been in the driving seat. Regular readers will realise that it is a little while since the last column, and that what started fortnightly has tailed off to less than one per month. The reason is simple: I have run out of metaphors. If you find one out there, whether you want it praised or condemned, let me know at <\/span><a href=\"mailto:nevwgoodman@mac.com\"><span style=\"font-weight: 400\">nevwgoodman@mac.com<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Driving metaphors are common in everyday speech: foot on the gas, back seat driver, eyes on the road, apply the brake, change gear. Only driving seat appears with any frequency [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/11\/21\/neville-goodmans-metaphor-watch-the-end-of-the-road\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5763],"tags":[],"class_list":["post-43480","post","type-post","status-publish","format-standard","hentry","category-metaphor-watch"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Neville Goodman&#039;s metaphor watch: the end of the road? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2018\/11\/21\/neville-goodmans-metaphor-watch-the-end-of-the-road\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neville Goodman&#039;s metaphor watch: the end of the road? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Driving metaphors are common in everyday speech: foot on the gas, back seat driver, eyes on the road, apply the brake, change gear. 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