{"id":3702,"date":"2023-09-21T10:00:19","date_gmt":"2023-09-21T09:00:19","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3702"},"modified":"2023-09-15T09:50:49","modified_gmt":"2023-09-15T08:50:49","slug":"metaphors-and-decision-making-in-parental-blogs-about-their-children-with-life-limiting-diseases-whos-afraid-of-the-war-metaphor","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2023\/09\/21\/metaphors-and-decision-making-in-parental-blogs-about-their-children-with-life-limiting-diseases-whos-afraid-of-the-war-metaphor\/","title":{"rendered":"Metaphors and Decision Making in Parental Blogs About Their Children with Life-Limiting Diseases: Who\u2019s Afraid of the War Metaphor?"},"content":{"rendered":"<p><strong>Article Summary by Veronica Neefjes<\/strong><\/p>\n<p>When we use war metaphors we think of a particular situation as a fight. War metaphors are widely used to spur people into action; \u2018fight climate change\u2019 and \u2018war on drugs\u2019 are just two examples. In healthcare war metaphors have a poor reputation because many fear that thinking of especially serious illness as a fight might lead patients and their families 1) to continue medical treatment cure is no longer possible and 2) to blame the patient when they \u2018lose the fight\u2019 implying they die because they haven\u2019t fought hard enough. For that reason, for example UK healthcare professionals in childhood cancer discourage the use of war metaphors. However, the precise effects of the use of war metaphors in medical decision making for seriously ill children has not been investigated.<\/p>\n<p>By analysing 15 blogs written by Dutch, German and English &amp; Welsh parents about their ill child I investigated 1) which metaphors parents use for their child suffering from an incurable disease, 2) how their metaphors influence their decision making about medical treatment and 3) how the parents describe the death of their child.<\/p>\n<p>All parents talk about their child in terms of war metaphors, i.e, \u2019fighter\u2019, \u2019hero\u2019 or \u2019trooper\u2019 and describe their disease as an enemy, i.e. \u2018assassin\u2019 or \u2018sniper\u2019 which is fought on a daily basis. They also often also describe their family\u2019s daily life with the child\u2019s disease as a struggle. However, whilst \u2018fighting the disease\u2019 is important to parents, when making decisions about medical treatment parents weigh the importance of fighting against making sure that their child lives a \u2018good\u2019 life. For that reason, the use of war metaphors does not increase a tendency to treat when benefit is unlikely in the 167 treatment decisions made. Neither is the child blamed when they \u2018lose the fight\u2019 because parents interpret their death as the child \u2018having fought enough\u2019. Rather than their use of war metaphors having a negative effect, parents use war metaphors both as a way to express their love for and pride in their child and as a tool to empower their child and family to manage their incurable illness.<\/p>\n<h3>Read the full article on the <strong><a href=\"https:\/\/mh.bmj.com\/content\/49\/3\/427\"><em>Medical Humanities<\/em> journal website<\/a>.<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-3703 size-medium\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/09\/Neefjes-Veronica-Metaphors-and-Decision-Making-in-Parental-Blogs-About-Their-Children-with-Life-Limiting-Diseases-Whos-Afraid-of-the-War-Metaphor-e1694767494361-289x300.jpg\" alt=\"Portrait of Veronica Neefjes\" width=\"289\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/09\/Neefjes-Veronica-Metaphors-and-Decision-Making-in-Parental-Blogs-About-Their-Children-with-Life-Limiting-Diseases-Whos-Afraid-of-the-War-Metaphor-e1694767494361-289x300.jpg 289w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/09\/Neefjes-Veronica-Metaphors-and-Decision-Making-in-Parental-Blogs-About-Their-Children-with-Life-Limiting-Diseases-Whos-Afraid-of-the-War-Metaphor-e1694767494361-768x798.jpg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/09\/Neefjes-Veronica-Metaphors-and-Decision-Making-in-Parental-Blogs-About-Their-Children-with-Life-Limiting-Diseases-Whos-Afraid-of-the-War-Metaphor-e1694767494361-640x665.jpg 640w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2023\/09\/Neefjes-Veronica-Metaphors-and-Decision-Making-in-Parental-Blogs-About-Their-Children-with-Life-Limiting-Diseases-Whos-Afraid-of-the-War-Metaphor-e1694767494361.jpg 866w\" sizes=\"auto, (max-width: 289px) 100vw, 289px\" \/>Veronica Neefjes is a Consultant in Paediatric Palliative Medicine and currently working on a PhD about decision making and conflict in the medical treatment of seriously ill children.<\/em><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Article Summary by Veronica Neefjes When we use war metaphors we think of a particular situation as a fight. War metaphors are widely used to spur people into action; \u2018fight climate change\u2019 and \u2018war on drugs\u2019 are just two examples. In healthcare war metaphors have a poor reputation because many fear that thinking of especially [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2023\/09\/21\/metaphors-and-decision-making-in-parental-blogs-about-their-children-with-life-limiting-diseases-whos-afraid-of-the-war-metaphor\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028],"tags":[15044],"class_list":["post-3702","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","tag-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Metaphors and Decision Making in Parental Blogs About Their Children with Life-Limiting Diseases: Who\u2019s Afraid of the War Metaphor? - Medical Humanities<\/title>\n<meta name=\"description\" content=\"Veronica Neefjes discusses parents&#039; use of war metaphors when talking about their children&#039;s incurable diseases.\" \/>\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\/medical-humanities\/?p=3702\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Metaphors and Decision Making in Parental Blogs About Their Children with Life-Limiting Diseases: Who\u2019s Afraid of the War Metaphor? - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"Veronica Neefjes discusses parents&#039; use of war metaphors when talking about their children&#039;s incurable diseases.\" \/>\n<meta property=\"og:url\" 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