Christoph Ostgathe | Friedrich-Alexander-Universität Erlangen-Nürnberg | Department of Palliative Medicine, CCC Erlangen-EMN
Maria Heckel | Friedrich-Alexander-Universität Erlangen-Nürnberg | Department of Palliative Medicine, CCC Erlangen-EMN
The study investigates the usage of metaphorical structures in the German press discourse on multi-resistant
pathogens in the clinical context by applying methods of qualitative discourse analysis to a corpus of 900 newspaper and magazine
articles published between 1995–2015. The study shows that metaphors are of key importance for the processes of knowledge
transfer, emotion production and persuasion. Metaphors are assigned to one of three general principles (mechanising explanation
patterns, gain and loss of control, agentivity and personification) and to seven dominant source domains which structure the
discourse through frequent argumentation structures: war, economy, space, machines, water, police and crime, sports and games. The
occurrence of metaphor is – as previous research in other areas has shown – universal to all examined press texts; variation is limited to the thematic focus of individual argumentation structures between the different texts.
(1996) Toward an ecology of health. Beyond the military and market metaphors. Health Forum J, 39(3), 30–34. PMID: 10157389.
Arroliga, A. C.
(2002) Metaphorical medicine: Using metaphors to enhance communication with patients who have pulmonary disease. Annals of Internal Medicine, 1371(5, Part1), 376.
(2009) Bakterien in Krieg und Frieden: eine Geschichte der medizinischen Bakteriologie in Deutschland 1890–1933. Göttingen: Wallstein.
Childress, J. F.
(1995) Metaphor and analogy. Encyclopedia of Bioethics, 3(5), 1765–1773.
Crawford, P., Brown, B., & Nerlich, B.
(2008) The ‘moral careers’ of microbes and the rise of the matrons: An analysis of UK national press coverage of methicillin-resistant staphylococcus aureus (MRSA) 1995–2006. Health, Risk and Society, 10(4), 331–347.
Deignan, A.
(2005) Metaphor and corpus linguistics. Converging evidence in language and communication research: Vol. 61. Amsterdam: John Benjamins.
(1989) Metaphors, medicine and morals. Soundings, 72(1), 17–26.
Drewer, P.
(2003) Die kognitive Metapher als Werkzeug des Denkens: zur Rolle der Analogie bei der Gewinnung und Vermittlung wissenschaftlicher Erkenntnisse. Forum für Fachsprachenforschung: Vol. 62. Tübingen: Narr.
Fisher, S., & Ainsworth-Vaughn, N.
(2000) Claiming power in doctor-patient talk. Contemporary Sociology, 29(6), 865–866. Retrieved from
Flusberg, S. J., Matlock, T., & Thibodeau, P. H.
(2018) War metaphors in public discourse. Metaphor and Symbol, 33(1), 1–18.
Franzosi, R., Doyle, S., McClelland, L. E., Rankin, C. P., & Vicari, S.
(2012) Quantitative narrative analysis software options compared: PC-ACE and CAQDAS (ATLAS.ti, MAXqda, and NVivo). Quality & Quantity, 47(6), 3219–3247.
Gabrielatos, C., & Baker, P.
(2008) Fleeing, sneaking, flooding: A corpus analysis of discursive constructions of refugees and asylum seekers in the UK press, 1996–2005. Journal of English Linguistics, 36(1), 5–38.
Gibbs, R. W. Jnr
(2010) The Cambridge handbook of metaphor and thought. Cambridge, UK: Cambridge University Press.
Gibbs, R. W. Jnr, & Franks, H.
(2002) Embodied metaphor in women’s narratives about their experiences with cancer. Health Communication, 14(2), 139–165.
Gradmann, C.
(1996) Bazillen, Krankheit und Krieg. Bakteriologie und politische Sprache im deutschen Kaiserreich. Berichte zur Wirtschaftsgeschichte, 19(2–3), 81–94.
Gradmann, C.
(2007) Unsichtbare Feinde. Bakteriologie und politische Sprache im deutschen Kaiserreich. In P. Sarasin (Ed.), Bakteriologie und Moderne. Studien zur Biopolitik des Unsichtbaren 1870–1920 (pp. 327–353). Frankfurt: Suhrkamp.
Hanks, P.
(2012) Cognition and metaphor. Metaphor and figurative language: Vol. 4. London, New York: Routledge.
Harré, R., & Rothbart, D.
(2007) Modeling: Gateway to the unknown. Amsterdam: Elsevier.
Hendricks, R. K., Demjén, Z., Semino, E., & Boroditsky, L.
(2019) Emotional Implications of Metaphor: Consequences of Metaphor Framing for Mindset about Cancer. Metaphor and Symbol, 33(4), 267–279.
Heritage, J., & Maynard, D. W.
(2007) Communication in medical care: Interaction between primary care physicians and patients. Cambridge, UK: Cambridge University Press.
Jäkel, O.
(2003) Metaphern in abstrakten Diskursdomänen: Eine kognitiv-linguistische Untersuchung anhand der Bereiche Geistestätigkeit, Wirtschaft und Wissenschaft. Hamburg: Kovac.
Kirklin, D.
(2007) Truth telling, autonomy and the role of metaphor. Journal of Medical Ethics, 33(1), 11–14. [URL]
Knudsen, S.
(2003) Scientific metaphors going public. Journal of Pragmatics, 35(8), 1247–1263.
Kohl, K.
(2007) Metapher. Stuttgart: Metzler.
Kövecses, Z.
(2005) Metaphor in culture. Universality and variation. Cambridge, UK: Cambridge University Press.
Kotyenko, N., Nerlich, B., Crawford, P., & Wright, N.
(2008) ‘Not rocket science’ or ‘no silver bullet’? Media and government discourses about MRSA and cleanliness. Applied Linguistics, 29(2), 223–243.
Lakoff, G., & Johnson, M.
(2003) Metaphors we live by. Chicago, IL: University of Chicago Press.
Larson, B. M., Nerlich, B., & Wallis, P.
(2005) Metaphors and biorisks: The war on infectious diseases and invasive species. Science Communication, 26(3), 243–268.
(1989–2015) MAXQDA: Software for qualitative data analysis. Berlin: VERBI Software. Consult Sozialforschung GmbH.
Mongoven, A.
(2006) The war on disease and the war on terror: A dangerous metaphorical nexus?Cambridge Quarterly of Healthcare Ethics, 15(4), 403–416.
Musolff, A.
(2006) Metaphor Scenarios in Public Discourse. Metaphor and Symbol, 21(1), 23–38.
Nerlich, B., & Koteyko, N.
(2009) MRSA – Portrait of a superbug: A media drama in three acts. In A. Musolff & J. Zinken (Eds.), Metaphor and discourse (pp. 153–172). London: Palgrave Macmillan.
Nordgren, A.
(1998) Ethics and imagination. Implications of cognitive semantics for medical ethics. Theoretical Medicine and Bioethics, 19(2), 117–141.
Nowak, P.
(2010) Eine Systematik der Arzt-Patient-Interaktion. Systemtheoretische Grundlagen, qualitative Synthesemethodik und diskursanalytische Ergebnisse zum sprachlichen Handeln von Ärztinnen und Ärzten. Arbeiten zur Sprachanalyse: Vol. 51. Frankfurt: Lang.
Nowak, P., & Spranz-Fogasy, T.
(2009) Medizinische Kommunikation – Arzt und Patient im Gespräch. In A. Bogner, L. M. Eichinger, A. F. Kelletat, H.-J. Krumm, W. Michel, A. Wierlacher & B. Dengel (Eds.), Jahrbuch Deutsch als Fremdsprache 2008 (pp. 80–96). München: Iudicium.
Ortner, H.
(2014) Text und Emotion: Theorie, Methode und Anwendungsbeispiele emotionslinguistischer Textanalyse. Europäische Studien zur Textlinguistik: Vol. 15. Tübingen: Narr.
Osherson, S., & Amarasingham, L.
(1981) The machine metaphor in medicine. In E. Mishler, L. Amarasingham & S. Osherson (Eds.), Social contexts of health, illness, and patient care (pp. 218–249). Cambridge, UK: Cambridge University Press.
Periyakoil, V. S.
(2008) Using metaphors in medicine. Journal of Palliative Medicine, 11(6), 842–844. Retrieved from
Polenz, P. von
(2013) Deutsche Sprachgeschichte vom Spätmittelalter bis zur Gegenwart: Bd. 1: Einführung. Berlin & New York: Walter de Gruyter.
Pollak, K. I., Arnold, R. M., Jeffreys, A. S., Alexander, S. C., Olsen, M. K., Abernethy, A. P., Tulsky, J. A.
(2007) Oncologist communication about emotion during visits with patients with advanced cancer. Journal of Clinical Oncology, 25(36), 5748–5752.
Pragglejaz Group
(2007) MIP: A method for identifying metaphorically used words in discourse. Metaphor and Symbol, 22(1), 1–39.
(2004) Use of metaphor in the discourse on cancer. Journal of Clinical Oncology, 22(19), 4024–4027.
Sarasin, P.
(2007) Die Visualisierung des Feindes. Über metaphorische Technologien der frühen Bakteriologie. In P. Sarasin (Ed.), Bakteriologie und Moderne. Studien zur Biopolitik des Unsichtbaren 1870–1920 (pp. 427–461). Frankfurt: Suhrkamp.
Schiefer, M.
(2005): Die metaphorische Sprache in der Medizin. Metaphorische Konzeptualisierungen in der Medizin und ihre ethischen Implikationen untersucht anhand von Arztbriefanalysen. Freiburg i. Breisgau, Wien: LIT.
Schiffrin, D., Tannen, D., & Hamilton, H. E.
(Eds.) (2003) The handbook of discourse analysis. Malden: Blackwell.
Schwarz-Friesel, M.
(2013) Sprache und Emotion. Tübingen: Francke.
Schwarz-Friesel, M.
(2015) Metaphern und ihr persuasives Inferenzpotenzial: Konzeptualisierungen des islamistischen Terrorismus nach 9/11 im massenmedialen Diskurs. In C. Spieß & K.-M. Köpcke (Eds.), Metapher und Metonymie: Theoretische, empirische und methodische Zugänge (pp. 143–160). Berlin, New York: Walter de Gruyter.
Semino, E., Demjén, Z., Demmen, J., Koller, V., Payne, S., Hardie, A., & Rayson, P.
(2017) The online use of violence and journey metaphors by patients with cancer, as compared with health professionals: A mixed methods study. BMJ Supportive and Palliative Care, 7(1), 60–66.
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.
Semino, E., Demjén, Z., & Demmen, J.
(2016) An integrated approach to metaphor and framing in cognition, discourse, and practice, with an application to metaphors for cancer. Applied Linguistics, 37(6), 1–22.
Slobod, D., & Fuks, A.
(2012) Military metaphors and friendly fire. Canadian Medical Association Journal, 184(1), 144.
Steen, G. J., Dorst, A. G., Herrmann, B. J., Kaal, A., Krennmayr, T., & Pasma, T.
(2006) Corpus-based approaches to metaphor and metonymy. In A. Stefanowitsch & S. T. Gries (Eds.), Corpus-based approaches to metaphor and metonymy, Trends in Linguistics, (pp. 1–16). Berlin & New York: Mouton de Gruyter.
Villiger, C.
(2000) Kontextuelle und kulturspezifische Aspekte des Gebrauchs von Raummetaphern in Texten, Zeitschrift für angewandte Linguistik, 331, 101–119.
Wallis, P., & Nerlich, B.
(2005) Disease metaphors in new epidemics: The UK media framing of the 2003 SARS epidemic. Social Science & Medicine, 60(11), 2629–2639.
Warren, V.
(1991) The ‘medicine is war’ metaphor. HEC Forum, 31, 39–50.
Washer, P., & Joffe, H.
(2006) The “hospital superbug”: Social representations of MRSA. Social Science and Medicine, 63(8), 2141–2152.
Weinrich, H.
(1976) Allgemeine Semantik der Metapher. In H. Weinrich (Ed.), Sprache in Texten (pp. 317–327). Stuttgart: Klett.
Wengeler, M.
(2003) Topos und Diskurs. Begründung einer argumentationsanalytischen Methode und ihre Anwendung auf den Migrationsdiskurs (1960–1985). Tübingen: Niemeyer.
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2022. “Xylella is the Enemy that Must be Fought”: Representations of the X. Fastidiosa Bacterium in the Media Discourse. Corpus Pragmatics 6:4 ► pp. 291 ff.
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