Metaphor as methodology: Methodological reflections on visualizing the dementia journey.

IF 2.2 Dementia (London, England) Pub Date : 2025-02-01 Epub Date: 2024-12-01 DOI:10.1177/14713012241295954
Elaine C Wiersma, Sherry L Dupuis, Pauline Sameshima, Philip Caffery, David Harvey
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Abstract

Metaphors to describe and understand dementia have been used in Western culture for many years. However, the ways in which people living with dementia and care partners use metaphors and symbols to illustrate and give meaning to their own experiences has been less understood. In this paper we explore the use of metaphor as methodology-- a way to support people living with dementia and their care partners in reflecting on and sharing their experiences of dementia. More specifically, drawing on our experiences using metaphor and symbols to map out the dementia journey from the perspectives of people living with dementia, care partners, and health and social care providers in Ontario, Canada, we describe our process of employing metaphor as methodology. We reflect on the use of metaphor as methodology through framing the dementia experience, exploring complexity, and representing multidimensionality. The use of metaphors has the potential to open space for new understandings of dementia.

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作为方法论的隐喻:对痴呆过程可视化的方法论思考。
描述和理解痴呆症的隐喻在西方文化中已经使用了很多年。然而,人们对痴呆症患者及其护理伙伴使用隐喻和符号来说明自身经历并赋予其意义的方式了解较少。在本文中,我们探讨了隐喻作为方法的使用-一种支持痴呆症患者及其护理伙伴反思和分享痴呆症经验的方法。更具体地说,我们从加拿大安大略省的痴呆症患者、护理伙伴以及健康和社会护理提供者的角度出发,利用我们使用隐喻和符号来绘制痴呆症之旅的经验,描述了我们使用隐喻作为方法的过程。我们反思使用隐喻作为方法,通过框架痴呆经验,探索复杂性,并代表多维度。隐喻的使用有可能为对痴呆症的新理解开辟空间。
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