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Research Article

Women’s Metaphors About BRCA Gene Testing and How They Can Inform Health Communication Theory and Practice

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References

  • Austin, J., Semaka, A., & Hadjipavlou, G. (2014). Conceptualizing genetic counseling as psychotherapy in the era of genomic medicine. Journal of Genetic Counseling, 23(6), 903–909. https://doi.org/10.1007/s10897-014-9728-1
  • Babrow, A. S., Kasch, C. R., & Ford, L. A. (1998). The many meanings of uncertainty in illness: Toward a systematic accounting. Health Communication, 10(1), 1–23. https://doi.org/10.1207/s15327027hc1001_1
  • Bakos, A. D., Hutson, S. P., Loud, J. T., Peters, J. A., Giusti, R. M., & Greene, M. H. (2008). BRCA mutation-negative women from hereditary breast and ovarian cancer families: A qualitative study of the BRCA-negative experience. Health Expectations: An International Journal of Public Participation in Health Care and Health Policy, 11(3), 220–231. https://doi.org/10.1111/j.1369-7625.2008.00494.x
  • Bottorff, J. L., Ratner, P. A., Johnson, J. L., Lovato, C. Y., & Joab, S. A. (1998). Communicating cancer risk information: The challenges of uncertainty. Patient Education and Counseling, 33(1), 67–81. https://doi.org/10.1016/s0738-3991(97)00047-5
  • Bowker, J. (1996). Cancer, individual process, and control: A case study in metaphor analysis. Health Communication, 8(1), 91–104. https://doi.org/10.1207/s15327027hc0801_5
  • Brashers, D. E. (2001). Communication and uncertainty management. The Journal of Communication, 51(3), 477–497. https://doi.org/10.1111/j.1460-2466.2001.tb02892.x
  • Brashers, D. E., Neidig, J. L., Haas, S. M., Dobbs, L. K., Cardillo, L. W., & Russell, J. A. (2000). Communication in the management of uncertainty: The case of persons living with HIV or AIDS. Communication Monographs, 67(1), 63–84. https://doi.org/10.1080/03637750009376495
  • Brashers, D. E., Neidig, J. L., Russell, J. A., Cardillo, L. W., Haas, S. M., Dobbs, L. K., Garland, M., McCartney, B., & Nemeth, S. (2003). The medical, personal, and social causes of uncertainty in HIV illness. Issues in Mental Health Nursing, 24(5), 497–522. https://doi.org/10.1080/01612840305292
  • Brunstrom, K., Murray, A., & McAllister, M. (2016). Experiences of women who underwent predictive BRCA 1/2 mutation testing before the age of 30. Journal of Genetic Counseling, 25(1), 90–100. https://doi.org/10.1007/s10897-015-9845-5
  • Bylund, C. L., Fisher, C. L., Brashers, D., Edgerson, S., Glogowski, E. A., Boyar, S. R., Kemel, Y., Spencer, S., & Kissane, D. (2012). Sources of uncertainty about daughters’ breast cancer risk that emerge during genetic counseling consultations. Journal of Genetic Counseling, 21(2), 292–304. https://doi.org/10.1007/s10897-011-9400-y
  • Campbell-Salome, G., & Rauscher, E. A. (2020). Family storytelling about hereditary cancer: Framing shared understandings of risk. Journal of Genetic Counseling, 29(6), 936–948. https://doi.org/10.1002/jgc4.1218
  • Charmaz, K. (2014). Constructing grounded theory: A practical guide through qualitative analysis (2nd ed.). SAGE.
  • Cheded, M., Liu, C., & Hopkinson, G. (2022). Dead metaphors and responsibilised bodies-in-transition: The implications of medical metaphors for understanding the consumption of preventative healthcare. Journal of Marketing Management, 38(5–6), 544–568. https://doi.org/10.1080/0267257X.2021.1996442
  • Cohen, M. (2018). Metaphor: Its therapeutic use and construction: A professional guide to using metaphor in psychotherapy and counseling. Resource Publications.
  • Condit, C. M., & Condit, D. M. (2001). Blueprints and recipes: Gendered metaphors for genetic medicine. The Journal of Medical Humanities, 22(1), 29–39. https://doi.org/10.1023/A:1026634010579
  • d’Agincourt-Canning, L. (2006). A gift or a yoke? Women’s and men’s responses to genetic risk information from BRCA1 and BRCA2 testing. Clinical Genetics, 70(6), 462–472. https://doi.org/10.1111/j.1399-0004.2006.00720.x
  • Dean, M. (2016). “It’s not if I get cancer, it’s when I get cancer”: BRCA-positive patients’ (un)certain health experiences regarding hereditary breast and ovarian cancer risk. Social Science & Medicine, 163, 21–27. https://doi.org/10.1016/j.socscimed.2016.06.039
  • Dean, M., & Davidson, L. G. (2018). Previvors’ uncertainty management strategies for hereditary breast and ovarian cancer. Health Communication, 33(2), 122–130. https://doi.org/10.1080/10410236.2016.1250187
  • Dean, M., & Fisher, C. L. (2019). Uncertainty and previvors’ cancer risk management: Understanding the decision-making process. Journal of Applied Communication Research, 47(4), 460–483. https://doi.org/10.1080/00909882.2019.1657236
  • Demjén, Z., & Semino, E. (2017). Using metaphor in healthcare: Physical health. In E. Semino & Z. Demjén (Eds.), The Routledge handbook of metaphor and language (pp. 385–399). Routledge.
  • DiMillo, J., Samson, A., Thériault, A., Lowry, S., Corsini, L., Verma, S., & Tomiak, E. (2013). Living with the BRCA genetic mutation: An uncertain conclusion to an unending process. Psychology, Health & Medicine, 18(2), 125–134. https://doi.org/10.1080/13548506.2012.687827
  • Douglas, H. A., Hamilton, R. J., & Grubs, R. E. (2009). The effect of BRCA gene testing on family relationships: A thematic analysis of qualitative interviews. Journal of Genetic Counseling, 18(5), 418–435. https://doi.org/10.1007/s10897-009-9232-1
  • Ellington, L., Baty, B. J., McDonald, J., Venne, V., Musters, A., Roter, D., Dudley, W., & Croyle, R. T. (2006). Exploring genetic counseling communication patterns: The role of teaching and counseling approaches. Journal of Genetic Counseling, 15(3), 179–189. https://doi.org/10.1007/s10897-005-9011-6
  • Fisher, C. L., Roccotagliata, T., Rising, C. J., Kissane, D. W., Glogowski, E. A., & Bylund, C. L. (2017). “I don’t want to be an ostrich”: Managing mothers’ uncertainty during BRCA1/2 genetic counseling. Journal of Genetic Counseling, 26(3), 455–468. https://doi.org/10.1007/s10897-016-9998-x
  • Gallagher, L., McAuley, J., & Moseley, G. L. (2013). A randomized-controlled trial of using a book of metaphors to reconceptualize pain and decrease catastrophizing in people with chronic pain. The Clinical Journal of Pain, 29(1), 20–25. https://doi.org/10.1097/AJP.0b013e3182465cf7
  • Gibbs, R. W., Jr., & Franks, H. (2002). Embodied metaphor in women’s narratives about their experiences with cancer. Health Communication, 14(2), 139–165. https://doi.org/10.1207/S15327027HC1402_1
  • Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Aldine.
  • Golden, M. A., Whaley, B. B., & Stone, A. M. (2012). “The system is beginning to shut down”: Utilizing caregivers’ metaphors for dementia, persons with dementia, and caregiving. Applied Nursing Research, 25(3), 146–151. https://doi.org/10.1016/j.apnr.2011.02.001
  • Han, P. K. J., Umstead, K. L., Bernhardt, B. A., Green, R. C., Joffe, S., Koenig, B., Krantz, I., Waterston, L. B., Biesecker, L. G., & Biesecker, B. B. (2017). A taxonomy of medical uncertainties in clinical genome sequencing. Genetics in Medicine, 19(8), 918–925. https://doi.org/10.1038/gim.2016.212
  • Hesse-Biber, S. (2014). The genetic testing experience of BRCA-positive women: Deciding between surveillance and surgery. Qualitative Health Research, 24(6), 773–789. https://doi.org/10.1177/1049732314529666
  • Hillen, M. A., Gutheil, C. M., Strout, T. D., Smets, E., & Han, P. (2017). Tolerance of uncertainty: Conceptual analysis, integrative model, and implications for healthcare. Social Science & Medicine, 180, 62–75. https://doi.org/10.1016/j.socscimed.2017.03.024
  • Hommerberg, C., Gustafsson, A. W., & Sandgren, A. (2020). Battle, journey, imprisonment and burden: Patterns of metaphor use in blogs about living with advanced cancer. BMC Palliative Care, 19(59), 1–10. https://doi.org/10.1186/s12904-020-00557-6
  • Horstman, H. K., Holman, A., & McBride, M. C. (2020). Men’s use of metaphors to make sense of their spouse’s miscarriage: Expanding the communicated sense-making model. Health Communication, 35(5), 538–547. https://doi.org/10.1080/10410236.2019.1570430
  • Howlader, N., Noone, A. M., Krapcho, M., Miller, D., Brest, A., Yu, M., Ruhl, J., Tatalovich, Z., Mariotto, A., Lewis, D. R., Chen, H. S., Feuer, E. J., & Cronin, K. A. (Eds.). (2020). SEER cancer statistics review, 1975-2017. National Cancer Institute. https://seer.cancer.gov/csr/1975_2017/
  • Jacobs, C., Patch, C., & Michie, S. (2019). Communication about genetic testing with breast and ovarian cancer patients: A scoping review. European Journal of Human Genetics, 27(4), 511–524. https://doi.org/10.1038/s41431-018-0310-4
  • Jeffers, L., Morrison, P. J., McCaughan, E., & Fitzsimons, D. (2014). Maximising survival: The main concern of women with hereditary breast and ovarian cancer who undergo genetic testing for BRCA1/2. European Journal of Oncology Nursing, 18(4), 411–418. https://doi.org/10.1016/j.ejon.2014.03.007
  • Johannessen, A., Engedal, K., & Thorsen, K. (2015). Adult children of parents with young-onset dementia narrate the experiences of their youth through metaphors. Journal of Multidisciplinary Healthcare, 8, 245–254. https://doi.org/10.2147/JMDH.S84069
  • Kelly, K., Leventhal, H., Andrykowski, M., Toppmeyer, D., Much, J., Dermody, J., Marvin, M., Baran, J., & Schwalb, M. (2005). Using the common sense model to understand perceived cancer risk in individuals testing for BRCA1/2 mutations. Psycho-Oncology, 14(1), 34–48. https://doi.org/10.1002/pon.805
  • Koenig Kellas, J., & Kranstuber Horstman, H. (2015). Communicated narrative sense-making: Understanding family narratives, storytelling, and the construction of meaning through a communicative lens. In L. H. Turner & R. West (Eds.), The SAGE handbook of family communication (pp. 76–90). SAGE. https://doi.org/10.4135/9781483375366.n5
  • Kövecses, Z. (2017). Conceptual metaphor theory. In E. Semino & Z. Demjén (Eds.), The Routledge handbook of metaphor and language (pp. 13–27). Routledge.
  • Kuchenbaecker, K. B., Hopper, H., Barnes, D. R., Phillips, K. A., Mooij, T. M., Roos-Blom, M. J., Jervis, S., van Leeuwen, F. E., Milne, R. L., Andrieu, N., Goldgar, D. E., Terry, M. B., Rookus, M. A., Easton, D. F., Antoniou, A. C., BRCA1 and BRCA2, Consortium, C., McGuffog, L., Evans, D. G., Barrowdale, D. , and Olsson, H. (2017). BRCA1 and BRCA2. JAMA, 317(23), 2402–2416. https://doi.org/10.1001/jama.2017.7112
  • Lakoff, G., & Johnson, M. (1980). Metaphors we live by. University of Chicago Press.
  • Lakoff, G., & Johnson, M. (1999). Philosophy in the flesh: The embodied mind and its challenge to Western thought. Basic Books.
  • Lanceley, A., & Macleod Clark, J. (2013). Cancer in other words? The role of metaphor in emotion disclosure in cancer patients. British Journal of Psychotherapy, 29(2), 182–201. https://doi.org/10.1111/bjp.12023
  • Leventhal, H., Diefenbach, M., & Leventhal, E. A. (1992). Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions. Cognitive Therapy and Research, 16(2), 143–163. https://doi.org/10.1007/BF01173486
  • Malvini Redden, S. (2017). Metaphor analysis. In J. Matthes, C. S. Davis & R. F. Potter (Eds.), International encyclopedia of communication research methods. Wiley-Blackwell. https://doi.org/10.1002/9781118901731.iecrm0154
  • Medendorp, N. M., van Maarschalkerweerd, P. E. A., Murugesu, L., Daams, J. G., Smets, E. M. A., & Hillen, M. A. (2020). The impact of communicating uncertain test results in cancer genetic counseling: A systematic mixed studies review. Patient Education and Counseling, 103(9), 1692–18708. https://doi.org/10.1016/j.pec.2020.03.015
  • Meiser, B., Irie, J., Lobb, E., & Barlow-Steward, K. (2008). Assessment of the content and process of genetic counseling: A critical review of empirical studies. Journal of Genetic Counseling, 17(5), 434–451. https://doi.org/10.1007/s10897-008-9173-0
  • Mishel, M. H. (1988). Uncertainty in illness. Image: The Journal of Nursing Scholarship, 20(4), 225–232. https://doi.org/10.1111/j.1547-5069.1988.tb00082.x
  • Mishel, M. H. (1990). Reconceptualization of the uncertainty in illness theory. Image: The Journal of Nursing Scholarship, 22(4), 256–262. https://doi.org/10.1111/j.1547-5069.1990.tb00225.x
  • National Cancer Institute. (2020). BRCA gene mutations: Cancer risk and genetic testing. https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet
  • Oliveri, S., Ferrari, F., Manfrinati, A., & Pravettoni, G. (2018). A systematic review of the psychological implications of genetic testing: A comparative analysis among cardiovascular, neurodegenerative and cancer diseases. Frontiers in Genetics, 9, 1–21. https://doi.org/10.3389/fgene.2018.00624
  • Parrott, R., & Smith, R. A. (2014). Defining genes using “blueprint” versus “instruction” metaphors: Effects for genetic determinism, response efficacy, and perceived control. Health Communication, 29(2), 137–146. https://doi.org/10.1080/10410236.2012.729181
  • Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). SAGE.
  • Possick, C., & Kestler-Peleg, M. (2020). BRCA and motherhood: A matter of time and timing. Qualitative Health Research, 30(6), 825–835. https://doi.org/10.1177/1049732319885113
  • Rauscher, E. A., Dean, M., Campbell-Salome, G., & Barbour, J. B. (2019). “How do we rally around the one who was positive?” Familial uncertainty management in the context of men managing BRCA-related cancer risks. Social Science & Medicine, 242, 1–10. https://doi.org/10.1016/j.socscimed.2019.112592
  • Resta, R., Biesecker, B. B., Bennett, R. L., Blum, S., Estabrooks Hahn, S., Strecker, M. N., & Williams, J. L. (2006). A new definition of genetic counseling: National Society of Genetic Counselors’ Task Force report. Journal of Genetic Counseling, 15(2), 77–83. https://doi.org/10.1007/s10897-005-9014-3
  • Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality & Quantity, 52(4), 1893–1907. https://doi.org/10.1007/s11135-017-0574-8
  • Semino, E. (2021). “Not soldiers but fire-fighters” - Metaphors and Covid-19. Health Communication, 36(1), 50–58. https://doi.org/10.1080/10410236.2020.1844989
  • Sexton, A., & James, P. A. (2022). Metaphors and why these are important in all aspects of genetic counseling. Journal of Genetic Counseling, 31(1), 34–40. https://doi.org/10.1002/jgc4.1463
  • Sontag, S. (1979). Illness as metaphor. Vintage Books.
  • Tay, D. (2017). Using metaphor in healthcare: Mental health. In E. Semino & Z. Demjén (Eds.), The Routledge handbook of metaphor and language (pp. 371–384). Routledge.
  • Thorsen, K., & Johannessen, A. (2021). Metaphors for the meaning of caring for a spouse with dementia. Journal of Multidisciplinary Healthcare, 14, 181–195. https://doi.org/10.2147/JMDH.S289104
  • Tracy, S. J. (2020). Qualitative research methods: Collecting evidence, crafting analysis, communicating impact (2nd ed.). Wiley-Blackwell.
  • Veach, P. M., Bartels, D., & LeRoy, B. (2007). Coming full circle: A reciprocal-engagement model of genetic counseling practice. Journal of Genetic Counseling, 16(6), 713–728. https://doi.org/10.1007/s10897-007-9113-4
  • Wagener, A. (2017). Metaphor in professional counseling. The Professional Counselor, 7(2), 144–154. https://doi.org/10.15241/aew.7.2.144
  • Weil, J. (2003). Psychosocial genetic counseling in the post-nondirective era: A point of view. Journal of Genetic Counseling, 12(3), 199–211. https://doi.org/10.1023/A:1023234802124

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