Bibliographic record
Abstract
Chapter 2 explores the developmental psychology of metaphor and its significance for illness experience. While semiotics of medicine implies a simple link between physiological processes and symptom reports, illness experience is articulated through metaphors that are grounded in bodily experience, social interaction, discourse, and cultural practices. Bodily grounding of metaphor is based on sensorimotor equivalences, as seen early in development in synesthesia and cross-modal analogies. Social grounding resides in the pragmatics of language in which context and goals depend on social roles, norms, and cultural meaning. Despite this, metaphors allow for creative play by requiring only piecemeal correspondences to the world through ostension. The meaning of metaphors is then found not in representation but in presentation. Clinical examples illustrate a patient on dialysis refusing a blood transfusion and a woman with medically unexplained floating sensations, showing how a semantics of metaphor can clarify the tensions between the essential irrationality of illness experience and the biomedical presumption of rationality in normative accounts of illness cognition and behavior.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.021 |
| Scholarly communication | 0.004 | 0.005 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.006 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".