{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:54:01Z","timestamp":1777416841074,"version":"3.51.4"},"reference-count":55,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,17]],"date-time":"2025-05-17T00:00:00Z","timestamp":1747440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Foundation for Science and Technology","doi-asserted-by":"publisher","award":["PTDC\/SOC-SOC\/29764\/2017"],"award-info":[{"award-number":["PTDC\/SOC-SOC\/29764\/2017"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.pec.2025.108812","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T08:03:07Z","timestamp":1746777787000},"page":"108812","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Metaphors as communication tools in fertility care and assisted reproductive technologies in Portugal"],"prefix":"10.1016","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9679-0681","authenticated-orcid":false,"given":"Catarina","family":"Delaunay","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00eds","family":"Gouveia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.pec.2025.108812_bib1","series-title":"Metaphors We Live By","author":"Lakoff","year":"1980"},{"key":"10.1016\/j.pec.2025.108812_bib2","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1089\/jpm.2009.0221","article-title":"Can metaphors and analogies improve communication with seriously ill patients?","volume":"13","author":"Casarett","year":"2010","journal-title":"J Palliat Med"},{"key":"10.1016\/j.pec.2025.108812_bib3","first-page":"102","article-title":"Didactic potential of metaphors used in medical discourse","volume":"3","author":"Karska","year":"2017","journal-title":"LingBaW Linguist Beyond"},{"key":"10.1016\/j.pec.2025.108812_bib4","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1080\/10926488.2010.510926","article-title":"Descriptions of pain, metaphor, and embodied simulation","volume":"25","author":"Semino","year":"2010","journal-title":"Metaphor Symb"},{"key":"10.1016\/j.pec.2025.108812_bib5","series-title":"Thinking with metaphors in medicine: The state of the art","author":"Bleakley","year":"2017"},{"key":"10.1016\/j.pec.2025.108812_bib6","doi-asserted-by":"crossref","first-page":"4024","DOI":"10.1200\/JCO.2004.03.136","article-title":"Use of metaphor in the discourse on cancer","volume":"22","author":"Reisfield","year":"2004","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.pec.2025.108812_bib7","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1080\/02773945.2014.957413","article-title":"From barren to sterile: The evolution of a mixed metaphor","volume":"45","author":"Jensen","year":"2015","journal-title":"Rhetor Soc Q"},{"key":"10.1016\/j.pec.2025.108812_bib8","series-title":"Infertility: Tracing the history of a transformative term","author":"Jensen","year":"2016"},{"key":"10.1016\/j.pec.2025.108812_bib9","series-title":"Infertility around the globe: New thinking on childlessness, gender, and reproductive technologies","first-page":"101","article-title":"Infertile bodies: Medicalization, metaphor, and agency","author":"Greil","year":"2002"},{"key":"10.1016\/j.pec.2025.108812_bib10","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1179\/2050287713Z.0000000003","article-title":"Metaphors of the infertile body: Talking about assisted reproduction in Latvia","volume":"18","author":"Mezinska","year":"2012","journal-title":"N Bioeth"},{"key":"10.1016\/j.pec.2025.108812_bib11","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1525\/maq.1994.8.4.02a00040","article-title":"Metaphors in disrupted lives: Infertility and cultural constructions of continuity","volume":"8","author":"Becker","year":"1994","journal-title":"Med Anthr Q"},{"key":"10.1016\/j.pec.2025.108812_bib12","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1080\/10410236.2014.888386","article-title":"Dancing around infertility: The use of metaphors in a complex medical situation","volume":"30","author":"Palmer-Wackerly","year":"2015","journal-title":"Health Commun"},{"key":"10.1016\/j.pec.2025.108812_bib13","series-title":"With child in mind: Studies of the personal encounter with infertility. Philadelphia","author":"Sandelowski","year":"1993"},{"key":"10.1016\/j.pec.2025.108812_bib14","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1080\/07399339109515939","article-title":"Infertility: Women\u2019s experiences","volume":"12","author":"Woods","year":"1991","journal-title":"Health Care Women Int"},{"key":"10.1016\/j.pec.2025.108812_bib15","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1046\/j.1440-1800.2002.00126.x","article-title":"IVF as lottery or investment: Contesting metaphors in discourses of infertility","volume":"9","author":"de Lacey","year":"2002","journal-title":"Nurs Inq"},{"key":"10.1016\/j.pec.2025.108812_bib16","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1016\/j.socscimed.2006.03.034","article-title":"Rethinking the biological clock: Eleventh-hour moms, miracle moms and meanings of age-related infertility","volume":"63","author":"Friese","year":"2006","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.pec.2025.108812_bib17","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1177\/1470357218784622","article-title":"Pictorial and spatial metaphor in the drawings of a culturally diverse group of women with fertility problems","volume":"19","author":"Refaie","year":"2020","journal-title":"Vis Commun"},{"key":"10.1016\/j.pec.2025.108812_bib18","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.rbms.2021.05.003","article-title":"In vitro metaphors: ART beneficiaries\u2019 meaning-making about human embryos in the context of IVF in Portugal","volume":"13","author":"Delaunay","year":"2021","journal-title":"Reprod Biomed Soc Online"},{"key":"10.1016\/j.pec.2025.108812_bib19","doi-asserted-by":"crossref","first-page":"1529","DOI":"10.1177\/1049732316686759","article-title":"The fate of unused embryos: Discourses, action possibilities, and subject positions","volume":"27","author":"Goedeke","year":"2017","journal-title":"Qual Health Res"},{"issue":"2","key":"10.1016\/j.pec.2025.108812_bib20","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/j.fertnstert.2005.01.134","article-title":"Parents\u2019 conceptualization of their frozen embryos complicates the disposition decision","volume":"84","author":"Nachtigall","year":"2005","journal-title":"Fertil Steril"},{"key":"10.1016\/j.pec.2025.108812_bib21","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1093\/humrep\/deh831","article-title":"Parent identity and \u2018virtual\u2019 children: Why patients discard rather than donate unused embryos","volume":"20","author":"de Lacey","year":"2005","journal-title":"Hum Reprod"},{"key":"10.1016\/j.pec.2025.108812_bib22","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1093\/humrep\/dem056","article-title":"Decisions for the fate of frozen embryos: Fresh insights into patients\u2019 thinking and their rationales for donating or discarding embryos","volume":"22","author":"de Lacey","year":"2007","journal-title":"Hum Reprod"},{"key":"10.1016\/j.pec.2025.108812_bib23","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1046\/j.1467-9566.2003.00370.x","article-title":"Envisaging the embryo in stem cell research: Rhetorical strategies and media reporting of the ethical debates","volume":"25","author":"Williams","year":"2003","journal-title":"Socio Health Illn"},{"key":"10.1016\/j.pec.2025.108812_bib24","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s11017-009-9126-0","article-title":"You are our only hope\u201d: Trading metaphorical \u201cmagic bullets\u201d for stem cell \u201csuperheroes","volume":"30","author":"Burns","year":"2009","journal-title":"Theor Med Bioeth"},{"key":"10.1016\/j.pec.2025.108812_bib25","unstructured":"Franklin S. Embodied progress: A cultural account of assisted conception. Routledge; 1997."},{"key":"10.1016\/j.pec.2025.108812_bib26","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1146\/annurev.anthro.37.081407.085230","article-title":"Assisted reproductive technologies and culture change","volume":"37","author":"Inhorn","year":"2008","journal-title":"Annu Rev Anthr"},{"key":"10.1016\/j.pec.2025.108812_bib27","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1080\/23293691.2017.1326250","article-title":"Commerce, Industry, and Security: Biomedicalization Theory and the Use of Metaphor to Describe Practitioner\u2013Patient Communication Within Fertility, Inc","volume":"4","author":"Johnson","year":"2017","journal-title":"Women\u2019s Reprod Health"},{"key":"10.1016\/j.pec.2025.108812_bib28","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.1111\/j.1475-6773.2006.00684.x","article-title":"Qualitative data analysis for health services research: Developing taxonomy, themes, and theory","volume":"42","author":"Bradley","year":"2007","journal-title":"Health Serv Res"},{"key":"10.1016\/j.pec.2025.108812_bib29","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1111\/j.1467-9841.2007.00309.x","article-title":"Miracles of love: The use of metaphor in egg donor ads","volume":"11","author":"Hobbs","year":"2007","journal-title":"J Socioling"},{"key":"10.1016\/j.pec.2025.108812_bib30","series-title":"The elusive embryo: How women and men approach new reproductive technologies. Berkeley","author":"Becker","year":"2000"},{"key":"10.1016\/j.pec.2025.108812_bib31","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2025.117957","article-title":"From Egg & Sperm to Re-conceiving Medical Education: Why Teaching about Metaphor Is Essential to Remedy Injustice","author":"Liston","year":"2025","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.pec.2025.108812_bib32","series-title":"Icons of life: A cultural history of human embryos. Berkeley","author":"Morgan","year":"2009"},{"key":"10.1016\/j.pec.2025.108812_bib33","series-title":"Culturing life: How cells became technology. Cambridge","author":"Landecker","year":"2007"},{"key":"10.1016\/j.pec.2025.108812_bib34","series-title":"The visible human project: Informatic bodies and posthuman medicine","author":"Waldby","year":"2000"},{"key":"10.1016\/j.pec.2025.108812_bib35","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/issj.12218","article-title":"Conception narratives and third-party reproduction in lesbian-parented families in France","volume":"70","author":"Gross","year":"2019","journal-title":"Int Soc Sci J"},{"key":"10.1016\/j.pec.2025.108812_bib36","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s40656-021-00425-3","article-title":"Cycles and circulation: A theme in the history of biology and medicine","volume":"43","author":"Hopwood","year":"2021","journal-title":"Hist Philos Life Sci"},{"key":"10.1016\/j.pec.2025.108812_bib37","series-title":"The social worlds of the unborn","author":"Lupton","year":"2013"},{"key":"10.1016\/j.pec.2025.108812_bib38","series-title":"Crystals, fabrics and fields: Metaphors that shape embryos","author":"Haraway","year":"1976"},{"key":"10.1016\/j.pec.2025.108812_bib39","series-title":"Making sense of life: Explaining biological development with models, metaphors, and machines. Cambridge","author":"Keller","year":"2002"},{"key":"10.1016\/j.pec.2025.108812_bib40","first-page":"61","article-title":"Acknowledging the plural Weberian rationalities in clinical embryology: When moral values, habits, and\/or affection prevail beyond efficiency","volume":"9","author":"Delaunay","year":"2023","journal-title":"Intersect East Eur J Soc Polit"},{"issue":"1","key":"10.1016\/j.pec.2025.108812_bib41","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1177\/0306312707082502","article-title":"Unpacking the \u201cspare embryo\u201d: Facilitating stem cell research in a moral landscape","volume":"38","author":"Svendsen","year":"2008","journal-title":"Soc Stud Sci"},{"key":"10.1016\/j.pec.2025.108812_bib42","series-title":"The foetal condition: A sociology of engendering and abortion","author":"Boltanski","year":"2013"},{"key":"10.1016\/j.pec.2025.108812_bib43","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1177\/1357034X17733523","article-title":"Exploring the ineffable in women\u2019s experiences of relationality with their stored IVF embryos","volume":"23","author":"Millbank","year":"2017","journal-title":"Body Soc"},{"key":"10.1016\/j.pec.2025.108812_bib44","series-title":"Inquiries in philosophical pragmatics: Theoretical developments","first-page":"171","article-title":"The communicative functions of metaphors between explanation and persuasion","author":"Macagno","year":"2021"},{"key":"10.1016\/j.pec.2025.108812_bib45","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.pec.2009.03.024","article-title":"Understanding metaphor to facilitate emotional expression during a chronic disease self-management course","volume":"77","author":"McFarland","year":"2009","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.pec.2025.108812_bib46","doi-asserted-by":"crossref","first-page":"47","DOI":"10.5817\/DI2017-2-47","article-title":"Humor and metaphors in medical language","volume":"10","author":"Gyur\u00f3","year":"2017","journal-title":"Discourse Interact"},{"key":"10.1016\/j.pec.2025.108812_bib47","series-title":"Liminal lives: Imagining the human at the frontiers of biomedicine. Durham","author":"Squier","year":"2004"},{"key":"10.1016\/j.pec.2025.108812_bib48","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/1357034X17697801","article-title":"Staging embryos: Pregnancy, temporality and the history of the Carnegie stages of embryo development","volume":"23","author":"DiCaglio","year":"2017","journal-title":"Body Soc"},{"key":"10.1016\/j.pec.2025.108812_bib49","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.113804","article-title":"Unmet communication needs and moral work in the disposition decision concerning surplus frozen embryos: The perspectives of IVF users","volume":"274","author":"Raz","year":"2021","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.pec.2025.108812_bib50","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/08164649.1987.9961538","article-title":"A manifesto for cyborgs: Science, technology, and socialist feminism in the 1980s","volume":"2","author":"Haraway","year":"1987","journal-title":"Aust Fem Stud"},{"key":"10.1016\/j.pec.2025.108812_bib51","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1023\/A:1009406729739","article-title":"Pre-persons, commodities or cyborgs: The legal construction and representation of the embryo","volume":"8","author":"Fox","year":"2000","journal-title":"Health Care Anal"},{"key":"10.1016\/j.pec.2025.108812_bib52","series-title":"A sociology of monsters: Essays on power, technology and domination","first-page":"26","article-title":"Power, technology and the phenomenology of conventions: On being allergic to onions","author":"Star","year":"1991"},{"key":"10.1016\/j.pec.2025.108812_bib53","series-title":"Technologies of procreation: Kinship in the age of assisted conception","first-page":"173","article-title":"Regulation, substitution and possibility","author":"Strathern","year":"2005"},{"key":"10.1016\/j.pec.2025.108812_bib54","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.pragma.2019.03.010","article-title":"Metaphors and problematic understanding in chronic care communication","volume":"151","author":"Macagno","year":"2019","journal-title":"J Pragmat"},{"key":"10.1016\/j.pec.2025.108812_bib55","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1016\/j.pec.2019.06.010","article-title":"Cultural competence and metaphor in mental healthcare interactions: A linguistic perspective","volume":"102","author":"Maga\u00f1a","year":"2019","journal-title":"Patient Educ Couns"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S073839912500179X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S073839912500179X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T05:39:58Z","timestamp":1755495598000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S073839912500179X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":55,"alternative-id":["S073839912500179X"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2025.108812","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Metaphors as communication tools in fertility care and assisted reproductive technologies in Portugal","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2025.108812","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"108812"}}