Metaphors: The Language of Pre and Perinatal Trauma

Verbal metaphors and their behavioral counterparts are discussed within the
context of pre and perinatal issues. The major developmental stages are illustrated by the patient’s use of
language. These metaphors may emerge frequently in casual conversation or during periods of stress
throughout life. As an example phrases such as “no way out” express the energy bound in prolonged labor and
“being pulled in all directions” is related to a forceps assisted delivery. The baby’s reaction to physical and
psychological experiences during gestation may be discerned from verbal cues. These symbolic statements
offer new possibilities in the realm of diagnosis and psychotherapeutic treatment. Each of us represents
ourselves through a variety of behaviors. We project who we are, how we perceive ourselves, and how we want
to be viewed through many different forms. The clothing we select projects an image, whether it’s the three
piece business suit of the executive, the baggy pants and oversized shirt of the rough look, or the elaborate
hairdo and rhinestone-studded costumes of Dolly Parton. Our tone of voice, accent, use of words, hand
gestures, facial and body language are all symbols that give an additional portrayal of who we are and where
we come from. In My Fair Lady, Professor Higgins’ point is well taken. Our psychosocial development, our
roots, and current history are well represented by our every gesture, our vocal intonation, and the garments we
wear. At a deeper level, there are symbols and metaphors that tell an even more critical story.