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The Meaning and Measure of Policy Metaphors

Published online by Cambridge University Press:  01 September 2000

Mark Schlesinger  and
Richard R. Lau
Mark Schlesinger
Affiliation:
Yale University School of Medicine and Rutgers University
Richard R. Lau
Affiliation:
Rutgers University
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Abstract

The apparent ability of the American public to form coherent assessments of policy options—while being largely ignorant of political institutions, actors, and ideology—remains a persistent puzzle for political science. We develop a theory of political decision making that helps resolve this puzzle. We postulate that both the public and political elites comprehend complex policies in part through “reasoning by policy metaphor,” which involves comparisons between proposed alternative policies and more readily understood social institutions. Using data from 169 intensive interviews, we test claims about metaphorical reasoning for a particularly complex policy domain: health care reform. We demonstrate that our hypothesized policy metaphors are coherent to both elites and the general public, including the least sophisticated members of the public. We further show that elites and the public share a common understanding of the relevant policy metaphors, that metaphorical reasoning differs from other forms of analogic reasoning, and that metaphorical cognition is distinct from ideological orientation.

Type
Articles
Information
American Political Science Review , Volume 94 , Issue 3 , September 2000 , pp. 611 - 626
Copyright
Copyright © American Political Science Association 2000

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References

REFERENCES

Annas, George. 1995. “Reframing the Debate on Health Care Reform by Replacing Our Metaphors.” New England Journal of Medicine 332 (March 16): 744–7.10.1056/NEJM199503163321112CrossRefGoogle ScholarPubMed
Barber, Benjamin. 1984. Strong Democracy: Participatory Politics for a New Age. Berkeley: University of California Press.Google Scholar
Blendon, Robert J., Brodie, Mollyann, and Benson, John. 1995. “Whatever Happened to Americans' Support for the Clinton Health Plan?” Health Affairs 14 (Summer): 7–23.10.1377/hlthaff.14.2.7CrossRefGoogle Scholar
Brewer, Marilynn B., and Lui, Layton N.. 1996. “Use of Sorting Tasks to Assess Cognitive Structure.” In Answering Questions: Methodology for Determining Cognitive and Communicative Processes in Survey Research, ed. Schwarz, Norbert and Sudman, Seymore. San Francisco: Jossey-Bass. Pp. 373–85.Google Scholar
Conover, Pamela J., and Feldman, Stanley. 1984. “How People Organize the Political World: A Schematic Model.” American Journal of Political Science 28 (January): 96–126.10.2307/2110789CrossRefGoogle Scholar
Converse, Philip E. 1964. “The Nature of Belief Systems in Mass Publics.” In Ideology and Discontent, ed. Apter, David. New York: Free Press. Pp. 206–61.Google Scholar
Coontz, Stephanie. 1992. The Way We Never Were: American Families and the Nostalgia Trap. New York: Basic Books.Google Scholar
Crocker, J. Christopher. 1977. “The Social Functions of Rhetorical Forms.” In The Social Uses of Metaphor, ed. Sapir, J. David and Crocker, J. Christopher. Philadelphia: University of Pennsylvania Press. Pp. 33–66.CrossRefGoogle Scholar
Delli Carpini, Michael, and Keeter, Scott. 1996. What Americans Know about Politics and Why It Matters. New Haven, CT: Yale University Press.Google Scholar
Dougherty, Charles. 1989. American Health Care: Realities, Rights, and Reforms. New York: Oxford University Press.Google Scholar
Edelman, Murray. 1964. The Symbolic Uses of Politics. Urbana: University of Illinois Press.Google Scholar
Edelman, Murray. 1971. Politics as Symbolic Action. New York: Academic Press.Google Scholar
Etzioni, Amitai. 1993. The Spirit of Community: Rights, Responsibilities and the Communitarian Agenda. New York: Crown.Google Scholar
Faulkner, and Gray, . 1995. The Health Care 1500. Washington, DC: Faulkner and Gray's Healthcare Information Center.Google Scholar
Ferejohn, John. 1990. “Information and the Electoral Process.” In Information and Democratic Processes, ed. Ferejohn, John and Kuklinski, James. Urbana: University of Illinois Press.Google Scholar
Field, Marilyn J., and Shapiro, Harold T.. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: National Academy Press.Google Scholar
Fishkin, James. 1995. The Voice of the People: Public Opinion and Democracy. New Haven, CT: Yale University Press.Google Scholar
Fowler, Robert. 1991. The Dance with Community: The Contemporay Debate in American Political Thought. Lawrence: University Press of Kansas.10.2307/j.ctv1p2gm3hCrossRefGoogle Scholar
Gabel, Jon, Cohen, Howard, and Fink, Steven. 1989. “Americans' View on Health Care: Foolish Inconsistencies?” Health Affairs 8 (Spring): 104–18.10.1377/hlthaff.8.1.103CrossRefGoogle Scholar
Gamson, William. 1992. Talking Politics. New York: Cambridge University Press.Google Scholar
Glad, Betty, and Taber, Charles. 1990. “Images, Learning and the Decision to Use Force: The Domino Theory of the United States.” In Psychological Dimensions to War, ed. Glad, Betty. Newbury Park, CA: Sage. Pp. 56–82.Google Scholar
Glendon, Mary Ann. 1991. Rights Talk: The Impoverishment of Political Discourse. New York: Free Press.Google Scholar
Graber, Doris. 1984. Processing the News: How People Tame the Information Tide. New York: Longman.Google Scholar
Grob, Gerald. 1994. The Mad among Us: A History of the Care of America's Mentally Ill. New York: Free Press.Google Scholar
Hochschild, Jennifer. 1981. What's Fair? Princeton, NJ: Princeton University Press.Google Scholar
Holyoak, Keith J., and Thagard, Paul. 1995. Mental Leaps: Analogy in Creative Thought. Cambridge, MA: MIT Press.Google Scholar
Houghton, David Patrick. 1998. “Historical Analogies and the Cognitive Dimension of Domestic Policy Making.” Political Psychology 19 (June): 279–303.CrossRefGoogle Scholar
Hubert, Lawrence J., and Levin, Joel R.. 1976. “Evaluating Object Set Patterns: Free-Sort Analysis and Some Generalizations.” Journal of Verbal Meaning and Verbal Behavior 15 (Winter): 459–70.CrossRefGoogle Scholar
Hubert, Lawrence J., and Schultz, James E.. “Quadratic Assignment as a General Data Analysis Strategy.” British Journal of Mathematical and Statistical Psychology 29 (November): 190–241.CrossRefGoogle Scholar
Iyengar, Shanto. 1991. Is Anyone Responsible? How Television Frames Political Issues. Chicago: University of Chicago Press.CrossRefGoogle Scholar
Jennings, M. Kent. 1992. “Ideology among Mass Publics and Political Elites.” Public Opinion Quarterly 56 (Winter): 419–41.10.1086/269335CrossRefGoogle Scholar
Jervis, Robert. 1976. Perception and Misperception in International Politics. Princeton, NJ: Princeton University Press.Google Scholar
Kahneman, Daniel, Slovic, Paul, and Tversky, Amos, eds. 1982. Judgement under Uncertainty: Heuristics and Biases. New York: Cambridge University Press.CrossRefGoogle Scholar
Khong, Yuen. 1992. Analogies at War: Korea, Munich, Dien Ben Phu and the Vietnam Decisions of 1965. Princeton, NJ: Princeton University Press.10.1515/9780691212913CrossRefGoogle Scholar
Kinder, Donald R., and Sears, David O.. 1985. “Public Opinion and Political Action.” In The Handbook of Social Psychology, vol. 2, 3d ed., ed. Lindzey, Gardner and Aronson, Elliot. New York: Random House. Pp. 659–741.Google Scholar
Kittay, Eva F. 1987. Metaphor: Its Cognitive Force and Linguistic Structure. Oxford: Clarendon.Google Scholar
Krause, Elliot A. 1996. Death of the Guilds: Professions, States and the Advance of Capitalism. New Haven, CT: Yale University Press.Google Scholar
Kuklinski, James, Luskin, Robert, and Bolland, John. 1991. “Where Is the Schema? Going Beyond the ‘S’ Word in Political Psychology.” American Political Science Review 85 (December): 1341–56.CrossRefGoogle Scholar
Kultgen, John. 1988. Ethics and Professionalism. Philadelphia: University of Pennsylvania Press.10.9783/9780812202540CrossRefGoogle Scholar
Lakoff, George. 1996. Moral Politics: What Conservatives Know that Liberals Don't. Chicago: University of Chicago Press.Google Scholar
Landau, Martin. 1961. “On the Use of Metaphor in Political Analysis.” Social Research 28 (Fall): 331–53.Google Scholar
Lasch, Christopher. 1995. The Revolt of the Elites and the Betrayal of Democracy. New York: W.W. Norton.Google Scholar
Lau, Richard R., and Schlesinger, Mark. 1997. “Policy Metaphors: A New Theory of Public Opinion toward Policy Alternatives.” Rutgers University. Typescript.Google Scholar
Light, Donald. 1997. “The Rhetorics and Realities of Community Health Care.” Journal of Health Politics, Policy and Law 22 (February): 105–45.CrossRefGoogle ScholarPubMed
Neuman, W. Russell. 1986. The Paradox of Mass Politics: Knowledge and Opinion in the American Electorate. Cambridge, MA: Harvard University Press.Google Scholar
Neustadt, Richard, and May, Ernest. 1986. Thinking in Time: The Uses of History for Decision Makers. New York: Free Press.Google Scholar
Nimmo, Dan, and Combs, James. 1980. Subliminal Politics: Myths and Mythmakers in America. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Nisbett, Richard, and Ross, Lee. 1980. Human Inference: Strategies and Shortcomings of Social Judgment. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Page, Benjamin I., and Shapiro, Robert Y.. 1992. The Rational Public: Fifty Years of Trends in Americans' Policy Preferences. Chicago: University of Chicago Press.10.7208/chicago/9780226644806.001.0001CrossRefGoogle Scholar
Rein, Martin, and Schön, Donald. 1994. Frame Reflection: Toward the Resolution of Intractable Policy Controversies. New York: Basic Books.Google Scholar
Rodwin, Marc A. 1995. “Strains in the Fiduciary Metaphor.” American Journal of Law and Medicine 21 (2 and 3): 241–57.CrossRefGoogle ScholarPubMed
Rosen, George. 1983. The Structure of American Medical Practice: 1875–1941. Philadelphia: University of Pennsylvania Press.CrossRefGoogle Scholar
Rosenberg, Charles. 1987. The Care of Strangers: The Rise of America's Hospital System. New York: Basic Books.Google Scholar
Rothman, David. 1980. Conscience and Convenience: The Asylum and Its Alternatives in Progressive America. Boston, MA: Little, Brown.Google Scholar
Rothstein, William. 1979. American Physicians in the Nineteenth Century. Baltimore, MD: Johns Hopkins University Press.Google Scholar
Sabatier, Paul A., and Hunter, Susan. 1989. “The Incorporation of Causal Perceptions into Models of Elite Belief Systems.” Western Political Quarterly 42 (June): 229–61.10.1177/106591298904200304CrossRefGoogle Scholar
Sandel, Michael. 1996. Democracy's Discontent: America in Search of a Public Philosophy. Cambridge, MA: Harvard University Press.Google Scholar
Sardell, Alice. 1988. The U.S. Experiment in Social Medicine: The Community Health Center Program 1965–86. Pittsburgh, PA: University of Pittsburgh Press.Google Scholar
Scheingold, Stuart. 1974. The Politics of Rights: Lawyers, Public Policy and Political Change. New Haven, CT: Yale University Press.Google Scholar
Schlesinger, Mark. 1997. “Paradigms Lost: The Persisting Search for Community in U.S. Health Policy.” Journal of Health Politics, Policy and Law 22 (August): 937–92.CrossRefGoogle ScholarPubMed
Schlesinger, Mark, Lau, Richard R., and Thomas, Tracy. N.d. “Imaginative Political Rationality: Policy Metaphors and the Understanding of Health Care Reform.” Journal of Health Politics, Policy and Law. Forthcoming.Google Scholar
Mark, Schlesinger, and Lee, Tae-ku. 1993. “Is Health Care Different? Popular Support for Federal Health and Social Policies.” Journal of Health Politics, Policy and Law 18 (June): 551–628.Google Scholar
Seay, J. David, and Vladeck, Bruce. 1988. In Sickness and in Health: The Mission of Voluntary Health Care Institutions. New York: McGraw-Hill.Google Scholar
Shimko, Keith L. 1994. “Metaphors and Foreign Policy Decision Making.” Political Psychology 15 (December): 655–71.10.2307/3791625CrossRefGoogle Scholar
Silow-Carroll, Sharon, Meyer, Jack A., Regenstin, Marsha, and Bagby, Nancy. 1995. In Sickness and in Health? The Marriage between Employers and Health Care. Washington, DC: Economic and Social Research Institute.Google Scholar
Skitka, Linda, and Tetlock, Philip E.. 1993. “Of Ants and Grasshoppers: The Political Psychology of Allocating Public Assistance.” In Psychological Perspectives on Justice, ed. Mellers, Barbara and Baron, Jonathan. New York: Cambridge University Press. Pp. 205–33.CrossRefGoogle Scholar
Sniderman, Paul M., Brody, Richard A., and Tetlock, Philip E.. 1991. Reasoning and Choice: Explorations in Political Psychology. New York: Cambridge University Press.10.1017/CBO9780511720468CrossRefGoogle Scholar
Sontag, Susan. 1989. Illness as Metaphor. New York: Doubleday.Google Scholar
Starr, Paul. 1982. The Social Transformation of American Medicine. New York: Basic Books.Google Scholar
Stevens, Beth. 1988. “Blurring the Boundaries: How the Federal Government Has Influenced Welfare Benefits in the Private Sector.” In The Politics of Social Policy in the United States, ed. Weir, Margaret, Orloff, Ann Shola, and Skocpol, Theda. Princeton, NJ: Princeton University Press. Pp. 123–48.Google Scholar
Stone, Deborah. 1988. Policy Paradox and Political Reason. Glenview, IL: Scott, Foresman.Google Scholar
Szasz, Thomas. 1974. The Myth of Mental Illness: Foundations of a Theory of Personal Conduct. New York: Harper and Row.10.1016/B978-0-08-017738-0.50007-7CrossRefGoogle Scholar
Tetlock, Philip E., and Mitchell, Gregory. 1993. “Liberal and Conservative Approaches to Justice: Conflicting Psychological Portraits.” In Psychological Perspectives on Justice, ed. Mellers, Barbara A and Baron, Jonathan. New York: Cambridge University Press. Pp. 234–58.10.1017/CBO9780511552069.012CrossRefGoogle Scholar
Vertzberger, Yaacov. 1990. The World in Their Minds: Information Processing, Cognition, and Perception in Foreign Policy Decisionmaking. Stanford, CA: Stanford University Press.Google Scholar
West, Darrell M., Heith, Diane, and Goodwin, Chris. 1996. “Harry and Louise Go to Washington: Political Advertising and Health Care Reform.” Journal of Health Politics, Policy and Law 21 (February): 35–68.10.1215/03616878-21-1-35CrossRefGoogle ScholarPubMed
Zaller, John. 1992. The Nature and Origins of Mass Opinion. New York: Cambridge University Press.CrossRefGoogle Scholar
Zashin, Elliot, and Chapman, Phillip. 1974. “The Uses of Metaphor and Analogy: Toward a Renewal of Political Language.” Journal of Politics 36 (May): 290–326.CrossRefGoogle Scholar