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Translation of Medical Terms





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1. Introduction

Katrin Herget photoTeresa Alegre photoThe translation of medical terms from Portuguese into German represents an interesting and rich area for translation studies. This article provides a contribution to the characterization of the main translation-related problems encountered in this area. All European languages share the same Greco-Latin roots in medical terminology. The preservation of the Latin language as the language of sciences until the 19th century, contributed to a great range of lexical similarities in medical nomenclature, and its effects can be observed until today. The knowledge of the Latin roots helps professionals in the field of medicine understand medical texts in different languages. The purpose of this study is not only to describe but also to classify the analyzed examples. We believe that this categorization of cases will help professional translators and students in finding solutions when they encounter certain names of diseases in Portuguese which have to be translated into German. The main focus of this article is the communication between non-professionals, in particular journalists who write for a general readership that has no special medical background knowledge.

2. The function of popular science texts in the field of health care

When translating medical terms from Portuguese into German in popular science texts, students are often uncertain about whether to opt for the erudite term or the term from everyday language.
During the last decades, the number of scientific publications, in particular publications from the field of health care, has increased enormously. On the one hand, advances in education contributed to the emergence of non-professional, but well-informed readers with a rising interest in health care issues. An ever increasing number is interested in learning more about their own body. On the other hand, the rapid development of media and communication technologies has decisively contributed to the popularization of medical terms, which today form an integral part of everyday language. Health care is a widespread concern, and patients expect their doctors to provide them with more and more detailed information. The increase in the number of publications of popular science texts has made a very remarkable contribution to the spread of medical language among the general population. However, the use of scientific terms may constitute a comprehension barrier between the doctor and the patient, which is why professionals prefer to use terms from the everyday language when talking to their patients. Such communication may, however, lead to misunderstandings due to the fact that doctor and patient have a completely different notion of one and the same concept. In German, for instance, the doctor normally uses the term Diabetes, whereas the patient would rather opt for the word Zuckerkrankheit ('sugar disease'). The term Zuckerkrankheit gives a quite general idea of the disease and just underlines one aspect of the whole pathological condition.

The main reason for our research is the specificity of medical terms in German. While in Portuguese, many terms, especially names of diseases (apendicite, cataratas, conjuntivite etc.), are used in both professional and non-professional communication, i.e. between doctors as well as between patients, in German we normally come across two terms that belong to the same concept. One term is of Latin origin and typical of communication between experts, the other one has Germanic roots and is part of everyday language. Let us illustrate this situation by giving an example: Whereas the German professional (doctor) would use the term Appendizitis, in the communication between non-professionals the word Blinddarmentzundung would be preferred. When translating from Portuguese (or from other Romance languages) into German, it is evident that the option for either the Latin (or Greek) term or the Germanic term is by no means arbitrary and depends basically on the "skopos" of the translation. If the text to be translated addresses a general audience, it would be correct to use the term of German origin, whereas in a translation for professionals the erudite term of Latin origin would be adequate. Although the question of synonymy (in sensu lato) seems evident, it is a matter of fact that words and their use undergo constant evolution, which may result in additional problems for the translation. As it happened in economics, for example, the dissemination of medicine enriched everyday language with terms that before had been used exclusively by professionals, whereas, at the same time, other German words fell into disuse and sound antiquated while they are still used in the area of medicine. Apart from that, everyday language also 'absorbed' disease terms which relate to currently discovered diseases and new ways of treatment. Due to all of these reasons, the translation of medical terms may present a translation problem. This is why we intend to contribute to the identification of a set of problems encountered when dealing with medical texts in translation classes and try to offer some possible solutions for particular translation problems. We focused, therefore, on Portuguese popular science texts that were extracted from the Internet. These texts appeared in thematic sections of general publications, in health care magazines, and in information leaflets directed at a general readership. Most of these texts were written by technical journalists and not by physicians.

3. Theoretical background

Medical language belongs to the so-called languages for special purposes (Fachsprachen / linguas de especialidade) which differ from everyday language above all in the specificity of the terminology and in that they are used in communication between professionals. These languages for special purposes are part of the language system and can be classified in different ways. This classification is always difficult, since these languages are in constant development and partially overlap with everyday language. Lothar Hoffmann (1985) presents two distinct ways of classifying languages for special purposes: a vertical and a horizontal division. The horizontal division is made on the basis of different knowledge domains and is characterized by its open structure, which means that, due to the evolution of science, new areas are continuously born. As far as the vertical division is concerned, Hoffmann distinguishes according to the level of abstraction, the text genre, the speakers involved etc.

Our analysis is based on the typology proposed by Loning (1981: 83), in which she differentiates four main levels according to the degree of specialization among the communication partners and the aim of the text or the conversation:

1.1 communication partners: professional - professional (doctor - doctor)

2 aim: transfer of current specialized knowledge

3 style: scientific texts

4. examples : publications, summary reports

2.1 communication partners: professional - semi-professional (doctor - medical student/health personnel)

2 aim: transfer of basic knowledge

3 style: instruction

4 examples: course books, handbooks, monographs

3.1 communication partners: professional - non-professional (doctor - patient)

2 aim: education and practical instruction

3 style: education

4 examples: books and writings on patient education and instruction

4.1 communication partners: non-professional - non-professional (journalist - reader)

2 aim: arouse interest and turn problems public

3 style: popular sCience texts

4 examples: articles in newspapers, magazines of general interest and health magazines

Löning's typology is very detailed and therefore serves as theoretical framework for this research. Since it is our objective to focus on popular science texts written for a non-professional readership, we will exclusively focus on levels 3 and 4.

4. Case studies

In order to understand the translation difficulties which arise from translating into German, we should keep in mind that this Germanic language, especially its scientific lexicon, has been greatly influenced by terms of Greek and Latin origin. The effective use of Latin in medical discourse did not start decreasing until after the 18th century, with the ongoing substitution of the classical languages with the vernacular. Nevertheless, specific medical vocabulary still kept a strong influence of the Greek and Latin etymons, as happened in other European languages. In German, the majority of the specific medical vocabulary derives from Latin and Greek, but these terms did not reach the general language. Non-professionals used a parallel term of Germanic origin to express themselves about diseases or health conditions. So, along the centuries, two different lexicons have coexisted: on one hand the erudite forms used by physicians and, on the other hand, the popular form of Germanic origin. According to the translation situation and/or to the textual genre, it is necessary to take into account the different register levels and possible changes in vocabulary, especially when translating from Romance languages like Portuguese, which sometimes have only one term, of Latin origin. Recent evolution in the influence of Anglo-American terms in science should also be taken into account. The English language has strongly influenced, and is still influencing, scientific language and, through this influence, many terms (some of them from a Latin or Greek origin) were introduced into the German language, both in specialized and popular discourse.

The terms analyzed in this study (mostly designations of diseases) were selected from a variety of popular science texts, and many examples were collected in practical translation classes. In spite of being restricted, this group of terms allows us to characterize typical translation problems. According to the translation situation described in this article, the translator should make a choice between the German term and the Greek / Latin equivalent when translating popularizing texts. We will now exemplify and comment on specific situations, by introducing the Portuguese term and its translation into German. It is possible to characterize three major situations: A - translations in which only the term derived from Greek or from Latin is adequate; B - translations in which both terms appear, the German popular word followed by the erudite term in brackets; and finally C - translations in which only the German term is adequate, because the erudite term is known only by the specialist.

A - Use of the erudite term (Greek and Latin origin)

Sometimes it is only possible to use a word derived from Greek or Latin, because there is no other term of Germanic origin to designate this illness (A -1). In this case, there is only one equivalent, and it does not represent a translation problem. In several other cases, the erudite term is the only one adequate for the popular science text, although the popular term also exists. The reasons for that are not always the same, therefore in the next part the different options will be analysed.

A - 1 Inexistence of a Germanic term

Portuguese

German

(Latin and Greek origin)

acne

Akne

alergia

Allergie

apatia

Apathie

asma

Asthma

bronquite

Bronchitis

difteria

Diphterie

edema

Ödem

embolia

Embolie

trombose

Thrombose

In the previous examples, the diseases and health problems are well-known to the general public, and there is no common Germanic word for them.

A - 2 Preferential use of the erudite term (of Greek / Latin origin) because of its scientific precision

Portuguese

German

(exact term)

German

(fuzzy term)

angina de peito

Angina pectoris

Herzenge

diabetes

Diabetes

Zuckerkrankheit

escoliose 

Skoliose

Seitverbiegung der Wirbelsäule

exoforia / esoforia

Exophorie / Esophorie

Schielen nach außen bzw. innen

leucemia

Leukämie

Blutkrebs

taquicardia

Tachykardie

Herzrasen, Herzjagen

A - 3 Preferential use of the erudite term (of Greek / Latin origin) to prevent possible negative connotations

Portuguese

German

(adequate term)

German

(non-adequate term)

adiposidade 

Adipositas

Fettsucht

anorexia

Anorexie

Magersucht

bulimia

Bulimie

Ess- und Brechsucht

disfunção eréctil

erektile Dysfunktion

Impotenz

flatulência

Flatulenz

Blähsucht

The examples above illustrate a group of diseases which are taboo, not socially accepted or simply unpleasant. They often refer to food disorders or sexual illnesses. In these cases, the use of the erudite term derived from Greek or Latin seems to neutralize the negative connotations of the German term.

A - 4 Preferential use of the erudite term (of Greek / Latin origin) due to an old-fashioned Germanic term

Portuguese

 

German

(adequate term of Greek or Latin origin)

German

(old-fashioned popular term)

anemia

Anämie

Bleichsucht

doenca de Huntington / coreia de Huntington

Chorea Huntington

Veitstanz

epilepsia

Epilepsie

Fallsucht

febre tifoide

Typhus

Fleckfieber

hepatite

Hepathitis

Gelbsucht

sifilis

Syphilis

Franzosenkranheit

tuberculose

Tuberkulose

Schwindsucht

The above-mentioned examples demonstrate the effects of time and language change. Some terms become old-fashioned and tend to disappear from the discourse used in the media (A - 4). In some other cases (A - 5), the disease is so rare that it is only known to the specialist or investigator and to the patient's family. When one of these "orphan diseases" is mentioned in the general media, there is usually no other term that might be used.

A - 5 Use of the erudite term (of Greek / Latin origin) due to the rareness of the disease (orphan diseases)

Portuguese

German

hipofosfatasia

Hypophosphasie

limfangioleiomiomatose

Lymphangioleiomyomatose

listeriose

Listerose

mucoviscidose 

Mukoviszidose

B - Use of popular term and introduction of erudite term as additional explanation

Portuguese

German

apendicite

Blinddarmentzündung (Appendizitis)

arritmia

Herzrhythmusstörung (Arrhythmie)

gastrite

Magenschleimhautentzündung (Gastritis)

glaucoma

Grüner Star (Glaukom )

meningite

Hirnhautentzündung (Meningitis)

pneumonia

Lungenentzündung (Pneumonie)

poliomielite

Kinderlähmung (Poliomyelitis)

sinusite

Nebenhöhlenentzündung (Sinusitis)

In an attempt to elucidate the term or educate the public, popular science journalists sometimes use the common term and add the erudite term in order to clarify the meaning. These terms often refer to health problems for which new treatments have been found and that are at the moment being disseminated among the general public. Others simply reveal that the Germanic word is becoming old-fashioned. These examples characterize a transition phase, in which the erudite term is progressively becoming part of common language.

C - Use of the popular term (of Germanic origin)

Portuguese

German

(Germanic origin)

German

(non-adequate term)

apneia

Atemstillstand

Apnoe

cataratas

Grauer Star

Katarakt

conjuntivite

Bindehautentzündung

Konjunktivitis

constipação (rinite)

Schnupfen

Rhinitis

dor de cabeça (cefaleia)

Kopfschmerzen

Cephalea

dor de dentes

Zahnschmerzen

Dentalgie

estrabismo

Schielen

Strabismus

sinusite

Nebenhöhlenentzündung

Sinusitis

tosse convulsa

Keuchhusten

Pertussis 

The above examples refer to common health complaints and non-specific health problems, which have long been known by the general public. The translation of these terms from Portuguese into German represents a problem, because the erudite word in German, similar to the Portuguese word, is not used or completely unfamiliar to the non-professional. It is advisable to make translation students aware of these cases, so that they may select the adequate word according to the genre.

5. Conclusion

When translating medical terms from Portuguese into German in popular science texts, students are often uncertain about whether to opt for the erudite term or the term from everyday language. It is exactly this synonymy that presents a challenge for the translator. According to the translation skopos, it is necessary to decide on one term. For better understanding of this tricky translation problem, we analyzed different popular science texts and came up with a typology consisting of three main cases, one of them divided into several subgroups. This classification shall contribute to improving transparency when translating medical texts written for a non-professional readership.

We also observed a very strong tendency of popularization of erudite terms in popular science texts. These texts are often written by technical translators for non-professionals in order to inform or instruct them. It is, however, important to underline that today's non-professionals are different from those of some decades ago. Nowadays, it has become more and more important for a patient to learn about the most common diseases, their symptoms and how to protect themselves against them. The modern patient is more curious and also more demanding. This fact is closely linked to the general tendency of popularization in science. It can therefore be expected that Latin terms will become more widespread in popular science texts in the future.

References:

Eckart, Wolfgang U. (2005): Geschichte der Medizin. Berlin: Springer.

Hoffmann, Lothar (1985): Kommunikationsmittel Fachsprache. Eine Einführung. Tübingen: Narr

Löning, Petra (1981): „Zur medizinischen Fachsprache. Stilistische Gliederung und Textanalysen". In: Muttersprache 91, 79-92.

Porter, Roy (2006): The Cambridge History of Medicine. Cambridge: Cambridge University Press.




Published - September 2009

 













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