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Dear Sirs,
We believe the points made by Drs Aubry and Abella to be highly relevant, but not in conflict with the position put forward in Campbell and Enckell (2005).
According to the main argument in our article, there are different levels of metaphorical elaborations (as a corollary to different levels of mental functioning), ranging from poetical innovations to abortive psychotic neologisms. The patients described by Aubry and Abella are examples of the multideterminism of metaphor. Aubry and Abella stress that metaphors may be used by the patient to influence the