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Chapter 1 Introduction 1£®1 Background of the Study 1£®2 Statement of the Problem 1£®3 Rationale of the Study 1£®4 Research Objectives 1£®5 Research Questions 1£®6 Significance of the Study Chapter 2 Literature Review 2£®1 Traditional View of Metaphor 2£®2 The Contemporary View of Metaphor 2£®3 Metaphor Identification Procedure 2£®4 Metaphoric Competence 2£®5 Conceptual Metaphor and College EFL Teaching 2£®6 Metaphor and Medical English 2£®7 Conceptual Framework for the Research Chapter 3 Research Methodology 3£®1 Research Paradigm 3£®2 Research Design 3£®3 Supplementary Materials 3£®4 Research Setting 3£®5 The Study Population and Sample 3£®6 The Research Instruments 3£®7 Pilot Study 3£®8 Data Collection 3£®9 Data Analysis 3£®10 Ethical Considerations Chapter 4 Implementation of Metaphor Enriched English Language Instruction 4£®1 Preparation£¬ Implementation and Feedback for Metaphor Supplements of Unit 2 4£®2 Preparation£¬ Implementation and Feedback for Metaphor Supplements of Unit 3 4£®3 Preparation£¬ Implementation and Feedback for Metaphor Supplements of Unit 5 Chapter 5 Findings and Discussion 5£®1 Research Question 1£º What is Students' Current Metaphoric Cognition with the First-year College Students at Xinxiang Medical University China? 5£®2 Research Question 2£º What is the Effect of Metaphor Enriched Language Instruction on First-year Medical Students' Metaphoric Competence? 5£®3 Research Question 3£º What are the Teachers' Performance and Reflection on the Metaphor Enriched Language Instruction? 5£®4 Research Question 4£º What are the Students' Feedback on the Metaphor Enriched Language Instruction Supplementary Materials? Chapter 6 Conclusions and Recommendations 6£®1 Implications 6£®2 Recommendations 6£®3 Suggestions for Further Research References List of Abbreviations Appendices Appendix A Semi-structured Interview Protocol Appendix B Metaphor Cognition Questionnaire Appendix C Metaphoric Competence Test Appendix D Classroom Observation Checklist Appendix E Student Feedback Questionnaire Appendix F The Transcript of Students' Role Play on Heart Problem £¨Ms Liu's Class£© Appendix G The Transcript of Students' Role Play on Heart Problem £¨Ms Wang's Class£©