The purpose of this paper is to describe how Sally Gadow's perspectives on existential advocacy as the moral framework for the nurse–patient relationship were synthesized with a general theory of motivation, self‐determination theory (SDT), to inform the design of a study in which the influence of interpersonal care on the process of tobacco dependence treatment was explored. Consistent with the tenets of existential advocacy, participants who perceived their care providers as interpersonally sensitive and bringing more of their whole selves to (...) the care encounter reported more autonomous motivation and felt competence for stopping smoking. The integration of existential advocacy with SDT, which led to the empirical work in which Gadow's ideas were actualized and her model supported, is described. Study findings are discussed in light of Gadow's philosophical views, and implications for nursing highlighted. (shrink)

Résumé Cet article retrace les changements multiples et rapides apparus au cours des quinze dernières années dans la théorisation des rapports entre sexe et genre. Il porte, en deuxième lieu, sur la réception, l’application et par-dessus tout la modification de ces théories par certains spécialistes de la production culturelle dans l’Europe médiévale, où la différence s’exprime sous des formes variées qui n’existent pas nécessairement dans les sociétés modernes. La déconstruction du système binaire masculin/féminin (qu’il soit considéré comme une différence sexuelle (...) ou de genre) fit son apparition parmi les penseuses féministes dans les années quatre-vingt dix et aboutit à la « queerisation » des discours universitaires en déstabilisant les étiquettes qui avaient été naturalisées, notamment l’identité genrée systématiquement attribuée à l’individu dans la société médiévale ou moderne. Nous montrerons que les théories queer et post-coloniale, loin d’être aux antipodes de la théorie féministe, en émanent et existent parallèlement à elle. Les partisans de chacune de ces théories s’intéressent aux forces sociétales, y compris notre propre discours, qui maintiennent la différence et créent des communautés d’oppression. Cependant, il est également nécessaire de soulever une question, à savoir quand se produira la prochaine rupture radicale et comment elle engendrera de nouvelles théories. (shrink)

This article traces the multiple and rapid changes that have occurred during the past fifteen years, in theorizing "sex/gender arrangements". A secondary aspect is the reception, application and above all modification of these theories by some scholars of European medieval cultural production, in which varieties of difference are found that do not apply in modern societies. Deconstruction of the binary m/f (whether thought of as sexual or gender difference) erupted among feminist thinkers in the 1990s and eventually "queered" academic discourses (...) by destabilizing labels that had been naturalized, including a consistent gender identity for the individual in medieval or modern society. The author claims that queer and post-colonial theory, far from being antithetical to feminist theory, are out-growths of it, and exist in parallel; the proponents of each are concerned with the societal forces, including our own discourses, that maintain difference, and create communities of oppression Yet it is also necessary to raise the question, when will the next radical departure occur, and how will new theories be generated? (shrink)

Iconophobia, literally the fear of religious images, usually occurs in proportion to the powers attributed to them by their believers. In the worst cases, these fears have led to, or coincide with, a cycle of violence that may involve the actual destruction of images (iconoclasm) and of human life. Semiotics helps interpret the interconnectedness of these seemingly separate events. Most iconoclasm involves confusion between the image or sign (such as a statue) and its referent (the actual subject), and a re-encoding (...) of the signified (the meanings assigned to the sign). This article explores four case studies. In the aftermath of iconoclasm, fragments and ruins can be trans-valued as relics, and thus inspire hatred of the perpetrator and sympathy for the group whose sacred precincts have been violated. Or, broken statues may be preserved by a re-encoding as `art'. Yet not only do historical models warn of recurring conditions in which violence may be perpetrated against people and objects, but the more recent examples indicate that even great works of art that capitalist society deems world treasures cannot be taken out of the currency of iconoclastic exchange. (shrink)

In keeping with the general theme of the General Assembly of CIPSH in Beijing, 2004, in this article I emphasize the potential of the internet to impact the use of works of art in public and private museums for study and research, and for the publication of research. The possibility exists nowadays of creating a hyper-real ‘musée imaginaire’ or ‘museum without walls’ to use André Malraux's phrase of more than fifty years ago. It is hard to see how it could (...) be anything but a benefit to human knowledge to have images of all works in the public domain (that is, for which the creator's copyright has expired) available on the world wide web. Under US law this year (2006) that would mean all works created before 1911. There are encouraging developments in that direction, but there is also constant legal wrangling. And I have to admit there are sometimes two sides to the question, even if I think one argument is far stronger than the other. (shrink)

This contribution to feminist studies provides a new decoding of the imagery in the Hours of Jeanne d'Evreux. I propose layered readings, registering a modern woman's critical perceptions, informed by knowledge of the historical context, to reconstruct the impression these images might have made on the original female owner.

Moral distress has been covered extensively in the nursing literature and increasingly in the literature of other health professions. Cases that cause nurses’ moral distress that are mentioned most frequently are those concerned with prolonging the dying process. Given the standard of aggressive treatment that is typical in intensive care units (ICUs), much of the existing moral distress research focuses on the experiences of critical care nurses. However, moral distress does not automatically occur in all end-of-life circumstances, nor does every (...) critical care nurse suffer its damaging effects. What are the practices of these nurses? What specifically do they do to navigate around or through the distressing situations? The nursing literature is lacking an answer to these questions. This article reports a study that used narrative analysis to explore the reported practices of experienced critical care nurses who are skilled at and comfortable working with families and physicians regarding the withdrawal of aggressive treatment. A major finding was that these nurses did not report experiencing the dam-Moral Agency, Moral Imagination, and Moral Community: Antidotes to Moral Distress Terri Traudt, Joan Liaschenko, and Cynthia Peden-McAlpine Terri Traudt, MBC, MA, is a Communications Consultant specializing in bioethics at the Center for Bioethics at the University of Minnesota, in Minneapolis. [email protected] Joan Liaschenko, PhD, RN, FAAN, is a Professor at the Center for Bioethics and Nursing at the University of Minnesota. Cynthia Peden-McAlpine, PhD, ACNS, BC, is an Associate Professor in the School of Nursing at the University of Minnesota. © 2016 by The Journal of Clinical Ethics. All rights reserved. aging effects of moral distress as described in the nursing literature. The verbal communication and stated practices relevant to this finding are organized under three major themes: (1) moral agency, (2) moral imagination, and (3) moral community. Further, a total of eight subthemes are identified. The practices that constitute these themes and subthemes are further detailed and discussed in this article. Understanding these practices can help mitigate critical care nurses’ moral distress. (shrink)

This narrative symposium illuminates the problem of clinician moral distress. NIB editorial staff and narrative symposium editors, Cynda Rushton, PhD, RN, FAAN and Renee Boss, MD, MHS, developed a call for stories, which was sent to several list serves and posted on Narrative Inquiry in Bioethics’ website. The request for personal stories from inter–professional healthcare providers asked them to: identify specific clinical situations that give rise to moral distress; discuss the sources of this distress; reflect on how they experienced (...) moral distress—physically, psychologically, socially, or spiritually; assess how they managed their situations; and offer suggestions for avoiding future problems of a similar nature. Twelve stories are found in the print version of the journal and an additional eight supplemental stories are published online only through Project MUSE. The clinicians describe a wide range of experiences with patients, other clinicians, and their own professional and personal identities. Embedded in each of the narratives are deeply felt emotions that accompany their experiences of moral distress. Katherine Brown-Saltzman (a nurse), Alisa Carse (a philosopher), Zhanna Bagdasarov and Shane Connelly (industrial–organizational psychologists), and Nancy Berlinger (a bioethicist) provided commentaries. (shrink)

In this commentary on a previous Ethics and Social Welfare publication, the authors argue that inclusive and expansive dialogue about interprofessional ethics is more a matter of ??revitalizing?? traditional professional ethics than developing a new field. The dialogue will be most productive of care improvements if it incorporates the service user, includes both health and social care professions, and occurs across countries.

Das Handbuch führt erstmals die vielseitigen Traditionen der Emotionsforschung zusammen. Den Anfang macht eine historische Betrachtung der Emotions- und Affekttheorien von der Antike bis zur Moderne. Dem folgt eine umfassende Übersicht zentraler Emotionskonzepte der Gegenwart, wie sie in Psychologie und Philosophie diskutiert werden. Vor dem Hintergrund dieser Konzepte und ihrer historischen Verortung entfaltet das Handbuch eine umfassende Typologie der Emotionen. Verschiedenste Komplexe – wie etwa Trauer, Melancholie und Depression oder Freude, Glück und Wohlbefinden – werden jeweils in den Sichtweisen unterschiedlicher (...) Disziplinen dargelegt, darunter Ethnologie, Philosophie, Literaturwissenschaft, Soziologie, Psychologie. Abschließend werden entlang zentraler Konzepte wie Sprache, Kultur, Politik und Medien vier wesentliche Fluchtlinien aktueller Emotionsforschung entfaltet, welche den Horizont einzelner Disziplinen überschreiten und entsprechend in interdisziplinärer Perspektive erschlossen werden. (shrink)