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Parenting Consensual Non-Monogamists’ Perceptions of Parenthood, Intimacy, and Communication 父母双方同意的非一夫一妻制者对父母身份、亲密关系和沟通的看法
Pub Date : 2024-03-07 DOI: 10.18192/aporia.v16i1.6735
Jacqueline Avanthay Strus, Viola Polomeno
This article presents partial results of a larger mixed methods study about consensual non-monogamists’ perceptions of their parenting and sexual lifestyle, particularly those involving the transition to parenthood, intimacy and communication. Using The Expanding the Movement for Empowerment and Reproductive Justice lens, six participants completed an online questionnaire and a semi-structured interview guide. Consensual non-monogamists are like other parents, yet they prioritise sexual intimacy over emotional intimacy. Communication is very important for them. The quantitative results support the qualitative ones: the participants had a higher level of parenting sense of competence, and the means for emotional and sexual intimacy were lower for primary partners than for secondary ones. Perinatal health care professionals including nurses need to know more about parenting consensual non-monogamists and their partner(s). More research is warranted with this particular group of parents, especially on their experiences of minority stress, resilience and taking a more intersectional research approach.
本文介绍了一项大型混合方法研究的部分结果,该研究涉及双方同意的非一夫一妻制者对其养育子女和性生活方式的看法,特别是涉及向父母身份过渡、亲密关系和沟通的看法。利用 "扩大赋权和生殖正义运动 "的视角,六名参与者完成了一份在线问卷和一份半结构化访谈指南。双方同意的非一夫一妻制者与其他父母一样,但他们将性亲密关系置于情感亲密关系之上。沟通对他们来说非常重要。定量结果支持定性结果:参与者的育儿能力感较高,主要伴侣的情感亲密感和性亲密感均低于次要伴侣。围产期保健专业人员(包括护士)需要更多地了解双方同意的非一夫一妻者及其伴侣的养育情况。有必要对这一特殊的父母群体进行更多的研究,特别是关于他们在少数群体压力、复原力方面的经历,并采取一种更具交叉性的研究方法。
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引用次数: 0
Can mental health practice benefit from procedural justice theory? A critical analysis on the opportunities and pitfalls of procedural justice to address coercion and human rights issues in psychiatry 心理健康实践能从程序正义理论中获益吗?批判性分析程序正义在解决精神病学中的胁迫和人权问题方面的机遇和陷阱
Pub Date : 2024-03-07 DOI: 10.18192/aporia.v16i1.6947
Clara Lessard-Deschênes, Pierre Pariseau-Legault, Marie-Hélène Goulet
The theory of procedural justice, derived from social psychology, is employed in numerous fields of study concerned with the quality of interactions involving individuals in positions of authority. Although this theory is increasingly cited for its potential to promote approaches aimed at mitigating the effects of psychiatric coercion and better respecting individuals' rights, empirical literature provides limited insights into how procedural justice could be translated into practice. It is important, therefore, to examine the theoretical and practical implications of such an orientation. Based on a critical analysis of existing literature, this article will discuss the potential contributions and limitations of procedural justice applied in the field of mental health and psychiatric nursing. Procedural justice has limitations regarding solutions for human rights violations in psychiatry. It nonetheless allows a focus on the quality of interactions with individuals in coercive contexts, in addition to considering the social and identity-related implications of psychiatric coercion.
源于社会心理学的程序正义理论被广泛应用于众多研究领域,这些领域关注的是处于权威地位的个人的互动质量。虽然这一理论越来越多地被引用,因为它有可能促进旨在减轻精神强迫的影响和更好地尊重个人权利的方法,但实证文献对如何将程序正义转化为实践的见解却很有限。因此,研究这种取向的理论和实践意义非常重要。基于对现有文献的批判性分析,本文将讨论程序正义在心理健康和精神科护理领域应用的潜在贡献和局限性。程序正义在解决精神病学中的侵犯人权问题方面有其局限性。不过,除了考虑精神科胁迫对社会和身份的影响之外,它还允许关注在胁迫环境下与个人互动的质量。
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引用次数: 0
Contextualizing the Health Promotion of Breastfeeding: An integrative Review of Parent and Provider experiences in Canada 母乳喂养促进健康的背景:对加拿大父母和提供者经验的综合回顾
Pub Date : 2023-10-06 DOI: 10.18192/aporia.v15i2.6506
Hermandeep Deo, Emmanuela Ojukwu, Geertje Boschma
Improving the rates of breastfeeding has been a prime interest of Public Health Nurses focusing on health promotional strategies as outlined by the World Health Organization. However, evidence of the perceptions held by perinatal families regarding the encouragement to breastfeed is lacking. With the goal of uncovering existing research, an integrative review was conducted, retrieving nine studies. Themes included: variables of delivery (beliefs and ambiguity), outcomes of receivers (expectations, emotions, empowerment verses pressure), and contextual factors (social, cultural, and political forces). Notable differences between the experiences of women in differing social locations were found. The results demonstrate a need for professionals and policymakers to consider the nuanced ways in which individuals experience breastfeeding health promotional messaging. Unintended impacts of this strategy potentially widen breastfeeding inequities between the groups most and least advantaged in society. The diversity of Canadians was found to be vastly underrepresented in the literature.
提高母乳喂养率一直是公共卫生护士关注的主要问题,重点关注世界卫生组织概述的健康促进战略。然而,缺乏证据表明围产期家庭对鼓励母乳喂养的看法。为了揭示现有的研究,我们进行了一项综合综述,检索了9项研究。主题包括:传递变量(信念和模糊性),接收者的结果(期望、情绪、授权与压力),以及环境因素(社会、文化和政治力量)。研究发现,处于不同社会地位的女性的经历存在显著差异。研究结果表明,专业人士和政策制定者需要考虑个人体验母乳喂养健康宣传信息的微妙方式。这一战略的意外影响可能会扩大社会中最弱势群体和最弱势群体之间的母乳喂养不平等。人们发现,加拿大人的多样性在文献中被大大低估了。
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引用次数: 0
Dimension politique du leadership infirmier : Réflexion sur le 29e Congrès du Conseil international des infirmières et, plus largement, sur le rôle politique des organisations infirmières 护理领导的政治层面:对第29届国际护士理事会大会的反思,以及更广泛的护理组织的政治作用
Pub Date : 2023-10-06 DOI: 10.18192/aporia.v15i2.6970
None Collectif d'autrices*
Réflexion sur le 29e Congrès du Conseil international des infirmières et, plus largement, sur le rôle politique des organisations infirmières
对国际护士理事会第29届大会的反思,以及更广泛地对护理组织的政治作用的反思
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引用次数: 0
L’idée des capabilités de Sen pour concevoir l’agir complexe de la pratique infirmière 森对护理实践复杂行为的能力的概念
Pub Date : 2023-10-06 DOI: 10.18192/aporia.v15i2.6785
Jérôme Leclerc-Loiselle, Sylvie Gendron, Serge Daneault
Pour concevoir l’agir complexe de la pratique infirmière, les théories auraient avantage à adopter un mode de pensée systémique qui reconnait le caractère interdépendant de la vie humaine. Nous supposons que cela permettrait d’appréhender les visées de santé dans la discipline infirmière. Dans cet article, nous proposons de recourir à l’idée des capabilités d’Amartya Sen. Les capabilités, soit l’ensemble des libertés réellement possédées par les individus, reconnaissent les multiples dynamiques personnelles, sociales ou environnementales qui permettent à chacun de vivre la vie valorisée. En positionnant les capabilités pour la santé comme finalité, notre proposition conçoit que l’agir complexe de la pratique infirmière s’engage dans des activités qui transforment des ressources en capabilités. Cela prend forme par la participation des personnes soignées et par la création d’un environnement favorable. Notre proposition évoque alors un espace d’interdépendance réciproque, une réflexivité des infirmières, ainsi qu’un positionnement stratégique pour cheminer vers la santé.
在设计护理实践的复杂行为时,理论将受益于一种认识到人类生活相互依存的系统思维。我们认为这将有助于理解护理学科的健康目标。在这篇文章中,我们建议使用amartya sen的能力概念,能力,即个人实际拥有的一套自由,认识到多重的个人、社会或环境动态,使每个人都能过上有价值的生活。通过将健康能力定位为最终目标,我们的建议设想护理实践的复杂行动参与将资源转化为能力的活动。这是通过护理人员的参与和创造有利的环境来实现的。我们的建议唤起了一个相互依赖的空间,护士的反应能力,以及通往健康之路的战略定位。
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引用次数: 0
The Church of Physiotherapy: The Necessity for Betrayal 物理治疗教会:背叛的必要性
Pub Date : 2023-10-06 DOI: 10.18192/aporia.v15i2.6604
Eduan Breedt
This paper draws lines of similarity between physiotherapy’s transcendent ontology and that of Christian fundamentalism. Like fundamentalism, I argue that physiotherapy dogmatically conforms to a limited, incontroversial Truth upheld by an unacknowledged imagined community which opposes epistemological and ontological mobility. Using this confluence, I illustrate how betraying physiotherapy becomes necessary in order to escape its conformist ontology. This essay reimagines God as an immanent creator through Gilles Deleuze’s ontology, which concurrently reifies physiotherapy and its ontology with one of immanence and difference. To escape the habituation of thought and make physiotherapy strange, I intentionally use unconventional and unfamiliar diction throughout this essay, creatively experimenting with the generative potential of Viktor Schlovosky’s concept of defamiliarization. By betraying the comfort of transcendence, affirming difference and unfamiliarity, we experiment with what physiotherapy could become.
本文在物理治疗的先验本体论与基督教原教旨主义的本体论之间划出了相似之处。像原教旨主义一样,我认为物理治疗教条地符合一个有限的、无争议的真理,这个真理是由一个不被承认的想象共同体所支持的,它反对认识论和本体论的流动性。利用这种融合,我说明了背叛物理治疗是如何成为必要的,以逃避其墨守成规的本体论。本文通过德勒兹的本体论将上帝重新想象为一个内在的创造者,并将物理治疗及其本体论以一种内在性和差异性的方式进行了具体化。为了避免思想的习惯化,使理疗变得陌生,我有意在整篇文章中使用非常规和不熟悉的措辞,创造性地实验维克托·施洛沃斯基的陌生化概念的生成潜力。通过背叛超越的舒适,肯定差异和不熟悉,我们尝试物理治疗可能成为什么。
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引用次数: 0
Politics of nursing leadership: Reflecting on the 29th Congress of the International Council of Nurses and on nursing organizations’ political role more broadly 护理领导的政治:反思第29届国际护士理事会大会和更广泛的护理组织的政治作用
Pub Date : 2023-10-06 DOI: 10.18192/aporia.v15i2.6969
None Collective of authors*
Réflexion sur le 29e Congrès du Conseil international des infirmières et, plus largement, sur le rôle politique des organisations infirmières
对国际护士理事会第29届大会的反思,以及更广泛地对护理组织的政治作用的反思
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引用次数: 0
Does Madness Really Exist? An autobiographical analysis of psychosis as a response to trauma and not a ‘mad’ state of mind 疯狂真的存在吗?对精神病的自传式分析是对创伤的反应,而不是一种“疯狂”的精神状态
Pub Date : 2023-03-11 DOI: 10.18192/aporia.v15i1.6587
Lucía Franco, L. Nicholls
The relatively new method of autoethnography as valid research is used in this paper. The method combines a personal and introspective approach with the academic research method. By reflecting on her experience of psychosis, the first author (LF) attempts to show how psychotic symptoms, such as delusions or paranoid perceptions, have a symbolic meaning and could relate to previous traumatic experiences. She uses Winnicott’s concept of the ‘true’ and the ‘false’ self and applies it to psychotic illness. Using auto-ethnographic details of her experiences, she indicates how trauma, and associated falsification of its understanding, led to distortion, i‧e., a false reality, a symptom typically associated with psychosis. A brief comparison is then made of her experience to two other published auto-biographical cases. In light of this self-analysis and careful reading of key psychoanalytic texts, the author explores and explains what, in her experience, may lead people to act in a manner not typical of their true being and how this might explain the rare dangerous behaviour that can occur in some psychotic cases. The understanding of psychosis as ‘madness’ (i‧e., to be without reason) is revealed to be due to lack of understanding of its possible underlying causes.
本文采用了相对较新的民族志研究方法。该方法结合了个人和内省的方法与学术研究方法。通过反思她的精神病经历,第一作者(LF)试图展示精神病症状,如妄想或偏执的感知,如何具有象征意义,并可能与以前的创伤经历有关。她将温尼科特的“真我”和“假我”的概念应用于精神疾病。她利用自己经历的民族志细节,指出了创伤,以及与之相关的对创伤理解的歪曲,是如何导致扭曲的。一种虚假的现实,一种典型的精神病症状。然后将她的经历与另外两个已发表的自传式案例进行简要比较。根据这种自我分析和对关键精神分析文本的仔细阅读,作者探索并解释了在她的经验中,什么可能导致人们以一种不典型的真实存在的方式行事,以及这如何解释在某些精神病病例中可能发生的罕见危险行为。把精神病理解为“疯狂”(i·e)。(无理由)是由于缺乏对其可能的潜在原因的了解。
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引用次数: 0
“Very Similar to Having a Pimp”: Community Advisory Board Members’ Experiences in Health-Related Community-Based Participatory Research “与Pimp非常相似”:社区咨询委员会成员在健康相关社区参与性研究中的经验
Pub Date : 2023-03-11 DOI: 10.18192/aporia.v15i1.6487
Laurel Schmanda, A. Giles, Carrie Martin, Michael Liddell
Despite the abundance of research on the experiences of researchers with community-based participatory research (CBPR), there has been comparatively little published on CAB members’ experiences. The goal of this research was to analyze the lived experiences of a small sample of CAB members in recent health-focused CBPR in Canada, with a particular focus on areas for improvement. We found that CAB members in CBPR experienced low perceived value from researchers due to communication patterns, education differences, and inadequate compensation. These issues may be mitigated through increased CAB member engagement throughout the research process, adequate compensation, and improved emotional support. This study demonstrates that if CBPR methodologies are to live up to their promise, it is crucial that CAB members are enabled to work in true partnership with researchers, receive adequate compensation that is meaningful to them, and are supported throughout the process. 
尽管对基于社区的参与性研究(CBPR)的研究人员的经验进行了大量研究,但关于CAB成员的经验发表的文章相对较少。这项研究的目的是分析加拿大最近以健康为重点的CBPR中一小部分CAB成员的生活经历,特别关注需要改进的领域。我们发现,由于沟通模式、教育差异和补偿不足,CBPR中的CAB成员从研究人员那里获得的感知价值较低。这些问题可以通过增加CAB成员在整个研究过程中的参与度、适当的补偿和改善情感支持来缓解。这项研究表明,如果CBPR方法要实现其承诺,CAB成员能够与研究人员真正合作,获得对他们有意义的充分补偿,并在整个过程中得到支持,这一点至关重要。
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引用次数: 0
Ending the invisible work of nurses: Reflection following a study about nursing support of relatives 结束护士的无形工作:对亲属护理支持研究的思考
Pub Date : 2023-03-11 DOI: 10.18192/aporia.v15i1.6503
S. Daneau, A. Bourbonnais, A. Legault
Formerly playing an assistive role motivated by virtue, obedience, and self-denial, nurses are now autonomous professionals with unique expertise, skills, and competencies. However, current recognition of the nursing role is far from optimal and perpetuates the invisibility of nurses’ real work. This article examines one component of the situation: the non-recognition of the nursing role by nurses themselves. Hypotheses explaining this phenomenon, like the history of nursing and the lack of common language, is presented, as well as its impacts, followed by exploration of possible solutions.
以前,护士在美德、服从和自我否定的激励下扮演辅助角色,现在,护士是具有独特专业知识、技能和能力的自主专业人员。然而,目前对护理角色的认识远未达到最佳状态,并且使护士的实际工作永远不可见。这篇文章探讨了情况的一个组成部分:护士自己不承认护理的角色。提出了解释这一现象的假设,如护理的历史和缺乏共同语言,以及它的影响,然后探索可能的解决方案。
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引用次数: 0
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Aporia
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